Medical Narrative

Code:

OPT174

Acronym:

MEDNAD

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	17	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	3	-	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 communicative and self-awareness strategies and to able to recognize the value of emotion and intersubjectivity in their professional practice, contributing to health care based on trust, relational knowledge, and justice. Given that Narrative Medicine applies not only to the training of students and health professionals, but also to clinical practice and research. This curricular unit will include pedagogical activities that focus on these three areas, defining the outcomes that will serve to assess the impact of this narrative approach in the health system: ability to pay attention to the Other, to recognize the Other as alterity and to be able to recognize oneself; ability to listen, to represent, to reflect and to build an intersubjective relationship; tolerance in the face of uncertainty; lower incidence of burnout; higher quality of teamwork; knowledge of the circumstances of each individual patient.

Working method

Presencial

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

Not applied

Program

1. Words matter: rethinking terms and concepts

• Disease; Illness; Sickness (disease from scientific, social and individual perspective)


• Autonomy; Vulnerability; Responsibility; Respect: cross-views on ethical issues in health care


• Relationship; Reflection; Recognition of Self and Other: failure and error as adjustment

1. My Patient

            2.1 Close Reading and close listening: Parallel Charts

1. Narrative Medicine

            3.1 Origins and fundaments

            3.2 Categories of the narratives of disease

            3.3 Narrative medicine in professional practice and qualitative research

            3.4 On the bridge between Bioethics and Narrative Medicine

1. My Patient, Me and Others: Tale never loses in the telling ...

            4.1 Literature, Cinema and Theater

            4.2 "Catching Stories":

                   4.2.1 Reflective writing on books, films, plays

                4.2.2. My patient...

                4.2.3. Me, as a patient...

                4.2.4  Me, as a doctor ...

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

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., Michigan: Prentice Hall., 1988

Teaching methods and learning activities

Theoretical-practical classes. The evaluation will be continuous, based on several reflective activities in the classroom and a final work that will be included in a book edited by the teachers of this UC, which will mainly serve pedagogical needs

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	40,00
Trabalho escrito	60,00
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 activities and elaboration of a work to be presented and discussed,

Calculation formula of final grade

Preseence at the pedagogical formal activities - 40%
Work (presented and discussed) - 60%

Examinations or Special Assignments

Not applied

Internship work/project

Not applied

Special assessment (TE, DA, ...)

Not applied

Classification improvement

Not applied