Info You Can Use

Info You Can Use: Arts in Medicine

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A commentary by Dr. Gary Christenson on the Minnesota Medicine website offers the most complete listing of the benefits of arts in medicine I have yet seen. Whether the piece inspires you to partner with medical services or not, it provides evidence of the benefits of the arts to use alongside illustrations of the intrinsic, economic and educational values.

The commentary starts out relating an anecdote about an actual emergency “stat” call for musicians in a hospital. While acknowledging that such an incident is a rare occurrence in medicine, Dr. Christenson shows that the arts are already playing an important role in the practice of medicine:

(my apologies for the length of the citation. While I did pare it down to a large degree, there were just so many exciting and compelling examples, it was difficult to decide what to excise.)

“Although some might be inclined to dismiss the arts as a triviality, luxury, or unjustified expense in a time of concern over rising health care costs, research is showing that use of the arts in health care can be cost-effective. For example, a recent study done at Tallahassee Memorial HealthCare demonstrated that using music therapy when preparing children for CT scans significantly reduced use of sedative medications, associated overnight stays, and nurse time, and resulted in a cost savings of $567 per procedure. It also decreased the need for repeat CTs because of poor-quality scans. When extrapolating those numbers to all pediatric CT scans done in the United States, researchers estimated a potential savings of $2.25 billion per year.”

1. Studying the arts makes medical students into better doctors.

“In our state, storytelling and theater have been used to teach students how to effectively take a medical history. Last year, for example, Mayo Medical School and the Mayo Clinic Center for Humanities and Medicine partnered with the Guthrie Theater to offer the one-week selective “Telling the Patient’s Story,” which drew upon improvisation and storytelling to teach students to take and report patients’ medical history.”

“Harvard Medical School has found that training medical students in the visual arts can help them develop their clinical observational skills. Students who participated in formal training consisting of art observation exercises, didactics that integrate fine arts concepts with physical diagnosis topics, and a life-drawing session demonstrated better visual diagnostic skills when viewing photographs of dermatological lesions than students who only received conventional training.”

“The arts also can convey lessons in ways traditional lectures cannot. It isn’t surprising that the top-rated lecture by first-year medical students on the University of Minnesota’s Twin Cities campus for seven consecutive years was a reading of physician and playwright David Feldshuh’s Miss Evers Boys by Guthrie Theater actors. The play, about the Tuskegee syphilis experiments, illustrates ethical issues related to informed consent and human experimentation.”

2. The arts have therapeutic benefits.

“Museums such as the Museum of Modern Art in New York and the Minneapolis Institute of Arts have programs for patients with Alzheimer’s disease and memory loss that use visual and cognitive stimuli to evoke memories. Dance has been shown to improve the mobility of patients with conditions such as fibromyalgia and Parkinson disease.”

“Storytelling has been noted to improve the quality of life for cancer patients,10 increase lung function associated with asthma, and reduce symptoms and doctor visits. One report noted that regularly playing the Australia didgeridoo decreased apneic episodes for patients with obstructive sleep apnea.”

3. The arts can help prevent disease.

“..a campaign to decrease heart disease in England found that people were much more responsive to the message, “Dance makes the heart grow stronger” than to “Exercise makes the heart grow stronger.” Dance is one of the best ways to improve health on a number of levels. In addition to its physical benefits, dance enhances social engagement, which is important to overall health and well-being, and it’s one of the best activities for delaying the cognitive decline associated with Alzheimer’s disease.”

4. The arts can improve the patient experience.

“…a body of research has shown that patients tend to be less stressed, less anxious, require less pain medication, and ready for discharge earlier when their environment includes views of the natural world.”

“Bedside visits by musicians and artists also distract children from pain and help them explore their feelings about their illness.”

5. The arts can promote physician well-being.

“…Although many physicians were involved in the arts before entering medical school, they put those activities on hold during their training. University of Minnesota medical students have an opportunity to keep those interests alive… The program…provides students with a small financial award to pursue and develop their interests and skills in such diverse areas as painting, drawing, singing, clowning, photography, and playing an instrument as a way to find relief from the rigors of medical study.”

Using the arts to reduce costs, provide relief and focus to patients and produce more effective doctors, what isn’t to love? As with all things, arts are only one part of bolstering well-being and providing better medical care. There is certainly a potential for it to become a much more important element in providing better medical care if employed and studied to a greater degree.

Dr. Christenson provides 20 footnoted references for his commentary which seems a good place to start for those looking to develop programs and partnerships to integrate the arts in medicine. The research is also obviously a good basis for advocacy about the value of the arts.

Building Cathedrals, One Budget At A Time

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In something of a complement to my post on Wednesday regarding the factors influencing decisions about providing arts classes in higher education, Friday I attended a retreat on budgeting with the rest of the college leadership.

Now if that sounds like something you would dread attending, I was right there with you. I had a copy of The Economist in my portfolio just in case things got too boring. However, it was really a very engaging and educational experience. I have a feeling that the facilitator that was hired to run the session probably anticipated the dread with which we were approaching the day because she started out by telling us we needed to change our perception of what we were doing.

She began with a story/parable about walking along a road and seeing two emaciated men banging away at blocks of stone. Asked what he was doing, the first man sighed that he was chipping stone. The second man seemed to be working with a greater spirit than the first and when asked what he was doing, the second answers with a beatific look on his face, “I am building a cathedral.”

I had heard that one before, but I had to admit that it did pretty much describe how most of us probably approach budgeting–as a burdensome chore. The fact is, we can approach it thinking about what doing a good job on the budget can enable us to accomplish. Its hard work, but no harder than constructing, painting and lighting a set for a play.

The problem for most of us is that no one admires what a good job we did on the budget like they will for the set. Few of us had the guidance of experienced people in crafting a budget. I have clear memories of the different areas of knowledge imparted to me by technical directors and master electricians and carpenters. My memories of practical instruction in budget and finance by mentors is a bit more hazy.

And, of course, it is easier to dream of building cathedrals when you actually have money to budget toward that goal, small as it may be.

In any case, inspiring parables aren’t going to keep morale high very long if things turn mind numblingly boring. Fortunately, this wasn’t the case. We soon broke up into groups. By luck of the draw, (actually, they had us count off by fives), I ended up in a group with the two people whose decision making most impacts my budget. The topic was–what aspects of the process most impact your budget and operations.

Since the theatre does a pretty good job of supporting ourselves with earned revenue compared to other areas, I don’t receive much of my budget from them. However, some years they will take money from our revenue, some years they won’t. But I never know. I said this sort of thing made it very difficult to plan and gave me no incentive to have money left over at the end of the year. Fact is, we could actually be more self supporting and engage in an equipment replacement program that would not require us to ask them for money if our surpluses were allowed to accumulate.

No sort of action or solution was suggested. Nor did I expect one. It was good to have a fairly safe forum in which to address this situation. It probably helped that I was relating a “building a cathedral” opportunity where I envisioned our small annual surplus being used toward a bigger goal.

The day was full of shuffling around to other groups to address other aspects of the budgeting process. One particularly interesting session had us looking at the strategic plan which is what is supposed to be guiding funding priorities. We were tasked to boil each section of the plan down to a sentence that provided a helicopter view of the section so that anyone in the organizational chart could read it and understand how their work contributed to the plan. One of the results was that the language we used to describe our section was similar to that of a couple other groups. This was encouraging because obviously, you want a degree of unity between parts of the strategic plan.

The problem was, that the facilitator was initially unclear about the significant differences between three of the sections. There was something of a suggestion that parts of one section really should be organized under the umbrella of a different section. I was rather impressed by the effectiveness of the exercise in revealing that some clearer delineation might be needed so that everyone in the organization understood their place.

The last phase of the day was creating a common set of criteria for funding that would be shared across the organization as budget requests were passed up the ladder.

These criteria were:

-Aligns with strategic goals
-Leverages resources, strengths and opportunities
-Possess motivation and capacity to implement
-Has data justifying the need and plan to assess the impact

One of the biggest problem faced in the current budgeting process is apparently the lack of supporting data. Requests were being passed up without sufficient rationale based on numbers, industry needs, etc

Then we looked back at the problems with the budgeting process we identified at the beginning of the day and tried to determine if the criteria we had created would help address them. In the end, the problems we felt they couldn’t address were the result of either external factors we didn’t have control over (i.e. the way the overall state system operated and things they required). The other general area was the mysterious process by which things that never even entered the budgeting review process got funded. A working group was formed to address how to make that process more transparent and perhaps more aligned with the common criteria. I am optimistic about the ultimate outcome of the efforts. I don’t think we will ever be rid of funding that circumvents the process, but I am fairly confident there will either be more transparency or less of it occurring.

Most of all I was quite pleased with the entire experience. It is certainly an exercise an art organization might use in order to get everyone invested in the budgeting process and discover the problematic areas related to the practice. It definitely needs a skilled facilitator to lead it. Money has great potential to be a contentious issue and it is easy to get side tracked by specific issues rather than working to identify the root causes.

Info You Can Use: Social Media Tips

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In May Tech Soup hosted a series of Monday Twitter chats on the topic of Social Media. They provide a summary of the discussions on their forums. The discussions covered the use of Twitter, Facebook and Videos. Since I have read a fair bit on the use of these, I was most interested in their final discussion which covered the effective use of Tags.

I add a lot of tags to posts I make both here on the blog and connected to social media sites I use at work. I am just never sure if what I am tagging is actually effective. It seemed like being fairly generous with tags was good everywhere except Twitter.

“Blogs, photos, video, and bookmarks can benefit from the use of many tags when they are uploaded. Twitter, again, distinguishes itself, however, by favoring a “less is more”and approach to tagging. It is an accepted convention on Twitter that too many hashtags is unhelpful and, in fact, makes a tweet look too busy and difficult to read. Use tags to not only find content but to identify individuals or organizations who are creating or sharing useful information and, in the case of Twitter, to engage in actual real time conversations or tweetchats.

Individuals who are new to tagging might find themselves asking what tags are best to use for their content. For starters, it is worth considering what types of words might be used to describe your content. A helpful question to ask is, “who is this content intended for?” Understanding who your intended audience is and what terms they might use to seek out your content will help you narrow down on the most appropriate tags to use.

If you are just beginning to use tags, it is often helpful to explore and use tags on broad topics such as “nonprofit,” “art,” and so on, to reach out to a broad audience if you are not familiar with more specific tags for your content. As the article Thirteen Tips for Effective Tagging suggests, “be a lemming” and follow what others are doing which can also help you discover more specialized, niche tags.”

I found the advice at the end regarding paying close attention to what other people are using to be particularly valuable. Even if you think you know the hot buzz words from your industry, they may not be the most effective on social media. Tech Soup links to a piece, 40 Hashtags for Social Good which notes that nonprofit is a more popular tag than nonprofits. In the chat about Twitter, Janet Fouts cautions people to research the hashtag they intend to use in case someone else’s of it results in a collision of messaging.

I found the recap of the chat about Twitter to be helpful just because it can be very difficult to get your point across in the limited number of characters and I can also use more guidance. On top of that, the advice is to be as brief as possible in order to leave room for other people to comment and interact with you. Tech Soup also suggests a number of tools that allow everyone in the organization to share the burden of monitoring and creating tweets.

Your experience may vary, of course, so read whatever might be helpful.

News You Can Use: Musicians Are Delicious

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If you're ready for a zombie apocalypse, then you're ready for any emergency. emergency.cdc.gov

As you can see in the above, the Centers for Disease Control have finally acknowledged the threat of a zombie apocalypse. Hat tip to Tyler Cowen for bringing this important government service to my attention.

From the CDC website:

“If zombies did start roaming the streets, CDC would conduct an investigation much like any other disease outbreak. CDC would provide technical assistance to cities, states, or international partners dealing with a zombie infestation. This assistance might include consultation, lab testing and analysis, patient management and care, tracking of contacts, and infection control (including isolation and quarantine)…Not only would scientists be working to identify the cause and cure of the zombie outbreak, but CDC and other federal agencies would send medical teams and first responders to help those in affected areas.”

Actually, while this is really on the CDC site, they use the subject of a zombie attack to reinforce the need to have good emergency plans and supplies prepared for any disaster. Some examples:

“First Aid supplies (although you’re a goner if a zombie bites you, you can use these supplies to treat basic cuts and lacerations that you might get during a tornado or hurricane)”

“Pick a meeting place for your family to regroup in case zombies invade your home…or your town evacuates because of a hurricane.”

“Plan your evacuation route. When zombies are hungry they won’t stop until they get food (i.e., brains), which means you need to get out of town fast! Plan where you would go and multiple routes you would take ahead of time so that the flesh eaters don’t have a chance! This is also helpful when natural disasters strike and you have to take shelter fast.”

While the whole zombie attack craze may have peaked and is already on its way out. (Yeah right, zombies are not that easy to kill!) The tongue in cheek approach mixing “fiction” (the government will never really seriously admit the zombie problem we face) with the real message they are trying to communicate–and offering social media options to spread the word–could easily be used by arts organizations to communicate their core message.

On a related topic, a study was recently released providing information that will be of great importance to arts people when the zombie attack comes. According to the Freakanomics website,

“A new study argues that musicians have more highly developed brains than the rest of us….New research shows that musicians’ brains are highly developed in a way that makes the musicians alert, interested in learning, disposed to see the whole picture, calm, and playful. The same traits have previously been found among world-class athletes, top-level managers, and individuals who practice transcendental meditation.”

So when the zombies come, all you really need to do is be faster than the musicians or point out the location of their delicious, highly developed brains to the zombies. Of course, given that musicians have a heightened alertness and calmness, they will likely possess the composure needed to effectively flee themselves, so you will have to be especially canny.

(Thank god for the CDC. I was wondering how I was going to address the Freakanomics piece without feeding the egos of my Inside the Arts brethren who are mostly musicians.)