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Clinical Applications of Epidermal Stem Cells

Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own EpiSCs...
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A Simplified Technique for Producing an Ischemic Wound Model
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Healing skills for medical practice.

Larry R Churchill1, David Schenck

  • 1Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA. larry.churchill@vanderbilt.edu

Annals of Internal Medicine
|November 20, 2008
PubMed
Summary

Physician-patient relationships have healing effects. Research identified eight core healing skills, including active listening and shared authority, to improve patient care and reaffirm medicine's healing role.

Area of Science:

  • Medical Education
  • Patient-Physician Relationship
  • Integrative Medicine

Background:

  • Physician-patient relationships are recognized for their therapeutic potential.
  • The specific skills underpinning effective healing relationships are not well-defined or studied.
  • This gap limits the systematic development of these crucial interpersonal competencies.

Purpose of the Study:

  • To identify and define a core set of essential healing skills used by practitioners.
  • To explore these skills across different medical disciplines, including allopathic, complementary, and alternative medicine.
  • To provide a foundation for improving patient care through enhanced relational skills.

Main Methods:

  • Qualitative research involving in-depth interviews with 50 peer-identified "healers."

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  • Diverse practitioner representation from allopathic, complementary, and alternative medicine.
  • Systematic analysis of transcribed interviews, including independent analysis and consensus-building discussions.

    • Main Results:

    • Eight pivotal healing skills were identified: "do the little things," "take time," "be open and listen," "find something to like, to love," "remove barriers," "let the patient explain," "share authority," and "be committed."
    • These skills represent a core competency set applicable across various medical contexts.
    • The findings highlight the importance of relational aspects in the healing process.

    Conclusions:

    • Mastery of these eight skills can lead to significant and lasting improvements in patient care.
    • Developing these skills can help reaffirm the fundamental calling of medicine as a healing profession.
    • Further integration of these relational skills into medical training is recommended.