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From Doctors' Stories to Doctors' Stories, and Back Again
1Associate professor of medical education (medical humanities) and the David A. Harrison III Distinguished Medical Educator at the University of Virginia (UVA) School of Medicine in Charlottesville, Virginia.
AMA Journal of Ethics
|March 22, 2017
Summary
Doctors
Area of Science:
- Medical Humanities
- Narrative Medicine
- Clinical Practice
Background:
- Narrative has historically been central to medicine, but was overshadowed by bioscience in the 20th century.
- Kathryn Montgomery's 1991 book, "Doctors' Stories," re-examined medicine's narrative foundations.
- The narrative medicine movement has grown, but faces challenges from data-driven healthcare systems.
Purpose of the Study:
- To explore the enduring importance of narrative in medical practice.
- To highlight how doctors' stories foster reflection, ethical awareness, and resilience.
- To demonstrate the value of reflective writing in contemporary healthcare.
Main Methods:
- Analysis of the role of narrative in medical practice and education.
- Examination of Kathryn Montgomery's "Doctors' Stories" as a foundational text.
- Discussion of the impact of the narrative medicine movement.
Main Results:
- Doctors' stories remain crucial for maintaining humanistic and ethical patient care.
- Even brief reflective writing can help clinicians navigate systematized healthcare settings.
- Narrative practice supports healers' self-understanding and ethical grounding.
Conclusions:
- Engaging with narrative is essential for preserving the humanistic core of medicine.
- Reflective storytelling equips clinicians with resilience and ethical awareness.
- Doctors' stories are vital for maintaining ethical practice amidst data-driven systems.
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