Finding Purpose: Honing the Practice of Making Meaning in Medicine

Leveen, Lois

doi:10.7812/tpp/17-048

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…The authors concluded that group discussion, involving feedback and peer support, increased the value of the creative intervention in their study (Wallace et al, 2020). Leveen (2017) suggests that the mechanism by which poetry discussion strengthens interpersonal connections is through collaboration: 'deciphering' and 'working together to understand a poem'. Through the dynamics of a group discussion that starts with a focus on poetic form and language, challenging questions can arise and surprising insights can be located.…”

Section: Group Discussionmentioning

confidence: 99%

“…Leveen (2017) suggests that the mechanism by which poetry discussion strengthens interpersonal connections is through collaboration: ‘deciphering’ and ‘working together to understand a poem’. Through the dynamics of a group discussion that starts with a focus on poetic form and language, challenging questions can arise and surprising insights can be located.…”

Section: Poetry As a Reflective Techniquementioning

confidence: 99%

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Can poetry help GPs and GP trainees to develop their reflective practice?

Whittle

Macgregor

Cooper

et al. 2022

InnovAiT: Education and inspiration for general practice

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Fostering reflective practice is an integral part of continuing professional development and general practice training. However, popular reflective tools are often applied superficially, with little insight generated as a result. This article presents engagement with poetry as a unique method of reflection, which can enable clinicians to reflect on challenging experiences including those encountered during the COVID-19 pandemic. Existing communities who use poetry as a reflective tool will be spotlighted. Finally, the impact of poetic reflection in building resilience and mature reflection for GPs and GP trainees will be considered.

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Section: Group Discussionmentioning

confidence: 99%

Section: Poetry As a Reflective Techniquementioning

confidence: 99%

Can poetry help GPs and GP trainees to develop their reflective practice?

Whittle

Macgregor

Cooper

et al. 2022

InnovAiT: Education and inspiration for general practice

View full text Add to dashboard Cite

show abstract

“…10,16 Poetry provides a method of contemplation capable of exploring tolerance for different perspectives and promoting better understanding between practitioner and patient, among practitioners, and within health-care and society systems. 4,14,17,18 Poetry provides an instrument for patients and health-care professionals through which to find meaning in illness and grief 19 and as a mechanism to develop compassion and empathy for oneself and others. 5 Currently, the integration of humanities within medicine and health professions education lacks rigorous research evaluation.…”

Section: Introductionmentioning

confidence: 99%

Impact of Poetry on Empathy and Professional Burnout of Health-Care Workers: A Systematic Review

et al. 2019

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Background: Narrative medicine (NM) interventions have positively influenced empathy and burnout to varying degrees in health-care workers. We systematically reviewed the impact of poetry, a form of NM, on empathy and professional burnout. Methods: A comprehensive search of Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations, and Daily, Ovid EMBASE, Ovid PsycINFO, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus, from inception to September 25, 2018, for articles published in English, was conducted using search terms related to NM, empathy, professional burnout, and health-care personnel. Results: Of the 401 abstracts independently screened for inclusion by 2 reviewers, 2 quantitative, 3 qualitative studies, and 1 research letter were included. One research letter, focusing on the use of poetry, found it to increase empathy as measured by a nonvalidated questionnaire. All other studies used mixed NM interventions: 2 quantitative studies, using validated surveys, showed an increase in empathy and 2 qualitative studies showed limited to a prominent finding of increased empathy. There were no studies that used poetry exclusively to assess impact on professional burnout. One quantitative study, utilizing a validated survey, revealed no overall reduced burnout among residents, although high attendance participants had moderately reduced burnout postintervention, and one qualitative study noted limited reduction in burnout. Conclusion: There is evidence that poetry as part of a NM intervention may increase empathy and limited evidence that it may reduce professional burnout among health-care workers.

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Well-being in trainee and faculty physicians

Frishman

Raker

Frankfurter

2021

Medical Education Online

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Background: Physician well-being remains a critical topic with limited information concerning the impact of the progression of training and duty hours. To date, our knowledge and interventions have not adequately addressed these issues. We assessed differences in wellbeing across the USA: (1) between all post-graduate trainees and their academic core faculty;(2) between all obstetrics and gynecology trainees and their academic core faculty and (3) during the progression of training within obstetrics and gynecology (OB/GYN). Methods: A cross-sectional study analyzing responses to well-being questions included in the 2017-2018 Accreditation Council for Graduate Medical Education (ACGME) surveys given to all U.S. trainees and core faculty. Results: More than 85% of all U.S. physician-trainees and faculty surveyed responded. Respondents included 128,443 trainees from all specialties combined, 5,206 OB/GYN residents and 799 OB/GYN subspecialty fellows. A total of 94,557 faculty from all specialties combined, 4,082 general OB/GYN faculty and 1,432 sub-specialty OB/GYN faculty responded. Trainees were more negative than faculty for the majority of questions for both all trainees combined and within OB/ GYN when progressing from resident to subspecialty fellow to subspecialty faculty (p ≤ 0.05). Questions focusing on work satisfaction (e.g., pride in work) were more negative for residents compared to fellows and for fellows compared to faculty. In contrast to work satisfaction, responses to the question 'Felt the amount of work you were expected to complete in a day was reasonable' showed either no difference or higher scores for trainees compared to their faculty. Conclusions: Although an issue for all physicians, well-being impacts trainees more, and differently, than faculty and well-being improves during training from resident to fellow to faculty. Survey responses suggest that interventions should focus on workplace satisfaction over workplace environment areas and further limitations in duty hours are unlikely to improve physician wellbeing.

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Finding Purpose: Honing the Practice of Making Meaning in Medicine

Cited by 4 publications

References 11 publications

Can poetry help GPs and GP trainees to develop their reflective practice?

Can poetry help GPs and GP trainees to develop their reflective practice?

Impact of Poetry on Empathy and Professional Burnout of Health-Care Workers: A Systematic Review

Well-being in trainee and faculty physicians

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