Skip to Main Content
 
 
Important Announcement: The New Library System and updated E-resource login process are Here!. As part of OhioLINK, Ohio's academic library consortium, the NEOMED Library is updating its 30-year-old shared systems. The new system allows researchers to "discover" print and electronic resources with a single search. Click here to start using the new system. Additionally, we have also changed the way that you all will login for off-campus access to the electronic resources provided by the NEOMED Library. All NEOMED students, faculty, clinical faculty, staff, and retirees, will click on the "Login using your NEOMED Network credentials" link on the login page. From there, you will be routed through NEOMED's network login process using the same login credentials that you use for logging into your email, Sharepoint, and other essential NEOMED networked resources. Please be patient with us as we get everything situated for your use and contact us with any questions at 330-325-6600 or e-mail library@neomed.edu for help.

Primary Care Training Enhancement

Expanding Narrative Reflection to Students and Colleagues Session Overview

This module, which involves reflection and discussion, is intended for faculty of medical learners such as physician residency, nurse practitioner (NP) or physician assistant (PA) programs. It seeks to cultivate empathy in order to reduce burnout and improve personal wellness. Following a brief introduction on patient-centered history taking, discussion centers around images of medical trainees and clinical colleagues with participants writing imaginative narratives to explore the full story of the individuals in the images. The discussion that follows prompts participants to explore how being more student-centered and/or more cognizant of team dynamics and team culture can make primary care delivery more functional. This module fits well after a session about Narrative Medicine and before a session about Self-Compassion.

Session Length: 80 minutes

Prerequisite(s): Introduction to narratives in medicine

Learning Objectives - After completing this session, participants will be able to:

  • Explain the 5-step beginning to the patient-centered interview

  • Describe the differences between a symptom story, emotional story, and personal story in the context of a patient giving their history of present illness (fuller story)

  • Recall the NURS mnemonic for empathetic responses

  • Relate the full story approach to medical trainees and colleagues on the medical team

  • Reflect through a narrative exercise

  • Discuss how cultivating empathy for others impacts us

  • Develop ideas for how greater empathy can help transform primary care delivery

     

Author:  Vanessa Worley, MPAS, PA-C

School: University of Mount Union

Expanding Narrative Reflection - Session Facilitator Guide

Presentation - Expanding Narrative Reflection

Literature Sources for Students

Prior to the session, participants should read two articles:

  1. Empathy Decline and Its Reasons: A Systematic Review of Studies with Medical Students and Residents by Melanie Neumann, et al (doi: 10.1097/ACM.0b013e318221e615)  

  2. How to Create a Culture of Well-Being in Your Practice by Mark H. Greenwald (aafp.org/fpm)

Literature Sources for Instructors

In addition to the article above, helpful resources include:

  1. Narrative in Health Care: Healing Patient, Practitioners, Profession, and Community by John D. Engel, Joseph Zarconi, Lura L. Pethtel, and Sally A. Missimi

  2. Smith’s Patient-Centered Interviewing: An Evidence-Based Method by Auguste H. Fortin IV, Francesca C. Dwamena, Richard M. Frankel, and Robert C. Smith 

  3. The 5 Step Patient-Centered Beginning of the Medical Interview by Auguste H. Fortin IV