Abstract
Purpose
Feature films are increasingly being used in teaching health sciences. However, few publications address the effectiveness of this approach. We hypothesized that using feature films could help students learn. We aimed to assess the effectiveness of using a feature film to teach students about adverse drug reactions and pharmacovigilance.
Methods
The study population comprised third-, fifth-, and sixth-year undergraduate students of medicine, third-year undergraduate students of human biology, and graduate students in a master’s degree program about the pharmaceutical and biotechnology industry. Students watched clips from the film 150 Miligrams (La fille de Brest) and discussed them afterward. To measure learning, we administered a 10-question multiple-choice test about pharmacovigilance concepts. We assessed students’ satisfaction with the activity through a questionnaire. An exploratory comparative analysis was performed.
Results
A total of 237 students participated. Postintervention assessment scores were significantly higher than preintervention scores for the entire population and for all subgroups. The mean number of correct answers was 4.41 on the preintervention assessment and 5.78 on the postintervention assessment (mean gain: 1.37; 95% CI: 1.10–1.65). Similar results were found when analyzing groups of students from each group. Student satisfaction with this teaching activity was high in all groups.
Conclusions
Cinemeducation is a useful tool for teaching about adverse drug reactions and pharmacovigilance processes. Most students were highly satisfied.
Similar content being viewed by others
References
Fritz GK, Poe RO (1979) The role of a cinema seminar in psychiatric education. Am J Psychiatry 136:207–210. https://doi.org/10.1176/ajp.136.2.207
Baños JE, Bosch F (2014) Using feature films as a teaching aid with medical students. Med Teach 37(9):883–884. https://doi.org/10.3109/0142159X.2014.970997
Darbyshire D, Baker P (2012) A systematic review and thematic analysis of cinema in medical education. Med Humanit 38(1):28–33. https://doi.org/10.1136/medhum-2011-010026
Lumlertgul N, Kijpaisalratana N, Pityaratstian N, Wangsaturaka D (2009) Cinemeducation: a pilot student project using movies to help students learn medical professionalism. Med Teach 31(7):e327–e332. https://doi.org/10.1080/01421590802637941
Ber R, Alroy G (2002) Teaching professionalism with the aid of trigger films. Med Teach 24(5):528–531. https://doi.org/10.1080/0142159021000012568
Ber R, Alroy G (2001) Twenty years if experience using trigger films as a teaching tool. Acad Med 76(6):656–658. https://doi.org/10.1080/0142159021000012568
Blasco PG, Monaco CF, de Benedetto MAC, Moreto G, Levites MR (2010) Teaching through movies in a multicultural scenario: overcoming cultural barriers through emotions and reflection. Fam Med 42:22–24
Blasco PG, Moreto G, Roncoletta AFT, Levites MR, Janaudis MA (2006) Using movie clips to foster learners’ reflection: improving education in the affective domain. Fam Med 38:94–96
Blasco PG (2001) Literature and movies for medical students. Fam Med 33(6):426–428
Toye F, Jenkins S, Seers K, Barker K (2015) Exploring the value of qualitative research films in clinical education. BMC Med Educ 15(1):214. https://doi.org/10.1186/s12909-015-0491-2
Gramaglia C, Jona A, Imperatori F, Torre E, Zeppegno P (2013) Cinema in the training of psychiatry residents: focus on helping relationships. BMC Med Educ 13:90. https://doi.org/10.1186/1472-6920-13-90
Sanchez JC, Gutierrez JC, Morales MD (2010) Cinema and theatre as training tools for health students. Fam Med 42:398–399
Weber CM, Silk H (2007) Movies and medicine: an elective using film to reflect on the patient, family, and illness. Fam Med 39:317–319
Alexander M, Hall MN, Pettice YJ (1994) Cinemeducation: an innovative approach to teaching psychosocial medical care. Fam Med 26(7):430–433
Alexander M (2002) The Doctor: a seminal video for cinemeducation. Fam Med 34:92–94
Alexander M, Lenahan P, Pavlov A (2005) Cinemeducation: a comprehensive guide to using film in medical education. Radcliffe Publishing, Oxford
Alexander M (2012) Let’s look at the data: a review of the literature. In: Alexander M, Lenahan P, Pavlov N (eds) Cinemeducation: using films and other visual media in graduate and medical education, vol 2. Radcliffe Publishing, London, pp 3–9
Kuhnigk O, Schreiner J, Reimer J, Emami R, Naber D, Harendza S (2012) Cinemeducation in psychiatry: a seminar in undergraduate medical education combining a movie, lecture, and patient interview. Acad Psychiatry 36(3):205–210. https://doi.org/10.1176/appi.ap.10070106
Gorring H, Loy J, Spring H (2014) Cinemeducation: using film as an educational tool in mental health services. Health Inf Libr J 31(1):84–88. https://doi.org/10.1111/hir.12052
Zeppegno P, Gramaglia C, Feggi A, Lombardi A, Torre E (2015) The effectiveness of a new approach using movies in the training of medical students. Perspect Med Educ 4(5):261–263. https://doi.org/10.1007/s40037-015-0208-6
Wilson AH, Blake BJ, Taylor GA, Hannings G (2013) Cinemeducation: teaching family assessment skills using full-length movies. Public Health Nurs 30(3):239–245. https://doi.org/10.1111/phn.12025
Kassai R (2016) Cinemeducation in GP training. Educ Prim Care 27(3):239–240. https://doi.org/10.1080/14739879.2016.1163515
Ozcakir A, Bilgel N (2014) Educating medical students about the personal meaning of terminal illness using the film, “Wit”. J Palliat Med 17(8):913–917. https://doi.org/10.1089/jpm.2013.0462
Klemenc Ketiš Z, Švab I (2017) Using movies in family medicine teaching: a reference to EURACT Educational Agenda. Zdr Varst 56(2):99–106. https://doi.org/10.1515/sjph-2017-0013
Law M, Kwong W, Friesen F, Veinot P, Ng SL (2015) The current landscape of television and movies in medical education. Perspect Med Educ 4(5):218–224. https://doi.org/10.1007/s40037-015-0205-9
Farré M, Bosch F, Roset PN, Baños JE (2004) Putting clinical pharmacology in context: the use of popular movies. J Clin Pharmacol 44(1):30–36. https://doi.org/10.1177/0091270003260679
European Medicines Agency. Pharmacovigilance: overview. https://www.ema.europa.eu/en/human-regulatory/overview/pharmacovigilance-overview. Accessed 8 November 2019
Cambra Badii I, Francés ML, Farré M, Baños JE (2020) Cinemeducation in clinical pharmacology: the case of pharmacovigilance and adverse drug reactions. Rev Med y Cine. https://revistas.usal.es/index.php/medicina_y_cine/index
Arnal S, Benjo C, Letellier B, Scotta C (2016) (producers). Bercot E (director). ‘La fille de Brest’ [motion picture]. France: Haut et Court and France 2 Cinéma
Sterling M, Leung P, Wright D, Bishop TF (2017) The use of social media in graduate medical education: a systematic review. Acad Med 92(7):1043–1056. https://doi.org/10.1097/ACM.0000000000001617
Fischer J, Geurts J, Valderrabano V, Hugle T (2013) Educational quality of YouTube videos on knee arthrocentesis. J Clin Rheumatol 19:373–376. https://doi.org/10.1097/rhu.0b013e3182a69fb2
Farnan JM, Paro JA, Higa J, Edelson J, Arora VM (2008) The YouTube generation: implications for medical professionalism. Perspect Biol Med 51:517–524. https://doi.org/10.1353/pbm.0.0048
Young JQ, Van Merrienboer J, Durning S, Ten Cate O (2014) Cognitive Load Theory: implications for medical education: AMEE Guide No. 86. Med Teach 36(5):371–384. https://doi.org/10.3109/0142159x.2014.889290
Acknowledgments
We thank Dr. Cristian Tebé and Mr. Pau Satorra for the help with the statistical analyses and all the students who participated in this study.
Author information
Authors and Affiliations
Contributions
I. Cambra-Badii, M.L. Francés, M. Farré, and J.E. Baños designed and wrote the study protocol; F. Blázquez, S. Videla, M. Farré, and E. Montané performed the teaching activity; I. Cambra-Badii, M.L. Francés, and S. Videla managed the data and performed the statistical analysis; and I. Cambra-Badii, S. Videla, M. Farré, and JE. Baños wrote the manuscript. All the authors have read and approved the final manuscript.
Corresponding authors
Ethics declarations
The institutional review board of the hospital affiliated with the two universities approved the protocol for this prospective study. Before starting the teaching activity, we informed potential participants of the background, aims, and procedures of the study, of review board approval, and of their right to decline to participate in or to drop out of the study at any time without fear of consequences. Participants gave their consent to participate in the study by filling out and delivering the questionnaires anonymously. The study was performed according to the principles of the Declaration of Helsinki.
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Cambra-Badii, I., Francés, M., Videla, S. et al. Cinemeducation in clinical pharmacology: using cinema to help students learn about pharmacovigilance and adverse drug reactions. Eur J Clin Pharmacol 76, 1653–1658 (2020). https://doi.org/10.1007/s00228-020-02985-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00228-020-02985-y