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Broadening the View of Holistic Care: Integrating Arts and Humanities Into Physician Assistant Education
Shaun Horak1,2,3,4,5,6,7,8,9,10,11, Pamela Dickey1,2,3,4,5,6,7,8,9,10,11, Samantha K Ammons1,2,3,4,5,6,7,8,9,10,11
1Shaun Horak, DMSc, PA-C, is a PA program associate director/DMSc director/assistant professor at University of Nebraska Medical Center (UNMC), Omaha, Nebraska.
Introduction:
The integration of arts and humanities (A&H) into physician assistant (PA) preclinical curriculum may enhance student performance and improve their patient rapport. Arts and humanities content could promote the personal and professional qualities we desire in clinicians including competence, compassion, and empathy. The aim of this research was to determine what PA students report learning from A&H modules designed to foster personal insight and perspective-taking.
Methods:
The "Introduction of Humanities & Arts into Physician Assistant Education" (IHAPAE) project is an intercampus collaboration between 2 Midwest Universities. The IHAPAE faculty collaboratively created and delivered A&H-based modules within first-year communication courses. Two cohorts of PA students (N = 130) participated in modules and subsequently attended exploratory focus groups to elicit their perceptions of the A&H curriculum.
Results:
Using a constructivist grounded theory approach for data analysis, we found that PA students perceived multiple benefits. Specifically, module content promoted reflection and stress reduction, improved their continuity of care notes, provided utility in cultivating empathy in patient communication, and introduced students to A&H approaches they could recommend to patients.
Discussion:
The process model that emerged from student perceptions fits well with existing emotional regulation theory and provides empirical evidence for cultivation of empathy and patient-centeredness. Given the positive outcomes of our project, PA programs should consider the value of incorporating the A&H activities into their curriculum to enhance the student experience and develop essential provider attributes and skills.
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