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创意艺术与医学生发展:一项定性研究。

Creative art and medical student development: a qualitative study.

作者信息

Jones Elizabeth K, Kittendorf Anne L, Kumagai Arno K

机构信息

Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Med Educ. 2017 Feb;51(2):174-183. doi: 10.1111/medu.13140. Epub 2016 Nov 23.

Abstract

OBJECTIVES

Although many medical schools include arts-based activities in their curricula, empirical evidence is lacking regarding how the creation of art might impact medical students and their professional development. We used a qualitative research design in order to understand this process.

METHODS

We conducted and analysed interviews with 16 medical students who had created and presented original artwork in the context of a required narrative-based undergraduate medical education programme. Teams of students collaborated to create interpretive projects based on common themes arising from conversations with individuals with chronic illness and their families. Open-ended questions were utilised to explore the conceptualisation and presentation of the projects, the dynamics of teamwork and the meaning(s) they might have for the students' professional development. We identified themes using repeated contextual reading of the transcripts, which also enhanced accuracy of the interpretations and ensured saturation of themes.

RESULTS

Several major themes and sub-themes were identified. The creation of art led to a sense of personal growth and development, including reflection on past life experiences, self-discovery and an awareness of art as a creative outlet. Students also reported an enhanced sense of community and the development of skills in collaboration. Lastly, students reflected on the human dimensions of illness and medical care and identified an enhanced awareness of the experience of those with illness.

CONCLUSIONS

A programme involving the creation of art based on stories of illness encouraged students' explorations of conceptions of the self, family and society, as well as illness and medical care, while enhancing the development of a collaborative and patient-centred worldview. Creative art can be a novel educational tool to promote a reflective, humanistic medical practice.

摘要

目的

尽管许多医学院校在其课程中纳入了基于艺术的活动,但关于艺术创作如何影响医学生及其职业发展,仍缺乏实证依据。我们采用定性研究设计来了解这一过程。

方法

我们对16名医学生进行了访谈并进行分析,这些学生在一项必修的基于叙事的本科医学教育项目中创作并展示了原创艺术作品。学生团队合作,根据与慢性病患者及其家人交谈中出现的共同主题创建解释性项目。使用开放式问题来探讨项目的概念化和展示、团队合作的动态以及它们对学生职业发展可能具有的意义。我们通过对访谈记录进行反复的情境阅读来确定主题,这也提高了解释的准确性并确保了主题的饱和度。

结果

确定了几个主要主题和子主题。艺术创作带来了个人成长和发展的感觉,包括对过去生活经历的反思、自我发现以及将艺术视为一种创造性表达途径的意识。学生们还报告说社区意识增强以及合作技能得到了发展。最后,学生们反思了疾病和医疗护理的人文层面,并确定对患者经历的认识有所提高。

结论

一个涉及基于疾病故事创作艺术作品的项目鼓励学生探索自我、家庭和社会的概念,以及疾病和医疗护理,同时增强了合作和以患者为中心的世界观的发展。创意艺术可以成为促进反思性、人文主义医疗实践的一种新颖教育工具。

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