214:, a Pulitzer Prize-winning journalist, and Naomi Rosenberg, an Emergency Medicine physician. The program's goal is to protect, support, and nourish the humanism that brings physicians into the profession, and to teach the skills of narrative that help at the bedside and beyond. The program has curricular and extracurricular components. Reflective writing forms a significant component of the Professional Identity Formation thread in the MD curriculum. Electives in medical humanities range from exploration of narrative medicine to photo storytelling to improvisational acting. Students also conceive and complete individual or group projects for elective credit under the guidance of the faculty. Extracurricular activities include a wide array of writing and narrative medicine workshops—some led by students—for students, residents, and hospital staff. "Narrative Medicine Talks" is a regular speaker series, and the program hosts fall and spring Story Slams for the Lewis Katz School of Medicine and Temple Hospital Community. On December 7, 2019, LKSOM hosted its inaugural Narrative Medicine Conference.
62:, which set out to redefine medical educational practices. The report argues that the goal of medicine is "an attempt to fight the battle against disease most advantageously to the patient." Flexner wrote that "the practitioner deals with facts of two categories. Chemistry, physics, biology enable him to apprehend one set; he needs a different apperceptive and appreciative apparatus to deal with other more subtle elements. Specific preparation is in this direction much more difficult; one must rely for the requisite insight and sympathy on a varied and enlarging cultural experience." In the late 20th century, narrative medicine came to emphasize an aspect of wider cultural elements in medicine.
44:
81:, argued that medical practice should be structured around the narratives of patients. In 2000, Rita Charon first used the term 'Narrative Medicine' to describe a method of using what she calls "narrative competence," which is "the capacity to recognize, absorb, metabolize, interpret, and be moved by stories of illness."
39:
in clinical practice, research, and education to promote healing. Beyond attempts to reach accurate diagnoses, it aims to address the relational and psychological dimensions that occur in tandem with physical illness. Narrative medicine aims not only to validate the experience of the patient, it also
101:
is a technique in teaching literature wherein the formal aspects of a text are studied. Students are directed to the read a text "for its information, ambiguity, complexity, texture, and mood as well as for its plot." These methods can be adapted to film, art, and music in the form of 'slow looking'
249:
created the
Narrative Medicine Initiative (NMI) and has incorporated narrative medicine into its undergraduate, postgraduate, and continuing medical education departments. They work to answer questions such as "How does the art of storytelling improve health care education and the experience of
227:
Humanities
Institute supports the multidisciplinary initiative of narrative medicine. The program runs concurrently with their other undergraduate and graduate programs, where students "strive to develop narrative competence that enables them to deliver care that is not only more empathetic and
89:
The teaching of narrative medicine involves close reading of texts, writing assignments of personal reflection about the text, and discussion of the personal reflections. With the development of 'narrative competence' comes greater understanding and empathy that facilitate the patient and
35:(picturesque, emotional, and symbolic ways of speaking), and that becoming conversant with the elements of literature facilitates understanding the stories that patients bring. Narrative Medicine is a diagnostic and comprehensive approach that utilizes patients'
250:
patient care?" Western holds regular (at least annual) narrative medicine rounds during which local patients and physicians share their stories of disease and illness, with a focus on how the stories will improve physician's ability to handle future stories.
256:
has established the Thomas Wolfe Center for
Narrative, with the slogan "Heeding the call for narrative in a fragmented world." The program offers graduate-level and certification courses in several narrative training disciplines, one of which is narrative
143:
A broader field is the use of narrative in general in helping doctors and patients deepen understanding of the ways of relating to illness and healing. In the 1990s and early 21st century, this approach is exemplified by the
American physician
126:
The term 'Narrative
Medicine' refers to training in interpreting literature and applying that skill to understanding the accounts of patients. Associated fields also use 'Narrative-based Medicine', a main proponent of which is the English
22:
is the discipline of applying the skills used in analyzing literature to interviewing patients. The premise of narrative medicine is that how a patient speaks about his or her illness or complaint is analogous to how literature offers a
220:
created a program in
Narrative Medicine within its Department of Family and Social Medicine. Residents learn how to use personal narrative to enhance empathy, as well addressing stress, loss, and balance.
263:
takes a broad approach to narrative medicine through its mind-body medicine program, which follows the mind-body approach to health and wellness as a way to improve quality of life for patients.
110:
Following a close reading of a text, students write about their personal encounter with the text, which "unleashes the curiosity and imagination of the writer."
189:
Columbia
University created the "Master of Science in Narrative Medicine" program in 2009, making it the first graduate program devoted to narrative medicine.
1252:
Charon, Rita; DasGupta, Sayantani; Hermann, Nellie; Irvine, Craig; Marcus, Eric R.; Colsn, Edgar Rivera; Spencer, Danielle; Spiegel, Maura (2016).
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collaborates with all clinical programs at the medical center, in addition to leading the
Interprofessional Education programming.
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291:(Institute of Management Studies) offers a Master in Applied Narrative Medicine that is designed for health care professionals
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979:"Narrative Medicine Department of Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine"
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Two first year medical students at Lewis Katz School of
Medicine writing/journaling about their experiences in the hospital.
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1673:- community of narrative medicine, medical humanities, and health humanities practitioners in the U.S. Pacific Northwest
494:
Medical
Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching
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195:
In 2016, the first textbook in narrative medicine was published: "The Principles and Practice of Narrative Medicine."
1099:
853:
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232:
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The division hosts events and trainings, including "monthly rounds and weekend intensive workshops" for the public.
765:"Close Reading and Creative Writing in Clinical Education: Teaching Attention, Representation, and Affiliation"
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The British Medical Journal began writing seminars to promote this type of narrative among emerging physicians.
239:
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135:, wherein patients are invited to expand on and explore new directions in the accounts of their illnesses.
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500:, Bulletin No. 4., New York City: The Carnegie Foundation for the Advancement of Teaching, pp. 23–26,
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physician John Launer, who holds a degree in English literature. His approach comes from an orientation of
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College of Medicine has created an Integrative Medicine Program within the Department of Family Medicine.
525:
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978:
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requires a course in narrative medicine for all students in its Medical and Health Humanities major.
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1028:"Integrative Medicine Program | Department of Family Medicine | University of California, Irvine"
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253:
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630:
118:
In turn, Narrative Medicine teachers apply "close reading" to the students' reflective writing.
1003:
635:
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Languages of Care in Narrative Medicine: Words, Space and Time in the Healthcare Ecosystem
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8:
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Narrative Medicine: Bridging the Gap between Evidence-Based Care and Medical Humanities
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A number of schools in the United States offer advanced classes in narrative medicine.
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631:"Stories in Medicine: Doctors-in-Training Record a Different Type of Patient History"
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149:
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In 2017, an asynchronous online "Certification program in Narrative Medicine" began.
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1076:"Stories of Illness and Health - Public Humanities at Western - Western University"
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28:
24:
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Narrative-Based Practice in Health and Social Care: Conversations Inviting Change
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Healing the Mind through the Power of Story: The Promise of Narrative Psychiatry
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narrative medicine is a required course for all undergraduate medical students.
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392:"This doctor is taking aim at our broken medical system, one story at a time"
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In 1910, the Carnegie Foundation for the Advancement of Teaching created the
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541:"Narrative medicine: A model for empathy, reflection, profession, and trust"
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The growing field of narrative medicine extends beyond the United States:
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Narrative Medicine: The Use of History and Story in the Healing Process
167:
has developed educational programs in the field of narrative medicine.
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1556:
Rasmussen, Anders Juhl; Mai, Anne-Marie; Hansen, Helle Ploug (2022).
659:"Narrative medicine as a medical education tool: a systematic review"
322:
74:
36:
657:
Milota, M. M.; Van Thiel, G. J. M. W.; Van Delden, J. J. M. (2019).
32:
1373:
The Illness Narratives: Suffering, Healing and the Human Condition
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526:"Rachel Naomi Remen — the Difference Between Fixing and Healing"
1677:
English language articles at Italian Narrative Medicine website
420:"Role of narrative-based medicine in proper patient assessment"
1346:
Doctors' Stories: The Narrative Structure of Medical Knowledge
1612:"Narrative-based medicine: potential, pitfalls, and practice"
983:
Montefiore Medical Center/Albert Einstein College of Medicine
288:
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1585:
Storytelling in Medicine: How Narrative can Improve Practice
40:
encourages creativity and self-reflection in the physician.
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Narrative Medicine in Education, Practice and Interventions
1251:
1681:
1147:"Medical and Health Humanities at Misericordia University"
954:"Lewis Katz School of Medicine Narrative Medicine Program"
656:
240:
University of Southern California Keck School of Medicine
242:
began a Master of Science program in Narrative Medicine.
1052:"Narrative medicine seeks the story behind the illness"
1682:
Website of Dr. John Launer (Narrative-based Medicine)
545:
JAMA: The Journal of the American Medical Association
1609:
1227:
Narrative Medicine: Honoring the Stories of Illness
762:
1555:
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1254:The Principles and Practice of Narrative Medicine
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490:
763:Charon, R.; Hermann, N.; Devlin, M. J. (2016).
210:launched a Narrative Medicine Program run by
1528:
1494:
1100:"Creative Writing, MFA Program Requirements"
31:(the patient and others) and is filled with
854:"Narrative Medicine Heals Bodies and Souls"
1671:Northwest Narrative Medicine Collaborative
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121:
51:
27:(an interconnected series of events) with
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829:
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175:Columbia University Irving Medical Center
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1195:"Master in Medicina Narrativa Applicata"
929:"Columbia University Narrative Medicine"
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538:
468:"Narrative Medicine | NYU School of Law"
228:compassionate, but also more effective."
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42:
1661:Intima: A Journal of Narrative Medicine
155:
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1151:www.misericordia.edu/medicalhumanities
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389:
173:The Division of Narrative Medicine at
628:
417:
362:Thernstrom, Melanie (18 April 2004).
1610:Kalitzkus V, Matthiessen PF (2009).
1308:
879:Greenhalgh, T.; Hurwitz, B. (1999).
1560:. First Hill Books (Anthem Press).
1344:Hunter, Kathryn Montgomery (1991).
814:"What is narrative-based medicine?"
65:From the 1990s, physicians such as
13:
1214:
14:
1718:
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629:Adler, Margot (28 October 2003).
287:In Italy, the Healthcare Area of
1104:IR Creative Writing, MFA Program
1282:; Hurwitz, Brian, eds. (1998).
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233:University of California Irvine
1583:Robertson, Colin, ed. (2016).
1348:. Princeton University Press.
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484:
460:
411:
390:Samuel, Sigal (5 March 2020).
383:
355:
282:University of Southern Denmark
84:
1:
1666:Columbia | Narrative Medicine
1460:Marini, Maria Giulia (2019).
1425:Marini, Maria Giulia (2016).
958:Lewis Katz School of Medicine
676:10.1080/0142159X.2019.1584274
349:
208:Lewis Katz School of Medicine
1529:Mehl-Madrona, Lewis (2010).
1313:(2nd ed.). De Gruyter.
1008:OSE Humanities Collaboratory
781:10.1097/ACM.0000000000000827
171:Interprofessional Education:
90:clinician working together.
7:
1402:(2nd ed.). Routledge.
1256:. Oxford University Press.
1229:. Oxford University Press.
1127:Saybrook University catalog
1124:"Mind-Body Medicine, Ph.D."
369:The New York Times Magazine
295:
10:
1723:
1371:Kleinman, Arthur (2020) .
739:"What is close listening?"
148:and the British physician
1470:10.1007/978-3-319-94727-3
1435:10.1007/978-3-319-22090-1
818:Canadian Family Physician
714:"A guide to slow looking"
594:Canadian Family Physician
590:"What to Do with Stories"
491:Flexner, Abraham (1910),
436:10.1007/s00520-017-3637-4
424:Supportive Care in Cancer
218:Montefiore Medical Center
1284:Narrative Based Medicine
558:10.1001/jama.286.15.1897
1311:Handbook of Narratology
897:10.1136/bmj.318.7175.48
885:British Medical Journal
539:Charon R (2001-10-17).
267:Misericordia University
254:Lenoir-Rhyne University
122:Allied use of narrative
102:and 'close listening.'
52:History and development
1533:. Bear & Company.
881:"Why study narrative?"
199:Certification Program:
48:
1398:Launer, John (2018).
1319:10.1515/9783110316469
1032:www.familymed.uci.edu
812:Zaharias, G. (2018).
636:National Public Radio
225:Ohio State University
181:Rounds and Workshops:
139:Narrative in Medicine
46:
1309:HĂĽhn, Peter (2014).
1171:"Narrative Medicine"
1004:"Narrative Medicine"
156:Educational programs
1702:Medical terminology
1496:Mehl-Madrona, Lewis
933:Columbia University
743:The Open University
588:Charon, R. (2007).
313:Narrative criticism
261:Saybrook University
165:Columbia University
73:, who also holds a
1697:Medical humanities
1628:10.7812/TPP/09.996
1504:Bear & Company
1280:Greenhalgh, Trisha
1199:Medicina Narrativa
418:Rosti, G. (2017).
364:"The Writing Cure"
343:Reflective writing
303:Medical humanities
247:Western University
187:Master of Science:
146:Lewis Mehl-Madrona
79:English literature
67:Rachel Naomi Remen
49:
20:Narrative medicine
1707:Medical education
1594:978-1-315-35001-1
1567:978-1-83998-818-9
1540:978-1-282-91348-6
1513:978-1-59143-065-0
1479:978-3-319-94727-3
1444:978-3-319-22090-1
1409:978-1-351-86411-4
1382:978-1-5416-4712-1
1328:978-3-11-031646-9
1293:978-0-7279-1223-7
1263:978-0-19-936020-8
1236:978-0-19-975985-9
769:Academic Medicine
551:(15): 1897–1902.
333:Health humanities
150:Trisha Greenhalgh
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860:. 18 August 2009
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308:Graphic medicine
129:General Practice
106:Creative Writing
16:Medical approach
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1375:. Basic Books.
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1215:Further reading
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