Extending Arts-Based Interventions in Graduate Medical Education through the Positive Humanities: the Re-FRAME Workshop

J Gen Intern Med. 2023 Nov;38(14):3252-3256. doi: 10.1007/s11606-023-08292-3. Epub 2023 Jul 5.

Abstract

Background: Arts-and-humanities-based interventions are commonly implemented in medical education to promote well-being and mitigate the risk of burnout. However, mechanisms for achieving these effects remain uncertain within graduate medical education. The emerging field of the positive humanities offers a lens to examine whether and how arts-based interventions support well-being in internal medicine interns.

Aim: Through program evaluation of this visual art workshop, we used a positive humanities framework to elucidate potential mechanisms by which arts-based curricula support well-being in internal medicine interns.

Setting: We launched the re-FRAME workshop at the Philadelphia Museum of Art in winter 2020.

Participants: Fifty-six PGY-1 trainees from one internal medicine residency program.

Program description: The 3-h re-FRAME workshop consisted of an introductory session on emotional processing followed by two previously described arts-based interventions.

Program evaluation: Participants completed an immediate post-workshop survey (91% response rate) assessing attitudes towards the session. Analysis of open-ended survey data demonstrated 4 categories for supporting well-being among participants: becoming emotionally aware/expressive through art, pausing for reflection, practicing nonjudgmental observation, and normalizing experiences through socialization.

Discussion: Our project substantiated proposed mechanisms from the positive humanities for supporting well-being-including reflectiveness, skill acquisition, socialization, and expressiveness-among medical interns.

Keywords: arts and humanities; graduate medical education; visual art; well-being.

MeSH terms

  • Burnout, Psychological
  • Curriculum
  • Education, Medical*
  • Education, Medical, Graduate
  • Humanities* / education
  • Humans