Evidence map›Paper›PMID 33256727›Full record

Trial reportBMC medical education2020

Visual arts in the clinical clerkship: a pilot cluster-randomized, controlled trial.

Garth W Strohbehn, Stephanie J K Hoffman, Molly Tokaz, Nathan Houchens, Ruth Slavin, Suzanne Winter, Martha Quinn, David Ratz, Sanjay Saint, Vineet Chopra and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Garth W StrohbehnDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Stephanie J K HoffmanDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Molly TokazDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Nathan HouchensDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Ruth SlavinUniversity of Michigan Museum of Art, Ann Arbor, MI, USA.
Suzanne WinterDivision of Hospital Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Martha QuinnPatient Safety Enhancement Program, University of Michigan and Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA.
David RatzPatient Safety Enhancement Program, University of Michigan and Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Sanjay SaintMedicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Vineet ChopraMedicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Joel D HowellMedical Arts Program, University of Michigan Medical School, Ann Arbor, MI, USA. jhowell@umich.edu.ORCID http://orcid.org/0000-0002-0527-4700
University of Michigan · US

Funding

Medical Arts Program - University of Michigan N/A
6 · The paper itself

Abstract

backgroundArts exposure is associated with positive psychological constructs. To date, no randomized, controlled studies have integrated art into clinical medical education or measured its effects on positive psychological constructs or educational outcomes. In this study, we assessed the possibility and potential benefits of integrating visual arts education into a required internal medicine (IM) clinical clerkship.

methodsWe conducted a controlled trial in an academic healthcare system with an affiliated art museum. IM students were assigned to one of three interventions: museum-based arts (n = 11), hospital-based arts (n = 10), or hospital-based conventional education (n = 13). Arts groups explored empathy, resilience, and compassion in works of art during facilitator-guided discussions. We assessed pre- and post-intervention measures of empathy, mindfulness, tolerance of ambiguity, and grit and tracked National Board of Medical Examiners IM shelf exam performance to capture changes in educational outcomes. Focus group discussions with participants in the arts-based interventions were performed at the study's conclusion.

resultsArts education was successfully integrated into a busy clinical clerkship in both hospital and art museum settings. Focus group participants reported increased implicit bias cognizance and time for reflection, but no significant differences in psychometric or educational outcomes were identified. While most students felt positively toward the experience; some experienced distress from missed clinical time.

conclusionsThis pilot study demonstrates the feasibility of integrating visual arts education into the clerkship. Although observable quantitative differences in measures of positive psychological constructs and educational outcomes were not found, qualitative assessment suggested benefits as well as the feasibility of bringing fine arts instruction into the clinical space. A larger, multi-center study is warranted.

Indexed as

ArtClinical ClerkshipEducation, MedicalEmpathyHumansPilot ProjectsArts in medicineClinical clerkshipCluster-randomized trialEmpathyGritMindfulness

Identifiers

PMID33256727
PMCPMC7708096
OpenAlexW3109468242

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.