Introducing the Humanities into physiotherapy education

This post has been modified and published on The Conversation: Africa as Physiotherapy students have much to learn from the humanities.

Selection_018I’m increasingly drawn to the idea of integrating some aspect of the Humanities into undergraduate physiotherapy education. We focus (almost) all of the curriculum on the basic sciences and then the clinical sciences, which has a certain pragmatic appeal but ignores the fact that a person is more than an assemblage of body parts. We spend a lot of time time teaching anatomy and biomechanics (i.e. bodies as machines), and then exploring what we can do to bodies in order to “fix” them. While we pay lip service to the holistic management of the patient, there is little in our curriculum that signals to the student that this is something that we really care about.

“Science is the foundation of an excellent medical education, but a well-rounded humanist is best suited to make the most of that education.”

Empathy is critical to the development of professionalism in medical students, and the humanities – particularly literature – have been touted as an effective tool for increasing student empathy. In addition, there is some evidence that training in the Humanities and liberal arts results in health professionals with improved professionalism and self-care. In other words, health professionals who are exposed to the arts as part of their undergraduate education may demonstrate an increased ability to manage themselves and their patients with more care.

Hilary Allen_Artist in Residence 2015_1000

The relationship between emotion and learning has also been explored, with findings from multiple disciplines supporting the idea that emotion is intimately and inseparably intertwined with cognition in guiding learning, behaviour and decision making. The introduction of the Humanities in health professions education therefore has another potential impact; by using the arts to develop an awareness of emotional response, educators and students may find that exposure to the Humanities might lead to improvements in learning.

As I started looking into these ideas in a bit more detail, I realised that there are several examples of how art and literature are being explored formally by some very prominent medical schools.

dancingwheelsI was disappointed – although not surprised – not to find any good examples of physiotherapy departments who have formally integrated the Humanities into their curricula. However, I did find several papers (all by the same author with various colleagues) that describe a process of integrating these concepts into an undergraduate physiotherapy programme over a period of time, and these are listed in the references below.

avery_hosp_ward_low_resOver the past year or so, I’ve tried to bring some of these ideas into my Professional Ethics module, using the assignments for students to explore the Humanities (art, literature, theatre, music, dance, etc.) as a process of developing a sense of awareness of empathy in the context of clinical education. They can interpret the assignment in any way they want, for example, by writing a poem, drawing a picture, taking a photo, or re-interpreting a song. However, the important part is the reflection that they attach to the piece. Here are some examples of previous student work in this module, without the more personal reflections that accompany them.

  • Eleven hundred hours – poem by a student
  • The mind of the innocent – poem by a student
  • I’ve had two students provide videos of interpretive dance sessions used as methods to try and present an embodied experience of what it might be like to live with a disability.
  • Photovoice assignments (see below for examples): in these assignments students took photos of people and places and then reflected on how those experiences had informed their personal and professional development as ethical practitioners.

Selection_016

Selection_017

I’m hoping to get some experience with this process as part of these little experiments I’m running in the classroom, and that over time we can start building something more formal into the curriculum. Watch this space.

Additional readings

Posted to Diigo 07/15/2011

    • For some time now the ‘slow food’ movement has questioned the value of ‘fast food’ and called for a return to more authentic modes of cooking and eating
    • For some time now the ‘slow food’ movement has questioned the value of ‘fast food’ and called for a return to more authentic modes of cooking and eating
    • an appreciation for the value of taking more time and care to make something
    • appreciation for the value of taking more time and care to make something
    • For some time now the ‘slow food’ movement has questioned the value of ‘fast food’ and called for a return to more authentic modes of cooking and eating
    • One of the traps which thesis writers fall into is over thinking everything, which can be solved by Fast. But recently I’ve started to think about Slow and how it might apply to academic work
    • you must absorb information and engage with other people’s ideas. In a way, doing a thesis is like a long, slow conversation with these ideas and things
    • A thesis is of you, but it has many other parents: scholars, research participants, archives test tubes to name a few. Consciously thinking about this sense of writing ‘taking control’ of you can be helpful
    • developing your relationship with the literatures who accompany your thesis takes time. While I can and do encourage you to ‘read like a mongrel’ (fast and furious), Fast reading is really a way of finding out which pieces and authors are worth investing time in
    • Deep understanding of literature needs repeated reading and thinking. as well as writing. In other words, a Slow conversation with the ideas
    • if applied correctly, a bit of Slow will ensure that your thesis has more flavour than most.
    • What if losing control is an essential part of writing a thesis? Realising you have lost control forces you to slow down. When you stop talking so much, you can listen better. Maybe then your thesis will tell you what it needs

Zotero

I first mentioned Zotero a while ago but didn’t go into very much detail in that post.  Since then, I’ve been experimenting with it a bit and am really starting to enjoy it.  It’s a Firefox extension that facilitates the research process by streamlining the collection of information accessed through the browser.  With more and more academic content becoming available online through open access journals, it’s an innovative method of aggregating and managing content for research.

Zotero has a decent set of content management features that really do a good job of making it easy to work with the information you save.  I won’t go into the specifics here because the quick start guide makes it really clear.  As well as the content management features, it’s also very good at recognising semantic content on the web and giving you options to import that content into it’s database.  For example, if you’re browsing PubMed, Zotero is able to import citation information and then to export it in many different formatting styles, including APA.

I actually don’t use Zotero for any academic content at the moment.  What I find it really useful for is annotating and working through ideas I come across in blogs.  I find that I can clarify my own thoughts around educational technology, using Zotero as a scrapbook to develop those ideas.  Which brings me to my only problem with Zotero.  I only use it for blogs right now because it’s only really useful for content you access through the browser, which is a major limitation for me.  While it’s true that most of my literature is accessed through the browser initially, I still keep local copies that I prefer to work with.

Although I think the application is great in it’s current form, I’m really hoping that the developers expand it’s scope.  Maybe make it a standalone tool that I can use to manage all my articles, no matter if they’re on- or offline and no matter what format they’re in.  I also need more space within the app because sometimes it can feel crowded (especially the right hand panel), and making it standalone will free up a lot of real estate by taking it out of the browser.  Note: you can run Zotero in a full tab, but I like to be able to read the blog while making notes.

Those things aside, this is a great browser extension that I’d definitely recommend checking out.

Screenshot of Zotero
Screenshot of Zotero