Abstract
TPS9147 Background: Caring for patients with cancer poses great challenges to doctors’ communication skills. This project, funded by NIH-NCI, represents an innovative collaboration between ETSU faculty in medical oncology, family medicine, and storytelling. The team secures patients’ and caregivers’ cooperation in recording stories of their journeys with illness. These are the focus of a set of cancer communication modules, to be offered as educational experiences for medical students, residents, and oncology fellows. The modules in development address 1) breaking bad news, 2) living through treatment, 3) transitioning from curative to palliative care, 4) communicating with family, and 5) sensitivity to issues of religion and spirituality. Methods: A collaborative inter-professional team developed an interview protocol to facilitate sharing of cancer-themed narratives. Video records are transcribed and coded using N-Vivo 8. The rating team meets to identify video clips that speak powerfully to positive, negative, or ambivalent aspects of cancer communication. Selected patients are brought together into “story circles,” where additional narratives are gathered. The module development team uses these stories to create empathic involvement in viewers, and to sensitize them to effective and ineffective communication strategies and challenges surrounding critical moments in patients’ lived experience of cancer. Modules effectiveness is tested with 1) Family Medicine and Internal Medicine residents, 2) medical oncology fellows and 3) multi-professionals health students just completing a communication courses. Assessment includes a pre-test and post-test OSCE addressing a number of the challenging cancer communication moments. Eighty-four of a projected 100 patient interviews and twelve physician//faculty interviews have been recorded, and all have agreed to the use of their interview materials. Representative examples of recorded cancer stories will be presented to demonstrate their evocative and pedagogical value. Opportunities will be discussed for further uses of these and similar stories in collaborations between medicine and the arts and humanities.
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