A room of medical students sit nervously in front of their assignment. As they wait for instructions, they inspect the tools they will use, eyeing other students, seeing how they hold the instruments. For more than half the class, it’s the first time they’ve ever performed this kind of work.
It’s unlike any other class they have taken. “There is no quiz. There is no test,” says Steve Sawyer, Ph.D., a retired professor and former vice chair in the VCU Department of Pharmacology and Toxicology, as he welcomes students to the class. Then he adds with a knowing look:
“You don’t have to compete with each other.”
The students’ laughter fills the room. They’re not standing at the side of a cadaver waiting their turn to dissect or preparing for their first suture. They’re sitting at an easel contemplating a blank canvas. Their tools are brushes and a palette filled with the colors to paint the Richmond city skyline. For the next two hours, they’re artists.
The mood is light as the students get to work on their paintings, filling the canvas with skies of blue, purple and orange. They’re led by an instructor from Art for the Journey, a Richmond nonprofit dedicated to bringing art to groups as a way to inspire healing and peace. For M3 Ashley Craddock, it’s just the change of pace she needed.
“I’m loving it so far,” says Craddock as she paints the skyline and James River. “I’m pleasantly surprised. It’s nice to not be thinking about medicine. Eighty percent of my day is medicine.”
That’s the beauty of art, says Melissa Bradner, M.D., M.S.H.A., associate professor in the Department of Family Medicine and Population Health who put together the series of third-year wellness workshops that include the Art for the Journey class. The wellness workshops are the result of a collaboration between Project HEART and the medical school’s Physician, Patient and Society course.
A holistic approach
Both Project HEART and the Physician, Patient and Society course span all four years of medical school and speak to the medical school’s commitment to educate students on the importance of learning how to interact and empathize with patients, and how to take care of themselves, as they prepare to enter a profession known for its high burnout rate.
The American Association of Medical Colleges reportsthat “bringing the humanities and arts into medical education is one way to help students form deeper connections with patients, maintain joy in medicine, and develop empathy and resiliency.”
The PPS course encompasses the humanistic, ethical and legal responsibility of physicians to their patients and society. Topics covered include career and professional development, the physician-patient relationship, integrative/complementary medicine, palliative care, spirituality, health disparities, physician bias and cultural competency, and the practical application of ethics and law to the practice of medicine.
Through Project HEART, an initiative to remind students to health with empathy, acceptance, respect and integrity, incoming students are assigned to small groups that meet at least eight times during their first year, and then throughout their medical school career — all under the mentorship of faculty or staff members who provide guidance, assistance and support.
“Physicians and medical students spend their whole life getting A’s and it’s how you define yourself,” says Bradner, adding that the only criteria for the art workshop is that you participate. “You connect with yourself on a completely different level.”
The wellness workshops also include classes in mindfulness training, food and mood, and exercise in medicine.
“It helps to go someplace else for a little while,” says Mary Blumberg, M.D., an internist and pathologist who has painted for 20 years. Along with Sawyer, she spoke to the class about her experiences finding art as a place of well-being. “Painting is a forgiving place. In reality, it can be whatever you want it to be. What matters is what you want. Green sky and pink water? Go for it.”
Turns out, students were hungry for the right-brain experience. The 40-person art class filled within 30 minutes of registration opening.
A lasting impact
The Class of 2019’s Joanne Chiao, who is pursuing a dual M.D./M.H.A., completed the Art for the Journey class in 2016. An experiential learner, she says she appreciated the opportunity to learn by doing.
“It was a great experience to do something different and have the opportunity to recharge after a long string of months on the wards,” Chiao says. “You were able to experience well-being and self-care concepts and were more likely to realize the value of these things to our ability to continue caring for our patients.”
At the start of each class, Cynthia Paullin, Art for the Journey’s assistant executive director, details the organization’s work in the community with dementia patients and incarcerated women. Chiao was so inspired by the stories that she contacted Paullin to volunteer with the dementia patients. She has volunteered at two sessions where she was paired with an elder with early onset dementia.
“As a volunteer, I am an assistant to my elder partner’s creative space and provide support of her artistic efforts,” Chiao says. “We do not make any decisions for our partners. We just provide them the space, time and opportunity to be creative.”
Chiao says she has been a dancer most of her life and knows she is a happier person when she makes time for it, a lesson she learned as she studied for the national medical licensing exam. “To me, I cannot take care of my future patients the way they deserve to be taken care of if I do not make sure that I am healthy and happy in my own life. Provider resiliency is critical in our ability to provide high quality and safe care to the patients that we serve.”
That’s why Bradner’s goal is to expand the art initiative so every medical student can participate.
“Addressing physician burnout is important, especially for these students who were biochemistry majors,” she says. “They’ve had science their whole lives and not necessarily an education that includes art or music. Art is a tremendous outlet to use your brain differently and decompress. For me, art is a way to connect with a different part of myself that is really important to happiness.”