Surfacing disrespect in Obstetrics

@ Brunel University

March 2015

Surfacing

abuse, neglect and disrespect

in Obstetrics

What about student learning?

Veronica Mitchell

B Sc (Physio) M Phil (HES)

Health Sciences Faculty

University of Cape Town / University of the Western Cape

South Africa

“Committed outsider”

questioning practices

through

constructive criticism

Curriculum

PhD Research Project

education through the lens of social justice

ought to confront

the real-life issues of societal injustice rather than be designed

to provide

“medical students with uncontroversial

and politically neutral clinical skills”

Coria, A., Mc Kelvey, G., Charlton, P., Woodworth, M., & Lahey, T. 2013. The design of medical school social justice curriculum. Academic Medicine, 88(10).

Teaching

Me & my Dilemmas: Promoting a culture of conversation in exploring the boundary lines

“That everyone feels the same and it has

happened for years – yet it all continues!!

Feels like a lost cause”

The hierarchy is powerful!

“ So many (if not ALL of us!) have experienced human rights injustices, yet few have made

reports.

2010 Students

Patient-centred maternity care code

Shift from

a culture of silence

to dialogue

Articulation

of real-world problems

Sharing

How can a

4th year student

lay a complaint

against a doctor?

It is unlikely to bear fruit!

Using Google Drive http://emergingicts.blogspot.com/p/guide.html

Reflective teaching tool https://open.uct.ac.za/handle/11427/6600

Blog

Interviews

Classroom activity

My journey

Interviews

with educators

“Drawing is not my usual

form of expression”

Classroom activity

Classroom activity

A creative and

powerful way to

express things that

may be difficult to

explain in words.

helped reflect my

thoughts in a

visual way

a great way to

expose inner-

underlying

subconscious

thoughts

Before

After 8 week rotation

Jewitt,C & Oyama,R. 2001. Visual Meaning: A social semiotic approach. In (eds.) T. van Leeuwen & Jewitt, Handbook of visual analysis. London: SAGE.

Social semiotics of visual communication

“ involves the description of semiotic resources,

what can be said and done with images

(and other visual means of communication)

and how the things people

say and do with images can be

interpreted

Emergence of self

What are

the drawings

doing

for us?

How do

we best

analyse these

data?

What

meanings do

we draw

from this

tool?

My inquiry

Email communication

Gratitude by the students

that

• their experiences

taken seriously

• Voices heard

!

Thank you