This paper offers a novel, qualitative approach to evaluating the outcomes of integrating humanities and ethics into a newly revised pre-clerkship medical education curriculum. The authors set out to evaluate medical students’ perceptions, learning outcomes, and growth in identity development. Led by a team of interdisciplinary scholars, this qualitative project examines multiple sources of student experience and perception data, including student essays, end-of-year surveys, and semi-structured interviews with students. Data were analyzed using deductive and inductive processes to identify key categories (...) and recurring themes. Results suggest that students not only engaged with the curricular content and met the stated learning objectives but also acknowledged their experience in the humanities and ethics curriculum as an opportunity to reflect, expand their perceptions of medicine (and what it means to be “in” medicine), connect with their classmates, and further cultivate their personal and professional identities. Results of this qualitative study show how and in what ways the ethics and humanities curriculum motivates students past surface-level memorization of factual knowledge and encourages thoughtful analysis and evaluation about how the course material relates to and influences their thinking and how they see themselves as future doctors. The comprehensive qualitative approach reflects a holistic model for evaluating the integration of humanities and ethics into the pre-clerkship medical education curriculum. Future research should examine if this approach provides a protective factor against the demonstrated ethical erosion and empathy decrease during clinical training. (shrink)

Sue felt welling disgust as the first dark drops of menstrual blood struck the tile in dime-sized drops. “For God’s sake Carrie, you got your period!’ Sue cried. ‘Clean yourself up!”Within the walls of her educational institution, classmates bombard Carrie with feminine hygiene products, chanting “plug it up!” as their disgust for her rises.1 This fictional scene in Stephen King’s Carrie is cruel but is perhaps not inconceivable as something that might occur in reality. In this scene, Carrie is dehumanized, (...) animalistic; she has been rejected for her unwilling transgression of accepted social behavior. Menstrual blood is running down her legs. What makes this scene different to what could conceivably occur in... (shrink)

L'entrée des enfants médiévaux dans la collection de « La Vie Quotidienne » vaut reconnaissance. Ce petit ouvrage clot la polémique née il y a trente ans, quand Philippe Ariès avait avançé l'idée que la rareté des sources concernant l'enfance médiévale révélait un désintérêt des gens de cette époque pour leurs enfants. L'ouvrage que nous proposent ces deux spécialistes de l'enfance médiévale, Danièle Alexandre-Bidon et Didier Lett, offre une synthèse des connaissance acquises sur les...

Popular imaginings of Tanzania's Serengeti National Park and Ngorongoro Conservation Area are founded on the idea of wilderness preserved, but this conception of the 'park' is based in colonial-era race-thinking. Rather than simply a colonial-era manifestation of an apparently universal conservationist ideal, Serengeti and Ngorongoro are instead racial projects that embody the historical and ongoing processes of racial formation. The creation of Serengeti and Ngorongoro enabled a racialisation of nature, a process begun by the British and reinscribed via safari ever (...) since. Recognising this racialisation of nature has larger implications for not only the treatment and perception of those in the Global South, the racialised 'other' to the Global North, but also for the realities of white privilege and constructions of whiteness. (shrink)

This article presents an analysis of one docent's discussion of Michigan history to a group of third-grade children as part of a week-long state-sponsored history program. By analyzing the docent's...

This essay advocates applying a “narrative” conception of the individual self to the problem of “collective responsibility.” Participants in the debate agree that groups are composed of individuals and that group responsibility must somehow mimic individual responsibility. However, participants do not begin from a neutral and unproblematic conception of the individual. So far, most participants have assumed standard models of the individual that may unduly bias their conclusions about different forms of group responsibility. I argue that switching to a “narrative” (...) conception may provide a more comprehensive and therefore preferable starting point for considering questions of group responsibility. (shrink)

Andrew Aberdein recently explored whether Aristotle held a (proto-)virtue argumentation theory, which would evaluate a good argument in terms of whether the arguers engaged virtuously. Aberdein admits, however, that connections between virtue, character, and argumentation are scarce within Aristotle's works. Accordingly, here Cassie Finley approaches this question from a different angle, comparing Aristotle's concepts of dialectic and rhetoric with virtue theories of argumentation. She argues that the essential features of dialectic and rhetoric are in tension with the defining characteristics (...) of virtue argumentation theories. However, this tension raises a deeper methodological tension within virtue argumentation theories regarding their “intuitive” conception of arguments. Finley outlines a more viable route forward for virtue argumentation theorists, one that dissolves this tension through reframing their project as a virtue dialogue theory. This shift toward dialogue would help to assuage the main objections to virtue argumentation theories regarding adversariality, incompleteness, and vulnerability to ad hominems. At the same time, developing toward a virtue dialogue theory better aligns with the intuitive sense of engaging well with others that defines the virtue argumentation project, and it also more fruitfully sets up the project to encourage future scholarship connecting virtue ethics, virtue epistemology, and philosophy of education. (shrink)

Il contributo intende mettere in primo piano il ruolo svolto dall'analogia nel _modus operandi_, oltre che nel_ modus arguendi_, dei giuristi medievali. Se ne propone inoltre una lettura "a più livelli" nell'ottica de _Il paradigma filosofico agostiniano_ (Parodi 2006). _This essay means to put the spotlight on the role that analogy played in medieval jurists' _modus operandi _and _modus arguendi_, suggesting a multi-level reading of it as well, from the point of view of _Il paradigma filosofico agostiniano_ (Parodi 2006)._.

Aramaic in Postbiblical Judaism and Early Christianity. Edited by Eric M. Meyers and Paul V. Flesher. Duke Judaic Studies Series, vol. 3. Winona Lake, Ind.: Eisenbrauns, 2010. Pp. xx + 300. $49.50.

Traditional moral explorations of sexual violation are dyadic: they focus on the relationship between the perpetrator and the victim, considered in relative isolation. We argue that the moral texture of sexual violation and its fallout only shows up once we see acts of sexual violation as acts that occur within an ecosystem. An ecosystem is made up of dwellers and an environment embedded in a broad, thick, interdependent, and relatively stable web of norms, practices, environments, material and institutional structures. We (...) argue that many of the important and interesting harms wrought by sexual violation can only be understood as ecological harms. To illustrate this, we focus on sexual violations that occur within a specific type of ecosystem, namely an academic department with a graduate program. We examine the possible damaging effects of sexual violation on the ecology of a department. We also consider what makes an ecosystem resilient and relatively able to self-repair, and how sexual violation within an ecosystem may weaken its self-repairing resources. We show that looking at sexual violation through this ecological lens lets us identify harms that are otherwise obscured or difficult to locate. (shrink)

Reconstructive allografts using Vascularized Composite Allotransplantation are providing individuals living with upper limb loss and facial disfigurement with new opportunities for a sensate, esthetically acceptable, and functional alternative to current treatment strategies. Important research attention is being paid to how best to assess and screen candidates for VCA, measure optimal patient outcomes, and support patient adherence to lifelong behaviors and medical regimens. Far less attention, however, has been dedicated to the team science required for these complex VCA teams to form, (...) prepare, and provide the highest quality clinical and psychosocial care to those receiving VCA. VCA teams are unique in that they require specialized team members whose scope of practice may not otherwise overlap. The team also needs to constantly negotiate balancing patient safety with multiple risks throughout the transplant process. This study aimed to elucidate the team science needed for this highly innovative and complex area of medicine. Using in-depth qualitative interviews with 14 VCA team members and observations at team meetings, we found that careful consideration of team composition, team structure, and organizational commitment influences team performance and patient outcomes, but that to be efficient and truly effective, teams need to commit to developing processes that foster collaboration. These processes are action-oriented, strategic and interpersonal. Dedication and commitment to team science allows teams to manage conflict under stress and exercise ways to leverage strengths to provide optimal performance or patient psychosocial and clinical outcomes. This study can provide insight into quality improvement efforts for VCA teams and guidance for other transplant programs that wish to consider expansion into VCA. (shrink)

Holistic Learning is designed as a practical guide for teachers on how to integrate curriculum around human processes and human themes. Specifically, problem solving (human process) and mythology (human theme) have been selected as vehicles for curriculum integration. Along with a number of specific strategies for classroom use, the book includes a rationale and framework for integrated studies, teaching approaches in problem solving and mythology, guidelines for writing units in integrated studies, and implementation strategies for integrated studies. The primary audience (...) is teachers at the intermediate and senior levels, although muc of the material is applicable to teachers at all levels of the curriculum. Individuals in curriculum leadership positions (e.g., principals, co-ordinators, and superintendents) should also find the work of interest. Holistic Learning is a practical guide for teachers seeking approaches to integrate diverse subject matter. (shrink)

Hastings Center Report, Volume 52, Issue S1, Page S57-S59, March‐April 2022.

Neuromuscular synapses are highly dynamic structures that respond to both intercellular and intracellular cues to manipulate synaptic form. A variety of post‐translational modifications of synaptic proteins are used to regulate synaptic plasticity. A recent report by DiAntonio et al.(1) shows that two ubiquitin pathway proteins, Highwire and Fat facets, may be mutually antagonistic regulators of presynaptic growth at the Drosophila neuromuscular junction. This work adds support to the emerging idea that ubiquitin, a polypeptide that targets proteins for proteasomal degradation, regulates (...) synaptic development. BioEssays 24:13–16, 2002. © 2002 John Wiley & Sons, Inc. (shrink)

Discusses the growing need for maturity in today's world and includes a description of various forces that influence the human mind.