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Published in: Perspectives on Medical Education 1/2019

Open Access 01-02-2019 | Show and Tell

Implementing an interprofessional narrative medicine program in academic clinics: Feasibility and program evaluation

Authors: Deepthiman Gowda, Tayla Curran, Apurva Khedagi, Michael Mangold, Faiz Jiwani, Urmi Desai, Rita Charon, Dorene Balmer

Published in: Perspectives on Medical Education | Issue 1/2019

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Abstract

Interprofessional education (IPE) is a critical component of medical education and is affected by the characteristics of the clinical teams in which students and residents train. However, clinical teams are often shaped by professional silos and hierarchies which may hinder interprofessional collaborative practice (IPCP). Narrative medicine, a branch of health humanities that focuses on close reading, reflective writing, and sharing in groups, could be an innovative approach for improving IPE and IPCP. In this report, we describe the structure, feasibility, and a process-oriented program evaluation of a narrative medicine program implemented in interprofessional team meetings in three academic primary care clinics. Program evaluation revealed that a year-long narrative medicine program with modest monthly exposure was feasible in academic clinical settings. Staff members expressed engagement and acceptability as well as support for ongoing implementation. Program success required administrative buy-in and sustainability may require staff training in narrative medicine.
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Literature
1.
go back to reference Kringos DS, Boerma WG, Hutchinson A, Van der Zee J, Groenewgen PP. The breadth of primary care: a systematic literature review of its core dimensions. Bmc Health Serv Res. 2010;10:65.CrossRef Kringos DS, Boerma WG, Hutchinson A, Van der Zee J, Groenewgen PP. The breadth of primary care: a systematic literature review of its core dimensions. Bmc Health Serv Res. 2010;10:65.CrossRef
2.
go back to reference Earnest MA, Williama J, Aagaard EM. Toward an optimal pedagogy for teamwork. Acad Med. 2017;92:1378–81.CrossRef Earnest MA, Williama J, Aagaard EM. Toward an optimal pedagogy for teamwork. Acad Med. 2017;92:1378–81.CrossRef
3.
go back to reference Hall P. Interprofessional teamwork: Professional cultures as barriers. J Interprof Care. 2005;19(suppl 1):188–96. Hall P. Interprofessional teamwork: Professional cultures as barriers. J Interprof Care. 2005;19(suppl 1):188–96.
4.
go back to reference Supper I, Catala O, Lustman M, Chemla C, Bourgueil Y, Letrilliart L. Interprofessional collaboration in primary health care: a review of facilitators and barriers perceived by involved actors. J Public Health. 2015;37:716–27. Supper I, Catala O, Lustman M, Chemla C, Bourgueil Y, Letrilliart L. Interprofessional collaboration in primary health care: a review of facilitators and barriers perceived by involved actors. J Public Health. 2015;37:716–27.
5.
go back to reference Baker L, Egan-Lee E, Martimianakis MA, Reeves S. Relationships of power: Implications for interprofessional education. J Interprof Care. 2011;25:98–104.CrossRef Baker L, Egan-Lee E, Martimianakis MA, Reeves S. Relationships of power: Implications for interprofessional education. J Interprof Care. 2011;25:98–104.CrossRef
6.
go back to reference Paradis E, Whitehead CR. Beyond the lamppost: a proposal for a fourth wave of education for collaboration. Acad Med. 2018;93(10):1457.CrossRef Paradis E, Whitehead CR. Beyond the lamppost: a proposal for a fourth wave of education for collaboration. Acad Med. 2018;93(10):1457.CrossRef
7.
go back to reference Clark PG. Narrative in interprofessional education and practice: implications for professional identity, provider–patient communication and teamwork. Interprof Care. IEEE Trans Med Imaging. 2014;28:34:9. Clark PG. Narrative in interprofessional education and practice: implications for professional identity, provider–patient communication and teamwork. Interprof Care. IEEE Trans Med Imaging. 2014;28:34:9.
8.
go back to reference Charon R. Narrative medicine: Honoring the stories of illness. Feb, Vol. 14. Oxford: Oxford University Press; 2008. Charon R. Narrative medicine: Honoring the stories of illness. Feb, Vol. 14. Oxford: Oxford University Press; 2008.
9.
go back to reference Miller E, Balmer D, Hermann N, Graham G, Charon R. Sounding narrative medicine: studying students’ professional identity development at Columbia university college of physicians and surgeons. Acad Med. 2014;89:335–42.CrossRef Miller E, Balmer D, Hermann N, Graham G, Charon R. Sounding narrative medicine: studying students’ professional identity development at Columbia university college of physicians and surgeons. Acad Med. 2014;89:335–42.CrossRef
11.
go back to reference Sands S, Stanley P, Charon R. Pediatric Narrative Oncology: Interprofessional training to promote empathy, build teams, and prevent burnout. J Support Oncol. 2008;6:307–12. Sands S, Stanley P, Charon R. Pediatric Narrative Oncology: Interprofessional training to promote empathy, build teams, and prevent burnout. J Support Oncol. 2008;6:307–12.
12.
go back to reference Charon R, DasGupta S, Hermann N, et al. The Principles and Practice of Narrative Medicine. New York, NY: Oxford University Press; 2017. Charon R, DasGupta S, Hermann N, et al. The Principles and Practice of Narrative Medicine. New York, NY: Oxford University Press; 2017.
13.
go back to reference Thomas DR. A general inductive approach for analyzing qualitative evaluation data. Am J Eval. 2006;27:237–46.CrossRef Thomas DR. A general inductive approach for analyzing qualitative evaluation data. Am J Eval. 2006;27:237–46.CrossRef
14.
go back to reference Balmer DF, Rama JA. Athina (Tina) Martimianakis M, Stenfors-Hayes T. Using data from program evaluations for qualitative research. J Grad Med Educ. 2016;8:773–4.CrossRef Balmer DF, Rama JA. Athina (Tina) Martimianakis M, Stenfors-Hayes T. Using data from program evaluations for qualitative research. J Grad Med Educ. 2016;8:773–4.CrossRef
15.
go back to reference Gowda D, Curran T, Balmer D. Using a Mixed Methods Approach to Evaluating Programs in Health Humanities. In: Klugman C, Lamb E, editors. Research Methods in Health Humanities. New York, NY: Oxford University Press, to be published late; 2018. Gowda D, Curran T, Balmer D. Using a Mixed Methods Approach to Evaluating Programs in Health Humanities. In: Klugman C, Lamb E, editors. Research Methods in Health Humanities. New York, NY: Oxford University Press, to be published late; 2018.
16.
go back to reference Kerasidou A, Horn R. Making space for empathy: supporting doctors in the emotional labour of clinical care. Bmc Med Ethics. 2016;17:8.CrossRef Kerasidou A, Horn R. Making space for empathy: supporting doctors in the emotional labour of clinical care. Bmc Med Ethics. 2016;17:8.CrossRef
17.
go back to reference Dadich A, Olson RE. How and why emotions matter in interprofessional healthcare. Int J Work Organisat Emot. 2017;8:59–79.CrossRef Dadich A, Olson RE. How and why emotions matter in interprofessional healthcare. Int J Work Organisat Emot. 2017;8:59–79.CrossRef
18.
go back to reference Charon R, Hermann N, Devlin M. Close reading and creative writing in clinical education: teaching attention, representation, and affiliation. Acad Med. 2016;91:345–50.CrossRef Charon R, Hermann N, Devlin M. Close reading and creative writing in clinical education: teaching attention, representation, and affiliation. Acad Med. 2016;91:345–50.CrossRef
19.
go back to reference Edmondson AC, Higgins M, Singer S, Weiner J. Understanding psychological safety in health care and education organizations: A comparative perspective. Res. Hum Dev. 2016;13:65–83.CrossRef Edmondson AC, Higgins M, Singer S, Weiner J. Understanding psychological safety in health care and education organizations: A comparative perspective. Res. Hum Dev. 2016;13:65–83.CrossRef
Metadata
Title
Implementing an interprofessional narrative medicine program in academic clinics: Feasibility and program evaluation
Authors
Deepthiman Gowda
Tayla Curran
Apurva Khedagi
Michael Mangold
Faiz Jiwani
Urmi Desai
Rita Charon
Dorene Balmer
Publication date
01-02-2019
Publisher
Bohn Stafleu van Loghum
Published in
Perspectives on Medical Education / Issue 1/2019
Print ISSN: 2212-2761
Electronic ISSN: 2212-277X
DOI
https://doi.org/10.1007/s40037-019-0497-2

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