91直播

The Art of Observing

April 12, 2016

Amanda Nagy

A student studies a large photo of the face of an older woman

A student examines a photograph by Shirin Neshat in the Allen Memorial Art Museum Print Study Room. The museum held a special workshop to demonstrate how art is used in training medical professionals.

Photo credit: Yevhen Gulenko

Over the past three years, students in Catherine Oertel鈥檚 general chemistry and inorganic chemistry courses have been studying visual art through coordinated visits to the Allen Memorial Art Museum (AMAM).

The obvious question is, what can observing and interacting with art teach students about chemistry?

鈥淭here鈥檚 a lot of value in being placed in front of something unfamiliar to you and being asked to make some observations to defend what you鈥檙e saying is present,鈥 says Oertel, associate professor of chemistry and biochemistry. An example she鈥檚 used is a series of photographs by Harold Edgerton (1903-1990), a professor at MIT who invented the electronic flash, a device that could capture images the human eye cannot see. His pioneering technology photographed events such as a bullet slicing through an apple and the first fractions of a second of a nuclear explosion.

鈥淚n some of the photographs you can recognize right away what鈥檚 being depicted. In others, it鈥檚 kind of disorienting at first because it鈥檚 hard to tell what鈥檚 going on. In looking at these objects, we are able to make careful visual observations, talk about what we think is being represented, and speculate about how this photograph may have been taken. Sometimes, the order of events being depicted is ambiguous, so we come up with proposals for what we think the order might have been, talk about different options, and defend what we think is the best conclusion. We can draw parallels between this and the scientific process.鈥

In working closely with Liliana Milkova, AMAM curator of academic programs, and other faculty who teach at the museum, Oertel says she鈥檚 come to appreciate the idea that there are broader skills to be gained by interacting with objects of visual art鈥攕kills that go beyond a specific course and chemical topic.

Although the museum is well integrated in 91直播鈥檚 curricular experiences, the concept of art engagement as a teaching tool is starting to take hold in medical schools across the country. 91直播鈥檚 premed program held a workshop at the museum on March 16 called 鈥淭raining the Eye: Art Engagement in the Medical Profession,鈥 which was geared toward premed students.

Professor of Neuroscience Lynne Bianchi, 91直播鈥檚 premed faculty advisor, said the AMAM workshop is the first of its kind at 91直播; it鈥檚 also an uncommon offering for an undergraduate institution.

Oertel was part of a panel discussion that included Dr. Lisa Arfons, assistant professor of medicine in hematology and oncology and associate residency program director at Case Western Reserve University; Laura Martin, professor emerita in anthropology, modern languages, and health sciences at Cleveland State University; and Christina Neilson, associate professor of Renaissance and baroque art at 91直播.

Developing the Whole Person

At Case, Arfons has been leading the charge for helping residents develop their clinical skills. She talked about how she came to realize when, as she was beginning her practice as an attending physician at the Louis Stokes Veterans Hospital in Cleveland, she had been trained to treat the so-called 鈥渋-Patient鈥.

鈥淩ather than the real patient, you have this electronic version of a patient. 鈥淐ase is a very progressive medical school. They鈥檙e interested in developing the whole human and what we do outside of class. However, it鈥檚 only as good as our experiences will allow.

鈥淚 felt like my medical training, from the time I was in organic chemistry all the way to when I finished my fellowship training, had culminated in teaching me how to take care of the i-Patient鈥攍ooking at the computer, looking at a CAT scan, looking at a patient鈥檚 blood work鈥攊nstead of standing at the bedside and talking to that patient. I desperately wanted to get back to that. I think it鈥檚 important in all practices of medicine, but as an oncologist who deals with terminal conditions, it鈥檚 important to shift my focus,鈥 she says. 鈥淎s I was teaching residents, I wanted to see if there was something we could do collectively to get our focus back to the real patient.鈥

Around the same time she was finishing her fellowship, Arfons began working with Martin in developing ways to bring art to residents鈥 training. She devised a two-week block that takes them out of the hospital. With no on-call schedule and no patient care, it provides a much-needed respite from the 80-hour, six-day rotation.

鈥淭his year, we focused on the core tenets of medical education that residents really wanted to learn about, things like procedures and bedside skills鈥攖rue clinical skills. We also did quality improvement and high-value care. That鈥檚 a huge practice now with making sure that we are practicing economically to sustain medical care for everybody.鈥

During this two-week block, Martin led a session at the Cleveland Museum of Art. Although she never trained as an artist, she came to the program with expertise in ethnography and teaching observation skills.

鈥淥bservation is core to all the sciences, social sciences and humanities included. We have to practice really seeing because our brains habituate ways of seeing that speed up and solve the problem of too much stimulus to get to the answer,鈥 Martin says. 鈥淪cience and medicine teach us to speed up the process. For example, 鈥楬ere are the recorded test results, here is a complaint, so here is the most likely reason.鈥欌

In her gallery exercises, Martin tells residents to put their own bodies in the position of the person in a painting or sculpture, and asks them how they feel. 鈥淗ow can you appreciate the body mechanics, the way gravity pulls on you, the psychological sense you get from being in this position? The experience of hearing how multiple people have totally different understandings of the things they鈥檙e looking at enhances our ability to empathize. It enhances our ability to communicate across disciplinary boundaries, across cultural boundaries, across experiential boundaries.鈥

Martin believes learning about one鈥檚 own perceptual habits, assumptions, and biases is one of the most important things to gain by consistent interaction with art objects.

鈥淪lowing down, taking your time, reflecting together, being surprised by other people鈥檚 interpretations鈥攁ll that is a reminder that, in health care professions, you鈥檙e dealing with a whole person who comes with an entire history.鈥

These ideas were demonstrated in two different breakout sessions. In the Print Study Room, Milkova led participants in an observation exercise using a piece of and an accompanying photograph of the sculpture, an , and a . Breaking into three groups, participants were instructed to discuss their first impressions and answer guiding questions about each art work, then present their findings with the larger group.

In the Ripin Gallery, Neilson led a focused viewing of the exhibition . The exhibition, co-curated by Neilson, explores how art is perceived to bring about the health and well-being of its makers and beholders. The collection of paintings and objects鈥攊ncluding amulets worn for healing and protection鈥攅xamines diverse modes of healing through art from the United States, Asia, Africa, Europe and the Middle East. The exhibition is on display through July 3.

For fourth-year biochemistry major Kendra Lian, Oertel鈥檚 inorganic chemistry course 鈥渉as been a gateway to appreciating the beauty and the art that lies behind chemistry.鈥

鈥淎rt is intrinsically tied to the scientific process because it teaches us to use 鈥榯he familiar鈥 to seek a whole new perspective, and I find that really inspiring,鈥 she says.

During the panel discussion, Martin discussed the importance of tolerating ambiguity in the medical field, and that idea resonated with her. 鈥淚 was struck by how simple but true that statement is. I think I've always appreciated art for its ability to capture order and beauty despite all the ambiguity that surrounds us,鈥 says Lian, who is from Ann Arbor, Michigan. 鈥淚n science and research especially, we don't always know what we're going to find, but it's amazing that despite the unknowns, we still manage to find certain patterns and structures to give us answers. I consider those experimental results to be an art form as well.鈥

Second-year Katherine Christel also compares science and medicine to a form of art鈥"from the more literal sense of surgeons physically changing something to the drawings of Leonardo de Vinci."

A pre-med biology major from Wooster, Christel says she will apply what she learned from the workshop to her lab experiences. "I will take more time looking at an individual piece and try to speculate what might be happening or what could be an underlying message. I will try to push myself to participate in more things that are slightly outside of my comfort zone, because I believe that is how I can continue to grow as a person and develop new ways of thought."

You may also like…

The Body, The Host

An award-winning Allen Memorial Art Museum exhibition challenges the prevailing narrative of the 1980s HIV/AIDS epidemic.