Bringing wonder into medicine: a film-based curriculum

The proposed workshop presents a film-based curriculum in whole person care.This curriculum includes one 37-minute film (A Certain Kind of Light – screened in 18 film festivals around the world) and six smaller films that are each 5-10 minutes in length, and are accompanied by a journaling process (all of which explore whole person care in medicine). These are not the traditional “teaching” films, but films developed from a more artistic/creative standpoint, for the purposes of affecting attitudes, as much as teaching skills. The workshop will include the following: Introduction: Discussion of how the film-based curriculum impacts culture change as much as personal change of the healthcare practitioner. Content: If there is not enough time to show all 7 films, we would present at least four of them to help the participant understand both philosophy and content of the films, illustrating how whole person care concepts can be taught through an aesthetic avenue to more immediately affect thoughts, feelings, attitudes, and behaviors. In addition, we will discuss the journaling process, clinical rounds, and research that accompany the film curriculum. Finally, the panel will join together in discussing how this type of mechanism contributes to culture shift within an organization. Those presenting in this workshop are those who developed, teach and conduct research on this curriculum. This curriculum is newly developed (as of 2017) and is being used in a variety of healthcare disciplines within one healthcare educational and clinical entity and has been requested by several others

Interventions to improve latent and active tuberculosis treatment completion rates in underserved groups in low incidence countries:a scoping review

BACKGROUND: People in underserved groups have higher rates of tuberculosis (TB) and poorer treatment outcomes compared with people with no social risk factors.OBJECTIVES: This scoping review aimed to identify interventions that improve TB treatment adherence or completion rates.ELIGIBILITY CRITERIA: Studies of any design focusing on interventions to improve adherence or completion of TB treatment in underserved populations in low incidence countries.SOURCES OF EVIDENCE: MEDLINE, Embase and Cochrane CENTRAL were searched (January 2015 to December 2023).CHARTING METHODS: Piloted data extraction forms were used. Findings were tabulated and reported narratively. Formal risk of bias assessment or synthesis was not undertaken.RESULTS: 47 studies were identified. There was substantial heterogeneity in study design, population, intervention components, usual care and definition of completion rates. Most studies were in migrants or refugees, with fewer in populations with other risk factors (eg, homelessness, imprisonment or substance abuse). Based on controlled studies, there was limited evidence to suggest that shorter treatment regimens, video-observed therapy (compared with directly observed therapy), directly observed therapy (compared with self-administered treatment) and approaches that include tailored health or social support beyond TB treatment may lead to improved outcomes. This evidence is mostly observational and subject to confounding. There were no studies in Gypsy, Roma and Traveller populations, or individuals with mental health disorders and only one in sex workers. Barriers to treatment adherence included a lack of knowledge around TB, lack of general health or social support and side effects. Facilitators included health education, trusted relationships between patients and healthcare staff, social support and reduced treatment duration.CONCLUSIONS: The evidence base is limited, and few controlled studies exist. Further high-quality research in well-defined underserved populations is needed to confirm the limited findings and inform policy and practice in TB management. Further qualitative research should include more people from underserved groups.</p