Modern Medical Education and Traditional Jewish Learning

RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2017 July; 8(3): e0033. ISSN: 2076-9172
Published online 2017 July 31. doi: 10.5041/RMMJ.10309.

Nurturing a Society of Learners: Suggestions from Traditional Jewish Pedagogy for Medical Education

Jacob Urkin, M.D., M.P.H.,1,2 Edward Fram, M.A., M.Phil., Ph.D.,3 Allen Jotkowitz, M.D., M.H.A.,4 and Sody Naimer, M.D.2

1Moshe Prywes Center for Medical Education and Research, Ben-Gurion University of the Negev, Beer-Sheva, Israel
2Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
3Department of Jewish History, Ben-Gurion University of the Negev, Beer-Sheva, Israel
4Department of Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

*To whom correspondence should be addressed. E-mail: sodyna@clalit.org.il

Abstract

Historically speaking, in many societies a select few carried the burden of preserving and transferring knowledge. While modern society has broadened the scope of education, this is not enough in the medical sciences. We must ensure that all those who pursue a career in medicine become life-long learners who will grow and contribute well beyond their years in medical school. In considering how to attain this goal, we were intrigued by the similarities between generations-old wisdom of teaching and learning methods in Jewish culture and modern educational principles. Both aim to nurture a culture of learners. Our objective was to parallel the methodologies, pedagogic directives, and demands made of students in the Jewish tradition, to the principles used in medical education today. We surveyed the traditional Jewish culture of teaching and learning. We compared it to modern medical teaching methods and looked to see what lessons might be gleaned. In the traditional Jewish community, life is focused on education, and producing “learners” is the ideal. This culture of learning was developed over the generations and many educational methods are similar to modern ones. Some of the pedagogic principles developed successfully in Jewish society should be considered for adaptation in medical education. Further comparative research could help to expand the ways in which we teach medicine.

Keywords: Educational principles, Jewish tradition, life-long learning, pedagogy, teaching methods

INTRODUCTION

Teaching and learning are embedded in human development. Children start intuitively by processing sensory inputs that are enforced by parental reciprocal trajectories with their offspring. Every human society has both structured and unstructured means of educating their youth to fulfill their role in life as adults. Jewish culture has a reputation of cherishing “learning” and transferring this passion from one generation to the next.1 Its perceived successes justify delving deeper into the intricacies of this system to uncover some of the methods that characterize it. The purpose of this paper is to summarize some traditional Jewish methods of teaching and learning and relate them to modern educational principles which also apply to medical education.

BACKGROUND

Jewish culture is based on a translation of biblical rules and principles into practice. Throughout the past 2000 years, if not longer, Jewish scholars have debated how best to accomplish this, and records of their deliberations and conclusions have created the classical “Jewish library.” Beyond the Hebrew Bible, the Talmud, a compilation of rabbinic thought from the first to seventh centuries, and hosts of commentaries that it garnered through the ages have become the foundation texts. There are also legal treatises that explain, elaborate, and help adjust the laws to daily life. Together with communal customs, these texts present the traditions that every observant Jew is expected to master and practice. These objectives constitute a significant learning burden on each individual and necessitate perseverance and efficient learning techniques.2

SETTING THE STAGE FOR TOTAL IMMERSION

The cultural centrality of study is demonstrated in the home environment. Here books often enjoy a place of prominence.3 Ideally, children witness parents and siblings who engage in study on a daily basis, and the young are taught to value and emulate this. The written word and mimetic religious culture dictate every aspect of life.4

According to the ideals of this community, preoccupation with learning is almost an obsession, and time is an extremely valuable resource. Even social and religious events involve group learning. For example, a meal without a word of learning is considered as if one ate from “the sacrifices of the dead” (Avot 3.3).5 No individual is exempt from the obligation to study, each according to his level of skill. In many contemporary communities, the emphasis on learning now extends to women as well. Any activity that detracts from learning must be justified. Going to work, or even visiting the doctor, serves the principal objective and leads to continued, or even better, learning thereafter.

Mindfulness of learning is a constant state of consciousness, and reminders to pursue study at all times are everywhere. The central dogma of Judaism is recited twice daily as part of the prayer service. The Shema Yisrael (“Hear Israel” [Deut. 6.4]) prayer not only expresses complete devotion to a monotheistic God but formally commands that one teach the young morning and night, whether at home or on the road (6.7) (“ve-shinantam le-banecha” [you shall reiterate them to your offspring]). Not surprisingly, orthodox Jews often carry a book or other learning material wherever they go, and studying while waiting in line or travelling is common.6 Writings on parchment placed in a small capsule on every door and gate (6.9) (the so-called “mezuza” placed on the doorpost) reinforce this message.

On the Sabbath, exempt from routine materialistic preoccupations, one is expected to engage in study. Holy days are characterized by preparations that include the learning of related laws and customs, and education is an intrinsic component of the holy days. A detailed description of the pedagogic methods and principles used at the Passover Seder has been discussed by Glick.7

Children enter a more formal setting for learning at an early age. On their first day in “Cheder,” the Jewish toddlers’ classroom, children eat cookies shaped as Hebrew letters dipped in honey to form a connection in the mind of the young between sweetness and pleasure and study.8 The rabbinic leadership recognized the importance of continuing education and developed the notion of studying a page of the Talmud each day (“daf yomi”) which has become part of the routine for many laypeople.

This sort of environment in which every (male) member of the community is expected to devote each free waking moment to study stands in contrast to other cultures that have similar approaches but only for select scholars and religious devotees (monks, for example). Not surprisingly, literacy rates in Jewish communities have generally been higher than those among other groups among whom Jews lived.9

Current educational systems often utilize total immersion for short periods, such as crash courses for the purpose of acquisition of a new language, to enhance learning. Such experiences are costly and limited in time and scope. At the opposite extreme, the Jewish system strives to create environments that stimulate learning through all phases of growth and development from birth to death. This is an experience-based education, which for the most part is free of charge. Moreover, the classical study hall (“beit midrash”), which is generally endowed with a significant library, is open to the public 24/7, and there is continual formal and/or informal instruction there.

PROVERBS THAT CAPTURE THE WISDOM OF TEACHING AND LEARNING

There are many axioms in classical Jewish literature that relate to study and may prove helpful in identifying some of the values in Jewish education that might be considered in modern medical education (Table 1).

Table 1Table 1
Talmudic Maxims that Express Esteem for Learning and their Educational Implications.

CLIMBING THE SOCIAL LADDER BY SCHOLAR MERIT

As learning and living according to the law are the main purposes of life, they require one to give up on other activities. The reward for this is personal satisfaction and prestige in this world and the promise of reward in the next. The titles bestowed on outstanding students and scholars exemplify this value system. In elementary school, a student who attends off-hours classes is called a “matmid” [a perpetual learner], emphasizing perseverance in study. The term “talmid chacham” [a very wise student] refers to those who excel at an advanced level—and even to the greatest scholars—and assumes constant study. One who makes new connections between ideas and generates new hypotheses is called “mechadesh chiddushim” [an innovator of new ideas]. Two special terms adorn those with the greatest of talents: “tochen harim” [one who grinds mountains against each other] is reserved for scholars who can integrate and synthesize ideas, and “Sinai” (as in the sacred mountain) is a moniker reserved for scholars with complete control of the sources, well versed in all texts, and able to quote from any part of the rabbinic corpus at will.

In this value system, knowledge of Jewish culture is held in the highest esteem and is a means to status that has practical ramifications, particularly in the realm of matchmaking. Arranged marriages are the rule in ultra-orthodox society, and one of the most important attributes of a potential groom is his credentials as a learner. The best scholars and their families are the nobilities of the orthodox society. Similarly, the credentials of a potential bride often depend on the academic prestige of her father and brothers. In some ways this resembles trends in secular education systems where outstanding students are given prizes based on scholarly merit, a common way of motivating students to excel.

TEACHING METHODS AND SUPPORT TO LEARNERS

With study of paramount importance, educational techniques have been honed in Jewish communities.10 That these systems have thrived through the centuries is a testimony to their effectiveness. Table 2 describes a number of these methods and correlates them with modern educational principles.

Table 2Table 2
Traditional Jewish Means of Education and their Modern Parallels.

POSSIBILITIES FOR TRANSFER OF SKILLS

From an early age, Jewish children are invariably exposed to more than one language. The language spoken at home is often that of the host country, but in many homes a “Jewish language” is spoken, the most common being Yiddish, which evolved from German, or Ladino, from Spanish. In such environments, children will eventually have to learn the language of the host culture as well. In addition, there is a demand that children learn biblical Hebrew and eventually master Aramaic, the language of the Talmud.12 There is also a need to learn a number of different character sets (i.e. Hebrew, Latin, and special fonts used for the printing of various texts). Although this is daunting, most children master the challenge. The brain of the young is flexible and adaptable to learn more than one language at the same time. There is scientific support to claim that learning more than one language in the early years may have an advantage in the intellectual development.15

The traditional curriculum includes an enormous amount of text study. Little effort is devoted to sciences, arts, or vocational knowledge. Exposure to the media is limited and controlled. Television or free roaming on the internet is prohibited. Surprisingly, these limitations often—but not always—do not pose a significant barrier for those who pursue a career in secular higher education. Many who were educated under traditional guidance succeed in closing the gaps of knowledge in relatively short order and are accepted to universities. It seems that the abilities developed through the use of traditional methods help in absorbing unfamiliar material in a short period. Excellence in learning, sophisticated thinking processes, and innovation characterize many of these individuals in the sciences and humanities.16

SUMMARY

The Jewish educational principles that contribute to the success in raising outstanding scholars can be summarized by the following standards:

  • Glorification of scholars and learning.
  • Development of a variety of teaching methods and opportunities for learning.
  • Flexibility in addressing students’ needs.
  • Addressing the relevance of theoretical learning to daily life.
  • Prioritization of values.
  • Encouragement of curiosity and questioning as a generator of solutions.
  • Becoming an expert on minute details while maintaining awareness of the big picture.
  • Being respectful to teachers, peers, and students.
  • Maintaining the habits of life-long learning as an obligation.
  • Self-awareness and accountability.

These principles fit the objectives of medical education, to which they must add their own unique aspects. Communication skills, sociocultural awareness, professionalism, patient privacy, and dealing with death are on the list. The above standards can serve as a platform for planning the medical curriculum and its implementation.

Jewish tradition is but one example of a culture that glorifies scholarship. From the traditional Jewish perspective, many of the new methods of teaching and learning are no more than old wine in new vessels. Scientific research on the methodology of the Jewish educational experience is still limited. Here we have presented a “taste” of this vast system by describing some of its goals and methods. The ideal of life-long learning is shared both by the Jewish tradition and the field of medicine. Given the success of Jewish tradition in achieving this goal, more should be done to learn from its educational models—as well as those of other cultures—and consider their potential applications to medical education.17

Acknowledgments

The authors are grateful to Professor Shimon Glick for his suggestions.

Footnotes

Conflict of interest: No potential conflict of interest relevant to this article was reported.

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