Relationship-Based Health Care - The Place of Narrative(s)

Code:

OPT163

Acronym:

CSBR

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2019/2020 - 2S (of 10-02-2020 to 31-07-2020)

Active?	Yes
Responsible unit:	Public Health and Forensic Sciences, and Medical Education Department
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	5	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	1,5	14	40,5

Teaching language

Portuguese

Objectives

This optional curricular unit aims to provide advanced training on the role of Narrative Medicine, crossing knowledge and seeking to contribute to person-centered health care (patients, family members, doctors, other health professionals). It has as one of its main objectives the acquisition of knowledge and skills covered by the area of ​​Narrative Medicine (Charon 2006; Hurwitz 2011).

Learning outcomes and competences

Students are expected to develop narrative skills of interpretation, imagination and representation that promote affiliation with peers, with patients and with the community at large in order to contribute to a medical education based on relationship and critical reflection. By recognizing the suffering in the history of illness and caring, students are expected to develop an attitude, a look and a way of acting based on active listening and empathic communication, complementary to technical and scientific competence.

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)

Not applied

Program

1. Words matter: rethinking terms and concepts

              Disease

              Relationship

              Suffering / Pain

              Body

              Care

              Time and Space

              Words and Silence(s)

1. Re-learning to See and Listen: Contributions from Literature, Painting, Architecture, Music, Journalism, Theater and Cinema to the Art of Healing

            2.1 Close Reading and close listening

1. Narrative Medicine(s): training, practice and research

            3.1 Origins and Fundaments

            3.2 Narrative Medicine as a response to (bio)ethical issues in healthcare

            3.3 Reflective dialogues

1. "Catching stories": contributions of medical students to the Art of Healing

Mandatory literature

CHARON, R. et al. ; The Principles and Practice of Narrative Medicine., New York: Oxford University Press., 2017
ENGEL, J. D. et al; Narrative in Health Care: Healing Patients, Practitioners, Profession, and Community. , Oxford: Radcliff Publishing, , 2008
CHARON, R.; Narrative Medicine. Honoring the Stories of Illness. , Oxford, Oxford Univ. Press, 2006
FOUCAULT, M; FOUCAULT, M. (1977 [1985]). Microfísica do Poder (tradução por Roberto Machado). Graal: São Paulo., Graal: São Paulo.

Complementary Bibliography

ATTRIDGE, D.; The Singularity of Literature., London and New York: Routledge, 2004
CAREL, H.; Illness: The Cry of the Flesh. , Durham: Acumen., 2008
CASSEL, E.J.; The Nature of Suffering and the Goals of Medicine (2nd ed). , Oxford: Oxford University Press. , 2004
FELDMAN, M.D., CHRISTENSEN, J.F.; Behavioural Medicine. A Guide for Clinical Practice. (3rd ed). , NY: McGraw-Hill., 2008
FERNANDES, I. et al; Contar (com) a Medicina. ., Lisboa: Edições Pedago., 2015
FOUCAULT, M.; Microfísica do Poder (tradução por Roberto Machado). Graal: São Paulo., Graal: São Paulo., 1977
FRANK, A. W. ; The Wounded Storyteller. , Chicago: The Univ. of Chicago Press., 1995
HELL, D.; Soul hunger. The feeling human being and the life sciences. , Einsiedeln: DaimonVerlag., 2010
JURECIC, A; Illness as Narrative. , Pittsburgh: Pittsburgh UP., 2012
ROCHA, C.; A caneta que escreve e a que prescreve. , Lisboa: Babel., 2011
RUDNYTSKY, P.L., Charon, R.; Psychoanalysis and Narrative Medicine. , Albany. NY: StateUniv. of New York Press, 2008
ZANER, R.; Ethics and the Clinical Encounter. , Michigan: Prentice Hall., 1988

Teaching methods and learning activities

Theoretical-practical sessions, organized in modules.
The modules organization addresses the need to integrate concepts and methodologies of different areas of knowledge: literary studies, sociology, bioethics, and other areas of the Humanities. We sought to ensure a logical and progressive development in terms of the contents taught in a specialized module. The first introductory module offers a reflective and methodological framework. In the second module there is space for dialogue between Medicine, Arts and Humanities, in the light of the concepts of close reading and close listening. The third module systematizes previously acquired knowledge and contextualizes them within narrative medicine, bridging to the fourth module. In the latter, students are invited to develop material that will serve for their own reflection and will contribute to the development in Portugal of Narrative Medicine in a  training and pedagogical setting

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	60,00
Apresentação/discussão de um trabalho científico	40,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Apresentação/discussão de um trabalho científico	1,00
Estudo autónomo	11,00
Frequência das aulas	13,00
Trabalho escrito	15,00
Total:	40,00

Eligibility for exams

Presence at the formal teaching sessions and elaboration and discussion of a work.

Calculation formula of final grade

Presence at formal teaching activities - 60%
Public presentation and discussion of a work - 40%

Examinations or Special Assignments

Not applied

Internship work/project

Not applied

Special assessment (TE, DA, ...)

Not applied

Classification improvement

Not applied