Medical School Education on Myalgic Encephalomyelitis, 2021, Muirhead,Marsh et al

Discussion in 'ME/CFS research' started by Sly Saint, Mar 17, 2021.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

    Background and objectives: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome ME/CFS is a common complex multi-system disease with a significant impact on the quality of life of patients and their families, yet the majority of ME/CFS patients go unrecognised or undiagnosed. For two decades the medical education establishment in the UK has been challenged to remedy these failings, but little has changed. This study was designed to ascertain the current UK medical school education on ME/CFS and to identify challenges and opportunities to inform the future of medical education.

    Materials and methods: A questionnaire, developed under the guidance of the Medical Schools Council, was sent to all 34 UK Medical Schools to collect data for the academic year 2018-2019.

    Results: Responses were provided by 22 out of a total of 34 medical schools (65%). 59% of respondents taught ME/CFS, led by specialists drawn from 6 medical disciplines.

    Teaching delivery was usually by lecture; however, discussion case studies and e-learning were used. 7 schools included questions on ME/CFS in their examinations and 3 schools reported likely clinical exposure to ME/CFS patients. 64% of respondents were interested in receiving further teaching aids in ME/CFS. None of the schools shared details of their teaching syllabus so it was not possible to ascertain what students were being taught.

    Conclusions: UK medical school teaching in ME/CFS is shown to be inadequate.

    Several medical disciplines, with known differences about the disease, need to set these aside to give greater clarity in teaching undergraduates so they can more easily recognise and diagnose ME/CFS. Improvements are proposed in ME/CFS medical education consistent with the international paradigm shift in biomedical understanding of this disease. Many medical schools (64% of respondents) acknowledge this need by expressing a strong appetite for the development of further teaching aids and materials.

    The GMC and MSC are called upon to use their considerable influence to bring about the appropriate changes to medical school curricula so future doctors can recognise, diagnose and treat ME/CFS. The GMC should also consider creating a registered speciality encompassing ME/CFS, post viral fatigue and Long Covid."
    Simbindi, alktipping, Sean and 17 others like this.
  2. Daisymay

    Daisymay Senior Member (Voting Rights)

    Well the fact none of them shared details of what they were teaching to me speaks volumes, why not if they have nothing to hide? Does this not strongly imply they are teaching BPS view and they won't share the content of their course because they know there is a major problem with it?

    No teaching at all would be less harmful to patients than teaching medics the BPS and CBT/GET view.
    Mithriel, Simbindi, ahimsa and 13 others like this.
  3. rvallee

    rvallee Senior Member (Voting Rights)

    Public academic institutions should not work in secrecy. Frankly absurd. This isn't religion, it isn't restricted for the initiated. This is a huge part of the problem and it makes no sense at all. I can understand some expensive private schools doing that but most aren't, it should be possible to have that information as it is very basic and uncontroversial.

    Obviously the refusal to share is based on concerns about massive inaccuracies and very prejudicial ideas based on nothing but opinions. But that is an affront on academic freedom.
    Barry, tmrw, Simbindi and 8 others like this.
  4. Daisymay

    Daisymay Senior Member (Voting Rights)

    Totally agree, this is an absolutely huge part of the problem. Their failure to give the info implies their syllabuses are controversial and they know it.
    Barry, Simbindi, alktipping and 7 others like this.
  5. Andy

    Andy Committee Member

    Hampshire, UK

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