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Enhancing medical improvisation training: a mixed-methods approach to curriculum modification.

Xia Zheng1,2, Clare Whitney3,4, Heidi Preis5

  • 1School of Communication and Journalism, Stony Brook University, Stony Brook, NY, USA. xia.zheng@stonybrook.edu.

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Summary

This study presents a framework for refining medical improvisation curricula, enhancing healthcare communication skills. The model uses four dimensions—desirability, feasibility, triangulation, and evaluability—to guide revisions for better program outcomes.

Keywords:
Communication skillsCurriculum revisionImprov trainingMedical improvisationMixed-methods

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Area of Science:

  • Medical Education
  • Healthcare Communication
  • Curriculum Development

Background:

  • Medical improvisation (improv) is recognized for improving healthcare professional communication.
  • Effective medical improv training necessitates adaptable curricula.
  • Curriculum refinement is a critical but often overlooked aspect of medical improv programs.

Purpose of the Study:

  • To articulate a theoretically grounded framework for modifying medical improv programs.
  • To focus on the process of curriculum refinement in medical improv.
  • To provide a structured approach for enhancing medical improv curricula.

Main Methods:

  • Utilized the Collaborative Improvement Model for curriculum revision.
  • Conducted a sub-analysis of mixed-methods data (surveys, interviews, observations) from the Alda Healthcare Experience (AHE) program.
  • Employed an interpretive descriptive design with inductive/deductive approaches and mixed-methods triangulation.

Main Results:

  • Identified four dimensions for revision interpretation: desirability, feasibility, triangulation, and evaluability.
  • Demonstrated framework application with specific curriculum revision examples.
  • Analysis of co-facilitator interviews revealed key areas for program enhancement.

Conclusions:

  • Articulated a theoretically grounded framework for revising medical improv curricula.
  • The proposed framework offers a structured yet adaptable approach.
  • This framework can be applied to other medical improv and experiential learning curricula.