The Division of Medical
Ethics and Humanities

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Physician Literature & Medicine Discussion Groups

Our program draws on concepts developed by proponents of Literature and Medicine and Narrative Medicine. Rita Charon, MD, PhD has elaborated many of the principles and practices we follow. The abstract from her article in JAMA (2001;286:1897-1902) captures the spirit of our program.

Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust
The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society. With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other health care professionals, and inaugurate consequential discourse with the public about health care. By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care.

Wednesday, February 7, 2007
LDS Hospital
6:15 p.m. in Pugh Board Room

Play: Washington Square
, by Henry James
Facilitator: Brooke Hopkins

Our Facilitator Brooke Hopkins writes: "Washington Square is a short early novel by Henry James (an author whom, to my knowledge, we haven't discussed in these sessions) that features a particularly interesting medical figure, the father of the heroine, Catherine Sloper. Unlike James' later work, Washington Square is short and quite accessible. It's also a perplexing and troubling novel, one that I think you'll find quite interesting. I look forward to discussing it with you.

" …During a portion of the first half of the present century, and more particularly during the latter part of it, there flourished and practiced in the city of New York a physician who enjoyed perhaps an exceptional share of the consideration which, in the United States, has always been bestowed upon distinguished members of the medical profession. This profession in America has constantly been held in honor, and more successfully than elsewhere has put forth a claim to the epithet of "liberal". In a country in which, to play a social part, you must either earn your income or make believe that you earn it, the healing art has appeared in a high degree to combine two recognized sources of credit. - Washington Square

A light dinner will be served at 6:15 p.m. and the discussion will start at 6:30 p.m.

For more information about this program, call 408-1135.
RSVP to Jay Jacobson at jay.jacobson@intermountainmail.org .

This activity is approved by the University of Utah for 1.5 CME credit hours.
CME Statements and Disclosures
Accreditation: The University of Utah School of Medicine CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation: The University of Utah School of Medicine designates this continuing medical education activity for a maximum of 1.5 credit hours in Category 1 of the Physician Recognition Award of the American Medical Association. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
Faculty Disclosure: The University of Utah adheres to ACCME Standards regarding industry support of continuing medical education, and disclosure of faculty and commercial sponsor relationships (if any) will be made known at the activity. Speakers are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs, devices, or equipment in their presentations.
ADA: The University of Utah complies with the Americans with Disabilities Act by providing qualified individuals with disabilities access to University programs, services and activities. Reasonable prior notice is needed to arrange accommodations. Please call Natalie at 408-1135 to request an accommodation.

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Schedule of Readings for 2007

We have chosen a theme, "On Doctors and Doctoring," to guide our literary and cinematic selections over the year and to encourage an ongoing and enriching conversation about the changing social and professional roles of physicians in history; about the challenging relationships between doctors and their patients, their colleagues and their families; and about the daunting responsibilities for physicians during war, amidst poverty, and within crisis.

Wednesday, January 3, 2007
6:30 p.m., UUMC Administrative Large Conference Room 5A275
Book: Our Town, by Thornton Wilder
Facilitator: Mark Matheson

Wednesday, February 7, 2007
6:30 p.m., LDS Hospital in the Pugh Boardroom
Book: Washington Square by Henry James
Facilitator: Brooke Hopkins

Wednesday, March 7, 2007
6:30 p.m., UUMC Administrative Large Conference Room 5A275
Book: Autobiography of a Face by Lucy Grealy
Facilitator: Susan Sample

Wednesday April 4, 2007
6:30 p.m., LDS Hospital in the Pugh Boardroom
Book: The Sea and Poison by Shusaku Endo
Facilitator: Therese Jones

Wednesday, May 2, 2007
6:30 p.m., UUMC Administrative Large Conference Room 5A275
Film: The Doctor
Facilitator: Therese Jones

Wednesday, June 6, 2007
6:30 p.m., LDS Hospital in the Pugh Boardroom
Literature: The Fortunate Man: The Story of a Country Doctor by John Berger
Facilitator: Mark Matheson

Wednesday, July 11, 2007
6:30 p.m., UUMC Administrative Large Conference Room 5A275
Book: Mountains Beyond Mountains by Tracy Kidder
Facilitator: Rachel Borup

Wednesday, August 1, 2007
6:30 p.m., LDS Hospital in the Pugh Boardroom
Book: House of God by Samuel Shem
Facilitator: Therese Jones and Lou Borgenicht

Wednesday, September 5, 2007
6:30 p.m., UUMC Administrative Large Conference Room 5A275
Book: Chekhov's Doctors edited by Jack Coulehan
Facilitator: Rachel Borup

Wednesday, October 3, 2007
6:30 p.m., LDS Hospital in the Pugh Boardroom
Book: In the Country of Hearts by John Stone
Facilitator: Susan Sample

Wednesday, November 7, 2007
6:30 p.m., UUMC Administrative Large Conference Room 5A275
Book: The Echo Maker by Richard Powers
Facilitator: Rachel Borup

Wednesday, December 5, 2007
6:30 p.m., LDS Hospital in the Pugh Boardroom
Book: Difficult Conversations: How to discuss what Matters Most by Douglas Stone, Bruce Patton and Sheila Heen
Facilitator: Aden Ross

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Photograph by Division Member, Jeff Botkin
(Used with permission)