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Wekerle CIHR Team - Picturing Wellness: From Adversity to Resilience

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Picturing Wellness: From Adversity to Resilience

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Wekerle CIHR Team - Picturing Wellness: From Adversity to Resilience

  1. 1. Picturing Wellness: From Adversity to ResilienceWekerle C, Obeda M, Zeraatkar D Gargoyles, Michael Parkes
  2. 2. Overview • Child maltreatment is a global health and social problem • Mandatory reporting of suspected cases of child maltreatment by clinicians is: • A) A professional duty mandated by the Child and Family Services Act; and • B) An opportunity for early help to children and families and violence prevention. • Problem: Insufficient evidence-based training! • 55.5% of students reported receiving no training in child abuse/neglect (Needs Assessment Survey, McMaster University) • Child Assessment and Advocacy Program + McMaster Museum of Art -> arts- and case-based curriculum on identifying and managing cases of child maltreatment for medical undergraduates
  3. 3. Agenda • Principles of Art Observation and Interpretation • Importance of Child Maltreatment Education • Course Concept • Participant’s Perspective • Closing Remarks • Q&A
  4. 4. Dr. Christine Wekerle • Associate Professor, Department of Pediatrics, McMaster University • Child Assessment and Advocacy Program (CAAP) • Developed course concept and facilitated case-based child maltreatment teaching
  5. 5. Dr. Michael Obeda • First-year Family Medicine resident at Queen’s University • Honors specialization in genetics and biochemistry from The University of Western Ontario • Medical Degree at McMaster University • Course participant
  6. 6. Child Maltreatment and Art: A participant’s take-away Dr. Michael Obeda PGY1 Queen’s University department of Family Medicine
  7. 7. Child Maltreatment in the medical curriculum • MF1 - 13 weeks. • 18 month old boy with a swollen and tender knee (hemophilia) Youth with a history suspicious for narcotic overdose
  8. 8. Child Maltreatment in the medical curriculum • MF2 - 9 weeks. • One year old girl with a socially vulnerable mother who has nutrition concerns • Obese 12 year old
  9. 9. Child Maltreatment in the medical curriculum • MF3 - 9 weeks. • 15 year old girl who drinks, smokes, is sexually active.
  10. 10. Child Maltreatment in the medical curriculum • MF4 - 9 weeks.
  11. 11. Child Maltreatment in the medical curriculum • MF5 - 12 weeks. • 8 year old boy with violent behaviours at school
  12. 12. Child Maltreatment in the medical curriculum • Clerkship • 1.25 hours - Lecture in Pediatrics rotation • 3 hours - tutorial with some emphasis on maltreatment reporting
  13. 13. Content of the course • Readings • Discrepancies between frequency of abuse and reporting of abuse • Signs of abuse • Interview techniques • Mandatory reporting • Maintaining a relationship with patients
  14. 14. Content of the course • Art Appreciation • Readings - basic approach • Homework • In-person instruction and group discussion
  15. 15. Content of the course • Interpretation of images • Using the art appreciation techniques learned • Clue seeking • Maintaining “What else could it be” mindframe
  16. 16. The impact on me • Mandatory reporting - increased confidence • Improved interview skills • More likely to consider maltreatment in the differential diagnosis
  17. 17. Other benefits • Observational skills in clinic • Improved appreciation of art • Improved personal wellness
  18. 18. QUESTIONS?
  19. 19. Ms. Nicole Knibb • Art Educator • McMaster Museum of Art • Facilitated arts-based teaching
  20. 20. What is art? “Art…Is a world that runs constant and parallel to ours where we imagine different futures – millions of them – and try them on for size.” Caitlin Moran • Art is, basically, a visual means of communication. • Art is a necessary way for humans to understand themselves and the universe. • Art captures the significance of both the individual and the cultural. • Humans have a vital and persistent need to create art and is an ever- present part of human experience. • Our imaginations function as a survival mechanism.
  21. 21. The Elements and Principles of Art The Elements Colour Shape/Form Line Space Texture The Principles Balance Emphasis Movement

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