Medical Humanities at the Medical College of Wisconsin

Director
Arthur R. Derse, MD, JD

Program Administration
Kristen Tym, MA

Humanities Program Core Faculty
Bruce Campbell, MD
Carlyle H. Chan, MD
Annie Friedrich, PhD
K. Jane Lee, MD, MA
Theresa Maatman, MD
Julie Owen, MD, MBA

The Medical College of Wisconsin (MCW) Medical Humanities Program, a component of the MCW Center for Bioethics and Medical Humanities (a division of the MCW Institute for Health and Humanity), is dedicated to professionalism, communication, empathy, and reflection, through education in the medical humanities, including literature, medical history, the visual and performing arts and the social sciences.

The field of medical humanities encompasses the duties of physicians and the characteristics of the professional, the meaning of illness and suffering, and the importance of listening to and caring for patients.

Why should medical education include the medical humanities? Traditional medical education has been successful in training physicians to be technically competent but has not excelled at producing practitioners: who effectively communicate with patients, who understand their professional obligations to patients and who convey empathy in their care of patients. Empathy is the understanding of and identification with another's situation and feelings. Paradoxically, evidence shows that as students progress over the four years of medical education and into their years of training, they become less empathetic toward their patients.

Many leading medical schools have established medical humanities programs, and the Medical College of Wisconsin joined this vanguard in 2006 when it inaugurated the MCW Medical Humanities Program. The MCW Medical Humanities Program consists of curricular and extracurricular educational and initiatives for MCW students, trainees, and faculty, designed to advance physicians’ understanding of their professional obligations, enhance their communication with patients, to increase their empathy and to encourage their reflection. The ultimate beneficiaries of the program include the patient community in Wisconsin and
beyond.

The MCW Medical Humanities Program activities include:

• Curricular Activities

•  Bioethics and Medical Humanities Scholarly Concentration – Phase 1 and Phase 2 students may elect to spend approximately 10% of their curricular effort in bioethics and medical humanities with core sessions with an academic focus, in class discussions, and work toward a final scholarly project for presentation and potential publication.

• Narrative Ethics and Reflective Writing in the Medical Ethics, Law and Medical Humanities Thread of the Good Doctor Course – Narrative ethics and reflective writing exercises are used in the Medical Ethics, Law and Medical Humanities Thread in the required Good Doctor Course in Phase 1 and 2. Narrative approaches, including non-fiction narratives by physicians describing their encounter and resolution of ethical dilemmas in medicine are an effective way to teach ethics, and reflective writing helps students toward goals of professionalism, communication, and empathy.

• Phase 1 Healer’s Art Course. First offered at MCW in 2008, this academic enrichment elective course gives medical students an opportunity to explore in a small group setting their new role as healers: helping them build generous listening skills, learning how to support patients in their grief and loss and dedicating their professional lives to service in medicine.

• Continuing Professional Development Pediatric Ethics Readers Theater. This required Phase 2 Pediatric Ethics session uses Readers’ Theatre methods.

• Reflecting Backward and Looking Forward to the Personal Statement. This required Phase 2 narrative session leads students in writing exercises geared toward attention, representation, and affiliation with patients, and in preparation of the personal statement in residency application.

• The Art of Medicine through the Humanities elective. This phase 3 elective consists of seminar readings, including prose and poetry, the visual and performing arts, reflective journal writing, as well as a final work product for publication or presentation. Seminars include physician writers and poets, and sponsored sessions by the local art museum, symphony orchestra, and repertory theatre. Additional seminars include creative writing, painting, photography, film, music, medical improv, visual thinking strategies, medical history, graphic medicine. Qualitative evaluations show that students value the opportunity to reflect upon their profession, to improve their humanistic skills, and to write and to become familiar with varieties of medical humanities. These sessions also improve visual literacy, diagnostic accuracy, communication, empathy, self-reflection, and tolerance for ambiguity. Student writing is published each year, both in the final course booklet, and selections are published in the annual MCW literary journal, Auscult.

• Narrative Medicine and Reflective Writing elective. This Phase 3 elective is offered virtually and asynchronously. During this course, students learn the principles and practices of narrative medicine using readings, and visual and performing arts. Students respond creatively to the works in online discussions with instructors and other students.

• M-4 Graphic Medicine elective. This Phase 3 elective uses techniques of drawings and cartoons, known as graphic medicine, to advance professionalism, empathy and communication.

• Extracurricular Activities

• MCW Annual Humanities Lecture. This lecture series is free and open to the community. With lectures by Abraham Verghese, Ted Kooser and Bill Lydiatt, Charles Bosk, Ann Fadiman, Rafael Campo, Richard Kogan, David Watts, Danielle Ofri, Christina Puchalski, Christine Montross, Barron Lerner, Katie Watson, Jay Baruch, Craig Klugman, Bruce Campbell, Michael Green, Ray Williams, and Fabio Zampieri.

• MCW Class of 1956 Humanities Lectureship. The MCW Medical Humanities Program assists leadership from the Class of 1956 and the Alumni Office in offering an endowed annual lectureship in the humanities. The inaugural lecture was held in 2007.

• The Henry Howe and Jennie Wong Chan Memorial Lectureship in Bioethics and Medical Humanities. This endowed lectureship in bioethics and medical humanities has featured Tess Jones, Maren Monsen, Faith Kohler, Rick Guidotti, Barbara Sieck, and Paul Haidet.

• Moving Pens Writing Group. This ongoing workshop, sponsored by MCW and Red Oak Writing, provides inspiration, practical support and feedback for creative medical writers drawn from faculty and students.

• Faculty Humanities Interest Group. The Faculty Humanities Interest Group has been a vehicle for faculty to present their works and current projects to other faculty for feedback and discussion. The interest group has helped to engender interest by faculty members in the medical humanities and the goals of the program.

• MCW Student Interest Groups. Faculty from the Medical Humanities Program are advisors to student interest groups in medical humanities and bioethics, including Physicians for the Arts (PFA), Medical Humanities Interest Group (MHIG), Auscult, and the Bioethics Interest Group (BIG).

• Julia A. Uihlein Bioethics and Medical Humanities Collection Selection Committee. MCW Medical Humanities Program affiliated faculty serve on the selection committee of the Julia A. Uihlein Bioethics and Humanities Collection of over 1100 titles in bioethics and medical humanities in the MCW Library.

• Awards

• President’s Prize in Creative Medical Writing. MCW Humanities Program Faculty select an annual recipient from submissions by MCW faculty, trainees and students who reflect on the profession of medicine through creative medical writing through narrative essays, poetry, and other forms of written creative expression through publications in medical journals and other venues.

• Affiliated Programs

• Auscult. A student-led, faculty-advised annual literary journal publishes essays, poems, photography, graphic medicine, and other literary and artistic pieces.

• MCW Common Read. A student-led, faculty-advised group selects a book for the entire MCW campus to read and discuss. The discussions are followed by a featured lecture from the author.

• MCW Gold Humanism Honor Society. This honor society recognizes students, residents and faculty who are exemplars of compassionate patient care and who serve as role models, mentors, and leaders in medicine. It selects a student and faculty member annually for the Leonard Tow Humanism in Medicine Award.

• Med Moth. A student-led, faculty-advised group writes and performs one-person oral storytelling.

• The MCW Orchestra. Students, staff, and faculty in this full orchestra of woodwinds, brass, percussion, and strings, perform concerts on campus and in the community.