Neurobiological Foundations for Holistic Medical Education: Integrating Engagement Science with Transformative Healthcare Pedagogy
Julian Ungar-Sargon
Abstract
Contemporary medical education faces a profound crisis
of engagement, characterized by widespread student disengagement, physician
burnout, and a healthcare system that reduces patients to diagnostic categories
rather than complex human beings requiring holistic care. This discursive
article synthesizes emerging neuroscientific research on emotional engagement
in learning, particularly the work of Mary Helen Immordino-Yang, with holistic
medical education frameworks to propose a neurobiologically-informed transformation
of healthcare pedagogy. Drawing from affective neuroscience, educational psychology,
and integrative medicine scholarship, we argue that authentic medical education
must transcend the traditional biomedical model's mechanistic approach and embrace
the neurobiological reality that meaningful learning occurs through emotional engagement,
cultural meaning-making, and transcendent thinking. This article examines how
engagement neuroscience validates critiques of the Cartesian split in medicine,
supports patient-centered pedagogical approaches, and provides empirical
foundations for integrative healing paradigms. We conclude by proposing
concrete curricular reforms that align medical education with the brain's
natural learning processes while fostering the development of physicians
capable of providing truly holistic care.