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Med Moth: A Storytelling Platform for Improving Wellness in Medical Education

Authors

  • Michelle Silver Hospital of the University of Pennsylvania Department of Internal Medicine, 3400 Spruce Street Philadelphia, PA 19104
  • Sarah Ohnigian Beth Israel Deaconess Medical Center Department of Internal Medicine, 330 Brookline Ave Boston, MA 02215
  • Hugh Silk University of Massachusetts Department of Family Medicine and Community Health, 55 Lake Avenue, North, Worcester, MA 01655
  • Michael Ennis University of Massachusetts Department of Family Medicine and Community Health, 55 Lake Avenue, North, Worcester, MA 01655
  • Judith Savageau University of Massachusetts Department of Family Medicine and Community Health, 55 Lake 27Avenue, North, Worcester, MA 01655

DOI:

https://doi.org/10.5195/ijms.2021.1070

Keywords:

Education and/or Curriculum Development, Promoting Professional Wellness, Medical Humanities, Narrative/Reflective Writing

Abstract

Background and Objectives: Burnout is a major issue amongst medical students and professionals that demands a solution. Mindfulness has been shown to decrease clinician and student burnout. Storytelling, as a form of mindfulness, leads to reflection. Few publications study the effect of storytelling on student and clinician wellness. To address wellness within their medical community and utilize the underexplored method of narrative medicine as a curricular enhancement, the authors designed and implemented a novel storytelling platform, Med Moth, at the University of Massachusetts Medical School (UMMS) and associated hospital (UMass Memorial Medical Center).

Methods: Members of the community were invited to storytelling events to listen to and share stories about formative medical experiences. Four events were held between 2017-2018. After each event, participants received a survey inquiring how attendance benefitted them personally and professionally.

Results: Clinicians, students, and faculty comprised the 104 first-time attendees surveyed. Med Moth produced a strong perceived benefit to surrogate measures including emotional exhaustion and depersonalization, defining characteristics of burnout, as well as professional development; 66% of participants rated 4-5 (out of 5) in these three measures. Nearly all attendees (96%) rated 4-5 for overall experience. Lastly, medical students reported a higher benefit regarding professional development than clinicians (p=0.002).

Conclusions: This pilot study of a novel storytelling platform demonstrates positive personal and professional development outcomes, both during and after training. Medical schools, residency programs, and medical institutions should strongly consider the implementation of such a wellness platform to build resiliency and to mitigate burnout through reflection.

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References

Dyrbye, L., Thomas, M., Massie, F., Power, D., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D., Novotny, P., Sloan, J., Shanafelt, T. (2008). Burnout and suicidal ideation among US medical students. Annals of Internal Medicine, 149(5), 334-341.

Center, C., Davis, M., Detre, T., Ford, D., Hansbrough, W., Hendin, H., Laszlo, J., Litts, D., Mann, J., Mansky, P., Michels, R., Miles, S., Proujansky, R., Reynolds, C., Silverman, M. (2003). Confronting depression and suicide in physicians: A consensus statement. JAMA, 289(23), 3161-3166.

Maslach, C., Jackson, S., Leiter, M. (1997). Maslach burnout inventory: Third edition. In: Zalaquett CP, Wood RJ, ed. Evaluating Stress: A Book of Resources. Vol 2. Lanham, MD: Scarecrow Press, 191-218.

Shanafelt, T., Dyrbye, L. (2012). Oncologist burnout: causes, consequences, and responses. Journal of Clinical Oncology, 30(11), 1235-1241.

Goebert, D., Thompson, D., Takeshita, J., Beach, C., Bryson, P., Ephgrave, K., Kent, A., Kunkel, M., Schechter, J., Tate, J. (2009). Depressive symptoms in medical students and residents: a multischool study. Acad Med, 84(2), 236-41.

Regehr C, Glancy D, Pitts A, LeBlanc VR. Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. J Nerv Ment Dis. 2014;202(5):353-359.

Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2014;13(11).

Fortney l, Luchterhand C, Zakletskaia L, Zgierska A, Rakel D. Abbreviated mindfulness intervention for job satisfaction, quality of life, and compassion in primary care clinicians: a pilot study. Ann Fam Med. 2013;11(5):412-420.

Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302(12):1284-1293.

Shapiro SL, Austin JA, Bishop SR, Cordova M. Mindfulness-based stress reduction for health care professionals: results from a randomized trial. Int J Stress Manag. 2005;12(2):164-176.

Mann K, Gordon J, MacLoed A. Reflection and reflective practice in health professions education: a systematic review. Adv in Health Sci Educ. 2009;14(4):595–621.

Klass, P. Morality Tales. 2019 Winter ed. Harvard Medicine Magazine. https://hms.harvard.edu/magazine/ethics/morality-tales. Accessed March 15, 2019.

About The Moth. The Moth: True Stories Told Live. Available at: https://themoth.org/about. Accessed March 15, 2019.

Neumann, M., Edelhäuser, F., Tauschel, D., Fischer, M., Wirtz, M., Woopen, C., Haramati, A., Scheffer, C. (2011). Empathy decline and its reasons: a systematic review of studies with medical students and residents. Academic Medicine, 86(8), 996-1009.

Clarke L & de Jong J. (2012). The value of story in medicine and medical education: a chance to reflect. Journal for Learning Through the Arts,8(1).

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Published

2021-12-16

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How to Cite

Silver, M., Ohnigian, S., Silk, H., Ennis, M., & Savageau, J. (2021). Med Moth: A Storytelling Platform for Improving Wellness in Medical Education. International Journal of Medical Students, 9(4). https://doi.org/10.5195/ijms.2021.1070

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Section

Short Communication

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