‘Pushed into humanity’: can learning about storytelling make better doctors?

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narr gNarrative medicine encourages doctors to engage more deeply with patients by listening to their stories
The Melbourne general practitioner Mariam Tokhi knows exactly what her friend and colleague the senior paediatric emergency physician Fiona Reilly means when she speaks of her “back pocket full of ghosts”.
Reilly is talking about those haunting memories all medical doctors harbour about their interactions with patients who are sometimes labelled “difficult” or for whom things didn’t go as they should or could have. Some survived, perhaps even flourished. Others died. Read more →

Narrative Medicine Writing Saved My Sanity

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nmStorytelling saved my sanity during the coronavirus pandemic. The lockdown afforded me time to write and share stories about my life and career. I wasn’t writing my memoir as much as I was engaged in the practice of narrative medicine writing — stories about the meaning of illness and opportunities to reflect on the vastness and depth of human experience in the healthcare setting. After I began telling my stories, I discovered the field of narrative medicine has been around since the turn of the century. Read more →

Tell Your Patient Story: Michael Vitez video interview

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vitezBeing a patient makes you the lead character in your health journey. If you have a rare or serious condition, your story might have started decades ago or maybe you’re coping with a brand-new diagnosis. Either way, you have something to say about your lived experience.  That’s why we asked Pulitzer-Prize winning journalist Michael Vitez to record this short video that walks you through a seven-minute writing exercise. It’s a no-pressure way to see what happens when you put pen to paper or your fingers to the keyboard.

As a journalist, Vitez spent a lot of time at the bedside, writing about people who were seriously ill. He then went on to create the Narrative Medicine program at the Lewis Katz School of Medicine at Temple University in Philadelphia. Today, he helps doctors in training appreciate the human side of medicine and celebrate stories as an essential element in the doctor-patient relationship.

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The mission of Erika Nelson

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nelson-2bNarrative medicine, which encourages patients and families to share stories about their experience with illness or death, may seem like an unlikely path for someone whose career has focused mostly on German language and literature. Erika Nelson, associate professor of German Studies, came to the field from her own life experience: the loss of her late husband, Neil, in 2019, after a nine-year battle with cancer.

“Talking about death and dying teaches us what life is,” said Nelson, who also directs the Gender, Sexuality and Women’s Studies program. “Even with my husband’s passing, there were so many beautiful things. I had the great fortune to care for someone else and really fight for their life. And I learned so much about grief … as the world went into mourning for COVID, I was there too.”

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Narrative medicine, narrative practice, and the creation of meaning

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The-LancetMedical interest in the study of narratives, whether those of patients or doctors, goes back a long way. However, the field of narrative medicine emerged in the late 20th century and is associated in many people’s minds with two seminal texts. One was Narrative Based Medicine: Dialogue and Discourse in Clinical Practice, a collection of essays edited by two British academic general practitioners, Trisha Greenhalgh and Brian Hurwitz. The other was Narrative Medicine: Honoring the Stories of Illness by the US physician and literary scholar Rita Charon. In the years since then, the field has diversified considerably, but there is a consensus among its teachers and practitioners that narrative is central to medicine, requiring attunement to narratives told by patients and clinicians and competence in engaging with them. Read more →