2020-2021 M3/M4 Course Syllabi
Psychiatry
COURSE NUMBER:
20 05 01
TITLE:
Narrative Medicine
The field of Narrative Medicine was developed by Rita Charon, MD, PhD at Columbia University in 2000 and has since been integrated into Columbia’s clinical medical education curriculum. Over the years, many educators have followed suit as they have learned of the many benefits this type of training can have on budding physicians. Currently, there are almost 20 Colleges of Medicine that have incorporated Narrative Medicine into their curriculum, including, Harvard, Stanford, NYU, Yale, Duke, Georgetown and UCSF. Very simply, Narrative Medicine honors the story that the patient is telling. It fortifies clinical practice with the ability to recognize, absorb, interpret, and be moved by stories of illness. One of the biggest challenges in medicine is being able to understand that a patient's story is not just a description of symptoms, but an emotional, living narrative that is shared between the patient and clinician. The ultimate goal is for the patient to feel that their story has truly been heard by the physician. The ultimate goal for the physician is to better understand the patient’s needs. Consequently, the clinical encounter can become more therapeutic and can lead to self-reflection and empathy in the physician. Interestingly, Narrative Medicine workshops have been used to prevent burn-out which is an all too familiar issue. Many participants feel that they became more in touch with their human side and felt that their passions had been sparked again.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Students will need to have completed all M3 Core Clerkships.
4 weeks : meeting time is 2 hours/week; homework/outside reading & writing will be approximately 6-8 hours/week.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Part-Time  (PT Elective) 
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 weeks PT
DIRECTOR:
Shana Feibel, DO
sfeibel@yahoo.com
(513) 558-5052
ADMINISTRATIVE SUPPORT PERSON:
Sonya Kirkland
Sonya.Kirkland@uc.edu
558-5052
Stetson, 3230A
SITE(S):
CARE Building
MAX ENROLL:
25 
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 0
2 08/03/2020 - 08/28/2020 0
3 08/31/2020 - 09/25/2020 0
4 09/28/2020 - 10/23/2020 0
5 10/26/2020 - 11/20/2020 0
6 11/23/2020 - 12/18/2020 0
7 01/04/2021 - 01/29/2021 0
8 02/01/2021 - 02/26/2021 0
9 03/01/2021 - 03/26/2021 0
10 03/29/2021 - 04/23/2021 25
11 04/26/2021 - 05/21/2021 25
12 06/01/2021 - 06/25/2021 25
Please check course length. Some PT courses may extend beyond the noted 4 week blocks above.
NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
6:00-8:00pm once weekly; night TBD
REPORT 1ST DAY:
MSB, Room TBD

INSTRUCTION

LEARNING ACTIVITIES:
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
100% Attending Physician
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Principle instructor

OBJECTIVES

Curricular Resources :
Literature will include fiction, non-fiction and examples of Narrative Medicine. Specific reading list is pending.
Knowledge/Skills:

Comprehend and appreciate the principles behind and the value of narrative medicine as a compliment to clinical medical education.

Practice utilizing the skills of close reading of literature, art and cinema as a means of better understanding the humanity in ourselves and in our patients.

Recognize and demonstrate how applying the knowledge gained from these skills can create more therapeutic and meaningful clinical encounters with patients.

Main Course Topics :
Interpersonal Communication

Patient Care

Treatment Team Communication

Self-Directed Learning

Professionalism

empathy

humanities

arts
Procedures:
None

SAMPLE WEEK

SCHEDULE NOTE:

Elective will meet weekly for two hours on a weeknight (specific night TBD), with 6-8 hours of outside reading and writing.  Students will read fiction and non-fiction related to medicine and will write Narrative Medicine related to their own clinical experiences. 


Narrative Medicine workshops, which would make up a large part of the elective, center around close analysis of stories, works of art and music. Critical thinking questions are posed to students which facilitate and hone their skills of close observation and engagement with the material.  It has been found that these skills can later help clinicians during difficult patient encounters.  As Dr. Charon states, "if close reading helps people to discover things they would not have noticed, perhaps it might help clinicians to notice what their patients are trying to tell them."  This points directly to the idea that Narrative Medicine is a unique way to compliment clinical medical education.


I would be facilitating the workshops.  I am a graduate of the Columbia University Narrative Medicine Professional Certificate Program. I have also led Narrative Medicine workshops around the country, including UCLA nursing students, medical students and residents at Loma Linda University and family practice residents in San Francisco. This past June, I was invited to present about Narrative Medicine in Psychiatry in Paris, France. While there, I found it intriguing that the European Schools are embracing this trend as well.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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