The Companion Curriculum: medical students’ perceptions of the integration of humanities within medical education




Background: The contributions of arts and humanities to medical education are known in the medical education community, but medical schools’ offerings vary. The Companion Curriculum (CC) is a student-curated set of optional humanities content for medical students at the University of Toronto. This study evaluates integration of the CC to identify key enabling conditions for medical humanities engagement.

Methods: A mixed-methods evaluation gauged usage and perceptions of integration of the CC among medical students using an online survey and focus groups. Narrative data underwent thematic analysis, supported by summary statistics of quantitative data.

Results: Half of survey respondents were aware of the CC (n = 67/130; 52%), and, once prompted with a description, 14% had discussed it in their tutorial groups. Of students using the CC, 80% reported learning something new regarding their roles as communicators and health advocates. Themes were the perceived value of the humanities, internal student barriers, institutional neglect of the humanities, and student critiques and recommendations.

Conclusion: Despite participants’ interest in medical humanities, our CC remains underused. To improve humanities’ visibility in the MD curriculum, our results indicate that greater institutional support, including faculty development and early curricular integration, is required. Further study should explore reasons for gaps between interest and participation.


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Donohoe M, Danielson S. A community-based approach to the medical humanities. Med Ed. 2004;38(2):204-17.

Macnaughton J. The humanities in medical education: context, outcomes and structures. Med Humanities. 2000 Jun 1;26(1):23-30.

Charon R, Trautmann Banks J, Connelly JE, et al. Literature and medicine: contributions to clinical practice. Ann Intern Med. 1995 Apr 15;122(8):599-606.

Mangione S, Chakraborti C, Staltari G, et al. Medical students' exposure to the humanities correlates with positive personal qualities and reduced burnout: a multi-institutional U.S. survey. J Gen Intern Med. 2018 May 1;33(5):628-34.

Howley L, Gaufberg E, King B. The fundamental role of the arts and humanities in medical education. Washington, DC: Association of American Medical Colleges; 2020.

Kidd MG, Connor JTH. Striving to do good things: teaching humanities in Canadian medical schools. J Med Humanit. 2008 Mar;29(1):45-54.

Peterkin A, Beausoleil N, kidd monica, Orang B, Noroozi H, Brett-MacLean P. Medical humanities in Canadian medical schools: progress, challenges, and opportunities. In: Bleakley A, editor. Routledge Handbook of the Medical Humanities. Abingdon, UK: Routledge; 2019. p. 364-80.

Gibbs G. Analyzing qualitative data [Internet]. SAGE Publications Ltd; 2018

Patton CM. Phenomenology for the holistic nurse researcher: underpinnings of descriptive and interpretive traditions. J Holist Nurs. 2020 Sep;38(3):278-86.

Sargeant J. Qualitative research part ii: participants, analysis, and quality assurance. J Grad Med Educ. 2012 Mar;4(1):1-3.

Robinson OC. Sampling in interview-based qualitative research: a theoretical and practical guide. Qual res psychol. 2014 Jan 2;11(1):25-41.

Auerbach C, Silverstein L. Qualitative data: an introduction to coding and analysis. NYU Press; 2003.

Saldana J. The coding manual for qualitative researchers. SAGE; 2015. 471 p.

Carter N, Bryant-Lukosius D, DiCenso A, Blythe J, Neville AJ. The use of triangulation in qualitative research. Oncology Nursing Forum. 2014 Sep 1;41(5):545-7.

Sarka D. Descriptive statistics. In: Advanced Analytics with Transact-SQL [Internet]. Berkeley, CA: Apress; 2021; p. 3-29.

Dennhardt S, Apramian T, Lingard L, Torabi N, Arntfield S. Rethinking research in the medical humanities: a scoping review and narrative synthesis of quantitative outcome studies. Med Ed. 2016;50(3):285-99.

Shapiro J, Coulehan J, Wear D, Montello M. Medical Humanities and their discontents: definitions, critiques, and implications. Acad Med. 2009;84(2).

Petrou L, Mittelman E, Osibona O, et al. The role of humanities in the medical curriculum: medical students' perspectives. In Review; 2020 Dec

Strohbehn GW, Hoffman SJK, Tokaz M, et al. Visual arts in the clinical clerkship: a pilot cluster-randomized, controlled trial. BMC Med Educ. 2020 Dec;20(1):481.

Povar GJ, Keith KJ. The teaching of liberal arts in internal medicine residency training. J Med Ed. 1984;59(9):714-21.

Charon R. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001 Oct 17;286(15):1897-902.

Kidd DC, Castano E. Reading literary fiction improves theory of mind. Science. 2013 Oct 18;342(6156):377-80.

University of Toronto MD Program. Academic requirements. 2018 Available from: [Accessed on 2021 Jan 26].

Chisolm MS, Kelly-Hedrick M, Wright SM. How visual arts-based education can promote clinical excellence. Acad Med 2020 Dec 1. Publish Ahead of Print. Available from: [Accessed on 2021 Jan 24].

Wald HS, McFarland J, Markovina I. Medical humanities in medical education and practice. Med Teach. 2019 May 4;41(5):492-6.

AAMC. Getting started guide part 2: nuts and bolts of integrating arts and humanities into medical education Available from: [Accessed on 2022 Mar 8].




How to Cite

Axelrod C, Brenna CT, Gershon A, Peterkin A, Nyhof-Young J. The Companion Curriculum: medical students’ perceptions of the integration of humanities within medical education. Can. Med. Ed. J [Internet]. 2022 Oct. 31 [cited 2024 Jul. 22];14(2):119-24. Available from:



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