Integration of arts and humanities in medicine to develop well-rounded physicians: the roles of health sciences librarians

Authors

  • Misa Mi Interim Director, Medical Library; Professor, Department of Foundational Medical Studies; Oakland University William Beaumont School of Medicine Medical Library, Rochester, MI https://orcid.org/0000-0002-7788-7282
  • Lin Wu Assistant Director/Associate Professor, Research & Learning Services, Health Sciences Library, University of Tennessee Health Science Center, Memphis, TN
  • Yingting Zhang Research Services Librarian, RWJ Library of the Health Sciences; Adjunct Assistant Professor, Department of Medicine; Rutgers, The State University of New Jersey, New Brunswick, NJ
  • Wendy Wu Librarian IV, Shiffman Medical Library, Wayne State University; Detroit, MI

DOI:

https://doi.org/10.5195/jmla.2022.1368

Keywords:

arts, humanities, health sciences library, undergraduate medical education, medical education, health sciences librarians

Abstract

Over the past ten years, there has been a growing interest in integrating arts and humanities in medicine to increase learners’ empathy and resilience; improve personal well-being, communication, and observational skills; enhance self-reflection; and promote professionalism. These desired skills and qualities are becoming increasingly important for the physicians of tomorrow. Parallel to curricular interventions of integrating arts and humanities to medical education, there has been ​an increasing research interest in investigating the impact of such interventions on medical students with respect to improving and sustaining students’ empathy as they progress in their medical education and develop their professional identity. Research has yielded interesting findings on the types and effect of the interventions in the medical curriculum. The Association of the American Medical Colleges (AAMC), recognizing the unique and unrealized role of arts and humanities in preparing and equipping physicians for twenty-first-century challenges, proposed seven recommendations for advancing arts and humanities integration into medical education to improve the education, practice, and well-being of physicians and physician learners across the spectrum of medical education. Institutional initiatives of arts and humanities integration in the medical curriculum in response to the AAMC’s recommendations afford health sciences librarians expansive opportunities and a new landscape of playing an important role in these initiatives. With their diverse educational background in arts, humanities, social sciences, and many other disciplines and fields, health sciences librarians are poised for meaningful contributions to their institutional goals in developing a humanistic, compassionate workforce of future physicians.

References

Calman K, Downie R. Why arts courses for medical curricula. Lancet. 1996;347(9014):1499–500. DOI: https://doi.org/10.1016/s0140-6736(96)90665-0.

Downie RS. Medical humanities: a vision and some cautionary notes. Med Humanit. 2003;29(1):37–38. DOI: https://doi.org/10.1136/mh.29.1.37.

Ofri D. Medical humanities: the Rx for uncertainty? Acad Med. 2017;92(12):1657–8. DOI: https://doi.org/10.1097/ACM.0000000000001983.

Gillies J. Compassion, medical humanities and medical education. Educ Prim Care. 2018;29(2):68–70. DOI: https://doi.org/10.1080/14739879.2018.1427004.

Bolton G. Medicine, the arts, and the humanities. Lancet. 2003;362(9378):93–94. DOI: https://doi.org/10.1016/S0140-6736(03)13894-9.

Evidence-based medicine [Internet]. National Cancer Institute [cited 5 April 2021]. <https://www.cancer.gov/publications/dictionaries/cancer-terms/def/evidence-based-medicine>.

Brody H. Stories of sickness. 2nd ed. New York: Oxford University Press; 2003.

Liaison Committee on Medical Education (LCME). Functions and structure of a medical school: standards for accreditation of medical education programs leading to the MD degree [Internet]. Association of American Medical Colleges and American Medical Association; 2019 [cited 5 June 2021]. <https://lcme.org/publications/>.

Association of American Medical Colleges. The core competencies for entering medical students [Internet]. Washington, DC: Association of American Medical Colleges [cited 10 June 2021]. <https://www.aamc.org/services/admissions-lifecycle/competencies-entering-medical-students>.

Howley L, Gaufberg E, King B. The fundamental role of arts and humanities in medical education [Internet]. Chicago, IL: Association of American Medical Colleges; 2020 [cited 29 March 2021]. <https://www.aamc.org/what-we-do/mission-areas/medical-education/frahme>.

Mann S. Focusing on arts, humanities to develop well-rounded physicians [Internet]. Chicago, IL: Association of American Medical Colleges; 2017 [cited 24 September 2019]. <https://www.aamc.org/news-insights/focusing-arts-humanities-develop-well-rounded-physicians>.

Centeno C, Robinson C, Noguera-Tejedor A, Arantzamendi M, Echarri F, Pereira J. Palliative care and the arts: vehicles to introduce medical students to patient-centred decision-making and the art of caring. BMC Medl Educ. 2017;17(1):257. DOI: https://doi.org/10.1186/s12909-017-1098-6.

He B, Prasad S, Higashi RT, Goff HW. The art of observation: a qualitative analysis of medical students' experiences. BMC Med Educ. 2019;19(1):234. DOI: https://doi.org/10.1186/s12909-019-1671-2.

Gurwin J, Revere KE, Niepold S, Bassett B, Mitchell R, Davidson S, DeLisser H, Binenbaum G. A randomized controlled study of art observation training to improve medical student ophthalmology skills. Ophthalmology. 2018;125(1):8–14. DOI: https://doi.org/10.1016/j.ophtha.2017.06.031.

Cutler JL, Harding KJ, Hutner LA, Cortland C, Graham MJ. Reducing medical students' stigmatization of people with chronic mental illness: a field intervention at the "living museum" state hospital art studio. Acad Psychiatry. 2012;36(3):191–6. DOI: https://doi.org/10.1176/appi.ap.10050081.

Cox SM, Brett-MacLean P, Courneya CA. "My turbinado sugar": art-making, well-being and professional identity in medical education. Arts & Health. 2016;8(1):65–81. DOI: http://dx.doi.org/10.1080/17533015.2015.1037318.

Potash J, Chen J. Art-mediated peer-to-peer learning of empathy. Clin Teach. 2014;11(5):327–31. DOI: https://doi.org/10.1111/tct.12157.

LoFaso VM, Breckman R, Capello CF, Demopoulos B, Adelman RD. Combining the creative arts and the house call to teach medical students about chronic illness care. J Am Geriatr Soc. 2010;58(2):346–51. DOI: https://doi.org/10.1111/j.1532-5415.2009.02686.x.

Kodadek LM, Bettendorf BA, Uihlein JA, Derse AR. The memory art project: medical students and older adults. Wis Med J. 2010;109(6):311–6.

Yang K, Lin C, Chang L. A program to interest medical students in Changhua, Taiwan in the incorporation of visual arts in medicine. Educ Health. 2011;24(3):1–10.

Jasani SK, Saks NS. Utilizing visual art to enhance the clinical observation skills of medical students. Med Teach. 2013;35(7):e1327–e31. DOI: https://doi.org/10.3109/0142159X.2013.770131.

Brand G, Wise S, Siddiqui ZS, Celenza A, Fatovich DM. Capturing the 'art' of emergency medicine: Does film foster reflection in medical students? Emerg Med Australas. 2017;29(4):433–7. DOI: https://doi.org/10.1111/1742-6723.12752.

Datta V. Madness and the movies: an undergraduate module for medical students. Int Rev Psychiatry. 2009;21(3):261–6. DOI: https://doi.org/10.1080/09540260902748001.

Iaconisi J, Hasselblatt F, Mayer B, Schoen M, Bockers TM, Bockers A. Effects of an educational film about body donors on students' empathy and anxiety levels in gross anatomy. Anat Sci Educ. 2019;12(4):386–98. DOI: https://doi.org/10.1002/ase.1880.

Hojat M, Axelrod D, Spandorfer J, Mangione S. Enhancing and sustaining empathy in medical students. Med Teach. 2013;35(12):996–1001. DOI: http://dx.doi.org/10.3109/0142159X.2013.802300.

Skye EP, Wagenschutz H, Steiger JA, Kumagai AK. Use of interactive theater and role play to develop medical students' skills in breaking bad news. J Cancer Educ. 2014;29(4):704–8. DOI: http://dx.doi.org/10.1007/s13187-014-0641-y.

Nordstrom A, Fjellman-Wiklund A, Grysell T. Drama as a pedagogical tool for practicing death notification-experiences from Swedish medical students. BMC Med Educ. 2011;11:74. DOI: https://doi.org/10.1186/1472-6920-11-74.

Scott KM, Berlec S, Nash L, Hooker C, Dwyer P, Macneill P, River J, Ivory K. Grace under pressure: a drama-based approach to tackling mistreatment of medical students. Med Humanit. 2017;43(1):68–70. DOI: https://doi.org/10.1136/medhum-2016-011031.

Lim BT, Moriarty H, Huthwaite M. "Being-in-role": a teaching innovation to enhance empathic communication skills in medical students. Med Teach. 2011;33(12):e663–e9. DOI: http://dx.doi.org/10.3109/0142159X.2011.611193.

Karnieli-Miller O, Michael K, Segal O, Steinberger A. Assessing an intervention focused on enhancing interpersonal communication skills and humor: a multi-method quasi-experiential study among medical students. Health Communication. 2018;33(12):1560–72. DOI: https://doi.org/10.1080/10410236.2017.1384347.

Jones EK, Kittendorf AL, Kumagai AK. Creative art and medical student development: a qualitative study. Med Educ. 2017;51(2):174–83. DOI: https://doi.org/10.1111/medu.13140.

Tsao P, Yu CH. "There's no billing code for empathy" - animated comics remind medical students of empathy: a qualitative study. BMC Med Educ. 2016;16(1):204. DOI: https://doi.org/10.1186/s12909-016-0724-z.

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2021-09-13

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