Type of Course: Undergraduate

The Almost Right Word: The Move From Medical to Health Humanities.

Concise summary of the history of medical humanities and how a distinct understanding of health humanities (using disability studies as an example, emphasizing how much of living with disabilities does not happen in medical contexts) contributes to analyzing and understanding human factors in health. Useful as background for undergraduate courses; expanding conversation for pre-health and health professional students.

Close reading a Twitter thread: Blind on the NHS

2 page (total) text presented here is a health narrative presented as a Twitter thread that raises issues that could be connected to several themes in courses related to health communication, reproductive justice, public health, narrative medicine, or more general writing courses to which the instructor wanted to add a health component. The outline includes detailed instructions for close reading the text, a central form of inquiry in narrative medicine. The goal of this instructional strategy is to can help participants attend closely to the narrative and find a point of personal connection to it. The format of the health narrative - a thread of about 20 tweets - lends itself to analyzing the role or impact of the medium on circulation of the message. Short enough to read aloud in a 45-50 minute class and work from there; could also be used in a workshop or storytelling group centered on prenatal care and/or disability.

Honoring and Witnessing Stories

This is an outline for a 90 minute undergraduate class on narrative medicine. It draws on readings by Arthur Frank and Rita Charon to talk about the importance of patient stories for patients to make sense of illness and for health care providers to provide care. It also addresses the importance of witnessing stories as a means of addressing power inequalities and health disparities. In addition to excerpts from classic works by Frank and Charon, the class session incorporates essays by a medical student (Ali) and a practicing physician (McMullen) on the significance of stories in their practice. The outline is from a practicum class, and so the class session includes narrative medicine practices of close reading and reflective writing, as well as class discussion of the assigned readings.

Syllabus Spanish Health Narratives

This 3000-level course is of particular interest to Spanish majors and minors with health professions interests, although readings and assignments are aimed at any Spanish student with intermediate level proficiency. Creative writing majors from English, students interested in editing and publishing, International Studies and Global Health Studies majors, Communication Studies majors with general interests in health, all have succeeded. Readings are from Latinx and Latin American authors; some in English, many in Spanish. Assignments are four creative writing projects, one that becomes a digital video.

Haiku Rules of the Road

The online publication Pulse: Voices from the Heart of Medicine provides this brief set of instructions for writing haiku. The Pulse site also includes many examples of haiku. These instructions (and examples from the site) could be used in a variety of settings. For example, the Northwest Narrative Medicine Collaborative teaches a session on writing haiku as part of it's narrative scribe training, a workshop dedicated to developing the skills of listening closely to a story, and then offering it back to the teller. Just as medical record keeping often distills a detailed patient narrative into the forms required for diagnosis and health record keeping, so too haiku can be used to distill a narrative into a gist. The contrast between what details might make it into an electronic health record and what details a haiku might focus upon can prompt discussion of what is left out of many clinical interactions. Writing haiku can also be a useful exercise in college courses. It is an accessible form of poetry to teach as one example and can prompt discussion of what constitutes a narrative.

Heart Sounds

In this 5 minute read, a first year medical student discusses treating a patient whose family had to overcome indifference in the ER in order for him to receive treatment. Additionally, the medical student illustrates managing the unknown when assisting a patient with an advanced and nuanced condition. The student decides that the best treatment they can provide is listening to the family's complaints, fears, and happy moments in order to encourage them to keep believing in this patient's future. The story touches on cardiology as a specialty and would benefit pre-medical undergraduates as well as professional students recently starting their health profession. It highlights the importance, and difficulty, of active listening.

Health Narratives syllabus

This is a syllabus for an undergraduate junior/senior level semester-long course at Lewis & Clark College. The course focuses on how stories of health and illness are a place to explore the rhetoric of identities, relationships, health care, and public policy. For example: How do we use narratives to (re)construct identities altered by illness? How can narratives (re)shape interactions between patients and health care providers? What narratives capture public attention and with what implications for health care decision-making and policy? The course covers theories and research on health narratives and narrative research methods. It serves as an overview to this area of research as well as a training ground for doing your narrative research. The course is an elective for students in the Rhetoric & Media Studies major but also draws students from sociology, English, and pre-health. The course is a 25 person seminar-style course for juniors and seniors.

Class outline for teaching Parsons’ Sick Role

Outline for a 60 minute lecture/discussion on Talcott Parsons' concept of "the sick role." Arguments for the significance of patient voice and narrative (e.g., Arthur Frank's Wounded Storyteller) often take Parson's sick role as a point of contrast. Likewise, the practice of narrative medicine by physicians is a rejection of the paternalistic and objective physician that is the counterpart to the "sick patient" in Parson's analysis. The outline is from an upper-division undergraduate course on health narratives offered in a department of Rhetoric & Media Studies (the course also enrolls students studying sociology, English, and pre-health). The class outline provides a very brief background to Parsons' larger project, goes into some detail about the elements of the sick role and the corresponding role of the physician. The session ends with discussion questions about the implications of this concept.

Tourette Syndrome: The biomedical and the literary.

The blog "According to the Arts" is written for the general public. The posts juxtapose a medical description of an illness or disability, in this case Tourette Syndrome, with a novel in which one of the main characters exhibits the condition. The novel captures the signs and symptoms, and describes how Tourette syndrome can affect lives of people living with Tourette and of living with someone who has it. The biomedical text from a neurology journal describes the characteristic tics and behaviors. Comparing the story to the medical account shows the science vs humanities perspectives on illness and could be useful for undergraduate classes in health humanities, especially ones focused on writing. Also useful for health professions students and professionals to emphasize the human factors often missed in clinical encounters.