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教育研究:移动自组网项目:神经病学教育培训中的博物馆艺术

Education Research: The MANET Project: Museum Art in Neurology Education Training.

作者信息

Greige Tatiana, Odo David, Mani Camran, Bissonnette Stephanie, Anand Pria

机构信息

From the Department of Neurology (T.G., P.A.), Boston Medical Center, MA; Georgia Museum of Art (D.O.), Athens; Harvard Art Museums (C.M.), Cambridge, MA; and Department of Neurology (S.B.), Virginia Commonwealth University, Richmond.

出版信息

Neurol Educ. 2024 Nov 13;3(4):e200170. doi: 10.1212/NE9.0000000000200170. eCollection 2024 Dec.

Abstract

BACKGROUND AND OBJECTIVES

Multiple studies have shown that visual arts training has improved observational and communication skills and empathy among medical students and resident physicians. The benefits of such training for neurology residents remain scarce. This project aims to introduce neurology residents to the world of visual arts, improve their observational skills, foster their empathic skills, and provide them with a unique space for self-expression.

METHODS

Neurology residents at an urban tertiary academic medical center in the northeastern United States received multiple custom-designed art observation training sessions at the Fogg Museum. Sessions were led by professional art educators and involved visiting multiple galleries in-person. Residents completed preintervention and postintervention tests to assess for change in their observational skills. The test was composed of artwork, MRIs, and videos with neurologic findings, which were all graded using a priori rubrics. The primary outcome was the difference between preintervention and postintervention total test scores. Secondary outcomes included the differences between preintervention and postintervention scores for art imagery and clinical imagery. Two-tailed paired Student t test was used.

RESULTS

Seventeen neurology residents attended the museum art sessions throughout the academic year and 12 (71%) residents completed both the preintervention and postintervention tests. Observational skills, as calculated by the total score, improved significantly between the preintervention and postintervention tests (mean score 22.75 vs 33.5, respectively, = 0.00005). Most residents noted a subjective improvement in their communication and observational skills and an increase in their empathy skills. All residents noted feeling more comfortable with the notion of ambiguity in a clinical setting.

DISCUSSION

Residents' observational skills improved significantly throughout the academic year. This study emphasizes the importance of visual arts in neurology training. Art can further develop residents' observational skills, foster their empathy and humanity, and provide them with a safe space for self-reflection and personal growth.

摘要

背景与目的

多项研究表明,视觉艺术培训可提高医学生和住院医师的观察能力、沟通技巧及同理心。此类培训对神经科住院医师的益处仍较为少见。本项目旨在向神经科住院医师介绍视觉艺术世界,提高他们的观察技能,培养他们的共情能力,并为他们提供一个独特的自我表达空间。

方法

美国东北部一家城市三级学术医疗中心的神经科住院医师在福格博物馆接受了多次定制设计的艺术观察培训课程。课程由专业艺术教育工作者主持,包括亲自参观多个画廊。住院医师完成了干预前和干预后的测试,以评估其观察技能的变化。测试由带有神经学发现的艺术品、磁共振成像(MRI)和视频组成,所有这些都使用先验评分标准进行评分。主要结果是干预前和干预后总测试分数之间的差异。次要结果包括艺术图像和临床图像干预前和干预后分数之间的差异。使用双尾配对学生t检验。

结果

在整个学年中,17名神经科住院医师参加了博物馆艺术课程,12名(71%)住院医师完成了干预前和干预后测试。通过总分计算,干预前和干预后测试之间的观察技能有显著提高(平均分分别为22.75和33.5,P = 0.00005)。大多数住院医师指出,他们的沟通和观察技能有主观改善,共情能力有所提高。所有住院医师都表示,在临床环境中对不确定性的感受更自在。

讨论

在整个学年中,住院医师的观察技能有显著提高。本研究强调了视觉艺术在神经科培训中的重要性。艺术可以进一步培养住院医师的观察技能,增强他们的同理心和人文素养,并为他们提供一个自我反思和个人成长的安全空间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/372b/11694775/5416638b3a10/NE9-2024-100084f1.jpg

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