Narrative medicine: Re-engaging and re-energizing ourselves through story

2020 ◽  
Vol 55 (5) ◽  
pp. 321-330
Author(s):  
Andre F Lijoi ◽  
Ana D Tovar
Keyword(s):  
Family Medicine ◽  
Health Professionals ◽  
Professional Growth ◽  
Behavioral Science ◽  
Narrative Medicine ◽  
Interdisciplinary Teams ◽  
Allied Health Professionals ◽  
Arts And Humanities ◽  
The Arts ◽  
Original Motivation

Physicians and other allied health professionals have many distractions from their work and from original motivations to become health caring professionals. Activities that detract from making meaningful connection with patients result in high levels of work dissatisfaction and burnout even at early stages of career or training. Narrative Medicine provides an antidote to these influences. It is an experiential discipline that draws on the Arts and Humanities, connects health professionals to their original motivation to care, cultivates the ability to engage patients and stimulates professional growth. When practiced with interdisciplinary teams, commonalities and mutual purpose are highlighted, promoting group cohesion and appreciation. The practice of this discipline and development of narrative competence relates closely to the advancement along numerous milestones, particularly Patient Care, Interpersonal and Communication Skills, and Professionalism. This article describes an experiential and didactic workshop presented at the 2019 Forum for Behavioral Science in Family Medicine which outlined a Narrative Medicine curriculum as taught at a community hospital Family Medicine residency. The curriculum is aimed at promoting residents’ professional development, personal wellbeing, and capacity to engage patients.

Using cancer patient stories to “power” communication modules.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. TPS9147-TPS9147
Author(s):  
Forrest Lang ◽  
Joseph Sobol
Keyword(s):  
Family Medicine ◽  
Lived Experience ◽  
Medical Oncology ◽  
Religion And Spirituality ◽  
Cancer Communication ◽  
Arts And Humanities ◽  
Patient Interviews ◽  
The Arts ◽  
Post Test ◽  
Module Development

TPS9147 Background: Caring for patients with cancer poses great challenges to doctors’ communication skills. This project, funded by NIH-NCI, represents an innovative collaboration between ETSU faculty in medical oncology, family medicine, and storytelling. The team secures patients’ and caregivers’ cooperation in recording stories of their journeys with illness. These are the focus of a set of cancer communication modules, to be offered as educational experiences for medical students, residents, and oncology fellows. The modules in development address 1) breaking bad news, 2) living through treatment, 3) transitioning from curative to palliative care, 4) communicating with family, and 5) sensitivity to issues of religion and spirituality. Methods: A collaborative inter-professional team developed an interview protocol to facilitate sharing of cancer-themed narratives. Video records are transcribed and coded using N-Vivo 8. The rating team meets to identify video clips that speak powerfully to positive, negative, or ambivalent aspects of cancer communication. Selected patients are brought together into “story circles,” where additional narratives are gathered. The module development team uses these stories to create empathic involvement in viewers, and to sensitize them to effective and ineffective communication strategies and challenges surrounding critical moments in patients’ lived experience of cancer. Modules effectiveness is tested with 1) Family Medicine and Internal Medicine residents, 2) medical oncology fellows and 3) multi-professionals health students just completing a communication courses. Assessment includes a pre-test and post-test OSCE addressing a number of the challenging cancer communication moments. Eighty-four of a projected 100 patient interviews and twelve physician//faculty interviews have been recorded, and all have agreed to the use of their interview materials. Representative examples of recorded cancer stories will be presented to demonstrate their evocative and pedagogical value. Opportunities will be discussed for further uses of these and similar stories in collaborations between medicine and the arts and humanities.

Triage and resource allocation during crisis medical surge conditions (pandemics and mass casualty situations)

2020 ◽  
Vol 7 (1) ◽  
pp. 45-55
Author(s):  
Paul Hoehner ◽  
David H. Beyda ◽  
William P. Cheshire ◽  
Robert E. Cranston ◽  
John T. Dunlop ◽  
...  
Keyword(s):  
Resource Allocation ◽  
Medical Association ◽  
Health Professionals ◽  
Task Force ◽  
Position Statement ◽  
Mass Casualty ◽  
Medical Conditions ◽  
Direct Response ◽  
Allied Health Professionals ◽  
A Current

The Christian Medical and Dental Associations (CMDA) was founded in 1931 and is made up of the Christian Medical Association (CMA) and the Christian Dental Association (CDA). CMDA has a current membership of over 19,000 physicians, dentists, and other allied health professionals. During and in direct response to the pressing urgencies of the COVID-19 universal pandemic of 2020 the President of CMDA commissioned a special task force to provide current and future Christian reflection and guidance on triage and resource allocation policies during pandemics and other forms of crisis surge medical conditions (e.g., mass casualty situations). This is a condensed version of the CMDA special task force position statement. 

Chinese university faculty members' visiting experience and professional growth in American universities

2020 ◽  
Vol 48 (5) ◽  
pp. 1-13
Author(s):  
Jie Hu ◽  
Kezheng Chen ◽  
Dongfang Liu
Keyword(s):  
Professional Growth ◽  
The United States ◽  
Academic Community ◽  
Faculty Members ◽  
University Faculty ◽  
Academic Experience ◽  
American Universities ◽  
Chinese University ◽  
The Arts ◽  
Visiting Scholars

We empirically investigated Chinese university faculty members' visiting experience and professional growth in American universities. The major data source was qualitative semistructured interviews with 30 Chinese faculty members in the arts, engineering, natural sciences, and social sciences disciplines. The results showed that, despite challenges in preparation, language, and different academic cultures, Chinese visiting scholars were capable of navigating their host programs and achieving professional growth as they moved from peripheral to central participation in their academic community. We also critically discussed how Chinese visiting scholars' academic experience in the United States can be improved, and cast light on the globalization of higher education.

“Tradition,” Vernacularism, and Learning to Be a Folk Musician With Social Media

2020 ◽  
pp. 442-466
Author(s):  
Simon Keegan-Phipps ◽  
Lucy Wright
Keyword(s):  
Social Media ◽  
Digital Media ◽  
Case Studies ◽  
Folk Music ◽  
Learning Mechanisms ◽  
Media Technologies ◽  
Arts And Humanities ◽  
The Arts ◽  
The Social ◽  
Social Shaping

This chapter considers the role of social media (broadly conceived) in the learning experiences of folk musicians in the Anglophone West. The chapter draws on the findings of the Digital Folk project, funded by the Arts and Humanities Research Council (UK), and begins by summarizing and problematizing the nature of learning as a concept in the folk music context. It briefly explicates the instructive, appropriative, and locative impacts of digital media for folk music learning before exploring in detail two case studies of folk-oriented social media: (1) the phenomenon of abc notation as a transmissive media and (2) the Mudcat Café website as an example of the folk-oriented discussion forum. These case studies are shown to exemplify and illuminate the constructs of traditional transmission and vernacularism as significant influences on the social shaping and deployment of folk-related media technologies. The chapter concludes by reflecting on the need to understand the musical learning process as a culturally performative act and to recognize online learning mechanisms as sites for the (re)negotiation of musical, cultural, local, and personal identities.

scholarly journals Older and Wiser? The Need to Reexamine the Impact of Health Professionals Age and Experience on Competency-Based Practices

2021 ◽  
Vol 7 ◽  
pp. 237796082110290
Author(s):  
Jing Xu ◽  
Kristen Hicks-Roof ◽  
Chloe E. Bailey ◽  
Hanadi Y. Hamadi
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Healthcare Services ◽  
Interdisciplinary Teams ◽  
Evidence Based ◽  
Health Providers ◽  
Cross Sectional ◽  
The Impact

Introduction Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine’s (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. Objective The purpose of the study was to examine the factors that influence health professional’s likelihood of accomplishing the IOM core competencies. Methods A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. Results The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. Conclusion There is a need to understand how health professionals’ age and experience impact their engagement with IOM’s core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers’ age and experience.

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