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Playing in the "Gutter": Cultivating Creativity in Medical Education and Practice
Kevin T Liou1, Daniel S Jamorabo, Richard H Dollase
1K.T. Liou is a first-year resident, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York. D.S. Jamorabo is a second-year resident, Department of Medicine, Robert Wood Johnson Medical School, New Brunswick, New Jersey. R.H. Dollase is director, Office of Medical Education, Warren Alpert Medical School of Brown University, Providence, Rhode Island. L. Dumenco is director, Preclinical Curriculum, Office of Medical Education, Warren Alpert Medical School of Brown University, Providence, Rhode Island. F.J. Schiffman is Sigal Family Professor of Humanistic Medicine and vice chair, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island. J.M. Baruch is director, Program in Clinical Arts and Humanities, and associate professor, Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Medical training involves "gutters" — gaps in knowledge and experience. The Integrated Clinical Arts (ICA) program uses arts to help students navigate these gaps creatively, fostering personal growth and new insights.
Area of Science:
- Medical Education
- Arts in Medicine
- Creativity in Healthcare
Background:
- Medical training presents "gutters": disconnected curriculum, practice ambiguity, and clinical tensions.
- Navigating these "gutters" requires creativity—connecting disparate fragments for meaningful configurations.
- Creativity is essential for medical learners to overcome learning barriers and foster personal growth.
Purpose of the Study:
- To introduce the Integrated Clinical Arts (ICA) program designed to cultivate creativity in first-year medical students.
- To explore how arts-based disciplines can help students navigate the "gutters" of medical training.
- To assess the role of creativity and arts in transforming learning barriers into opportunities for discovery and self-reflection.
Main Methods:
- Developed and implemented the Integrated Clinical Arts (ICA) program as a required first-year medical curriculum component.
- Designed ICA workshops to place students in metaphorical "gutters" to practice interdisciplinary connections.
- Utilized arts-based disciplines to encourage students to make connections between medicine and other fields.
Main Results:
- Students engaged in metaphorical "gutters" through ICA workshops, practicing connections between medicine and arts.
- The program provided opportunities for students to broaden perspectives and gain insights into medical practice and self.
- Student feedback indicated that creativity and arts transform "gutters" into avenues for discovery, self-reflection, and growth.
Conclusions:
- The Integrated Clinical Arts (ICA) program effectively uses arts to foster creativity in medical students.
- Navigating medical training "gutters" through creative exploration enhances learning and personal development.
- Integrating arts into medical education transforms potential barriers into opportunities for deeper understanding and self-discovery.
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