Enhancing medical improvisation training: a mixed-methods approach to curriculum modification

Abstract Introduction Medical improvisation (improv) is gaining recognition as an effective method for enhancing communication skills among healthcare professionals. Successful implementation of medical improv training relies on dynamic refinement of curricula. In this project, we articulate a theor...

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Main Authors: Xia Zheng, Clare Whitney, Heidi Preis, Elizabeth Bojsza, Susmita Pati
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07119-5
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author Xia Zheng
Clare Whitney
Heidi Preis
Elizabeth Bojsza
Susmita Pati
author_facet Xia Zheng
Clare Whitney
Heidi Preis
Elizabeth Bojsza
Susmita Pati
author_sort Xia Zheng
collection DOAJ
description Abstract Introduction Medical improvisation (improv) is gaining recognition as an effective method for enhancing communication skills among healthcare professionals. Successful implementation of medical improv training relies on dynamic refinement of curricula. In this project, we articulate a theoretically grounded framework for modifying a medical improv program that puts the focus on the crucial yet often overlooked process of curriculum refinement in this growing field. Methods We used the Collaborative Improvement Model [1] as a guiding framework for the curriculum revision. Our analytic approach involved a sub-analysis of quantitative and qualitative data collected as a part of the Alda Healthcare Experience (AHE) mixed-methods process evaluation including surveys, in-depth interviews, and observations. Quantitative and qualitative data were collected from key stakeholders of the AHE program including clinical co-facilitators, improv co-facilitators, and participants. Our analysis was guided by interpretive descriptive design, drawing on inductive and deductive approaches as well as quantitative and qualitative mixed-methods triangulation. Results Inductive analysis of co-facilitator interviews revealed four dimensions for interpreting the identified areas of revision: desirability (of the revision), feasibility (of the revision), triangulation (whether different sources of data are divergent or corroborated), and evaluability (whether the revision would confound the program evaluation). We illustrate how this framework is implemented through specific examples from our curriculum revision. Conclusion Our manuscript articulates a theoretically grounded framework for revising medical improv curriculum. This structured yet adaptable framework could be useful for curricular modification in other medical improv and experiential learning curricula.
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spelling doaj-art-9771230eea6b4f9f9a3403b50f3d188c2025-08-20T03:45:30ZengBMCBMC Medical Education1472-69202025-07-012511810.1186/s12909-025-07119-5Enhancing medical improvisation training: a mixed-methods approach to curriculum modificationXia Zheng0Clare Whitney1Heidi Preis2Elizabeth Bojsza3Susmita Pati4School of Communication and Journalism, Stony Brook UniversitySchool of Nursing, Stony Brook UniversityDepartment of Obstetrics, Gynecology, and Reproductive Medicine, Renaissance School of Medicine, Stony Brook UniversitySchool of Communication and Journalism, Stony Brook UniversitySchool of Communication and Journalism, Stony Brook UniversityAbstract Introduction Medical improvisation (improv) is gaining recognition as an effective method for enhancing communication skills among healthcare professionals. Successful implementation of medical improv training relies on dynamic refinement of curricula. In this project, we articulate a theoretically grounded framework for modifying a medical improv program that puts the focus on the crucial yet often overlooked process of curriculum refinement in this growing field. Methods We used the Collaborative Improvement Model [1] as a guiding framework for the curriculum revision. Our analytic approach involved a sub-analysis of quantitative and qualitative data collected as a part of the Alda Healthcare Experience (AHE) mixed-methods process evaluation including surveys, in-depth interviews, and observations. Quantitative and qualitative data were collected from key stakeholders of the AHE program including clinical co-facilitators, improv co-facilitators, and participants. Our analysis was guided by interpretive descriptive design, drawing on inductive and deductive approaches as well as quantitative and qualitative mixed-methods triangulation. Results Inductive analysis of co-facilitator interviews revealed four dimensions for interpreting the identified areas of revision: desirability (of the revision), feasibility (of the revision), triangulation (whether different sources of data are divergent or corroborated), and evaluability (whether the revision would confound the program evaluation). We illustrate how this framework is implemented through specific examples from our curriculum revision. Conclusion Our manuscript articulates a theoretically grounded framework for revising medical improv curriculum. This structured yet adaptable framework could be useful for curricular modification in other medical improv and experiential learning curricula.https://doi.org/10.1186/s12909-025-07119-5Medical improvisationCurriculum revisionMixed-methodsImprov trainingCommunication skills
spellingShingle Xia Zheng
Clare Whitney
Heidi Preis
Elizabeth Bojsza
Susmita Pati
Enhancing medical improvisation training: a mixed-methods approach to curriculum modification
BMC Medical Education
Medical improvisation
Curriculum revision
Mixed-methods
Improv training
Communication skills
title Enhancing medical improvisation training: a mixed-methods approach to curriculum modification
title_full Enhancing medical improvisation training: a mixed-methods approach to curriculum modification
title_fullStr Enhancing medical improvisation training: a mixed-methods approach to curriculum modification
title_full_unstemmed Enhancing medical improvisation training: a mixed-methods approach to curriculum modification
title_short Enhancing medical improvisation training: a mixed-methods approach to curriculum modification
title_sort enhancing medical improvisation training a mixed methods approach to curriculum modification
topic Medical improvisation
Curriculum revision
Mixed-methods
Improv training
Communication skills
url https://doi.org/10.1186/s12909-025-07119-5
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AT elizabethbojsza enhancingmedicalimprovisationtrainingamixedmethodsapproachtocurriculummodification
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