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Wednesday,
March 12, 2008 |
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Thursday,
May 8, 2008 |
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Thursday,
May 29, 2008 |
Images: Dissection, Photography & American Medical Students, 1845-1950
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Internal Medicine Residency Education: Past, Present and Future |
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The Poetry of Healing: A Doctor’s Education in Identity, Desire, and Empathy
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Speaker:
James Edmonson, PhD |
Speaker:
Keith Armitage |
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Speaker:
Rafael Campo, MD |
Case Western Reserve University |
Case Western Reserve University |
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Harvard Medical School |
12
noon - 1:00 pm, NA5-03/04 |
12
noon - 1:00 pm, NA5-03/04 |
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12
noon - 1:00 pm, NA5-03/04 |
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There
are forces that subtly (and not so subtly) erode the traditional
patient-physician relationship and reduce physician satisfaction.
These forces are not all intrinsically bad; many reflect
positive technological advances in the battle against disease.
Some forces are economic, representing efforts to maintain
the financial solvency of a patient’s choice-oriented
model of health care. Others actually reflect attempts to
preserve our own sense of humanity, a particularly important
goal as young physicians mature through professional adolescence
(residency training).
But
increased reliance on sophisticated imaging and testing
techniques can reduce time spent in thoughtful direct patient
interaction. Ubiquitous support staff and phlebotomy teams
increase efficiency, but reduce the number of opportunity
moments for physical contact and discussion between physician
and ill patient. Shortened outpatient visits and hospital
stays, increased paperwork, enforced limited work hours
and more team coverage further diminish face time with our
patients. Use of electronic charting reduces chat time and
eye contact in the office. And as the patient is progressively
moved away from the doctor’s gaze and touch, human
aspects of patient care may wither, including the sense
of connection between physician and patient. Rewards from
interacting with our patients as people become elusive.
As one of many efforts to stem this withering of the joy
of patient care and to increase the appreciation of the
special role we are permitted to play as physicians, we
offer our Medical Humanities Program. The program provides
various venues to reflect on our personal practice of medicine
and on our profession. We hope these different presentations
will encourage reflection upon various aspects of medicine,
the patient as person, our growth as physicians and individuals,
and about health care delivery in general.
Our
aggressive and ongoing pursuit of medical knowledge, efficiency,
and financial responsibility easily competes with history,
literature, religion, music, poetry, and ethics; the very
things that personally enrich us as physicians. As we build
research networks and encourage the maturation of physician
scientists, we should not ignore introspective aspects of
our interactions with patients, and our connections with
the past. We should weave the threads of self-assessment
and reflective practice into a shawl that we can comfortably
wear throughout our professional lives.
Brian Mandell,
MD, PhD
Vice Chairman for Educational Affairs
Cleveland Clinic Bioethics
http://www.clevelandclinic.org/bioethics
Hiram College – The Center and the Biomedical
Humanities Program
http://litmed.hiram.edu/index.html
New
York University School of Medicine
http://endeavor.med.nyu.edu/lit-med/
American
Society for Bioethics and Humanities
http://www.asbh.org/
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