The Companion Curriculum: medical students’ perceptions of the integration of humanities within medical education
DOI:
https://doi.org/10.36834/cmej.72907Abstract
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.
References
Donohoe M, Danielson S. A community-based approach to the medical humanities. Med Ed. 2004;38(2):204-17. https://doi.org/10.1111/j.1365-2923.2004.01756.x
Macnaughton J. The humanities in medical education: context, outcomes and structures. Med Humanities. 2000 Jun 1;26(1):23-30. https://doi.org/10.1136/mh.26.1.23
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. https://doi.org/10.7326/0003-4819-122-8-199504150-00008
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. https://doi.org/10.1007/s11606-017-4275-8
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. https://doi.org/10.1007/s10912-007-9049-6
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. https://doi.org/10.4324/9781351241779-37
Gibbs G. Analyzing qualitative data [Internet]. SAGE Publications Ltd; 2018 https://doi.org/10.4135/9781526441867
Patton CM. Phenomenology for the holistic nurse researcher: underpinnings of descriptive and interpretive traditions. J Holist Nurs. 2020 Sep;38(3):278-86. https://doi.org/10.1177/0898010119882155
Sargeant J. Qualitative research part ii: participants, analysis, and quality assurance. J Grad Med Educ. 2012 Mar;4(1):1-3. https://doi.org/10.4300/JGME-D-11-00307.1
Robinson OC. Sampling in interview-based qualitative research: a theoretical and practical guide. Qual res psychol. 2014 Jan 2;11(1):25-41. https://doi.org/10.1080/14780887.2013.801543
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. https://doi.org/10.1188/14.ONF.545-547
Sarka D. Descriptive statistics. In: Advanced Analytics with Transact-SQL [Internet]. Berkeley, CA: Apress; 2021; p. 3-29. https://doi.org/10.1007/978-1-4842-7173-5_1
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. https://doi.org/10.1111/medu.12812
Shapiro J, Coulehan J, Wear D, Montello M. Medical Humanities and their discontents: definitions, critiques, and implications. Acad Med. 2009;84(2). https://doi.org/10.1097/ACM.0b013e3181938bca
Petrou L, Mittelman E, Osibona O, et al. The role of humanities in the medical curriculum: medical students' perspectives. In Review; 2020 Dec https://doi.org/10.21203/rs.3.rs-72841/v1
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. https://doi.org/10.1186/s12909-020-02386-w
Povar GJ, Keith KJ. The teaching of liberal arts in internal medicine residency training. J Med Ed. 1984;59(9):714-21. https://doi.org/10.1097/00001888-198409000-00004
Charon R. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001 Oct 17;286(15):1897-902. https://doi.org/10.1001/jama.286.15.1897
Kidd DC, Castano E. Reading literary fiction improves theory of mind. Science. 2013 Oct 18;342(6156):377-80. https://doi.org/10.1126/science.1239918
University of Toronto MD Program. Academic requirements. 2018 Available from: https://applymd.utoronto.ca/academic-requirements [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: https://journals.lww.com/10.1097/ACM.0000000000003862 [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. https://doi.org/10.1080/0142159X.2018.1497151
AAMC. Getting started guide part 2: nuts and bolts of integrating arts and humanities into medical education Available from: https://www.aamc.org/what-we-do/mission-areas/medical-education/getting-started-nuts-bolts [Accessed on 2022 Mar 8].
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Charlotte Axelrod, Connor TA Brenna, Ariel Gershon, Allan Peterkin, Joyce Nyhof-Young
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Submission of an original manuscript to the Canadian Medical Education Journal will be taken to mean that it represents original work not previously published, that it is not being considered elsewhere for publication. If accepted for publication, it will be published online and it will not be published elsewhere in the same form, for commercial purposes, in any language, without the consent of the publisher.
Authors who publish in the Canadian Medical Education Journal agree to release their articles under the Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 Canada Licence. This licence allows anyone to copy and distribute the article for non-commercial purposes provided that appropriate attribution is given. For details of the rights an author grants users of their work, please see the licence summary and the full licence.