Abstract：
:Medical students experience rising rates of burnout throughout their training. Efforts have been made to not only mitigate its negative effects, but also prevent its development. Medical improv takes the basic ideas of improvisational theatre and applies them to clinical situations. Given improv's focus on self-awareness and reflection, in addition to its spontaneous nature, we hypothesized it had the potential to serve as a creative outlet, a way to prevent and/or mitigate the negative effects of stress, burnout, and fatigue, and provide a learning environment to develop skills necessary to succeed as a physician. University of California (UC) San Diego School of Medicine developed a medical improv elective for pre-clinical students and assessed its effects on student development and wellbeing. Students enrolled in the elective between Fall 2019 and Fall 2020 at UC San Diego School of Medicine were surveyed pre- and post- course completion using both qualitative and quantitative methods. Students noted significant improvement in domains related to proactivity in their professional career (3.15 to 4.00, p = 0.02), wellbeing (3.0 to 4.4, p < 0.001), engagement with their studies (3.85 to 4.52, p = 0.02), and communication (3.75 to 4.3, p = 0.04) after completion of the medical improv elective. We describe a pilot-study demonstrating the positive effects of improv on medical student wellbeing and professional development, laying the groundwork for both future study of improv on student wellness and its implementation in the pre-clinical curriculum.
journal_name
Med Educ Onlinejournal_title
Medical education onlineauthors
Neel N,Maury JM,Heskett KM,Iglewicz A,Lander Ldoi
10.1080/10872981.2021.1961565keywords:
["Medical improv","medical education","undergraduate medical education","wellness"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
1961565issue
1issn
1087-2981journal_volume
26pub_type
杂志文章相关文献
文献大全abstract：:Successful shared decision making (SDM) in clinical practice requires that future clinicians learn to appreciate the value of patient participation as early as they can in their medical training. Narratives, such as patient testimonials, have been successfully used to support patients' decision-making process. Previou...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2021.1886642
更新日期：2021-12-01 00:00:00
abstract：:Universities worldwide are pausing in an attempt to contain COVID-19's spread. In February 2019, universities in China took the lead, cancelling all in-person classes and switching to virtual classrooms, with a wave of other institutes globally following suit. The shift to online platform poses serious challenges to m...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2020.1854066
更新日期：2021-12-01 00:00:00
abstract：:Background: The opioid epidemic is a growing problem in the USA. Use of medication-assisted treatment (MAT) has been effective in treating patients with opioid use disorders (OUD) and maintaining sobriety; however, there is a significant shortage of physicians formally trained in MAT. Objective: Wayne State University...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2020.1847755
更新日期：2021-12-01 00:00:00
abstract：BACKGROUND & OBJECTIVE:The COVID-19 pandemic and resulting cancellation of medical student clinical rotations pose unique challenges to students' educations, the impact of which has not yet been explored. DESIGN:This cross-sectional survey study collected responses from 13 April 2020 until 30 April 2020. Students at U...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2020.1798088
更新日期：2020-12-01 00:00:00
abstract：:The global spread of COVID-19 has put increased pressure on the NHS. The Government has put in a number of strategies to cope with this pandemic, which includes increasing funding for the NHS. However, increased funding itself will not ease the workload. With a number of our staff isolating from work due to COVID-19, ...
journal_title：Medical education online
pub_type： 信件
doi：10.1080/10872981.2020.1759869
更新日期：2020-12-01 00:00:00
abstract：:Aims: Teaching students about risk communication is an important aspect at medical schools given the growing importance of informed consent in healthcare. This observational study analyzes the quality of teaching content on risk communication and biostatistics at a medical school.Methods: Based on the concept of curri...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2020.1746014
更新日期：2020-12-01 00:00:00
abstract：:Background: Insufficient breastfeeding promotion and support by physicians contribute to suboptimal breastfeeding rates globally. Understanding setting-specific barriers against breastfeeding promotion and support from the perspective of medical students and addressing those that can be modified through undergraduate ...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2020.1723950
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Physician educators directing medical student programs face increasingly more complex challenges to ensure students receive appropriate preparation to care for patients. The Alliance for Clinical Education (ACE) defined expectations of and for clerkship directors in 2003. Since then, much has changed in medi...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2020.1714201
更新日期：2020-12-01 00:00:00
abstract：:Background: Curricular transformation can result in bulges in students' clinical placements.Objective: To report on learner outcomes associated with a competency-based opt-out approach for a required 4th-year neurology clerkship.Methods and Study Design: During Oregon Health & Science University's recent undergraduate...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2019.1710331
更新日期：2020-12-01 00:00:00
abstract：:Background: The College of Medicine at Qassim University (COMQU) was founded in 2001 as a problem-based learning and community-oriented medical school in order to strengthen the health system not only in the Qassim region but also in the whole of Saudi Arabia. The aim of the current study was to assess whether the COM...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2019.1710328
更新日期：2020-12-01 00:00:00
abstract：:Background: Despite recommendations from survey scientists, surveys appear to be utilized in medical education without the critical step of pretesting prior to survey launch. Pretesting helps ensure respondents understand questions as survey developers intended and that items and response options are relevant to respo...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2019.1673596
更新日期：2019-12-01 00:00:00
abstract：:Background/Objective: To identify factors associated with underrepresentation of women in the largest medical specialties. Methods: The authors obtained specialty-specific data from the Association of American Medical Colleges, National Residency Match Program and Journal of the American Medical Association Graduate M...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2019.1624132
更新日期：2019-12-01 00:00:00
abstract：:Burnout syndrome is a psychological condition that commonly affects health professionals, medical students, and others in professions with long shifts. It is defined by a high amount of emotional exhaustion, depersonalization, and low personal job satisfaction. We aimed to determine the prevalence of burnout syndrome ...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2019.1593785
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Trends in faculty rank according to racial and ethnic composition have not been reviewed in over a decade. OBJECTIVE: To study trends in faculty rank according to racial and ethnicity with a specific focus on Indigenous faculty, which has been understudied. METHODS:Data from the Association of American Med...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2018.1508267
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:The current study examines the feasibility and potential effects of long distance, remote simulation training on team dynamics. DESIGN:The study design was a prospective study evaluating team dynamics before and after remote simulation. SUBJECTS:Study subjects consisted of interdisciplinary teams (attending...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2018.1485431
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Previous research on Emergency Medical Technician (EMT) programs as an early clinical experience indicates that medical students' confidence in patient care and team-building skills increases with participation. However, very little is known about the unplanned, long-term effects of EMT courses on medical st...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2018.1474699
更新日期：2018-12-01 00:00:00
abstract：:The relationship between students' withdrawal and educational variables has generated a considerable number of publications. As the explosion of information in sciences and integration theories led to creating different curriculum designs, it has been assumed that differences among designs explain academic success and...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2018.1432963
更新日期：2018-12-01 00:00:00
abstract：:The practice of medicine has changed greatly over the past 100 years, yet the structure of undergraduate medical education has evolved very little. Many schools have modified their curricula to incorporate problem-based learning and organ systems-based curricula, but few schools have adequately addressed rising tuitio...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2018.1427988
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Good communication is a core competency for all physicians. Thus, medical students require adequate preparation in communication skills. For research purposes, as well as for evaluation in teaching, there is a clear need for reliable assessment tools. We analyzed the shortcomings of existing instruments and ...
journal_title：Medical education online
pub_type： 杂志文章,随机对照试验
doi：10.1080/10872981.2017.1392823
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Integrating electronic health records (EHRs) into clinical care can prevent physicians from focusing on patients. Despite rapid EHR adoption, few curricula teach communication skills and best practices for patient-centered EHR use. OBJECTIVE:We piloted a 'Patient-centered EHR use' curriculum, consisting of ...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2017.1396171
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Overwork, fatigue, and sleep deprivation due to night duty are likely to be detrimental to the performance of medical residents and can consequently affect patient safety. OBJECTIVE:The aim of this study was to determine the possibility of deterioration of cerebral function of sleep-deprived, fatigued resid...
journal_title：Medical education online
pub_type： 杂志文章,随机对照试验
doi：10.1080/10872981.2017.1379345
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Gastroenterology is one of the most competitive internal medicine fellowship. However, factors that associated with program competitiveness have not been documented. OBJECTIVE:The objective of this study was to evaluate associations between characteristics of gastroenterology fellowship programs and their c...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2017.1364604
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:An increased demand for accountability and transparency in medicine have initiated a shift toward a more objective and standardized approach for postgraduate medical training. OBJECTIVE:To develop and evaluate an objective method to assess clinical competence of postgraduate year 1 surgery residents. DESIG...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2017.1342523
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Performance feedback is considered essential to clinical skills development. Formative objective structured clinical exams (F-OSCEs) often include immediate feedback by standardized patients. Students can also be provided access to performance metrics including scores, checklists, and video recordings after ...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2017.1324718
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:The community-based medical education curriculum is growing in popularity as a strategy to bring universal health coverage to underserved communities by providing medical students with hands-on training in primary health care. Accommodation and immersion of medical students within the community will become i...
journal_title：Medical education online
pub_type： 杂志文章,评审
doi：10.1080/10872981.2017.1320185
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Chief Residents must lead, manage and mentor a diverse and often large group of residents, however there is a lack of formal leadership training throughout graduate medical education. OBJECTIVE:Development of a 3-part Chief Resident (CR) Program focused on leading, managing and mentoring. DESIGN:Each parti...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2017.1320186
更新日期：2017-01-01 00:00:00
abstract：:Lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) individuals continue to face barriers to accessing appropriate and comprehensive healthcare. Compounding this problem, healthcare trainees report few training opportunities and low levels of preparedness to care for LGBTQI patients. In 2009, an interpro...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.1080/10872981.2017.1306419
更新日期：2017-01-01 00:00:00
abstract：:A teacher-training program for residents was designed and piloted in the St. Elisabeth Hospital in Curaçao, Netherlands Antilles. The program comprised of six modules namely: effective teaching, self-knowledge and teaching ability, feedback, assessing prior knowledge, trouble shooting and time management. METHOD:Inst...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.3402/meo.v11i.4591
更新日期：2006-12-01 00:00:00
abstract：:Problem Based Learning (PBL) provides a unique opportunity for medical students to learn nutrition principles in the context of evidence-based clinical cases. At the University of Texas Medical School at Houston (UTMSH), PBL is a major component during the second year of the four year undergraduate medical curriculum....
journal_title：Medical education online
pub_type： 杂志文章
doi：10.3402/meo.v11i.4611
更新日期：2006-12-01 00:00:00
abstract：PURPOSE:To develop a tool to assess the team leadership skills of internal medicine residents. METHOD:A 27-item pilot instrument developed by two authors was distributed to interns on ward and intensive care unit teams at the end of rotations from a single institution's internal medicine residency program. These items...
journal_title：Medical education online
pub_type： 杂志文章
doi：10.3402/meo.v11i.4601
更新日期：2006-12-01 00:00:00
