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THE HEALER’S ARTThe Institute for the Study of Health
and Illnessat Commonweal
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A STUDENT SPEAKS…
“Medical school is deteriorating to the soul and
we desperately need skills that help us not only
survive the process, but grow as human beings.
I am so grateful that The Healer’s Art was
created and that I was able to participate.”
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• Developed by Rachel Naomi Remen, MD
• Taught at UCSF School of Medicine since 1992
• Taught at 70 medical schools in USA, Canada, Israel, Slovenia, Taiwan, Australia & India
• Research published in peer reviewed journals and national media
HISTORY
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• Both pre-clinical and clinical elective formats
• Strengthens professional affiliation and identity
• Educational strategy based on the Discovery Model
• Draws on theory from cognitive, humanistic, Jungian and contemplative psychology
ABOUT THE CURRICULUM
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• Create a community of shared values among medical students, and between medical students and faculty
• Protect against cynicism, depression and the loss of commitment to service
• Develop the capacity to derive lifelong meaning from medical practice
COURSE GOALS
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• Provide students with tools for maintaining personal and professional satisfaction
• Clarify professional values and commitment
• Validate self-reflection and self-care• Remind faculty of their joy of teaching
COURSE GOALS, cont.
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• Medical education informs and transforms• Meaning and values underlie professional
behavior and commitment• Integrating professionalism into personal
identity requires a safe learning environment• Students enter medical school with a genuine
commitment to healing and service• In a community of inquiry, students and
faculty make equally valuable contributions
UNDERLYINGEDUCATIONAL THEORIES
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The Healer’s Art Curriculum (2 formats):
• 15-hour elective for MS1 and MS2 students in a five session format.
• 6-hour elective for MS3 and MS4 students in a two session or day retreat format.
COURSE STRUCTURE
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RESEARCH & EVALUATION
• Coordinated by the Center for the Study of The Healer’s Art since 2005
• Directed by Michael W. Rabow, MD [email protected]
• Ongoing research and evaluation of national data• Qualitative and quantitative research methods• Longitudinal, and multi-institutional research
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EVALUATION OUTCOMESAnalysis of 2003-4
National Course Evaluations
• 23 of 25 schools reporting
• 72% (489 of 680) of students
reporting
• 50.1% (88 of 174) of faculty
reporting
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• Students rated course quality as 4.47 on a 5-point scale
• Students and faculty reported important learnings NOT available elsewhere in curriculum (4.59 and 4.76 respectively)
• Students reported using content from the course both professionally (65.7%) and personally (73.3%)
• Faculty reported using content from the course both professionally (75.0%) and personally (79.5%)
• Age, gender, medical school and school year not associated with differences in evaluation of the course utility or uniqueness.
EVALUATION OUTCOMES continued
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STUDENTS EVALUATETHE COURSE
THE HEALER’S ART:“…helps us to remember what is important/what
matters most to us, and why we decided to become physicians in the first place.”
“…is truly unlike any other class or small group experience in medical school.”
“…provides a unique type of interaction between students and faculty.”
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THE HEALER’S ART:
“…helps medical students not to forget their humanity and themselves, not to forget the part that makes you, you.”
“…taught me that practicing medicine can be a process of continual growth and discovery.”
“…taught me how healing just listening can be.”
MORE STUDENTS EVALUATE THE COURSE
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• Grant supported and copyrighted
• Faculty training required before implementation
• Faculty Training Workshops and Resource Guides support curriculum implementation
• Free ongoing consultation and support available
• An established and growing network of faculty and associate deans
• For more information, contact [email protected] or visit www.ishiprograms.org
IMPLEMENTATION
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THE HEALER’S ARTwww.ishiprograms.org