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Medical Improvisation Training for all Medical Students: 3-Year Experience.

David Fessell1, Erin McKean1, Heather Wagenschutz1

  • 1University of Michigan Medical School, Ann Arbor, MI USA.

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|August 30, 2021
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Summary

Medical improvisation workshops improved communication skills for medical students. Over 80% reported using these skills in clinical settings, enhancing patient care and teamwork.

Keywords:
CommunicationImprovisationMedical educationTeam-basedTeamwork

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • Performance Arts in Medicine

Background:

  • Effective patient communication is crucial for positive health outcomes.
  • This study explored medical improvisation as a novel method for communication skills development.
  • The intervention targeted an entire medical school class, not just self-selected students.

Purpose of the Study:

  • To assess the efficacy of medical improvisation techniques in enhancing communication skills among medical students.
  • To evaluate the scalability of improvisation workshops for a full medical school cohort.
  • To identify specific improvisation exercises beneficial for the clinical environment.

Main Methods:

  • A series of required improvisation workshops were conducted for third-year medical students between 2005 and 2017.
  • Workshop evaluations were collected immediately post-session and at a 3-month follow-up for one cohort.
  • Data included student ratings, self-reported gains in communication, and application of skills in clinical settings.

Main Results:

  • Nearly 500 medical students participated, with over 90% rating the workshops highly.
  • Students reported significant improvements in understanding their physician role (≥90%), communication effectiveness (80-87%), and teamwork (91-93%).
  • At 3 months, 84% of respondents had applied improvisation skills in clinical practice.

Conclusions:

  • Medical improvisation training is a scalable method for enhancing communication skills across an entire medical student class.
  • Students perceived significant benefits in communication and teamwork through these exercises.
  • The study identified specific improvisation techniques valuable for real-world clinical application.