The ENDO-Study: A qualitative study to assess the impact of a short film on medical students’ understanding and perception of endometriosis

The ENDO-Study

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DOI: https://doi.org/10.6018/edumed.637651
Keywords: endometriosis, empathy, compassion, understanding, Medical students, short film

Abstract

This study investigates the effectiveness of a short film, END-O, as an educational tool for enhancing medical students' understanding of endometriosis and its impact on patients' quality of life. Endometriosis, a prevalent yet often underdiagnosed condition affecting women, presents significant physical and emotional challenges. A qualitative approach was employed, involving 23 sixth-year medical students randomly assigned to either a study group (n=11) that viewed the film or a control group (n=12) that did not. Following a lecture on endometriosis, both groups completed questionnaires assessing their understanding and perceptions of the disease. The study group demonstrated significantly greater recognition of symptoms (p = 0.005) and expressed more detailed insights regarding the disease's impact on life, including emotional and social dimensions. The findings suggest that the film effectively promotes empathy and a deeper understanding of endometriosis among future healthcare providers, highlighting the importance of integrating humanistic approaches in medical education. This intervention may contribute to addressing the critical underdiagnosis and undertreatment of endometriosis.

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References

Taylor HS, Kotlyar AM, Flores VA. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. Lancet. 2021;397(10276):839-52. https://doi.org/10.1016/s0140-6736(21)00389-5

Clement PB. The pathology of endometriosis: a survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects. Adv Anat Pathol. 2007;14(4):241-60. https://doi.org/10.1097/PAP.0b013e3180ca7d7b.

Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010;362(25):2389-98. https://doi.org/10.1056/NEJMcp1000274.

Greene R, Stratton P, Cleary SD, Ballweg ML, Sinaii N. Diagnostic experience among 4,334 women reporting surgically diagnosed endometriosis. Fertil Steril. 2009;91(1):32-9. https://doi.org/10.1016/j.fertnstert.2007.11.020.

Baczek G, Mietus M, Klimanek J, et al. The impact of endometriosis on the quality of women's life. Ginekol Pol. 2024;95(5):356-64. https://doi.org/10.5603/gpl.93995.

Association of American Medical Colleges (AAMC). Learning Objectives for Medical Student Education: Guidelines for Medical Schools.

Kelm Z, Womer J, Walter JK, Feudtner C. Interventions to cultivate physician empathy: a systematic review. BMC Med Educ. 2014;14:219. https://doi.org/10.1186/1472-6920-14-219.

Patel S, Pelletier-Bui A, Smith S, et al. Curricula for empathy and compassion training in medical education: a systematic review. PLoS One. 2019;14(8):e0221412. https://doi.org/10.1371/journal.pone.0221412.

Sinclair S, Norris JM, McConnell SJ, Chochinov HM, Hack TF, Hagen NA, et al. Compassion: a scoping review of the healthcare literature. BMC Palliat Care. 2016;15:6. https://doi.org/10.1186/s12904-016-0080-0.

Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;80(2):164-7. https://doi.org/10.1097/00001888-200502000-00013.

Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004;38(9):934-41. https://doi.org/10.1111/j.1365-2929.2004.01911.x

Neumann M, Edelhauser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996-1009. https://doi.org/10.1097/ACM.0b013e318221e615

Law M, Kwong W, Friesen F, Veinot P, Ng SL. The current landscape of television and movies in medical education. Perspect Med Educ. 2015;4(5):218-24. https://doi.org/10.1007/s40037-015-0205-9

Blasco PG, Moreto G, Roncoletta AFT, Levites MR, Janaudis MA. Using movie clips to foster learners’ reflection: improving education in the affective domain. Fam Med. 2006;38:94-6. https://sobramfa.com.br/wp-content/uploads/2019/07/2006_fev_Movie_Clips..pdf

Taylor JS. Learning with emotion: a powerful and effective pedagogical technique. Acad Med. 2010;85:1110. https://doi.org/10.1097/acm.0b013e3181e202d3

McConnell MM, Eva KW. The role of emotion in the learning and transfer of clinical skills and knowledge. Acad Med. 2012;87:1316-22. https://doi.org/10.1097/acm.0b013e3182675af2

Zeppegno P, Gramaglia C, Feggi A, Lombardi A, Torre E. The effectiveness of a new approach using movies in the training of medical students. Perspect Med Educ. 2015;4(5):261-3. https://doi.org/10.1007/s40037-015-0208-6.

Akram A, O’Brien A, O’Neill A, Latham R. Crossing the line—learning psychiatry at the movies. Int Rev Psychiatry. 2009;21:267-8. https://doi.org/10.1080/09540260902746880

Bhagar HA. Should cinema be used for medical student education in psychiatry? Med Educ. 2005;39:972-3. https://doi.org/10.1111/j.1365-2929.2005.02252.x

Johnson JM, Beresin EV, Stern TA. Using Breaking Bad to teach about defense mechanisms. Acad Psychiatry. 2014 Dec;38(6):716-9. https://doi.org/10.1007/s40596-014-0161-4

Hyler SE, Schanzer B. Using commercially available films to teach about borderline personality disorder. Bull Menninger Clin. 1997;61:458-68.

Kalra G. Teaching diagnostic approach to a patient through cinema. Epilepsy Behav. 2011;22:571-3. https://doi.org/10.1016/j.yebeh.2011.07.018

Kalra G. Psychiatry movie club: a novel way to teach psychiatry. Indian J Psychiatry. 2011;53:258. https://doi.org/10.4103/0019-5545.86820

Graf H, Abler B, Weydt P, Kammer T, Plener PL. Development, implementation, and evaluation of a movie-based curriculum to teach psychopathology. Teach Learn Med. 2014;26(1):86-9. https://doi.org/10.1080/10401334.2013.857340

Hankir A, Holloway D, Zaman R, Agius M. Cinematherapy and film as an educational tool in undergraduate psychiatry teaching: a case report and review of the literature. Psychiatr Danub. 2015 Sep;27 Suppl 1:S136-42. PMID: 26417749.

Bui E, Rodgers R, Chabrol H, Birmes P, Schmitt L. Is Anakin Skywalker suffering from borderline personality disorder? Psychiatry Res. 2011;185(1-2):299. https://doi.org/10.1016/j.psychres.2009.03.031 .

Wilson N, Heath D, Heath T, Gallagher P, Huthwaite M. Madness at the movies: prioritised movies for self-directed learning by medical students. Australas Psychiatry. 2014;22(5):450-3. https://doi.org/10.1177/1039856214545550.

Retamero C, Walsh L, Otero-Perez G. Use of the film The Bridge to augment the suicide curriculum in undergraduate medical education. Acad Psychiatry. 2014;38(5):605-10. https://doi.org/10.1007/s40596-014-0086-y

Lumlertgul N, Kijpaisalratana N, Pityaratstian N, Wangsaturaka D. Cinemeducation: a pilot student project using movies to help students learn medical professionalism. Med Teach. 2009;31:e327-32. https://doi.org/10.1080/01421590802637941

Rattani A, Kaakour D, Syed RH, Kaakour AH. Rethinking TV and movies in medical ethics and professionalism education. Med Teach. 2020 Apr;42(4):477-478. https://doi.org/10.1080/0142159x.2019.1626981

Volandes A. Medical ethics on film: towards a reconstruction of the teaching of healthcare professionals. J Med Ethics. 2007;33:678-80. https://doi.org/10.1136/jme.2006.017665

Ozcakir A, Bilgel N. Educating medical students about the personal meaning of terminal illness using the film, ‘Wit.’ J Palliat Med. 2014;17:913-7. https://doi.org/10.1089/jpm.2013.0462

Welsh CJ. OD’s and DT’s: using movies to teach intoxication and withdrawal syndromes to medical students. Acad Psychiatry. 2003;27:182-6. https://doi.org/10.1176/appi.ap.27.3.182

Pais de Lacerda A. Medical education: addiction and the cinema (drugs and gambling as a search for happiness). J Med Movies. 2005;1:95-102. https://revistas.usal.es/cinco/index.php/medicina_y_cine/article/view/206/377

Cape G. Movies as a vehicle to teach addiction medicine. Int Rev Psychiatry. 2009;21(3):213-7. https://doi.org/10.1080/09540260902747094.

Daher-Nashif S. Doctors' challenges during infectious disease outbreaks: medical education insights from realistic fiction movies. Adv Med Educ Pract. 2021;12:265-72. https://doi.org/10.2147/AMEP.S297427.

Baminiwatta A, Fernando R, Williams S. Improving medical students' understanding of dementia using a movie (The Father). Educ Prim Care. 2023;34(2):109. https://doi.org/10.1080/14739879.2023.2178333 .

Goldman JD. An elective seminar to teach first-year students the social and medical aspects of AIDS. J Med Educ. 1987;62:557-61.

Sociedad Española de Ginecología y Obstetricia. Endometriosis. Prosego; 2013.

Schwabe L, Wolf OT. Stress prompts habit behavior in humans. J Neurosci. 2009;29(22):7191-8. https://doi.org/10.1523/JNEUROSCI.0979-09.2009 .

De Souza D, Adams GC. Practical Pedagogical Tips for Using Movies in Medical Education. Acad Psychiatry. 2023 Feb;47(1):90-94. https://doi.org/10.1007/s40596-022-01740-y

Published
11-12-2024
How to Cite
Piñel Pérez, C. S., Alfonso González, R., Álvarez García, E., Durán Somacarrera, A., Irazola Laguna, A., & Gómez-Roso Jareño, M. J. (2024). The ENDO-Study: A qualitative study to assess the impact of a short film on medical students’ understanding and perception of endometriosis: The ENDO-Study. Spanish Journal of Medical Education, 6(1). https://doi.org/10.6018/edumed.637651

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