Impact of a Museum-Based Retreat on the Clinical Skills and Well-Being of Dermatology Residents and Faculty

Article Type
Changed
Display Headline

Impact of a Museum-Based Retreat on the Clinical Skills and Well-Being of Dermatology Residents and Faculty

IN PARTNERSHIP WITH THE ASSOCIATION OF PROFESSORS OF DERMATOLOGY RESIDENCY PROGRAM DIRECTORS SECTION

Prior research has demonstrated that museum-based programming decreases resident burnout and depersonalization.1 A partnership between the Museum of Fine Arts Boston and the Harvard Combined Dermatology Residency Program was well received by residents and resulted in improvement of their observational skills.2 The impact of museum-based programming on the clinical practice skills and well-being of Duke dermatology residents and faculty has not been previously assessed.

In this study, our objective was to evaluate the impact of a 3-part museum-based arts retreat on arts appreciation, clinical practice skills, and well-being among dermatology resident and faculty participants. Surveys administered before and after the retreat were used to assess the value that participants attributed to the arts in various areas of clinical practice.

Methods

A 3-part museum-based retreat held on February 7, 2024, was developed with a Nasher Museum of Art (Durham, North Carolina) curator (E.R.). Part 1 was a personal response tour in which 15 residents and 3 faculty members were given individualized prompts and asked to identify an art piece in the museum that encapsulated their response; they then were asked to explain to the group why they chose that particular piece. Participants were given 10 minutes to explore the museum galleries to choose their piece, followed by 15 minutes to share their selected work in groups of 3 to 4.

Part 2 encompassed visual-thinking strategies, a research-based method that uses art to teach visual literacy, thinking, and communication skills.2 Using this method, facilitators follow a specific protocol to guide participants in the exploration of an art piece through sharing observations and interpretations.4 Participants were divided into 2 groups led by trained museum educators (including E.R.) to analyze and ascribe meaning to a chosen art piece. Three questions were asked: What’s going on in this picture? What do you see that makes you say that? What else can we find? 

Part 3 involved back-to-back drawing, in which participants were paired up and tasked with recreating an art piece in the museum based solely on their partner’s verbal description. In each pair, both participants took turns as the describer and the drawer.

After each part of the retreat, 5 to 10 minutes were dedicated to debriefing in small groups about how each activity may connect to the role of a clinician. A total of 15 participants completed pre- and post-retreat surveys to assess the value they attributed to the arts and identify in which aspects of clinical practice they believe the arts play a role.

Results

Seventy-three percent of participants (11/15) found the museum-based retreat “extremely useful” or “very useful.” There was a 20% increase in those who attributed at least moderate value to the arts as a clinician after compared to before the retreat (13/15 [87%] vs 8/15 [53%]), and 100% of the participants desired to participate in future arts-based programming. Following the retreat, a greater percentage of participants believed the arts have a role in the following aspects of clinical practice: education, observation, listening, communication, empathy, compassion, forming connections, cultural sensitivity, tolerance for ambiguity, reflection, mindfulness, stress reduction, preventing burnout, bias prevention, mental wellness, spiritual wellness, and physical wellness (eTable). Qualitative feedback compiled from the participants’ responses to survey questions following the retreat about their thoughts on each activity and overall feedback was used to create a word cloud (eFigure).

Guo eTable
Guo eFig
eFIGURE. Word cloud depicting qualitative feedback compiled from participants’ post-retreat survey responses.

Comment

The importance of arts and humanities integration into medical education previously has been described.5 Our survey results suggest that museum-based programming increases dermatology resident and faculty appreciation for the arts and encourages participation in future arts-based programming. Our results also demonstrate that arts-based programming positively impacts important resident competencies in the practice of medicine including tolerance for ambiguity, bias prevention, and cultural competency, and that the incorporation of arts-based programming can enhance residents’ well-being (physical, mental, and spiritual) as well as their ability to be better clinicians by addressing skills in communication, listening, and observation. The structure of our 3-part museum-based retreat offers practical implementation strategies for integrating the humanities into dermatology residency curricula and easily can be modified to meet the needs of different dermatology residency programs. 

References
  1. Orr AR, Moghbeli N, Swain A, et al. The Fostering Resilience through Art in Medical Education (FRAME) workshop: a partnership with the Philadelphia Museum of Art. Adv Med Educ Pract. 2019;10:361-369. doi:10.2147/AMEP.S194575

  2. Zimmermann C, Huang JT, Buzney EA. Refining the eye: dermatology and visual literacy. J Museum Ed. 2016;41:116-122.

  3. Yenawine P. Visual Thinking Strategies: Using Art to Deepen Learning Across School Disciplines. Harvard Education Press; 2013.

  4. Hailey D, Miller A, Yenawine P. Understanding visual literacy: the visual thinking strategies approach. In: Baylen DM, D’Alba A. Essentials of Teaching and Integrating Visual and Media Literacy: Visualizing Learning. Springer Cham; 2015:49-73. doi:10.1007/978-3-319-05837-5

  5. Howley L, Gaufberg E, King BE. The Fundamental Role of the Arts and Humanities in Medical Education. Association of American Medical Colleges; 2020. Accessed December 18, 2025. https://store.aamc.org/the-fundamental-role-of-the-arts-and-humanities-in-medical-education.html

Article PDF
Author and Disclosure Information

From Duke University, Chapel Hill, North Carolina. Robyn Guo Ku is from the School of Medicine, Drs. Fresco and Lesesky are from the Department of Dermatology, and Dr. Raimond is from the Nasher Museum of Art. 

The authors have no relevant financial disclosures to report. 

The eTable and eFigure are available in the Appendix online at www.mdedge.com/cutis. 

Correspondence: Erin Lesesky, MD, Duke University Medical Center, Department of Dermatology, DUMC 3135, Durham, NC 27710 ([email protected]). 

Cutis. 2026 January;117(1):10,15, E7-E8. doi:10.12788/cutis.1320

Issue
Cutis - 117(1)
Publications
Topics
Page Number
10,15, E7-E8
Sections
Author and Disclosure Information

From Duke University, Chapel Hill, North Carolina. Robyn Guo Ku is from the School of Medicine, Drs. Fresco and Lesesky are from the Department of Dermatology, and Dr. Raimond is from the Nasher Museum of Art. 

The authors have no relevant financial disclosures to report. 

The eTable and eFigure are available in the Appendix online at www.mdedge.com/cutis. 

Correspondence: Erin Lesesky, MD, Duke University Medical Center, Department of Dermatology, DUMC 3135, Durham, NC 27710 ([email protected]). 

Cutis. 2026 January;117(1):10,15, E7-E8. doi:10.12788/cutis.1320

Author and Disclosure Information

From Duke University, Chapel Hill, North Carolina. Robyn Guo Ku is from the School of Medicine, Drs. Fresco and Lesesky are from the Department of Dermatology, and Dr. Raimond is from the Nasher Museum of Art. 

The authors have no relevant financial disclosures to report. 

The eTable and eFigure are available in the Appendix online at www.mdedge.com/cutis. 

Correspondence: Erin Lesesky, MD, Duke University Medical Center, Department of Dermatology, DUMC 3135, Durham, NC 27710 ([email protected]). 

Cutis. 2026 January;117(1):10,15, E7-E8. doi:10.12788/cutis.1320

Article PDF
Article PDF
IN PARTNERSHIP WITH THE ASSOCIATION OF PROFESSORS OF DERMATOLOGY RESIDENCY PROGRAM DIRECTORS SECTION
IN PARTNERSHIP WITH THE ASSOCIATION OF PROFESSORS OF DERMATOLOGY RESIDENCY PROGRAM DIRECTORS SECTION

Prior research has demonstrated that museum-based programming decreases resident burnout and depersonalization.1 A partnership between the Museum of Fine Arts Boston and the Harvard Combined Dermatology Residency Program was well received by residents and resulted in improvement of their observational skills.2 The impact of museum-based programming on the clinical practice skills and well-being of Duke dermatology residents and faculty has not been previously assessed.

In this study, our objective was to evaluate the impact of a 3-part museum-based arts retreat on arts appreciation, clinical practice skills, and well-being among dermatology resident and faculty participants. Surveys administered before and after the retreat were used to assess the value that participants attributed to the arts in various areas of clinical practice.

Methods

A 3-part museum-based retreat held on February 7, 2024, was developed with a Nasher Museum of Art (Durham, North Carolina) curator (E.R.). Part 1 was a personal response tour in which 15 residents and 3 faculty members were given individualized prompts and asked to identify an art piece in the museum that encapsulated their response; they then were asked to explain to the group why they chose that particular piece. Participants were given 10 minutes to explore the museum galleries to choose their piece, followed by 15 minutes to share their selected work in groups of 3 to 4.

Part 2 encompassed visual-thinking strategies, a research-based method that uses art to teach visual literacy, thinking, and communication skills.2 Using this method, facilitators follow a specific protocol to guide participants in the exploration of an art piece through sharing observations and interpretations.4 Participants were divided into 2 groups led by trained museum educators (including E.R.) to analyze and ascribe meaning to a chosen art piece. Three questions were asked: What’s going on in this picture? What do you see that makes you say that? What else can we find? 

Part 3 involved back-to-back drawing, in which participants were paired up and tasked with recreating an art piece in the museum based solely on their partner’s verbal description. In each pair, both participants took turns as the describer and the drawer.

After each part of the retreat, 5 to 10 minutes were dedicated to debriefing in small groups about how each activity may connect to the role of a clinician. A total of 15 participants completed pre- and post-retreat surveys to assess the value they attributed to the arts and identify in which aspects of clinical practice they believe the arts play a role.

Results

Seventy-three percent of participants (11/15) found the museum-based retreat “extremely useful” or “very useful.” There was a 20% increase in those who attributed at least moderate value to the arts as a clinician after compared to before the retreat (13/15 [87%] vs 8/15 [53%]), and 100% of the participants desired to participate in future arts-based programming. Following the retreat, a greater percentage of participants believed the arts have a role in the following aspects of clinical practice: education, observation, listening, communication, empathy, compassion, forming connections, cultural sensitivity, tolerance for ambiguity, reflection, mindfulness, stress reduction, preventing burnout, bias prevention, mental wellness, spiritual wellness, and physical wellness (eTable). Qualitative feedback compiled from the participants’ responses to survey questions following the retreat about their thoughts on each activity and overall feedback was used to create a word cloud (eFigure).

Guo eTable
Guo eFig
eFIGURE. Word cloud depicting qualitative feedback compiled from participants’ post-retreat survey responses.

Comment

The importance of arts and humanities integration into medical education previously has been described.5 Our survey results suggest that museum-based programming increases dermatology resident and faculty appreciation for the arts and encourages participation in future arts-based programming. Our results also demonstrate that arts-based programming positively impacts important resident competencies in the practice of medicine including tolerance for ambiguity, bias prevention, and cultural competency, and that the incorporation of arts-based programming can enhance residents’ well-being (physical, mental, and spiritual) as well as their ability to be better clinicians by addressing skills in communication, listening, and observation. The structure of our 3-part museum-based retreat offers practical implementation strategies for integrating the humanities into dermatology residency curricula and easily can be modified to meet the needs of different dermatology residency programs. 

Prior research has demonstrated that museum-based programming decreases resident burnout and depersonalization.1 A partnership between the Museum of Fine Arts Boston and the Harvard Combined Dermatology Residency Program was well received by residents and resulted in improvement of their observational skills.2 The impact of museum-based programming on the clinical practice skills and well-being of Duke dermatology residents and faculty has not been previously assessed.

In this study, our objective was to evaluate the impact of a 3-part museum-based arts retreat on arts appreciation, clinical practice skills, and well-being among dermatology resident and faculty participants. Surveys administered before and after the retreat were used to assess the value that participants attributed to the arts in various areas of clinical practice.

Methods

A 3-part museum-based retreat held on February 7, 2024, was developed with a Nasher Museum of Art (Durham, North Carolina) curator (E.R.). Part 1 was a personal response tour in which 15 residents and 3 faculty members were given individualized prompts and asked to identify an art piece in the museum that encapsulated their response; they then were asked to explain to the group why they chose that particular piece. Participants were given 10 minutes to explore the museum galleries to choose their piece, followed by 15 minutes to share their selected work in groups of 3 to 4.

Part 2 encompassed visual-thinking strategies, a research-based method that uses art to teach visual literacy, thinking, and communication skills.2 Using this method, facilitators follow a specific protocol to guide participants in the exploration of an art piece through sharing observations and interpretations.4 Participants were divided into 2 groups led by trained museum educators (including E.R.) to analyze and ascribe meaning to a chosen art piece. Three questions were asked: What’s going on in this picture? What do you see that makes you say that? What else can we find? 

Part 3 involved back-to-back drawing, in which participants were paired up and tasked with recreating an art piece in the museum based solely on their partner’s verbal description. In each pair, both participants took turns as the describer and the drawer.

After each part of the retreat, 5 to 10 minutes were dedicated to debriefing in small groups about how each activity may connect to the role of a clinician. A total of 15 participants completed pre- and post-retreat surveys to assess the value they attributed to the arts and identify in which aspects of clinical practice they believe the arts play a role.

Results

Seventy-three percent of participants (11/15) found the museum-based retreat “extremely useful” or “very useful.” There was a 20% increase in those who attributed at least moderate value to the arts as a clinician after compared to before the retreat (13/15 [87%] vs 8/15 [53%]), and 100% of the participants desired to participate in future arts-based programming. Following the retreat, a greater percentage of participants believed the arts have a role in the following aspects of clinical practice: education, observation, listening, communication, empathy, compassion, forming connections, cultural sensitivity, tolerance for ambiguity, reflection, mindfulness, stress reduction, preventing burnout, bias prevention, mental wellness, spiritual wellness, and physical wellness (eTable). Qualitative feedback compiled from the participants’ responses to survey questions following the retreat about their thoughts on each activity and overall feedback was used to create a word cloud (eFigure).

Guo eTable
Guo eFig
eFIGURE. Word cloud depicting qualitative feedback compiled from participants’ post-retreat survey responses.

Comment

The importance of arts and humanities integration into medical education previously has been described.5 Our survey results suggest that museum-based programming increases dermatology resident and faculty appreciation for the arts and encourages participation in future arts-based programming. Our results also demonstrate that arts-based programming positively impacts important resident competencies in the practice of medicine including tolerance for ambiguity, bias prevention, and cultural competency, and that the incorporation of arts-based programming can enhance residents’ well-being (physical, mental, and spiritual) as well as their ability to be better clinicians by addressing skills in communication, listening, and observation. The structure of our 3-part museum-based retreat offers practical implementation strategies for integrating the humanities into dermatology residency curricula and easily can be modified to meet the needs of different dermatology residency programs. 

References
  1. Orr AR, Moghbeli N, Swain A, et al. The Fostering Resilience through Art in Medical Education (FRAME) workshop: a partnership with the Philadelphia Museum of Art. Adv Med Educ Pract. 2019;10:361-369. doi:10.2147/AMEP.S194575

  2. Zimmermann C, Huang JT, Buzney EA. Refining the eye: dermatology and visual literacy. J Museum Ed. 2016;41:116-122.

  3. Yenawine P. Visual Thinking Strategies: Using Art to Deepen Learning Across School Disciplines. Harvard Education Press; 2013.

  4. Hailey D, Miller A, Yenawine P. Understanding visual literacy: the visual thinking strategies approach. In: Baylen DM, D’Alba A. Essentials of Teaching and Integrating Visual and Media Literacy: Visualizing Learning. Springer Cham; 2015:49-73. doi:10.1007/978-3-319-05837-5

  5. Howley L, Gaufberg E, King BE. The Fundamental Role of the Arts and Humanities in Medical Education. Association of American Medical Colleges; 2020. Accessed December 18, 2025. https://store.aamc.org/the-fundamental-role-of-the-arts-and-humanities-in-medical-education.html

References
  1. Orr AR, Moghbeli N, Swain A, et al. The Fostering Resilience through Art in Medical Education (FRAME) workshop: a partnership with the Philadelphia Museum of Art. Adv Med Educ Pract. 2019;10:361-369. doi:10.2147/AMEP.S194575

  2. Zimmermann C, Huang JT, Buzney EA. Refining the eye: dermatology and visual literacy. J Museum Ed. 2016;41:116-122.

  3. Yenawine P. Visual Thinking Strategies: Using Art to Deepen Learning Across School Disciplines. Harvard Education Press; 2013.

  4. Hailey D, Miller A, Yenawine P. Understanding visual literacy: the visual thinking strategies approach. In: Baylen DM, D’Alba A. Essentials of Teaching and Integrating Visual and Media Literacy: Visualizing Learning. Springer Cham; 2015:49-73. doi:10.1007/978-3-319-05837-5

  5. Howley L, Gaufberg E, King BE. The Fundamental Role of the Arts and Humanities in Medical Education. Association of American Medical Colleges; 2020. Accessed December 18, 2025. https://store.aamc.org/the-fundamental-role-of-the-arts-and-humanities-in-medical-education.html

Issue
Cutis - 117(1)
Issue
Cutis - 117(1)
Page Number
10,15, E7-E8
Page Number
10,15, E7-E8
Publications
Publications
Topics
Article Type
Display Headline

Impact of a Museum-Based Retreat on the Clinical Skills and Well-Being of Dermatology Residents and Faculty

Display Headline

Impact of a Museum-Based Retreat on the Clinical Skills and Well-Being of Dermatology Residents and Faculty

Sections
Inside the Article

Practice Points

  • Arts-based programming positively impacts resident competencies that are important to the practice of medicine.
  • Incorporating arts-based programming in the dermatology residency curriculum can enhance resident well-being and the ability to be better clinicians.
Disallow All Ads
Content Gating
No Gating (article Unlocked/Free)
Alternative CME
Disqus Comments
Default
Gate On Date
Un-Gate On Date
Use ProPublica
CFC Schedule Remove Status
Hide sidebar & use full width
render the right sidebar.
Conference Recap Checkbox
Not Conference Recap
Clinical Edge
Display the Slideshow in this Article
Medscape Article
Display survey writer
Reuters content
Disable Inline Native ads
WebMD Article
survey writer start date