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The Fostering Resilience through Art in Medical Education (FRAME) workshop: a partnership with the Philadelphia Museum of Art

机译:通过医学教育中的艺术提高复原力(FRAME)研讨会:与费城艺术博物馆的合作

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>Background: Provider burnout remains a serious problem facing medical training programs and has been shown to affect more than half of internal medicine residents. In addition to broader efforts to revamp a health care system that contributes to this epidemic, exposure to the medical humanities offers potential to promote engagement, resilience, and restoration of meaning in residents’ daily lives.>Objective: We aim to create a reproducible, evidence-based workshop utilizing artful thinking routines to prepare trainees to combat burnout with reflection, perspective-taking, and community-building.>Methods: A single, 4-hour workshop for senior internal medicine residents, centered on visual artistic analysis, was offered in June 2017 at the Philadelphia Museum of Art. Pre- and post-workshop burnout metrics and survey evaluation data were analyzed using a mixed-methods approach.>Results: Workshop participation was offered to 29 internal medicine residents, of whom 17 (59%) participated. All survey respondents (n=13) rated the workshop as excellent and would recommend it to colleagues. Moderate decreases in the observed frequencies of both high emotional exhaustion scores (64.7% before the workshop to 55.5% following the workshop) and high depersonalization scores (70.6% before the workshop to 55.5% following the workshop) were observed.>Conclusions: While results are preliminary in nature, the workshop was received favorably and demonstrated modest decreases in emotional exhaustion and depersonalization. We are encouraged to explore and repeat this workshop with modifications to identify its optimal position in the broader landscape of emerging wellness curricula.
机译:>背景:医务人员的倦怠仍然是医学培训计划面临的一个严重问题,并且已证明会影响超过一半的内科医师。除了更广泛的努力来改造导致这种流行病的医疗保健系统外,接触医学人文科学还具有促进居民日常生活中的参与,弹性和恢复意义的潜力。>目标:旨在创建一个可重现的,循证的讲习班,该讲习班运用狡猾的思维程序来训练受训者,以进行反思,采取观点和社区建设来对抗倦怠。>方法: 2017年6月,费城艺术博物馆提供了以视觉艺术分析为中心的内科住院医师。使用混合方法分析了车间前后的倦怠指标和调查评估数据。>结果:向29位内科住院医师提供了参加研讨会的机会,其中17人(占59%)参加了研讨会。所有受访者(n = 13)都将研讨会评为极佳,并将推荐给同事。观察到的高情绪耗竭分数(研讨会前的64.7%降至研讨会后的55.5%)和较高的去个性化分数(研讨会前的70.6%降至研讨会后的55.5%)的观察到的频率均有中等程度的降低。>结论: 尽管结果只是初步的,但研讨会受到了好评,并证明情绪疲惫和人格解体程度有所下降。我们鼓励我们探索并重复此研讨会,并进行修改,以确定其在新兴健康课程的更广泛领域中的最佳位置。

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