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Updated: May 27, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A Visual Arts Activity to Support Residents as They Care for "Difficult Patients"
Mariah A Quinn1, Kathlyn E Fletcher2, Sarah L Floden3
1is an Associate Professor, Division of General Internal Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, and Chief Wellness Officer, UW Health, Madison, Wisconsin, USA.
An art-based perspective-taking activity effectively reduced clinician discomfort when anticipating challenging patient encounters. This empathy-building method is simple, feasible, and cost-effective for healthcare settings.
Area of Science:
- Medical Education
- Clinical Psychology
- Arts in Medicine
Background:
- Challenging patient interactions can increase clinician burnout and distress.
- Clinical empathy, such as perspective-taking, can mitigate these negative effects.
- Art-based methods offer innovative approaches to enhance empathy skills.
Purpose of the Study:
- To assess the impact of an art-based perspective-taking activity on clinicians' anticipated discomfort with challenging patients.
- To evaluate the feasibility and cost-effectiveness of this novel empathy-building intervention.
Main Methods:
- A museum-based, art-viewing activity was implemented with internal medicine residents and healthcare professionals.
- Participants engaged in perspective-taking by selecting art to represent a challenging patient and reflecting on insights.
- Pre- and post-intervention discomfort ratings were collected and analyzed using paired t-tests and content analysis.
Main Results:
- The art-based activity significantly decreased participants' anticipated discomfort when facing challenging patients (P<.01).
- Qualitative analysis of reflections indicated a shift in focus from self to the patient's perspective.
- The intervention proved to be simple, feasible, and cost-effective, utilizing existing resources.
Conclusions:
- Visual arts-based perspective-taking is an effective strategy for enhancing clinician empathy towards challenging patients.
- This method offers a practical, low-cost solution to improve clinician well-being and patient care.
- The intervention demonstrates potential for integration into medical education and professional development programs.
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