The Effect of a Pilot Medical Humanities Curriculum and Narrative
Medicine on Empathy, Connectedness, and Self-reported General Well-being
in an Otolaryngology Residency Program
Abstract
Intro: Standards in otolaryngology residency education mandate
empathy and tolerance for ambiguity as required competencies, yet many
otolaryngology training programs lack a formal curriculum designed to
develop these skills. The purpose of this study is to assess the impact
of a novel medical humanities curriculum on resident empathy, social
connectedness, and overall well-being in an otolaryngology residency
program. Methods: Over a six-month period, five one-hour
sessions of a medical humanities curriculum were implemented within the
residency program. These sessions included group discussion and a
written narrative component. Survey scores were summarized using means,
standard deviation, and median, minimum, and maximum. The mean scores
were compared using an ANOVA F-test under a linear mixed effects model,
with a random subject intercept and the fixed effect of time.
Between-session comparisons were conducted where p-values were
adjusted for multiple testing using Tukey’s method. All the hypothesis
tests were two-sided. The statistical analyses were performed in R
version 4.2.2. Significance was assessed at a 5% level ( p
< 0.05). Results: There was no statistically
significant improvement in empathy, social connectedness, or well-being
with the implementation of the humanities curriculum. However, all
residents expressed satisfaction with the curriculum. Qualitative
feedback indicated that the sessions facilitated career reflection and
encouraged open discussion and appreciation of diverse perspectives.
Conclusion: This pilot study did not demonstrate statistically
significant improvements in empathy, social connectedness, or well-being
among a small group of residents. Nevertheless, resident satisfaction
and qualitative feedback suggest that the medical humanities may promote
career reflection and provide a forum for the exchange of opinions and
viewpoints.