Abstract:
BACKGROUND:Despite evidence of inadequate physical examination skills among medical students, teaching these skills has declined. One method of enhancing inspection skills is teaching "visual literacy," the ability to reason physiology and pathophysiology from careful and unbiased observation. OBJECTIVE:To improve students' visual acumen through structured observation of artworks, understanding of fine arts concepts and applying these skills to patient care. DESIGN:Prospective, partially randomized pre- vs. post-course evaluation using mixed-methods data analysis. PARTICIPANTS:Twenty-four pre-clinical student participants were compared to 34 classmates at a similar stage of training. INTERVENTION:Training the Eye: Improving the Art of Physical Diagnosis consists of eight paired sessions of art observation exercises with didactics that integrate fine arts concepts with physical diagnosis topics and an elective life drawing session. MEASUREMENTS:The frequency of accurate observations on a 1-h visual skills examination was used to evaluate pre- vs. post-course descriptions of patient photographs and art imagery. Content analysis was used to identify thematic categories. All assessments were blinded to study group and pre- vs. post-course evaluation. RESULTS:Following the course, class participants increased their total mean number of observations compared to controls (5.41 +/- 0.63 vs. 0.36 +/- 0.53, p < 0.0001) and had increased sophistication in their descriptions of artistic and clinical imagery. A 'dose-response' was found for those who attended eight or more sessions, compared to participants who attended seven or fewer sessions (6.31 + 0.81 and 2.76 + 1.2, respectively, p = 0.03). CONCLUSIONS:This interdisciplinary course improved participants' capacity to make accurate observations of art and physical findings.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Naghshineh S,Hafler JP,Miller AR,Blanco MA,Lipsitz SR,Dubroff RP,Khoshbin S,Katz JTdoi
10.1007/s11606-008-0667-0subject
Has Abstractpub_date
2008-07-01 00:00:00pages
991-7issue
7eissn
0884-8734issn
1525-1497journal_volume
23pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To determine the impact of an episode of serious cardiovascular disease on smoking behavior and to identify factors associated with smoking cessation in this setting. DESIGN:Prospective observational study in which smokers admitted to a coronary care unit (CCU) were followed for one year after hospital disch...
journal_title:Journal of general internal medicine
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pub_type: 杂志文章,多中心研究,随机对照试验
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