Skip to main content
Log in

Use of fictional medical television in health sciences education: a systematic review

  • Review
  • Published:
Advances in Health Sciences Education Aims and scope Submit manuscript

Abstract

While medical television programs are popular among health profession trainees, it is not clear to what extent these programs affect their knowledge, perceptions, and/or behaviors. Therefore, we conducted a systematic review of research evaluating associations between program exposure and outcomes. We conducted systematic literature searches in Pubmed, CINAHL, and PsycINFO. Selected studies were required to be scholarly research, involve exposure to fictionalized medical television programming by health professional students, and assess associations between exposure and outcomes. Studies were classified according to quality and factors related to population, exposure, and outcomes. Of 3541 studies identified, 13 met selection criteria. Six studies involved undergraduate medical students, one involved nursing students, two involved both medical and nursing students, two involved medical residents, one involved medical students, residents and attending physicians, and one involved graduate epidemiology students. Mean study quality according to the MERSQI was 8.27. The most commonly assessed television programs were ER and Grey’s Anatomy (six each). Five studies assessed regular viewing habits, and found that fictional medical programs are popular among students and that students recall health topics from episodes. The eight studies that assessed the association with outcomes when using clips as educational tools reported high satisfaction and increased knowledge of the presented health topics. While relatively few published studies have explored influences of fictional medical television on health professional students, those conducted suggest that students often view these television programs independently and that integration of this programming into medical education is feasible and acceptable.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Aboul-Fotouh, F., & Asghar-Ali, A. A. (2010). Therapy 101: A psychotherapy curriculum for medical students. Academic Psychiatry, 34(4), 248–252.

    Article  Google Scholar 

  • Baer, N. (1996). Cardiopulmonary resuscitation on television: Exaggerations and accusations. New England Journal of Medicine, 334(24), 1604–1605.

    Article  Google Scholar 

  • Brindley, P. G., & Needham, C. (2009). Positioning prior to endotracheal intubation on a television medical drama: Perhaps life mimics art. Resuscitation, 80(5), 604.

    Article  Google Scholar 

  • Carter, B. (2009). Post-mortem: “ER” is remembered fondly. The New York Times. Retrieved July 2, 2015, from http://www.nytimes.com/2009/03/22/arts/television/22cart.html.

  • Cho, H., Wilson, K., & Choi, J. (2011). Perceived realism of television medical dramas and perceptions about physicians. Journal of Media Psychology: Theories, Methods, and Applications, 23(3), 141–148.

    Article  Google Scholar 

  • Czarny, M. J., Faden, R. R., Nolan, M. T., Bodensiek, E., & Sugarman, J. (2008). Medical and nursing students’ television viewing habits: Potential implications for bioethics. The American Journal of Bioethics, 8(12), 1–8.

    Article  Google Scholar 

  • Dahms, K., Sharkova, Y., Heitland, P., Pankuweit, S., & Schaefer, J. R. (2014). Cobalt intoxication diagnosed with the help of Dr House. The Lancet, 383(9916), 574.

    Article  Google Scholar 

  • Dixon, D. (2015). Series premiere of “Code Black” wins its time period in viewers + adults 25–54. Screener TV. Retrieved November 3, 2015, from http://tvbythenumbers.zap2it.com/2015/10/01/series-premiere-of-code-black-wins-its-time-period-in-viewers-adults-25-54/474711/.

  • Jubas, K., & Knutson, P. (2012). Fictions of work-related learning: How a hit television show portrays internship, and how medical students relate to those portrayals. Studies in Continuing Education, 35(2), 224–240.

    Article  Google Scholar 

  • Liberati, A., et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ (Clinical Research Ed.), 339, b2700.

    Article  Google Scholar 

  • Lim, E. C. H., & Seet, R. C. S. (2008). In-house medical education: Redefining tele-education. Teaching and Learning in Medicine, 20(2), 193–195.

    Article  Google Scholar 

  • Maglio, T. (2015). Netflix surpasses 62 million global streaming subscribers in Q1. The Wrap. Retrieved June 15, 2015, from http://www.thewrap.com/netflix-q1-earnings-subscribers-house-of-cards-revenue-earnings-net-income/.

  • McNeilly, D. P., & Wengel, S. P. (2001). The “ER” seminar: Teaching psychotherapeutic techniques to medical students. Academic Psychiatry, 25, 193–200.

    Article  Google Scholar 

  • Moher, D., Liberati. A., Tetzlaff, J., Altman, D., & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. doi:10.1371/journal.pmed.1000097.

  • O’Connor, M. (1998). The role of the telvision drama ER in medical student life: Entertainment or socialization? JAMA, 280(9), 854–855.

    Article  Google Scholar 

  • Ostbye, T., Miller, B., & Keller, H. (1997). Throw that epidemiologist out of the emergency room! Using the television series ER as a vehicle for teaching methodologists about medical issues. Journal of Clinical Epidemiology, 50(10), 1183–1186.

    Article  Google Scholar 

  • Pavlov, A., & Dahlquist, G. E. (2010). Teaching communication and professionalism using a popular medical drama. Family Medicine, 42(1), 25–27.

    Google Scholar 

  • Primetime rules and procedures: Academy of television arts & sciences. (2013). Retrieved December 14. (2014), from http://www.emmys.com/sites/default/files/d6tv/pte13_rulesandproced_rev8.pdf.

  • Quick, B. L. (2009). The effects of viewing Grey’s Anatomy on perceptions of doctors and patient satisfaction. Journal of Broadcasting & Electronic Media, 53(September 2014), 38–55.

  • Reed, D., et al. (2005). Challenges in systematic reviews of educational intervention studies. Annals of Internal Medicine, 142(12 Pt 2), 1080–1089.

    Article  Google Scholar 

  • Reed, D. A., et al. (2007). Association between funding and quality of published medical education research. JAMA, 298(9), 1002.

    Article  Google Scholar 

  • Shevell, A. H., Thomas, A., & Fuks, A. (2014). Teaching professionalism to first year medical students using video clips. Medical Teacher, 37(10), 935–942.

    Article  Google Scholar 

  • Stinson, M. E., & Heischmidt, K. (2012). Patients’ perceptions of physicians: A pilot study of the influence of prime-time fictional medical shows. Health Marketing Quarterly, 29(1), 66–81.

    Article  Google Scholar 

  • Turow, J. (2010). Playing doctor: Television, storytelling, and medical power (2nd ed.). Ann Arbor: University of Michigan Press.

    Book  Google Scholar 

  • van Ommen, M., Daalmans, S., & Weijers, A. (2014). Who is the doctor in this house? Analyzing the moral evaluations of medical students and physicians of House, M.D. AJOB Empirical Bioethics, 5(4), 61–74.

    Article  Google Scholar 

  • Weaver, R., Salamonson, Y., Koch, J., & Jackson, D. (2013). Nursing on television: Student perceptions of television’s role in public image, recruitment and education. Journal of Advanced Nursing, 69(12), 2635–2643.

    Article  Google Scholar 

  • Weaver, R., & Wilson, I. (2011). Australian medical students’ perceptions of professionalism and ethics in medical television programs. BMC Medical Education, 11(1), 50.

    Article  Google Scholar 

  • Weaver, R., Wilson, I., & Langendyk, V. (2014). Medical professionalism on television: Student perceptions and pedagogical implications. Health: An Interdisciplinary Journal for the Social Study of Health Illness and Medicine, 18, 597–612.

    Article  Google Scholar 

  • Williams, D. J., Re, D., & Ozakinci, G. (2013). Television viewing habits of preclinical UK medical undergraduates: Further potential implications for bioethics. AJOB Empirical Bioethics, 5(2), 55–67.

    Article  Google Scholar 

  • Wong, R. Y., Saber, S. S., Ma, I., & Roberts, J. M. (2009). Using television shows to teach communication skills in internal medicine residency. BMC Medical Education, 9, 9.

    Article  Google Scholar 

Download references

Funding

This work was funded in part by a pilot research grant from the Center for Research on Media, Technology, and Health at the University of Pittsburgh.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brian A. Primack.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest to report.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 53 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hoffman, B.L., Hoffman, R., Wessel, C.B. et al. Use of fictional medical television in health sciences education: a systematic review. Adv in Health Sci Educ 23, 201–216 (2018). https://doi.org/10.1007/s10459-017-9754-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10459-017-9754-5

Keywords

Navigation