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      The role of poetry and prose in medical education: the pen as mighty as the scalpel?

      research-article
      ,
      Perspectives on Medical Education
      Bohn Stafleu van Loghum
      Poetry, Prose, Literature, Medical education

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          Abstract

          The current medical students’ training on communication skills does not completely fulfil its purpose, since it often lacks attention to the various aspects essential for developing an empathic capacity. Besides having an active component in empathy, cognitive and affective aspects are of equal importance. Integration of arts and humanities courses into the curriculum might bridge this gap. Empathy results mainly from recognition and acknowledgement of a wide spectrum of emotions in patients, their relatives and doctors themselves. Artistic forms of reflection can promote insight into these emotions, complementary to the current teachings which focus on the active component of empathy. Based on several psychological and didactic views, as well as multicentre experience mainly from the United Kingdom and United States, poetry and prose can contribute to sustained development of empathy in medical students.

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          Most cited references18

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          Teaching empathy to first year medical students: evaluation of an elective literature and medicine course.

          Empathy is critical to the development of professionalism in medical students, and the humanities-particularly literature-have been touted as an effective tool for increasing student empathy. This quantitative/qualitative study was undertaken to assess whether reading and discussing poetry and prose related to patients and doctors could significantly increase medical student empathy and appreciation of the relevance of the humanities for their own professional development. In 2000-2001, first year students (n=22) volunteered for an eight-session literature and medicine elective and were randomly assigned to either immediate participation in the class or a wait-list group, who participated in the same class 6 months later. Complete pre- and post-intervention data for 16 students from both groups were obtained for two quantitative measures of empathy and an attitudes-toward-the-humanities scale. Students also participated in a qualitative group interview pre- and post-intervention. Empathy and attitudes toward the humanities improved significantly (p or =0.60 standard deviation units) for both measures that had statistically significant pre-to-post changes. Furthermore, student understanding of the patient's perspective became more detailed and complex after the intervention. Students were also more likely post-intervention to note ways reading literature could help them cope with training-related stress. A brief literature-based course can contribute to greater student empathy and appreciation for the value of humanities in medical education.
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            Training the clinical eye and mind: using the arts to develop medical students' observational and pattern recognition skills.

            Observation, including identification of key pieces of data, pattern recognition, and interpretation of significance and meaning, is a key element in medical decision making. Clinical observation is taught primarily through preceptor modelling during the all-important clinical years. No single method exists for communicating these skills, and medical educators have periodically experimented with using arts-based training to hone observational acuity. The purpose of this qualitative study was to better understand the similarities and differences between arts-based and clinical teaching approaches to convey observation and pattern recognition skills. A total of 38 Year 3 students participated in either small group training with clinical photographs and paper cases (group 1), or small group training using art plus dance (group 2), both consisting of 3 2-hour sessions over a 6-month period. Students in both conditions found value in the training they received and, by both self- and instructor-report, appeared to hone observation skills and improve pattern recognition. The clinically based condition appeared to have been particularly successful in conveying pattern recognition concepts to students, probably because patterns presented in this condition had specific correspondence with actual clinical situations, whereas patterns in art could not be generalised so easily to patients. In the arts-based conditions, students also developed skills in emotional recognition, cultivation of empathy, identification of story and narrative, and awareness of multiple perspectives. The interventions studied were naturally complementary and, taken together, can bring greater texture to the process of teaching clinical medicine by helping us see a more complete 'picture' of the patient.
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              Learning to look: developing clinical observational skills at an art museum.

              Clinical diagnosis involves the observation, description, and interpretation of visual information. These skills are also the special province of the visual arts. We describe an educational collaboration between a medical school and an art museum, designed for the purpose of developing student skills in observation, description, and interpretation. In the programme, medical students first examine painted portraits, under the tutelage of art educators and medical school faculty. Then, the students examine photographs of patients' faces and apply the same skills. This programme, well-received by students and faculty, appeared to help the students not only in improving their empirical skills in observation, but also in developing increased awareness of emotional and character expression in the human face.
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                Author and article information

                Contributors
                +31-88-755-5555 , fjwolters@gmail.com,
                +31-88-755-379 , m.wijnen-meijer@umcutrecht.nl,
                Journal
                Perspect Med Educ
                Perspect Med Educ
                Perspectives on Medical Education
                Bohn Stafleu van Loghum (Heidelberg )
                2212-2761
                2212-277X
                13 March 2012
                13 March 2012
                March 2012
                : 1
                : 1
                : 43-50
                Affiliations
                [ ]Department of Neurology, University Medical Centre Utrecht, PO Box 85500, 3508 GA Utrecht, the Netherlands
                [ ]Centre for Research and Development of Education, University Medical Centre Utrecht, HB 4.01A, PO Box 85500, 3508 GA Utrecht, the Netherlands
                Article
                8
                10.1007/s40037-012-0008-1
                3540367
                23316458
                c61e9ce6-89f3-4384-81a6-f5262a2eb1af
                © The Author(s) 2012
                History
                Categories
                Health Care and the Arts
                Custom metadata
                © the authors 2012

                Education
                poetry,medical education,literature,prose
                Education
                poetry, medical education, literature, prose

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