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Bearing Witness

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  • 1. Examined Life: Writing and the Art of Medicine Bearing Witness for Medical Humanities Saturday, April 23, 2011 University of Iowa Roy J. and Lucille A. Carver College Iowa City, IA
  • 2. Bearing Witness for Medical HumanitiesDiscussion forum: Katherine Ellington St. Georges University School of Medicine Vice President, American Medical Student Association (AMSA) Aliye Runyan University of Miami - Miller School of Medicine Chair, Medical Education, AMSA Soumya Rangarajan, MPP University of Illinois College of Medicine Bearing Witness, AMSA Rohan Radhakrishna, MPH University of California San Francisco/Berkeley Joint Medical Program Bearing Witness and Global Pulse editor, AMSA 2
  • 3. Bearing Witness for Medical HumanitiesThis forum will offer a discussion of AMSA Humanitiesprograms with a live webinar presentation during thesession as well as the opportunity for dialogue about theimplications of medical student developed curricula in thehumanities. 3
  • 4. Bearing Witness for Medical HumanitiesThe oldest and largest independent association ofphysicians-in-training in the United States, the AmericanMedical Student Association (AMSA) has a well-establishedhistory of medical student activism. Through advocacy andeducation, AMSA continues its commitment to improvingmedical training and the nations health. 4
  • 5. Bearing Witness for Medical HumanitiesThis forum is a unique opportunity for dialogue about thefuture of such innovative model programs and their abilityto empower physicians-in-training with skills necessary forreflexivity, advocacy and professionalism. 5
  • 6. Our story…. 6
  • 7. AMSA National Book DiscussionsAMSA National Book Discussion Webinarspresent exemplars, who enable empathiccare in the practice of medicine and offermeaningful stories from theirexperiences, imaginations and mindsets.
  • 8. Dreaming and Dialogue• Dreaming and dialogue for an AMSA Academy Institute for activist writers begins.... Matthew Stull, M.D. Education and Research Fellow
  • 9. AMSA National Medical Humanities Scholars program• In 2009, Aliye Runyan launched the AMSA National Humanities Scholars program.• The Medical Humanities Scholars Program is a learning experience that utilizes conference calls to provide a small group of selected medical students with the opportunity to consider how medicine, disease, and physicians are viewed, and to write and reflect on the intersections between these arenas.
  • 10. Background• Medical humanities courses and electives are offered at an increasing number of medical schools in the USA and Canada.• Medical students and faculty turn to the medical humanities for diverse reasons, including a medium for self-reflection, a means to increase professionalism and humanism, and a way to gain a broader appreciation for the context of illness and health.
  • 11. Background• Many medical schools lack courses in medical humanities and students seeking opportunities must turn elsewhere.• The American Medical Student Association’s (AMSA) Academy serves as a training ground for future physician leaders.• The Academy’s Medical Humanities Scholars Program (MHSP) seeks to empower future leaders in the medical humanities through interactive learning opportunities with current leaders in the field.
  • 12. AMSA National Medical Humanities Scholars program• a learning experience that provides a select group of medical students with the opportunity to interact with and learn from leaders in the field of medical humanities.• Scholars engage with the role of the arts and humanities in physician self-reflection, and in understanding the patient experience of health and disease• Specifically, the program seeks to create a community of scholars in the medical humanities, helping them improve their communication skills and serving as a source of support for compassion, empathy and humanism in medicine.
  • 13. AMSA National Medical Humanities Scholars program• The MHSP has run successfully for three six month cycles, each with a different theme and group of faculty leaders. Theme/Year Faculty Narrative Medicine Rita Charon Craig Irvine 2008-2009 Nellie Hermann Maura Spiegel Marsha Hurst Patricia Stanley Becoming a Physician-Writer Perri Klass David Watts 2009-2010 Danielle Ofri Audrey Young Emily Transue Theresa Zink Medical Professionalism Jay Baruch Jeremy Spiegel 2010-2011 Jack Coulehan Emily Transue Allan Peterkin Theresa Zink Pamela Schaff Table 1: Themes and Faculty leaders of MHSP, 2009-2011
  • 14. AMSA National Medical Humanities Scholars Program N % Year of Program 2009 6 17.1 2010 13 37.1• The program has Gender 2011 Female 16 19 45.7 54.3 grown from six Male 16 45.7 Medical Schools Allopathic 23 88.5 students per cycle to Osteopathic 3 11.5 currently, sixteen. Year in school MS1 8 22.9 MS2 12 34.3 MS3 6 17.1 MS4 8 22.9• Characteristics of Postbac 1 2.9 Dual Degree Total 14 40.0 participants, a PhD 5 14.3 national group. MPH MA 4 3 11.4 8.6 MBA 2 5.7 Total Participants 35 100
  • 15. AMSA National Medical Humanities Scholars ProgramMHSP participants should be able to:• Articulate how the humanities enrich and lend perspective to the medical field• Integrate experiences from this program (e.g. books read, prose/poetry written, discussions had) into their practice/thinking of medicine• Cogently discuss, write, and/or otherwise express views, feelings, and thoughts on the practice of medicine/experiences with patients utilizing the humanities.
  • 16. AMSA National Medical Humanities Scholars Program MHSP participants should be able to: • Successfully explore issues of debate within medicine from an ethical and humanistic perspective • Acknowledge the human experience in the processes of healing and dying • View the practice of medicine as integration between science and humanities
  • 17. AMSA National Medical Humanities Scholars Program• MHSP Scholars are expected to initiate a project in the Medical Humanities at their medical school. Scholars interests dictate the type of project pursued, and students are encouraged to identify faculty members at their home institution who can serve as mentors. Some examples of projects in which MHSP scholars are involved include: – Online literary magazine for medical students to contribute and share poetry, prose and reflections on becoming a physician. – Celebration of the Arts in Medicine, an annual event that aims to promote the recognition and celebration of the important role that the arts and humanities can play in medicine.
  • 18. BEARING WITNESS: AMSA WRITER’S INSTITUTE Soumya Rangarajan, BS, MPP M2, University of Illinois College of Medicine at Peoria Participant, AMSA National Writer’s Institute 2010 (Journalism Track)Presented at Examined Life: Writing and the Art of Medicine 2011 University of Iowa, Iowa City, IA
  • 19. What is it?• 3.5 day workshop for medical students who also love to write – ‘boot camp’ training sessions with lead faculty – small group writing sessions with the guidance of expert faculty• 3 tracks – journalism, prose and poetry
  • 20. Who was in it?• 20+ current and future medical professionals with a passion for writing – Ranged from pre-medical, to all 4 classes of med students, and even a resident!• Expert faculty – Dr. Therese Zink, Associate Director, Medical School Rural Physician Associate Program , University of Minnesota – Dr. Tom Linden, Medical Journalism program, University of North Carolina at Chapel Hill – Dr. Sayantani DasGupta, Program in Narrative Medicine, Columbia University College of Physicians and Surgeons – And many more!
  • 21. Where was it?• AMSA National Headquarters in Reston, VA• Henry J. Kaiser Family Foundation Public Affairs Center, Washington, DC• Healer’s Voices: Physician-Poets Poetry Slam at Busboys and Poets, one of DC’s must-see hotspots – Richard Bronson, OBGYN, SUNY Stony Brook – Rafael Campo, primary care, BIDMC/Harvard Medical School – Maria Basile, colorectal surgeon, SUNY Stony Brook
  • 22. Why should I participate?• Be inspired by amazing faculty and fellow medical students• Improve your own writing, or explore a new style of writing• Explore the humanistic and social side of medicine, and learn to be a better advocate for the profession through your writing• Have fun!
  • 23. When can I start?• The 2011 AMSA National Writer’s Institute will be combined with the Wellness Institute and will be in the fall. Details forthcoming!• Be a better writer AND a healthier medical student!
  • 24. Where can I learn more?• AMSA Academy: http://www.amsa.org/AMSA/Homepage/EducationCar eerDevelopment/AMSAAcademy.aspx (3-5 day leadership institutes, Scholars Programs)• Medscape’s The Differential: http://blogs.medscape.com/thedifferential (several Writer’s Institute alumni have written for this blog)
  • 25. Writers, Reporters, Editors Talk about Health & Medicine in the Media Rohan Radhakrishna MPH, MS UCSF/Berkeley Joint Program 4th year Medical Student
  • 26. Where the Pearls Came From . .*Dr. Tom Linden: Director of Science Journalism Program, UNC*D. Teresa Schraeder: Clinical Assistant Professor, Brown*Julie Piotroski: Speechwriter, Dept. Health and Human Services*Ellen Ficklen: “Narrative Matters” Editor, Health Affairs*Peggy Girshman: Executive Editor - Kaiser Health News Online*Christine Wiebe: Editorial Director for Medscape Med Students
  • 27. Pearls . . .*Communication is booming, Journalism is shrinking*New tools in your doc kit: pen, microphone, microchip*Keep a journal of your journey: collect story ideas*Observation, Curiosity, Courage, Effect Change*Give it a face, avoid tyranny of the anecdote, tie to the big picture*Offer stories with hope*Our job is to ask questions, offer opinions, contribute
  • 28. Storytelling“Skillful storytelling about issues of health andillness has always served a powerful publicrole, especially that of education andpersuasion: to move public attitudes andencourage policymakers to action through thepresentation of hard, science-based argumentwrapped in the soft flesh of real human storiesof suffering and triumph.” –Stewart 2004
  • 29. StorytellingOral: Public Speaking - Rotary Ambassadorial Scholars Program (1 yr in India) - 15 presentations with video replay analysisWritten: Creative Nonfiction - Stanford Online Writing Studio Courses - UCSF Medical Humanities Workshops - Local Writer’s Group: “Shut Up and Write”Digital: New Media - Global Health Blogs: Global Pulse, Global Health Ideas - Glimpse Correspondents Program - Berkeley School of Public Health New Media Trainings
  • 30. Webinar, a tool for• Audio, video and desktop sharing• Online engagement• “face-to-face” communication• community beyond geography 30
  • 31. WebEx online 31
  • 32. Discussion 32
  • 33. When the end is the beginning…. 33