{"id":136851,"date":"2025-08-05T09:51:34","date_gmt":"2025-08-05T13:51:34","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/camed\/?post_type=bu-article&#038;p=136851"},"modified":"2025-09-02T12:29:04","modified_gmt":"2025-09-02T16:29:04","slug":"new-curriculums-focus-on-patient-trust-makes-learning-bedside-cardiac-assessment-meaningful","status":"publish","type":"bu-article","link":"https:\/\/www.bumc.bu.edu\/camed\/news-events\/articles\/2025\/new-curriculums-focus-on-patient-trust-makes-learning-bedside-cardiac-assessment-meaningful\/","title":{"rendered":"New Curriculum\u2019s Focus on Patient Trust Makes Learning Bedside Cardiac Assessment Meaningful"},"content":{"rendered":"\t<div class=\"wp-block-editorial-leadin news-block-editorial-leadin is-style-image-to-text has-media has-media-focus-center-top\">\n\t\t<div class=\"container-lockup\">\n\n\t\t\t<div class=\"wp-block-leadin-media\">\n\t\t\t\t\n\t\t\t\t<img width=\"623\" height=\"360\" src=\"\/camed\/files\/2025\/08\/Meisel-Study-image-e1754403788425.jpg\" class=\"\" alt=\"Medical doctor and students gathered around patient in bed\" loading=\"lazy\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/08\/Meisel-Study-image-e1754403788425.jpg 623w, https:\/\/www.bumc.bu.edu\/camed\/files\/2025\/08\/Meisel-Study-image-e1754403788425-540x312.jpg 540w\" sizes=\"(max-width: 623px) 100vw, 623px\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<p class=\"wp-block-editorial-leadin-caption wp-prepress-component-caption\">L to r: BU Clinical Associate Professor Daniel C. R. Chen, Mitchell Medow, MD, PhD, former BU medical students Andrew L. Chu, MD and Shen Ning, MD. MedEdPORTAL. 2023;19:11362. Copyright \u00a9 2023 Meisel et al. Distributed under the terms of the Creative Commons Attribution-NonCommercial license.<\/p>\n\t\t\t\n\n\t\t\t\n\t\t\t\t<div class=\"container-words-outer\">\n\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"container-words-inner\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"wp-prepress-tag\">Research<\/span>\n\t\t\t\t\t\t\t\t<h1 class=\"head\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<strong>New Curriculum\u2019s Focus on Patient Trust Makes Learning Bedside Cardiac Assessment Meaningful<\/strong>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"deck\"><em>Researchers used an educational approach in which the process of learning was seen as meaningful, not just learning isolated facts or skills<\/em><\/h4>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\t\t<\/div>\n\n\t\t\t\n\t\t<\/div>\n\n\t\t\n\t<\/div>\n\n\t\n<div class=\"wp-prepress-component-metabar news-prepress-layout-metabar\">\n\t<div class=\"wp-prepress-component-metabar-wrapper\">\n\t\t\t\t\t<div class=\"wp-prepress-component-metabar-date\">August 5, 2025<\/div>\n\t\t\n\t\t\t\t<div class=\"wp-prepress-component-metabar-credits\">\n\t\t\t\t\t<\/div>\n\t\t<div class=\"wp-prepress-component-metabar-share js-bu-prepress-share-tools\">\n\t\t\t<span class=\"icon-twitter\"><span>Twitter<\/span><\/span>\n\t\t\t<span class=\"icon-facebook\"><span>Facebook<\/span><\/span>\n\t\t\t<span class=\"icon-action\"><\/span>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\t\n\n\n<p class=\"has-drop-cap\">The patient\u2013doctor relationship is built upon trust in not only doctors\u2019 knowledge and skills but also attitudes. Over time, notions of trust in medical education have focused increasingly on trainees becoming \u201centrustable\u201d to proficiently complete important professional tasks.<\/p>\n\n\n\n<p>In a <a href=\"https:\/\/www.dovepress.com\/article\/download\/105451\">new study<\/a> recently published in the online journal Advances in Medical Education and Practice, researchers from Boston University Chobanian &amp; Avedisian School of Medicine explored medical students\u2019 experience of participating in a curriculum that encouraged them to explore attitudes like trust, even while learning how to complete the important task of caring for patients with heart problems.<\/p>\n\n\n\n<p>The study was part of a two-year project, funded partly by an education pilot grant from the BUMC Faculty Development Committee, in which educators implemented a new curriculum with 268 students on six-to-eight-week inpatient medical clerkships at four U.S. and international medical schools, including Boston University. <\/p>\n\n\n\n<p>\u201cThere was something we couldn&#8217;t quite put our hands on about the way we were teaching bedside cardiac assessment,\u201d said corresponding author <a href=\"https:\/\/profiles.bu.edu\/James.Meisel\">James Meisel<\/a>, MD, MHPE, associate professor of medicine and associate chief of staff for education at Veterans Affairs Bedford Healthcare System. Meisel said researchers realized that knowledge, skills and attitudes worked together, something not typically taught. \u201cAnd that\u2019s what we endeavored to teach,\u201d he said.<\/p>\n\n\n\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"responsive-video responsive-youtube\"><iframe loading=\"lazy\" title=\"Trust and Humility in Bedside Cardiac Assessment\u2013 Video abstract [520398]\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Sv9MeVQ6Vtc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><figcaption>View the video abstract.<\/figcaption><\/figure>\n\n\n\n<p>In the study, researchers undertook a six-month qualitative exploration of BU medical students\u2019 experience of the first year of the curriculum. \u201cThe bedside cardiac assessment curriculum taught humility alongside hard clinical skills, such as physical examination skills,\u201d said Meisel. \u201cStudents reported that human interaction meaningfully contributed to successful learning. In particular, humility was the key to patient-centered communication and building trust. This suggests the curriculum may help students develop identities as trustworthy professionals.\u201d<\/p>\n\n\n\n<p>In the first learning module, a videotaped patient set the stage by asking provocatively, \u2018Why should I trust your clinical skills?\u2019\u201d Students were encouraged to think and reflect before using their stethoscopes, to listen to the patient describe what brought them to seek medical attention. The idea is to capture the patient\u2019s history, both diagnostically and as part of the human condition, before proceeding with a six-step systematic approach to the cardiac assessment.<\/p>\n\n\n\n<p>Educators used short videos and practice questions preceding two, one-hour class activities integrating diagnostic reasoning, pathophysiology, jugular venous pulse evaluation and heart sounds, along with simulated patient conversations.&nbsp;<\/p>\n\n\n\n<p>To better understand students\u2019 experience, researchers asked 67 BU students to complete open-ended questions after they\u2019d participated in the two class activities. They then analyzed student responses, looking for recurring themes. The analysis suggested that the learning strategies were effective and that learning with peers, skills practice and interacting with educators were meaningful. The analysis also revealed several opportunities to improve the curriculum, which the authors incorporated into its final version.<\/p>\n\n\n\n<p>Taken with the authors\u2019 2023 analysis that participants were more confident in their bedside cardiac assessment&nbsp;abilities,&nbsp;the current study suggest that the curriculum supports the development of \u201cconfident humility,\u201d a&nbsp;trait that The Coalition for Physician Accountability\u2019s Undergraduate Medical Education-Graduate Medical Education Review Committee deems critical to the transition from medical school to residency training.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright size-large\"><img loading=\"lazy\" width=\"175\" height=\"186\" src=\"\/camed\/files\/2023\/10\/Meisel-James-e1698766801290.jpg\" alt=\"Man with gray hair and glasses wearing blue suit, white shirt, red tie, infront of US flag and veteran flag\" class=\"wp-image-117356\"\/><figcaption>James Meisel, MD, MHPE<\/figcaption><\/figure><\/div>\n\n\n\n<p>\u201cOur hope is that the key take home from our work is that humility, patient centeredness and opportunities for professional identity formation are recognized by curriculum developers, by researchers, by trainees, as opportunities to expand the role of trustworthiness throughout health professions education at all levels,\u201d Meisel said.<\/p>\n\n\n\n<p>Meisel cautioned that, given the limitations of a relatively small dataset, researchers could not explore further nuances.<\/p>\n\n\n\n<p>\u201cWe intended this educational experience to bring notions of trust full circle, to help students appreciate Francis Peabody\u2018s aphorism, \u2018The secret of care of the patient is caring for the patient,\u2019\u201d said Meisel. \u201cWe anticipate that this work will stimulate conversations around expanded roles of trust in medical education.\u201d<\/p>\n\n\n\n<p>The <a href=\"https:\/\/hdl.handle.net\/2144\/47083\">Bedside Cardiac Assessment curriculum<\/a> is available through OpenBU. The authors expect to complete an update to the site, making components of the educational resource more easily accessible to health professions trainees and program directors globally, by September 2025.<\/p>\n\n\n\n<p>Other BU authors included, <a href=\"https:\/\/profiles.bu.edu\/Sheilah.Bernard\">Sheilah Bernard<\/a>, MD, Hugo Carmona, MD,&#8217;14 and the late Gail March Cohen, PhD.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The patient\u2013doctor relationship is built upon trust in not only doctors\u2019 knowledge and skills but also attitudes. Over time, notions of trust in medical education have focused increasingly on trainees becoming \u201centrustable\u201d to proficiently complete important professional tasks. In a new study recently published in the online journal Advances in Medical Education and Practice, researchers [&hellip;]<\/p>\n","protected":false},"author":903,"featured_media":136853,"comment_status":"closed","ping_status":"closed","template":"","meta":{"bu_prepress_billboard":"","_bu_prepress_primary_term":"","_bu_prepress_primary_term_manual":"Research"},"tags":[],"bu-publication":[367],"medicine-article-category":[],"medicine-topic":[],"news-article-category":[379,385],"news-topic":[],"bu_edition":[390],"media_type":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article\/136851"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/types\/bu-article"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/users\/903"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/comments?post=136851"}],"version-history":[{"count":8,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article\/136851\/revisions"}],"predecessor-version":[{"id":136862,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-article\/136851\/revisions\/136862"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media\/136853"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media?parent=136851"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/tags?post=136851"},{"taxonomy":"bu-publication","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu-publication?post=136851"},{"taxonomy":"medicine-article-category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/medicine-article-category?post=136851"},{"taxonomy":"medicine-topic","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/medicine-topic?post=136851"},{"taxonomy":"news-article-category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/news-article-category?post=136851"},{"taxonomy":"news-topic","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/news-topic?post=136851"},{"taxonomy":"bu_edition","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/bu_edition?post=136851"},{"taxonomy":"media_type","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media_type?post=136851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}