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      Using the visual arts to teach clinical excellence

      systematic-review

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          Abstract

          This article was migrated. The article was marked as recommended.

          Introduction: The authors conducted a review of the literature to identify curricula that incorporate the visual arts into undergraduate, graduate, and continuing medical education to facilitate the teaching of clinical excellence.

          Methods: The authors searched the PubMed and ERIC electronic databases in May 2017, using search terms such as “paintings,” “visual arts,” and “medical education,” along with terms corresponding to previously defined domains of clinical excellence. Search results were reviewed to select articles published in the highest impact general medicine and medical education journals describing the use of visual arts to teach clinical excellence to all levels of medical trainees and practicing physicians.

          Results: Fifteen articles met inclusion criteria. Each article addressed at least one of the following clinical excellence domains: communication and interpersonal skills, humanism and professionalism, diagnostic acumen, and knowledge. No articles described the use of the visual arts to teach the skillful negotiation of the health care system, a scholarly approach to clinical practice, or a passion for patient care.

          Conclusions: This review supports the use of visual arts in medical education to facilitate the teaching of clinical excellence. However, research designed specifically to evaluate the impact of the visual arts on clinical excellence outcomes is needed.

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          Most cited references28

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          Use of fine art to enhance visual diagnostic skills.

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            A guiding framework to maximise the power of the arts in medical education: a systematic review and metasynthesis.

            A rich literature describes many innovative uses of the arts in professional education. However, arts-based teaching tends to be idiosyncratic, depending on the interests and enthusiasm of individual teachers, rather than on strategic design decisions. An overarching framework is needed to guide implementation of arts-based teaching in medical education. The objective of this study was to review and synthesise the literature on arts-based education and provide a conceptual model to guide design, evaluation and research of the use of the arts in medical education.
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              Medical Students’ Exposure to the Humanities Correlates with Positive Personal Qualities and Reduced Burnout: A Multi-Institutional U.S. Survey

              Background Literature, music, theater, and visual arts play an uncertain and limited role in medical education. One of the arguments often advanced in favor of teaching the humanities refers to their capacity to foster traits that not only improve practice, but might also reduce physician burnout—an increasing scourge in today’s medicine. Yet, research remains limited. Objective To test the hypothesis that medical students with higher exposure to the humanities would report higher levels of positive physician qualities (e.g., wisdom, empathy, self-efficacy, emotional appraisal, spatial skills), while reporting lower levels of negative qualities that are detrimental to physician well-being (e.g., intolerance of ambiguity, physical fatigue, emotional exhaustion, and cognitive weariness). Design An online survey. Participants All students enrolled at five U.S. medical schools during the 2014–2015 academic year were invited by email to take part in our online survey. Main Measures Students reported their exposure to the humanities (e.g., music, literature, theater, visual arts) and completed rating scales measuring selected personal qualities. Key Results In all, 739/3107 medical students completed the survey (23.8%). Regression analyses revealed that exposure to the humanities was significantly correlated with positive personal qualities, including empathy ( p  < 0.001), tolerance for ambiguity ( p  < 0.001), wisdom ( p  < 0.001), emotional appraisal ( p  = 0.01), self-efficacy ( p  = 0.02), and spatial skills ( p  = 0.02), while it was significantly and inversely correlated with some components of burnout ( p  = 0.01). Thus, all hypotheses were statistically significant, with effect sizes ranging from 0.2 to 0.59. Conclusions This study confirms the association between exposure to the humanities and both a higher level of students’ positive qualities and a lower level of adverse traits. These findings may carry implications for medical school recruitment and curriculum design. “[Science and humanities are] twin berries on one stem, grievous damage has been done to both in regarding [them]... in any other light than complemental.” (William Osler, Br Med J. 1919;2:1–7).
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                Author and article information

                Journal
                MedEdPublish (2016)
                MedEdPublish (2016)
                MedEdPublish
                F1000 Research Limited (London, UK )
                2312-7996
                16 July 2018
                2018
                : 7
                : 143
                Affiliations
                [1 ]McGill University
                [2 ]Johns Hopkins Bayview Medical Center
                [3 ]Johns Hopkins University School of Medicine
                [1 ]Sechenov University, Moscow
                [1 ]AMEE
                [1 ]King's College London / Imperial College London
                [1 ]American International Medical University
                Author notes
                Author information
                https://orcid.org/0000-0001-7424-919X
                Article
                10.15694/mep.2018.0000143.1
                10701836
                38074538
                726ad5ac-3a0a-4be8-852f-92038e4310ae
                Copyright: © 2018 Gelgoot E et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Systematic Review
                Articles

                clinical excellence,visual arts,communication,humanism and professionalism,empathy,observation

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