Incorporating humanities and social sciences into orthopedic education: a scoping review
摘要
Conventional orthopedic education emphasizes technical proficiency but often overlooks critical humanistic aspects of patient care. This scoping review examines the integration of humanities and social sciences (HSS) into orthopedic training to address ethical challenges, social determinants of health (SDH), psychological factors, and communication barriers.
MethodsA search of major databases (2001–2024) identified key studies on HSS in orthopedic education using terms like "medical humanities," "ethics," and "cultural competency."
ResultsFindings reveal that incorporating HSS enhances empathy, cultural awareness, and patient-centered approaches while improving clinical decision-making. Medical ethics training helps surgeons navigate complex issues, such as informed consent and emerging technologies while understanding social determinants of health (SDH) enables them to address healthcare disparities more effectively. Psychological training enhances the management of chronic pain and improves rehabilitation outcomes. Successful implementation strategies include case-based ethics modules, cultural competency workshops, narrative medicine exercises, and reflective practice sessions. However, barriers persist, including curriculum resistance, lack of faculty training, and limited assessment tools. Innovative approaches, such as virtual reality simulations and interdisciplinary collaborations, show particular promise for skill development.
ConclusionThe review demonstrates that HSS integration creates more well-rounded surgeons capable of delivering holistic care. Future efforts should focus on developing standardized assessment metrics, longitudinal outcome studies, and faculty development programs. By bridging the gap between technical expertise and humanistic practice, orthopedic education can better prepare trainees for the complexities of modern healthcare systems and diverse patient populations, ultimately leading to improved patient experiences and clinical outcomes.