1. Reading or studying medicine?

2. Education What remains when what has been learned has been forgotten

3. Medical Humanities Literature Philosophy Psychology Sociology Media studies Arts

4. Literature and culture not enough on their own Poet Psychiatrist War criminal

5. Why? Personal development Understand the narrative of illness Avoid solipsism Help deal with uncertainty Help forge links with other disciplines NOT an excuse to slack off on technical abilities

6. Heart of darkness Not the kernel…but that which surrounds the kernel

7. “It’s got to come out, of course, but that doesn’t address the deeper problem”

8. I have a good doctor Enthusiasm and good communication Better technical skills

9. “The ringing in your ears - I think I can help”

12. Roles

16. Dealing with uncertainty Patients Role Ethics

19. “Of course my cough is productive!”

21. Illness as metaphor Illness is the night-side of life, a more onerous citizenship…everyone holds dual citizenship Impossible to take up residence unprejudiced by the lurid metaphors with which it has been landscaped

26. How others view us Patients Writers

28. GB Shaw..a profession is a group of people who band together to hide their own shortcomings..

33. Medical Humanities Literature Psychology Sociology Media studies Arts

34. Education What remains when what has been learned has been forgotten

39. Primum non nocere Primum non tacere

40. Ethics/Professionalism Dr D S O’Briain

41. 6 competencies for residency programs ACGME 1999 Patient care Medical knowledge Practice based learning and improvement Interpersonal and communication skills Professionalism System based practice –(larger context, cost, advocacy)

42. Professionalism Conduct, aims or qualities that mark a profession or professional person (Webster) Commitment to carry out professional responsibilities, adherence to ethical principals, sensitivity to diverse patient population (culture, age, gender, disability) respectful, altruistic, compassion, integrity, adherence to guidelines, identify deficiency in peer performance ACGME Unprofessional: Unmet responsibility, lack of effort to self improvement and adaptability, diminished relationship with patients, relatives, colleagues