647A Art f Dctring Curse Descriptin: Art f Dctring cmbines large-grup mini-presentatins by utstanding UCI-SOM faculty and small grup discussins designed t enhance the physician-patient relatinship, expand students' cmmunicatin skills, and prvide strategies t prmte cmpassin and empathy as cre physician values. The class uses self-reflective practices, rlemdeling, reflective writing, and case-based practical prblem slving. Department: Educatinal Affairs Prerequisites: UC Irvine students must have cmpleted their basic science curse wrk. Elective Credit: 2 weeks Restrictins: This curse is fr UC Irvine students nly Elective Directr: Jhanna Shapir, Ph.D., Department f Family Medicine, UC Irvine Medical Center, 101 The City Drive Suth, Building 200, 5th Flr, Orange, CA 92868, (714) 456-5171, (949) 824-3748, jfshapir@uci.edu Instructing Faculty: Jhanna Shapir, Ph.D., Lawrence Fazila, MD, Richard Kelly, MD, Rn Kns, MD, and ther UCI-SOM faculty. Curse Website: Canvas Wh t Reprt t n the First Day: Jhanna Shapir PhD Lcatin t Reprt n the first Day: UC Irvine Medical Center Time t Reprt n the First Day: 4:00 pm Site Crdinatr: Jhanna Shapir, Ph.D., Department f Family Medicine, UC Irvine Medical Center, 101 The City Drive Suth, Building 200, 5th Flr, Orange, CA 92868, (714) 456-5171, (949) 824-3748, jfshapir@uci.edu Site: UC Irvine Medical Center Perids Available: September t March (weekly classes; break Dec-mid-Jan fr interviewing) Duratin: 20 sessins (Sept-March); 2 hurs each; 1 required clinical bservatin; apprximately 4 hurs per week independent study (reading, writing, clinical bservatins). Number f Students: 10-50 Scheduling Crdinatr: UC Irvine students please call (714) 456-5176 t make a scheduling appintment.
Curse Objectives: At the end f this elective students will... Develp self-awareness in the service f patient care Enhance the physician-patient relatinship and expand students' cmmunicatin skills Highlight the imprtance f intraprfessinal team relatinships Prvide strategies t prmte cmpassin and empathy as cre physician values Understand the usefulness f reflectin and imaginative perspectives in a) cultivating cmpassin and empathy fr patients, patients' family members, peers, self, and thers b) develping insight int hw best t cnvey cmpassin and caring in the dctr-patient relatinship. Be able t identify and assimilate cmpassinate attitudes and behavirs mdeled by thers. Knw hw t use re-centering techniques t maintain an attitude f cmpassin in difficult and stressful situatins. Knw hw t use reflective writing and ther humanities-based techniques t develp and maintain cmpassin and empathy. Key Tpics: Hning cmmunicatin skills Develping the dctr-patient relatinship Rle f empathy in clinical practice Nnverbal cmmunicatin at the bedside Difficult dctr-patient interactins Challenging wrk relatinships Wrking with difficult peple Develping attitudes f emtinal equilibrium, attentive presence, and mindfulness during stressful patient encunters. Wrking with difficult emtins tward patients Infrmed cnsent as a prcess nt a checklist Wrking with and leading interprfessinal teams Lss, grief, and healing End f life issues in pediatrics and geriatrics; death with dignity Medical Errrs and mistakes Prfessinalism Self-care fr physicians Cmpetencies: Imprve ability t listen carefully, accurately, and precisely t patients. Imprve ability t accurately reflect and paraphrase patient statements, perspectives Imprve ability t pay careful attentin t language and tne in cmmunicating with patients Imprve ability t attend t and interpret nnverbal behavir Imprve self-awareness and self-knwledge
Imprve ability t wrk thrugh emtinal respnses f anger, frustratin, defensiveness, and detachment. Imprve ability t cnvey empathy, understanding, respect, and caring tward patients Increase ability t re-center r restre emtinal equilibrium in stressful situatins. Imprve bility t use writing, reading and ther humanities-based techniques t reflect n difficult patients and situatins fr the purpse f gaining new insight and develping new curses f actins. Attitudes and Cmmitments: Increased cmpassin, empathy tward patients Attitudes f service Renewed cmmitment t the practice f medicine generally, and in particular tward patients ften stigmatized in the medical system. Educatinal Activities: Art f Dctring cmbines large grup mini-lectures with small grup discussin t enhance the physician-patient relatinship, expand students' cmmunicatin skills, and prvide strategies t prmte cmpassin and empathy as cre physician values. The class uses self-reflective practices, rle mdeling, reading, and case-based prblem-slving. All students must cmplete 3 written assignments and a final prject. What Students shuld d t Prepare fr the Rtatin: Students must have the willingness t participate in reflectin and a reasnable degree f self-disclsure fr the purpse f develping mre cmpassinate and caring attitudes and behavirs tward patients. Clinical Respnsibilities f the Student: One clinical bservatin sessin. Patient Care Respnsibilities f the Student: Nne directly, ther than standard patient care respnsibilities as part f their ther rtatins.. Call Schedule f the Student: Nne, ther than required call as part f their ther rtatins. Prcedures t be Learned by the Student: Nne Percentage f Time Students will Participate in Ambulatry Setting: Only as determined by their ther rtatins. Cnference/Lecture/Small Grup Sessins: Hning cmmunicatin skills Develping the dctr-patient relatinship Rle f empathy in clinical practice Nnverbal cmmunicatin at the bedside Difficult dctr-patient interactins
Develping attitudes f emtinal equilibrium, attentive presence, and mindfulness during stressful patient encunters; wrking with difficult emtins tward patients Infrmed cnsent as a prcess nt a checklist Wrking with and leading interprfessinal teams Lss, grief, and healing End f life issues; death with dignity Medical errrs and mistakes Scial determinants f health and illness Prfessinalism Self-care fr physicians Curse Hurs: 25.0 Case based 25.0 Small Grups 30.0 Other: reading, reflective writing, clinical bservatin 80.0 Ttal Cntent Theme Integratin Cmmunicatin Skills Death & Dying Decisin Making Ethics Geriatrics Humanities Multicultural Medicine Patient-Health Educatin Spirituality Required Reading: Nne Recmmended Reading(s): Eric Cassell - The Healer's Art Hward Brdy - Stries f Sickness Arthur Frank - The Wunded Stryteller Rachel Nami Remen - Kitchen Table Wisdm David Lxterkamp - A Measure f My Days David Hilfiker - Healing the Wunds Richard Selzer - Letters t a Yung Dctr Richard Selzer - The Dctr Stries Jn Mukand (ed) Articulatins: The Bdy and Illness in Petry James Pennebaker - Opening Up Pema Chdrn - When Things Fall Apart Jack Krnfield - A Path with Heart
Jhn Kabat-Zinn - Where Ever Yu G, There Yu Are Pauline Chen Final Exam Atul Gawande Cmplicatins; Being Mrtal Danielle Ofri Singular Intimacies; Incidental Findings; What Dctrs Feel A Life in Medicine: A Literary Anthlgy Rbert Cles, Testa eds. Suzanne Pirer - Dctrs in the Making Official Grading Plicy: This elective is ffered H/P/F. Students will receive a passing mark if they 1) Attend 13 ut f the 20 sessins 2) Cmplete all writing assignments satisfactrily 3) Cmplete 72 pints based n attendance, assignments, and extra credit. Students wh accumulate 90 pints will receive Hnrs. The instructr will cntact all students halfway thrugh the curse and prvide feedback n their standing in curse, including identificatin f prblems and recmmended slutins. If a student fails the curse he/she will be given the ptin f ding additinal written wrk that will be negtiated between the instructr(s) and the student; r he/she will repeat the elective.