Entrustable - the Use of Filmed Reflection to Explore Themes of Struggle, Meaning, and Growth at Harvard Dental and Medical Schools
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CitationHerrala, Jeffrey. 2020. Entrustable - the Use of Filmed Reflection to Explore Themes of Struggle, Meaning, and Growth at Harvard Dental and Medical Schools. Doctoral dissertation, Harvard Medical School.
AbstractBackground: Reflective practice in medical education has demonstrated benefit in learning, community building, empathy development, and professional identity formation. Despite known benefits and widespread adoption of written and verbal reflection in this setting, film-based reflection within medical school training has largely not yet been employed. We aimed to produce a film exploring common themes of struggle and growth within a diverse group of senior students at Harvard Dental and Medical Schools through filmed, semi-structured interviews.
Methods: Interviewees were recruited using digital communication with students who matriculated in August of 2016 and/or those graduating in the Spring of 2020. Interviewees were selected, prioritizing inclusion of those with backgrounds under-represented within healthcare. We developed an open-ended, and semi-structured interview guide, and interviews were filmed with a Canon 6D EOS, Full-Frame DSLR, Canon EF 50mm. 1:1.8 STM lens. Responses were clipped, labeled, and arranged using Final Cut Pro.
Results: Seventeen interviews were conducted with a total run time of 5 hours and 1 minute. The average interview length was 12 minutes and 48 seconds. After clipping and rearranging, the total length of the film was reduced to 1 hour. Responses regarding training challenges were categorized as personal stressors, clinical stressors, and career stressors. Meaningful training experiences included personal growth, interactions with patients and peers, clinical growth, and the ability to advocate and improve systems for patients as an HSDM/HMS student.
Implications: Filmed interview reflections are a feasible method for exploring students’ attitudes towards and struggles and growth during dental and medical training. The themes observed within this project reflect previously well-documented themes in the peer-reviewed literature. Though this artistic project was not intended to be a systematic investigation and was thus limited by lack of a formal coding process for interview content and a small sample size, this pilot could serve as a model for similar future film-based reflection to foster humanism and wellness within healthcare, and its completion and results suggest that systematic investigation of the efficacy of this media in achieving these goals would be feasible.
Citable link to this pagehttps://nrs.harvard.edu/URN-3:HUL.INSTREPOS:37364911