The International Journal of Whole Person Care
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Anatomy of the elephant in Quebec family practice
Get PDFBackground
Whole person care has been a foundation of the modern practice of family medicine, and therefore one might expect that such an approach by family practitioners would evolve and mature over time. Some of these clinicians, however, currently question their ability to provide such holistic care because of external factors they perceive as negative, and over which they have little or no control.
Objectives
This presentation will explore perceived inhibiting factors affecting family doctors ability to provide whole person care within the publicly-funded health care system of the Canadian province of Quebec.
Method
The presenter, an academic and clinician scientist with forty-four years of experience practicing family medicine, will present personal perspectives, along with those gathered informally from a broad cadre of colleagues working in different settings. Using the idiom of “elephant in the room” to identify problems or obstacles that may not be voiced, this talk will start with consideration of elephant anatomy as being comprised of thirteen distinct anatomical parts that contribute to a functional whole. An analogy will be developed in which thirteen distinct factors are presented as likely impeding or discouraging whole person care by family physicians.
Conclusion
Some agendas and policies of health care planners and administrators, either alone or collectively, and intentionally or unintentionally, may decrease opportunity or ability of family physicians to provide whole person care
Enriching clinical encounters through qualitative research
Get PDFAlthough many medical and dental journals publish qualitative research this does not mean they are being read by those who could directly benefit from their scholarly contributions. From clinician to the patient. This perspective on qualitative research for medical and dental education was written with the intention of introducing qualitative research to those who may be unaware of its possibilities and utility for clinical education. Its task is to inform others about life conditions they may not have experienced themselves other than in a biomedical context. As researchers, clinicians, and especially for students who read academic, medical, and clinical research papers which are appropriately discipline-and methodology-specific, we may find ourselves encultured to privileging one type of research methodology over others. For example, exclusively considering quantitative research methodologies as being more rigorous and trustworthy.
This presentation may offer the opportunity for interested healthcare providers and researchers to expand their understanding of the purpose of qualitative research, its role and application in enhancing patient engagement, clinical practices, and person-centered research
La route longue et sinueuse qui m'a conduit aux Programmes en soins holistique de McGill
No full textCreating healing spaces for residents using Narrative Medicine
Get PDFFactors that detract from making meaningful connections with patients and finding meaning and joy in medical practice have found their way into resident education. Burnout and moral injury are increasingly reported by residents across specialties. [1, 2] A curriculum in Narrative Medicine was established at a community hospital family medicine residency as an antidote to these influences. Evaluative survey data and qualitative semi structured interviews reveal that the program created healing spaces for residents. This essay describes the program features and the evidence provided by the residents endorsing the healing impact of the program
The healing rock: Open-air adolescent psychiatric consultations
Get PDFThis short narrative describes the challenges of adapting consultation settings to both the needs of adolescents with psychiatric disorders and to the institutional constraints. We show how interior and exterior healing spaces may coexist and thereby enrich each other.Ce court récit décrit les défis que représente l'adaptation des lieux de consultation à la fois aux aux besoins des adolescents souffrant de troubles psychiatriques et aux contraintes institutionnelles. Nous montrons comment les espaces de soins extérieurs et intérieurs peuvent coexister, et ainsi s'enrichir mutuellement
