1. Patient-Centered Storytelling What We’ve Learned In Our PCMH Greg Kirschner MD, MPH Advocate Lutheran General Hospital Family Medicine Residency Park Ridge, IL

2. Listening For The Lullaby Let’s Begin With A Story

3. Ours Is An Endeavor of Stories The privilege of listening in on the lives of our patients –The richness and depth and irony of it all –The tragedy of missing so many stories –The intentional and unintentional ways we enter into the stories of our patients The use of story-telling as a teaching tool –The practice of the bedside presentation or the case conference

4. Storytelling in medical education can go some other places... Inspiration Emotion Relationship Spirituality Ambiguity Professionalism Leadership Conflict

5. Clinical Storytelling Not just the facts Crafted by a storyteller with an objective that goes beyond understanding the biology Calls the listener to a response –Intends to change the listener Uses skills that can be taught

6. Rage At The Machine Let’s Continue With A Postscript

7. Enter the experience and teaching of the Patient Centered Medical Home concept So much to do, so little time Great energy and opportunity...and yet the reality of meetings and meetings and meetings, checklists, projects; the material can seem dry A new curriculum thrust on our learners with variable response

8. Simply asking : Can Storytelling around PCMH –Help our teaching? –Help ourselves? –Help our patients?

9. The use of stories around the hallways of the PCMH Specific features of PCMH –Group visits, patient portal, quality Examine foundational principles –Continuity, personal physician, team, patient centeredness Go for the soul Encourage enjoyment

10. To be a storyteller Reflect Capture Craft a story –Be intentional –Decide on a goal –Assess the audience –Set up the framework –Use drama, timing, antagonists/protagonists –Leave the listener wondering: unfinished business

11. Peering Through The Patient Portal: Promise or Peril? Let’s Continue With Another Story

12. Storytelling is fashionable Business leadership Safety Stories

13. Some Questions Raised Confidentiality and Privacy Appropriate timing Truth vs creative storytelling Oral vs. written How to share and encourage storytelling

14. Other PCMH stories to share It Was A Dark And Stormy Night: Fear in our Resident Centered Educational Home? Truth or Dare: Advanced Access Roll-out in Our Residency Team Nesset: Players We Never Knew We Had Drafted

15. Resource Smith, Paul. Lead With A Story New York: American Management Association, 2012 –A guide to crafting business narratives that captivate, convince, and inspire

16. And They Lived Happily Ever After. The End. Greg.Kirschner@advocatehealth.com