[Paleopsych] CHE: A glance at the current issue of Academic Medicine: Cultural differences in end-of-life medical care

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A glance at the current issue of Academic Medicine: Cultural differences in 
end-of-life medical care
The Chronicle of Higher Education: Magazine & journal reader
News bulletin from the Chronicle of Higher Education, 5.7.4 

    Medical students and residents often feel unprepared to care for dying
    patients, according to a series of articles in the journal, which is
    published by the Association of American Medical Colleges.

    Baback B. Gabbay, a resident in psychiatry at the University of
    California at Los Angeles, and his co-authors found that residents in
    Japan are more likely than their American counterparts to withhold
    information about a terminal diagnosis from a patient, telling only
    the patient's family instead. While medical educators in the United
    States strongly favor disclosing such information to patients,
    residents often struggle when that policy conflicts with a patient's
    cultural traditions.

    Another article describes the emotional reactions of third-year
    medical students to their "most memorable" patient deaths, concluding
    that students are deeply affected, even when they do not have close
    contact with the patient. Jennifer Rhodes-Kropf, an assistant
    professor of medicine at Yeshiva University's Albert Einstein College
    of Medicine, and her co-authors found that medical professors rarely
    hold "debriefing" sessions to allow students to discuss their
    experiences. Instead, they expect students to remain stoic.

    Dr. Gabbay's article, "Negotiating End-of-Life Decision Making: A
    Comparison of Japanese and U.S. Residents' Approaches," is available
    online at

    The rest of the issue is available to subscribers only at

    --By Katherine S. Mangan


Here's the contents of this issue of Academic Medicine.

Volume 80(7) July 2005
2005 Association of American Medical Colleges ISSN: 1040-2446

1. Redesigning Clinical Education: A Major Challenge for Academic Health 
Centers. Whitcomb, Michael E. MD pg. 615-616

2. A New Item in the Journal pg. 616

3. Negotiating End-of-Life Decision Making: A Comparison of Japanese and U.S. 
Residents' Approaches. Gabbay, Baback B. MD; Matsumura, Shinji MD, MSHS; 
Etzioni, Shiri MD; Asch, Steven M. MD, MPH; Rosenfeld, Kenneth E. MD; Shiojiri, 
Toshiaki MD; Balingit, Peter P. MD; Lorenz, Karl A. MD, MSHS pg. 617-621

4. Residents' End-of-Life Decision Making with Adult Hospitalized Patients: A 
Review of the Literature. Gorman, Todd E. MD, FRCP(C); Ahern, Stephane P. MD, 
FRCP(C); Wiseman, Jeffrey MD, FRCP(C), MA; Skrobik, Yoanna MD, FRCP(C) pg. 

5. "This is just too awful; I just can't believe I experienced that ": Medical 
Students' Reactions to Their "Most Memorable" Patient Death. Rhodes-Kropf, 
Jennifer MD; Carmody, Sharon S. MD; Seltzer, Deborah; Redinbaugh, Ellen PhD; 
Gadmer, Nina MHA; Block, Susan D. MD; Arnold, Robert M. MD[Featured Topic 
Research Report] pg. 634-640

6. Third-Year Medical Students' Experiences with Dying Patients during the 
Internal Medicine Clerkship: A Qualitative Study of the Informal Curriculum. 
Ratanawongsa, Neda MD; Teherani, Arianne PhD; Hauer, Karen E. MD pg. 641-647

7. "It was haunting": Physicians' Descriptions of Emotionally Powerful Patient 
Deaths. Jackson, Vicki A. MD, MPH; Sullivan, Amy M. EdD; Gadmer, Nina M. MHA; 
Seltzer, Deborah; Mitchell, Ann M. PhD, RN; Lakoma, Mathew D.; Arnold, Robert 
M. MD; Block, Susan D. MD pg. 648-656

8. Teaching and Learning End-of-Life Care: Evaluation of a Faculty Development 
Program in Palliative Care. Sullivan, Amy M. EdD; Lakoma, Matthew D.; Billings, 
J Andrew MD; Peters, Antoinette S. PhD; Block, Susan D. MD; the PCEP Core 
Faculty pg. 657-668

9. The Palliative Care Clinical Evaluation Exercise (CEX): An Experience-Based 
Intervention for Teaching End-of-Life Communication Skills. Han, Paul K. J. MD, 
MA, MPH; Keranen, Lisa B. PhD; Lescisin, Dianne A. MHPE; Arnold, Robert M. MD 
pg. 669-676

10. Cover Note: Indiana University School of Medicine. Perry, Pamela Su pg. 677

11. Blindness. Saramago, Jose pg. 678

12. Commentary. Miksanek, Tony MD pg. 679

13. How Can Physicians' Learning Styles Drive Educational Planning? Armstrong, 
Elizabeth PhD; Parsa-Parsi, Ramin MD, MPH pg. 680-684

14. Teaching Evidence-Based Medicine: Should We Be Teaching Information 
Management Instead? Slawson, David C. MD; Shaughnessy, Allen F. PharmD pg. 

15. Responsibly Managing the Medical School-Teaching Hospital Power 
Relationship. Chervenak, Frank A. MD; McCullough, Laurence B. PhD pg. 690-693

16. Self-Reflection in Multicultural Training: Be Careful What You Ask For. 
Murray-Garcia, Jann L. MD, MPH; Harrell, Steven; Garcia, Jorge A. MD, MS; 
Gizzi, Elio MD; Simms-Mackey, Pamela MD pg. 694-701

17. The Irony of Osteopathic Medicine and Primary Care. Cummings, Mark PhD; 
Dobbs, Kathleen J. PA-C, MS pg. 702-705

18. Resident Teaching: A Tale of Two Places in Time. Wilson, Lynn D. MD, MPH 
pg. 705

19. Considering the Culture of Disability in Cultural Competence Education. 
Eddey, Gary E. MD; Robey, Kenneth L. PhD pg. 706-712

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