Bedside Education in the Art of Medicine (BEAM): an Arts and Humanities Web-Based Clinical Teaching Resource

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EDUCATIONAL CASE REPORT

Bedside Education in the Art of Medicine (BEAM): an Arts and Humanities Web-Based Clinical Teaching Resource Christiana M. Zhang 1 & Margot Kelly-Hedrick 1 Margaret S. Chisolm 1

&

Susan W. Lehmann 1 & Eden N. Gelgoot 2 & Anna K. Taylor 3 &

Received: 21 February 2020 / Accepted: 17 June 2020 # Academic Psychiatry 2020

Medical humanism recognizes that medicine is a public trust gained, in part, by physicians’ promise to serve people in need with respect and compassion. This idea of medicine as a moral practice has been the cornerstone of the medical profession since the time of Hippocrates. Humanistic medicine highlights this moral practice by reminding us that physicians are humans who treat other humans at their most vulnerable moments. It also reminds us of the two sides of medicine— scientific and human caring—and how the humanities are essential to the understanding and application of science [1]. Medical humanities specifically provides an approach to thinking about medicine that enables clinicians and others to develop thoughtful strategies to critique the field, improve patient health outcomes, and nurture public trust [2]. The arts and humanities can help combat the burnout and empathy decline that has been described among medical learners over the course of their education and training by deepening reflection on the human aspects of caring for patients [3–5]. Yet, arts and humanities curricula are rarely integrated into bedside clinical teaching [6, 7]. In recent years, more medical schools and residency training programs have launched arts- and humanities-based curricula [7]. The increasing prevalence of such curricula coincides with the Association of American Medical Colleges’ (AAMC) arts and humanities initiative. The initiative aims to “determine and advance the role of humanities and the arts in medical education and physician development” with the stated goal of “proposing strategies for achieving integration of humanities and arts across the

* Christiana M. Zhang [email protected] 1

Johns Hopkins University School of Medicine, Baltimore, MD, USA

2

Jewish General Hospital, Montreal, Quebec, Canada

3

East Lancashire Hospitals NHS Trust, Royal Blackburn Hospital, Lancashire, UK

educational and professional development experience” of medical students and practicing physicians [8]. In this Educational Case Report, we present a novel arts and humanities web-based mobile application (“app”), Bedside Education in the Art of Medicine (BEAM), designed as a resource to be used with bedside clinical teaching. We describe the app’s development and the initial outcomes following its use with inpatient internal medicine teams at the Johns Hopkins Bayview Medical Center (JHBMC).

BEAM Development BEAM is a free, open-access arts- and humanities-based mobile app. BEAM’s goal is to deepen the connections between patients and healthcare providers, and so advance the humanistic practice of medicine. We designed BEAM to be a resource for busy clinical teachers to use with their teams