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Two Patients: Professional Formation before “Narrative Medicine”
Published online by Cambridge University Press: 07 September 2020
Abstract
In this essay, the author reflects on his development as a physician by recounting two patient narratives of patients he cared for as a third year medical student. In the process of telling these stories of sickness, the author also provides a window on medical practice in the 1980’s in an academic medicine center and how practices have changed. Decades before what has been dubbed “narrative medicine,” the author learned the power of words to shape relationships and promote professional formation.
- Type
- Departments and Columns
- Information
- Cambridge Quarterly of Healthcare Ethics , Volume 29 , Special Issue 4: Clinical Neuroethics , October 2020 , pp. 642 - 650
- Copyright
- © The Author(s), 2020. Published by Cambridge University Press
Footnotes
Acknowledgment: This essay is dedicated to Richard P. Cohen, M.D.
References
Notes
1. Ludmerer KM. Time to Heal: American Medical Education from the Turn of the Century to the Era of Managed Care. New York, NY: Oxford University Press; 2005.
2. The Four Doctors. Hopkins Retrospective, 1876-today. Johns Hopkins University; available at https://retrospective.jhu.edu/our-collection/the-four-doctors (last accessed 21 February 2020).
3. DeCamp M. Toward a Pellegrino-inspired theory of value in health care. Theoretical-Medicine and Bioethics 2019;40:231–41.
4. American Board of Internal Medicine. Choosing Wisely: A special report on the first five years; 2017; available at http://www.choosingwisely.org/wp-content/uploads/2017/10/Choosing-Wisely-at-Five.pdf (last accessed 21 Feb 2020).
5. Fins JJ. The Imagined Real: Jacques Lacan and the Question of the Self [senior thesis in partial fulfillment of B.A. with honors]. Middletown, CT: Honors College, Wesleyan University; 1982.
6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder. 3rd ed. Washington, DC: APA; 1980.
7. Silbersweig DA, Stern E, Frith C, Cahill C, Holmes A, Grootoonk S, et al. A functional neuroanatomy of hallucinations in schizophrenia. Nature 1995;378(6553):176–9.
8. MacKinnon RA and Michels R. The Psychiatric Interview. New York, NY: Saunders; 1971.
9. Fins JJ. A Palliative Ethic of Care: Clinical Wisdom at Life’s End. Sudbury, MA: Jones and Bartlett; 2006.
10. Weinman-Lear M. Heartsounds: The Story of Love and Loss. New York, NY: Simon & Schuster; 1980.
11. Fins JJ. How Many Hours? Hastings Center Report 1990;20(2):3–4.
12. Fins JJ. Professional responsibility: A perspective on the Bell Commission reforms. Bulletin of the New York Academy of Medicine 1991;67(4):359–64.
13. Henry O. The Gift of the Magi and Other Short Stories. Mineola, NY: Dover Publications; 1992.
14. Didion J. The Year of Magical Thinking. New York, NY: Alfred A. Knopf; 2005.
15. Charon R. Narrative and medicine. New England Journal of Medicine 2004;350(9):862–4.
16. Brody H. Stories of Sickness. New Haven, CT: Yale University Press; 1988.
17. Fins JJ, Pohl B, Doukas D. In praise of the humanities in academic medicine: Values, metrics and ethics in uncertain times. Cambridge Quarterly of Health Care Ethics 2013;22(4):355–64.
18. Groopman L, Miller FG, Fins JJ. The patient’s work. Cambridge Quarterly of Healthcare Ethics 2007;14:44–52.
19. Osler W. Books and men. In: Aequanimitas and Other Addresses. London, UK: H.K. Lewis; 1904.
20. Osler W. The Old Humanities and the New Science. London, UK: John Murray; 1919.
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