Advances in Medical Education and Practice (Jan 2022)
Teaching About Intergenerational Dynamics: An Exploratory Study of Perceptions and Prevalence in US Medical Schools
Abstract
Geoffrey A Talmon,1,2 Seif Nasir,2 Gary L Beck Dallaghan,3 Kari L Nelson,2,4 Daniel A Harter,1 Samir Atiya,1 Pranav S Renavikar,1 Michael Miller5 1Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA; 2Office of Medical Education, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA; 3Office of Medical Education, University of North Carolina, Chapel Hill, Chapel Hill, NC, USA; 4Office of Graduate Medical Education, University of Nebraska Medical Center, Omaha, NE, USA; 5Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, Galveston, TX, USACorrespondence: Kari L Nelson, Email [email protected]: Prior studies suggest a role for promoting recognition of generational differences as a part of workplace ethics. To our knowledge, there is no published comprehensive analysis demonstrating how commonly or by what methods intergenerational dynamics are taught as structured coursework in medical school curricula. To address this gap, we carried out a survey of curriculum leaders of US medical schools to assess the current practices and attitudes toward content related to generational differences in medical school coursework.Methods: A survey consisting of 23 closed- and open-ended questions that aimed to assess the presence, characteristics, and attitudes of participants towards intergenerational dynamics in medical school coursework was disseminated via email. Curriculum deans at 154 allopathic medical schools were invited to complete the survey and sent one reminder email. Quantitative responses were descriptively analyzed, and qualitative responses were thematically analyzed.Results: The response rate was 38.3%, with the majority (58%) of responding institutions stating that their curriculum did not include coursework on intergenerational dynamics. When taught, the most frequent method of instruction was small-group activities. Most stated that the educational content for intergenerational dynamics has been part of their curriculum for fewer than five years. In total, 34% of respondents agreed that some form of education about intergenerational dynamics should be required during medical education as they felt that content could improve cultural competence. Those that were less supportive of inclusion of intergenerational material stated concerns about stereotyping and the value of generational descriptions.Conclusion: Our findings show a heterogeneity of responses on the perceptions and practice of curriculum leaders regarding inclusion of content related to intergenerational differences in medical school education. In summary, we present the first work assessing current practices and attitudes toward content related to the inclusion of material on intergenerational dynamics in undergraduate medical education in US allopathic medical schools.Keywords: intergenerational dynamics, medical school, teaching, curriculum
