Abstract:Objective
To explore the role of narrative medicine-based education in standardized empathy training for residents.
Methods
Among the 2018–2020 residents at the First Affiliated Hospital of Xinxiang Medical University, 230 receiving neurology training were enrolled in this study and randomly divided into study and control groups. The study group received narrative medicine-based education and standardized routine resident training. The Jefferson Sc… Show more
Background
Patients’ stories provide Palliative Care physicians with a glimpse into the former’s lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients’ stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care. Amidst a dearth of accounts in Palliative Care, we map current use of patient stories to guide the training, assessment, and oversight of this ‘care influencing’ practice in medicine.
Methods
This systematic scoping review was guided by the Systematic Evidence-Based Approach (SEBA) to ensure a reproducible and structured approach. The themes and categories identified through the Split Approach’s concurrent and independent thematic and directed content analyses provided a comprehensive sketch of the included articles. The Jigsaw Perspective combined the themes and categories identified. The last stage of SEBA compared these results with two recent reviews of storytelling to ensure consistency of the domains created that guided the discussion.
Results
Ten thousand two hundred seven articles were reviewed, 963 full text articles were evaluated, and 199 articles were included. The four domains identified were study characteristics, benefits, approaches, and positive effects and concerns.
Conclusion
Stories support patient-centered, personalized, and holistic clinical care. However, variability in the stories, their interpretations and use in care decisions underscore the need for further study on the structuring, teaching, assessing, and delivery of this ‘care influencing’ practice.
Background
Patients’ stories provide Palliative Care physicians with a glimpse into the former’s lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients’ stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care. Amidst a dearth of accounts in Palliative Care, we map current use of patient stories to guide the training, assessment, and oversight of this ‘care influencing’ practice in medicine.
Methods
This systematic scoping review was guided by the Systematic Evidence-Based Approach (SEBA) to ensure a reproducible and structured approach. The themes and categories identified through the Split Approach’s concurrent and independent thematic and directed content analyses provided a comprehensive sketch of the included articles. The Jigsaw Perspective combined the themes and categories identified. The last stage of SEBA compared these results with two recent reviews of storytelling to ensure consistency of the domains created that guided the discussion.
Results
Ten thousand two hundred seven articles were reviewed, 963 full text articles were evaluated, and 199 articles were included. The four domains identified were study characteristics, benefits, approaches, and positive effects and concerns.
Conclusion
Stories support patient-centered, personalized, and holistic clinical care. However, variability in the stories, their interpretations and use in care decisions underscore the need for further study on the structuring, teaching, assessing, and delivery of this ‘care influencing’ practice.
“…Narrative medicine education has developed significantly in China. Students were required to complete a parallel medical record and read and discuss the content in class (Zhao et al, 2023).…”
Section: Contents Of Narrative Medicine Educationmentioning
To determine how to develop a narrative medicine module specifically for Chinese medical students, this article conducts a literature review on the subject. The assessment thoroughly examines various components of narrative medicine education, including objectives, content, pedagogies, and assessment. Additionally, it scrutinizes the present state of development in this field and the results obtained from previous initiatives in narrative medicine education. The aim is to offer valuable perspectives for the advancement of narrative medicine modules, investigate novel approaches in narrative medicine education, and potentially foster further investigation in the field of narrative medicine education. The development of the narrative medicine module should preferably consider long-term projects. The assessment should be diversified, avoiding singular assessment of narrative competence. Furthermore, module development should take into account social and cultural backgrounds. Meanwhile, recommendations are provided for the future research direction of narrative medicine education, including expanding the research scope, enhancing faculty training and institutional support for narrative medicine education, and accelerating the construction of the narrative medicine discipline.
“…8,26 Narrative medicine can promote self-reflection. 16,45 The arts teach creative means of expression, understanding of different perspectives, an awareness of knowledge and emotions throughout the human experience, and the shaping and sharing of perceptions through artistic creation and practices in the expressive world, all skills valuable in a pre-or postpandemic world. 33 While not a means to an end, the arts and humanities do complement the reductionist tendencies of organ-based system education, details of pharmacology and pathophysiology, and rote memorization of tomes of knowledge.…”
Section: Impact On Practical Skillsmentioning
confidence: 99%
“… 8 , 26 Narrative medicine can promote self-reflection. 16 , 45 The arts teach creative means of expression, understanding of different perspectives, an awareness of knowledge and emotions throughout the human experience, and the shaping and sharing of perceptions through artistic creation and practices in the expressive world, all skills valuable in a pre- or post-pandemic world. 33 …”
Section: Impact On Practical Skillsmentioning
confidence: 99%
“…Beyond their intuitive appeal, many advocate that the medical humanities impact personal development and professional identity formation. 26 , 34 , 38 , 45 , 46 Students explore the doctor–patient relationship, are called to question their biases and pre-existing beliefs and examine ethical dilemmas where their personal beliefs may collide with professional expectations. They wrestle with what it means to be a doctor in this present moment and are often forced to articulate their struggles and concerns, prerequisites for becoming a professional.…”
The medical humanities, an umbrella term for the fields of ethics, social science, and fine arts, are increasingly recognized as an important component of medical education. Since the Flexner report, the primacy of science and evidence-based medicine has replaced subjectivity and nuance. While this has been critical for standardization of care and patient safety, an exclusive emphasis on science in undergraduate medical education can devalue more humanistic pursuits. Modern medicine is now plagued with burnout, pandemics, and societal ills that permeate into medicine. Addressing these requires a thoughtful, holistic approach where we extend our sights beyond strict evidence-based medicine.
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