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      Concluding Commentary. The Importance of the Humanities in Medical Education: Where are we now?

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          Abstract

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          The undergraduate medical curriculum, together with many of the other healthcare curricula, is under a constant state of change. Sometimes that change is for the better, very occasionally less so. Many physicians who graduated more than forty years ago may agree that the humanities were a strong component of the hidden curriculum; the humanities were just there and enhanced many teaching activities (mainly lectures) to a variable state. They were used by a certain proportion of faculty to make their lectures “more exciting”, “more real” and “to put them in context”. Over time and as new teaching and learning technologies took the place of formal teaching (such as lectures), these humanities approaches and enhancements appeared to become less prominent.

          This new AMEE MedEdPublish theme - The Importance of the Humanities in Medical Education - has not only demonstrated that the humanities are not gone and lost forever, they were just hidden, but the number of papers received demonstrated that the subject is certainly healthier than expected and suggests the inclusion of the Humanities within all forms of healthcare curricula and training opportunities.

          This concluding commentary provides an overview of the large number of papers received, explores the various reasons that support the presence of the humanities in the curriculum, provides insight into the ways that the humanities are being taught and finally, provides some direction of the way forward.

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          Most cited references21

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          Using the visual arts to teach clinical excellence

          This article was migrated. The article was marked as recommended. Introduction: The authors conducted a review of the literature to identify curricula that incorporate the visual arts into undergraduate, graduate, and continuing medical education to facilitate the teaching of clinical excellence. Methods: The authors searched the PubMed and ERIC electronic databases in May 2017, using search terms such as “paintings,” “visual arts,” and “medical education,” along with terms corresponding to previously defined domains of clinical excellence. Search results were reviewed to select articles published in the highest impact general medicine and medical education journals describing the use of visual arts to teach clinical excellence to all levels of medical trainees and practicing physicians. Results: Fifteen articles met inclusion criteria. Each article addressed at least one of the following clinical excellence domains: communication and interpersonal skills, humanism and professionalism, diagnostic acumen, and knowledge. No articles described the use of the visual arts to teach the skillful negotiation of the health care system, a scholarly approach to clinical practice, or a passion for patient care. Conclusions: This review supports the use of visual arts in medical education to facilitate the teaching of clinical excellence. However, research designed specifically to evaluate the impact of the visual arts on clinical excellence outcomes is needed.
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            THE OLD HUMANITIES AND THE NEW SCIENCE: The Presidential Address delivered before the Classical Association at Oxford, May, 1919.

            W Osler (1919)
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              What’s a book club doing at a medical conference?

              This article was migrated. The article was marked as recommended. The prevalence of burnout among physicians in the United States now exceeds 50%, with many physicians feeling isolated and lacking in a sense of community. Book clubs among colleagues may be one way to foster community and restore joy to medicine. The authors introduced two book clubs at the annual meetings of the Society for General Internal Medicine (SGIM) and the Association for Academic Psychiatry (AAP). Response rates for completed surveys for the SGIM and AAP book clubs were 71% and 86%, respectively. About half of the book club participants were already members of a book club, and had read an average of 10 non-medical books in the past year. Eighty-one percent reported the discussions had “a lot” or “tremendous” impact on their learning, and that they would be “likely” or “very likely” to look for a non-medical book in the future as a resource to assist in their professional growth. Sixty-seven percent said they would be “likely” or “very likely” to organize their own book club. Participants listed the “most enjoyable and/or impactful non-medical book read in past year.” Survey responses speak to the impact of book club participation on attendees’ professional growth, learning, and recognition of overall value of reading non-medical books. These findings support the role of the humanities in professional development to encourage physicians to challenge assumptions, tolerate ambiguity, appreciate cultural influences, and honor the unique perspectives of our patients. In the increasingly complex and challenging work environment of academic health centers, faculty must find mechanisms to maintain workplace meaning and prevent burnout. Reading a book prior to attending one’s annual professional society meeting and participating in thoughtful discussions was enjoyable and useful. When facilitators are thoughtfully prepared to guide conversations, professional growth can result in useful insights related to academic practices and pursuits.
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                Author and article information

                Journal
                MedEdPublish (2016)
                MedEdPublish (2016)
                MedEdPublish
                F1000 Research Limited (London, UK )
                2312-7996
                24 September 2018
                2018
                : 7
                : 220
                Affiliations
                [1 ]Sechenov University
                [2 ]AMEE
                [1 ]Norwich Medical School
                [1 ]American International Medical University
                Author notes
                Article
                10.15694/mep.2018.0000220.1
                10704416
                38074593
                384e0d1d-73ca-4e18-b908-708335c9a7b4
                Copyright: © 2018 McFarland J et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                medical humanities,mededpublish theme issue
                medical humanities, mededpublish theme issue

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