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Medical Humanities

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30 papers 25 to 100 followers
By Ronald Lands Benign hematologist
Stephen McAndrew
Robert Veatch and others have questioned whether there are internal moral rules of medicine. This paper examines the legal regulatory model for governing professions as the autonomous exercise of professional skills and asks whether there is a theoretical basis for this model. Taking John Rawls's distinction between the justification of a practice and justification of the rules internal to the practice, this paper argues that the autonomous exercise of professional skills is justified so long as it benefits society...
March 2019: Journal of Medical Ethics
Reidar P Lystad, Benjamin T Brown
BACKGROUND: Game of Thrones is a popular television series known for its violent and graphic portrayal of the deaths of its characters. This study aimed to examine the mortality and survival of important characters in Game of Thrones. METHODS: Important characters appearing in Seasons 1 to 7 of Game of Thrones were included, and data on sociodemographic factors, time to death, and circumstances of death were recorded. Kaplan-Meier survival analysis with Cox proportional hazard regression modelling were used to quantify survival times and probabilities and to identify independent predictors of mortality, respectively...
December 10, 2018: Injury Epidemiology
Tiffany Wesley, Diana Hamer, George Karam
INTRODUCTION: Narrative medicine develops professional and communication skills that align with Accreditation Council for Graduate Medical Education competencies. However, little is known about a narrative medicine curriculum's impact on physicians in training during residency. Implementing a narrative medicine curriculum during residency can be challenging because of time constraints and limited opportunity for nonclinical education. METHODS: Six sessions were implemented throughout one academic year to expose first-year internal medicine residents (interns) to narrative medicine...
April 18, 2018: Permanente Journal
Po-Jui Chen, Chien-Da Huang, San-Jou Yeh
BACKGROUND: The cultivation of empathy for healthcare providers is an important issue in medical education. Narrative medicine (NM) has been shown to foster empathy. To our knowledge, there has been no research that examines whether a NM programme affects multi-professional healthcare providers' empathy. Our study aims to fill this gap by investigating whether a NM programme effects multi-professional healthcare providers' empathy. METHODS: A pre-post questionnaire method was used...
July 5, 2017: BMC Medical Education
Barry Lyons, Luna Dolezal
No abstract text is available yet for this article.
December 2017: Medical Humanities
David J Elpern
No abstract text is available yet for this article.
January 2002: Archives of Dermatology
Philip G Bochanski
THE HIPPOCRATIC OATH TRADITIONALLY ESTABLISHES MEDICINE AS A PROFESSION: A career, or vocation based on the professing of an oath regarding personal and public behavior. For Catholic physicians, the commitments of the Oath of Hippocrates take on new meaning when seen in light of the promises made at Baptism and renewed every Easter. This paper, originally an address to medical students, considers the role of Catholic physicians as evangelizers, those who spread the message and values of the Gospel of Jesus Christ...
February 2014: Linacre Quarterly
Patrycja Rzepka-Wrona
I am a young doctor who graduated from the Medical University of Silesia in 2014. After 13 months of postgraduate training, passing a state examination and successful completion of the admission process I made a decision to specialise in Respiratory Medicine. I started working in a large clinical hospital that provides junior doctors with excellent opportunities for training and career development. The respiratory unit is highly specialised and deals with sleep-related medical problems, interstitial lung diseases and respiratory failure, which may be treated using noninvasive mechanical ventilation...
September 2016: Breathe
Abraham Verghese
No abstract text is available yet for this article.
May 5, 2005: New England Journal of Medicine
Nicole J Borges, R Stephen Manuel, Ryan D Duffy
The construct of calling has recently been applied to the vocation of medicine. We explored whether medical students endorse the presence of a calling or a search for a calling and how calling related to initial speciality interest. 574 first-year medical students (84 % response rate) were administered the Brief Calling Survey and indicated their speciality interest. For presence of a calling, the median response was mostly true for: 'I have a calling to a particular kind of work' and moderately true for: 'I have a good understanding of my calling as it applies to my career'...
February 2013: Perspectives on Medical Education
Dalane W Kitzman
No abstract text is available yet for this article.
June 2017: Journal of the American Geriatrics Society
Linda M Hunt, Hannah S Bell, Allison M Baker, Heather A Howard
With rapid consolidation of American medicine into large-scale corporations, corporate strategies are coming to the forefront in health care delivery, requiring a dramatic increase in the amount and detail of documentation, implemented through use of electronic health records (EHRs). EHRs are structured to prioritize the interests of a myriad of political and corporate stakeholders, resulting in a complex, multi-layered, and cumbersome health records system, largely not directly relevant to clinical care. Drawing on observations conducted in outpatient specialty clinics, we consider how EHRs prioritize institutional needs manifested as a long list of requisites that must be documented with each consultation...
September 2017: Medical Anthropology Quarterly
Miguel Kottow
Phenomenology in medicine's main contribution is to present a first-person narrative of illness, in an effort to aid medicine in reaching an accurate disease diagnosis and establishing a personal relationship with patients whose lived experience changes dramatically when severe disease and disabling condition is confirmed. Once disease is diagnosed, the lived experience of illness is reconstructed into a living-with-disease narrative that medicine's biological approach has widely neglected. Key concepts like health, sickness, illness, disease and the clinical encounter are being diversely and ambiguously used, leading to distortions in socio-medical practices such as medicalization, pharmaceuticalization, emphasis on surveillance medicine...
September 2017: Medicine, Health Care, and Philosophy
Shane Neilson
Like many other disciplines, medicine often resorts to metaphor in order to explain complicated concepts that are imperfectly understood. But what happens when medicine's metaphors close off thinking, restricting interpretations and opinions to those of the negative kind? This paper considers the deleterious effects of destructive metaphors that cluster around pain. First, the metaphoric basis of all knowledge is introduced. Next, a particular subset of medical metaphors in the domain of neurology (doors/keys/wires) are shown to encourage mechanistic thinking...
March 2016: Medical Humanities
David J Hellerstein
"The City of the Hospital" is a creative nonfiction writing workshop for medical students, which the author has conducted annually since 2002. Part of the required preclinical Narrative Medicine curriculum at the Columbia University College of Physicians and Surgeons, this six-week intensive workshop includes close readings of literary works and in-class assignments that are then edited by fellow class members and rewritten for final submission. Over the years, students have produced a wide range of compelling essays and stories, and they describe the class as having an effect that lasts throughout their further medical training...
December 2015: Journal of Medical Humanities
Joshua M Liao, Brian J Secemsky
Narrative medical writing can be utilized to help increase the value and patient-centeredness of health care. By supporting initiatives in areas such as population health management, quality improvement and health disparities, it provides benefits that are particularly relevant to physicians focused on health care improvement, reform and redesign. Graduate medical education (GME) represents a key time and opportunity for internists to learn and practice this form of writing. However, due to a number of local and systems factors, many have limited opportunities to engage in narrative medical writing compared to other non-clinical activities...
November 2015: Journal of General Internal Medicine
Ronald H Lands
No abstract text is available yet for this article.
November 2015: Journal of General Internal Medicine
James Read
No abstract text is available yet for this article.
October 2016: Clinical Teacher
John H Davidson
The "curative potential" in almost any clinical setting depends on a caregiver establishing and maintaining an empathic connection with patients so as to achieve "narrative competence" in discerning and acting in accord with their preferences and best interests. The "narrative medicine" model of shared "close reading of literature and reflective writing" among clinicians as a means of fostering a capacity for clinical empathy has gained validation with recent empirical studies demonstrating the enhancement of theory of mind (ToM), broadly conceived as empathy, in readers of literary fiction...
April 2015: Rambam Maimonides Medical Journal
Kathryn P Celauro
No abstract text is available yet for this article.
July 2, 2013: Annals of Internal Medicine
2015-03-23 21:47:43
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