Integration of Arts and Humanities in Medical Education: a Narrative Review.

Rachel Smydra, Matthew May, Varna Taranikanti, Misa Mi
Author Information
  1. Rachel Smydra: Department of English, College of Arts and Sciences, Oakland University, Rochester, MI, 48309, USA. smydra@oakland.edu. ORCID
  2. Matthew May: Department of Sociology, Anthropology, Social Work, and Criminal Justice, College of Arts and Sciences, Oakland University, Rochester, MI, 48309, USA.
  3. Varna Taranikanti: Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, 48309, USA.
  4. Misa Mi: Department of Foundational Medical Studies, Oakland University William Beaumont School of Medicine, Rochester, MI, 48309, USA.

Abstract

This narrative review aims to identify and review the extant literature describing methods and outcomes of embedding the arts and Humanities (AH) into medical school curricula. The Association of American Medical Colleges changed the Medical College Admission Test (MCAT) in 2015 to place new emphasis on the role of liberal arts in the process of developing well-rounded physicians. Consequently, medical schools have been implementing more connections to creative writing, literature, theater, movies, music, and the visual arts into their curricula. To review the current literature, we focused on methods medical educators used to embed content related to AH into their curricula to shape and drive associated learning outcomes. We conducted searches in PubMed, CINAHL, PsycINFO, and ERIC for peer-reviewed articles from 2011 to 2020. The authors selected three dyads in medical Humanities and reviewed articles independently followed by discussion to identify thematic links to major findings. Out of 261 articles, a total of 177 full-text articles were reviewed with 34 selected for final inclusion. Our review included articles describing curriculum development and delivery in publications from Australia, Canada, India, New Zealand, and the USA. This review showed medical educators are implementing didactic and experiential instructional approaches to embedding the arts, Humanities, and social sciences into the medical school classroom. Medical educators' attempts to embed AH into medical school curricula show promising results. Unfortunately, small sample sizes, short-term interventions, and an over-reliance of subjective assessment measures limit our knowledge of the true impact of these interventions. More rigorous assessments of required and longitudinal coursework are necessary to know the true impact of participation in AH coursework for medical students.

Keywords

References

  1. Klugman CM (2018) Medical humanities teaching in North American allopathic and osteopathic medical schools. J Med Humanit 39(4):473–481 [PMID: 29110114]
  2. Association of American Medical Colleges. Curriculum Inventory & Reports: Medical Humanities. https://www.aamc.org/initiatives/cir/406462/06a.html . Accessed 2 Feb 2020
  3. Milota MM, van Thiel G, van Delden JJM (2019) Narrative medicine as a medical education tool: a systematic review. Med Teach 41:802–810 [PMID: 30983460]
  4. Cowen VS, Kaufman D, Schoenherr L (2016) A review of creative and expressive writing as a pedagogical tool in medical education. Med Educ 50:311–319 [PMID: 26896016]
  5. Kiran HS, Chacko TV, Murthy KAS et al (2016) Enhancing the clinical reasoning skills of postgraduate students in internal medicine through medical nonfiction and nonmedical fiction extracurricular books. Mayo Clin Proc 91:1761–1768 [PMID: 28029347]
  6. Garrie AJ, Goel S, Forsberg MM (2016) Medical students’ Perceptions of dementia after participation in poetry workshop with people with dementia. Int J Alzheimer’s Dis 2785105
  7. Tsao P, Yu CH (2016) “There’s no billing code for empathy” - animated comics remind medical students of empathy: a qualitative study. BMC Med Educ 16:204 [PMID: 27520824]
  8. Cunningham H, Taylor D, Desai UA et al (2018) Looking back to move forward: first-year medical students’ meta-reflections on their narrative portfolio writings. Acad Med 93:888–894 [PMID: 29261540]
  9. Shaffer VA, Bohanek J, Focella ES et al (2019) Encouraging perspective taking: using narrative writing to induce empathy for others engaging in negative health behaviors. PLoS ONE 14:e0224046 [PMID: 31613906]
  10. Sahoo S, Mohammed CA (2018) Fostering critical thinking and collaborative learning skills among medical students through a research protocol writing activity in the curriculum. Korean J Med Educ 30:109–118 [PMID: 29860777]
  11. Karan A (2016) A Dance With Mrs Chan. Ann Fam Med 14:380–381 [PMID: 27401429]
  12. Baños JE (2007) How literature and popular movies can help in medical education: applications for teaching the doctor-patient relationship. Med Educ 41:918 [PMID: 17727535]
  13. Zeppegno P, Gramaglia C, Feggi A et al (2015) The effectiveness of a new approach using movies in the training of medical students. Perspectives on Medical Education 4:261–263 [PMID: 26346496]
  14. Gallagher P, Wilson N, Jaine R (2014) The efficient use of movies in a crowded curriculum. Clin Teach 11:88–93 [PMID: 24629243]
  15. Walter G, McDonald A, Rey JM et al (2002) Medical student knowledge and attitudes regarding ECT prior to and after viewing ECT scenes from movies. J ECT 18:43–46 [PMID: 11925521]
  16. Mon AA, Lugova H, Suleiman A et al (2016) Teaching medical professionalism by using movie as a tool: feedback from the first year military medical students. Res J Pharm, Biol Chem Sci 7:1659–1663
  17. Klemenc-Ketis Z, Kersnik J (2011) Using movies to teach professionalism to medical students. BMC Med Educ 11:60 [PMID: 21861900]
  18. Graf H, Abler B, Weydt P et al (2014) Development, implementation, and evaluation of a movie-based curriculum to teach psychopathology. Teach Learn Med 26:86–89 [PMID: 24405351]
  19. Ivory KD, Dwyer P, Luscombe G (2016) Reactions to Diversity: Using Theater to Teach Medical Students About Cultural Diversity. J Med Educ Curricular Dev 3:171–178
  20. Hammer RR, Rian JD, Gregory JK et al (2011) Telling the patient’s story: using theatre training to improve case presentation skills. Med Humanit 37:18 [PMID: 21593246]
  21. Archila PA (2017) Using drama to promote argumentation in science education: the case of “should’ve.” Sci Educ 26:345–375
  22. Nordstrom A, Fjellman-Wiklund A, Grysell T (2011) Drama as a pedagogical tool for practicing death notification-experiences from Swedish medical students. BMC Med Educ 11:74 [PMID: 21955368]
  23. Rattani A, Kaakour D, Syed RH et al (2020) Rethinking TV and movies in medical ethics and professionalism education. Med Teach 42:477–478 [PMID: 31280636]
  24. Senior T (2012) Can music be used in medical education? Br J Gen Pract 62:604–604 [PMID: 23211173]
  25. Anyanwu GE, Nto JN, Agu AU et al (2016) Musical preferences and learning outcome of medical students in cadaver dissection laboratory: a Nigerian survey. Ann Anat 208:228–233 [PMID: 27507150]
  26. Bellier A, Secheresse T, Stoeckle A, Dols A-M, Chaffanjon PC et al (2020) Impact of Background Music on Medical Student Anxiety and Performance During Anatomical Dissections: A Cluster Randomized Interventional Trial. Anat Sci Educ 13:427–435 [PMID: 31509645]
  27. Modell HI, DeMiero FG, Rose L (2009) In pursuit of a holistic learning environment: the impact of music in the medical physiology classroom. Adv Physiol Educ 33:37–45 [PMID: 19261759]
  28. Baste VS, Gadkari JV (2014) Study of stress, self-esteem and depression in medical students and effect of music on perceived stress. Indian J Physiol Pharmacol 58:298–301 [PMID: 25906616]
  29. Latha R, Sairaman H (2015) The role of classical music on stress alleviation and autonomic functions in medical students. Biomedicine 35:90–94
  30. Perloff JK (2013) Human dissection and the science and art of Leonardo da Vinci. Am J Cardiol 111:775–777 [PMID: 23536934]
  31. Shoja MM, Agutter PS, Loukas M et al (2013) Leonardo da Vinci’s studies of the heart. Int J Cardiol 167:1126–1133 [PMID: 23044431]
  32. Pickering JD (2015) Anatomy drawing screencasts: enabling flexible learning for medical students. Anat Sci Educ 8:249–257 [PMID: 25091417]
  33. Jariyapong P, Punsawad C, Bunratsami S et al (2016) Body painting to promote self-active learning of hand anatomy for preclinical medical students. Med Educ Online 21:30833 [PMID: 26945229]
  34. Braverman IM (2011) To see or not to see: how visual training can improve observational skills. Clin Dermatol 29:343–346 [PMID: 21496744]
  35. Gurwin J, Revere KE, Niepold S et al (2018) A randomized controlled study of art observation training to improve medical student ophthalmology skills. Ophthalmology 125:8–14 [PMID: 28781219]
  36. Kong YX, Coote MA, O’Neill EC et al (2011) Glaucomatous optic neuropathy evaluation project: a standardized internet system for assessing skills in optic disc examination. Clin Exp Ophthalmol 39:308–317 [PMID: 21070546]
  37. Shapiro J, Rucker L, Beck J (2006) Training the clinical eye and mind: using the arts to develop medical students’ observational and pattern recognition skills. Med Educ 40:263–268 [PMID: 16483329]
  38. Jasani SK, Saks NS (2013) Utilizing visual art to enhance the clinical observation skills of medical students. Med Teach 35:e1327–1331 [PMID: 23641917]
  39. Bell LT, Evans DJ (2014) Art, anatomy, and medicine: is there a place for art in medical education? Anat Sci Educ 7:370–378 [PMID: 24421251]
  40. Mages KC, Lohr LA (2017) Body of evidence: integrating Eduard Pernkopf’s Atlas into a librarian-led medical humanities seminar. J Med Libr Assoc 105:173–178 [PMID: 28377682]
  41. Potash JS, Chen JY, Lam CL et al (2014) Art-making in a family medicine clerkship: how does it affect medical student empathy? BMC Med Educ 14:247 [PMID: 25431323]
  42. Jones EK, Kittendorf AL, Kumagai AK (2017) Creative art and medical student development: a qualitative study. Med Educ 51:174–183 [PMID: 27882578]
  43. Shankar PR, Piryani RM, Upadhyay-Dhungel K (2011) Student feedback on the use of paintings in Sparshanam, the Medical Humanities module at KIST Medical College, Nepal. BMC Med Educ 11:9 [PMID: 21385427]
  44. Watmough SD, O’Sullivan H, Taylor DC (2010) Graduates from a reformed undergraduate medical curriculum based on Tomorrow’s Doctors evaluate the effectiveness of their curriculum 6 years after graduation through interviews. BMC Med Educ 10:65 [PMID: 20920263]

MeSH Term

Curriculum
Education, Medical
Education, Medical, Undergraduate
Humanities
Humans
Learning
Students, Medical

Word Cloud

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