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    Narrative Medicine

    Explore JAMA’s A Piece of My Mind essays, real-life stories from physicians about the joys and challenges of practicing medicine in the modern era.

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    • On Mentoring
      JAMA
      Opinion
      April 13, 2021

      In this narrative medicine essay, JAMA’s editor in chief remembers his career mentors and their selflessness as they guided him in his early and mid-career and later became friends and colleagues.

      Humanities A Piece of My Mind
      Full Text | pdf link PDF free
    • Sitting in the River
      JAMA
      Opinion
      April 6, 2021

      In this narrative medicine essay, a palliative care physician finds the space between professional and patient distance thinning as the COVID pandemic drags on and wonders whether abiding with them is the lesson.

      Humanities End of Life A Piece of My Mind
      Full Text | pdf link PDF free
    • No Time for This
      JAMA Neurology
      Opinion
      April 5, 2021

      This essay discusses the author’s experience with stuttering as a medical student and how injustices surrounding speech fluency affect minoritized individuals.

      Humanities Medical Education and Training On The Brain
      Full Text | pdf link PDF
    • Testimony of the Beirut Explosion—A White Coat Soaked in Blood and Tears
      JAMA Internal Medicine
      Opinion
      April 1, 2021

      This article provides the perspective of a first-line responder after an explosion in Beirut, Lebanon, on August 4, 2020.

      Humanities Global Health Trauma and Injury Perspective Medical Education and Training
      Full Text | pdf link PDF
    • No Visitors Allowed
      JAMA Neurology
      Opinion
      April 1, 2021

      This essay describes the author’s experience of not being able to visit and advocate for her mother in the intensive care unit during the coronavirus disease 2019 pandemic.

      Neurology Health Care Quality On The Brain Coronavirus (COVID-19) Humanities
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • Alien J-1 Physicians in a Pandemic
      JAMA Internal Medicine
      Opinion
      March 29, 2021

      This article describes the unique difficulties faced by non-US citizen physicians during the COVID-19 pandemic.

      Humanities Health Care Workforce Perspective Medical Education and Training
      Full Text | pdf link PDF free
    • I Am Not Burned Out
      JAMA
      Opinion
      March 23, 2021

      In this narrative medicine essay, a pediatrician describes her struggle to recognize postpartum depression with the birth of her third child and how she found her way out.

      Humanities Pregnancy Obstetrics Obstetrics and Gynecology A Piece of My Mind
      Full Text | pdf link PDF free
    • Last Christmas—Counseling Patients in the Era of COVID-19
      JAMA Oncology
      Opinion
      March 18, 2021

      In this essay, an oncology fellow describes how his conversations with patients with terminal cancer and their families have changed regarding travel and gathering restrictions during the COVID-19 pandemic

      Humanities Cancer Care Chronicles Coronavirus (COVID-19) Oncology
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • Somebody’s Sunshine
      JAMA
      Opinion
      March 16, 2021

      In this narrative medicine essay a geriatrics fellow describes the experience of preparing for and meeting her foster son and discusses her feelings of uncertainties that (mostly) melt away when sharing her new child's photo with a colleague the day after bringing him home.

      Humanities Pediatrics A Piece of My Mind
      Full Text | pdf link PDF
    • Trauma Comes Home
      JAMA
      Opinion
      March 9, 2021

      In this narrative medicine essay, a surgeon tells of her experience as a caretaker for her partner disabled by chronic sequelae of head trauma, and the challenges it poses as she tries to maintain the professional distance required to do her job as a trauma attending.

      Humanities Traumatic Brain Injury Neurology A Piece of My Mind
      Full Text | pdf link PDF
    • It’s Not Your Fault
      JAMA
      Opinion
      March 2, 2021

      In this narrative medicine essay an infectious diseases physician shares the sense of forgiveness she brings to anyone possibly involved in COVID-19 transmission, having learned as a child the healing power of family absolution after she witnessed the death of a cousin.

      Humanities Psychiatry and Behavioral Health A Piece of My Mind Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Eva’s Legacy
      JAMA Pediatrics
      Opinion
      March 1, 2021

      This article describes a young patient’s legacy of resilience, strength, love, hope, and peace.

      Humanities Pediatric Cancer End of Life Surgery Surgical Oncology
      Full Text | pdf link PDF
    • COVID-19 Communication—The Need for Humanity, Empathy, and Grace
      JAMA
      Opinion
      February 23, 2021

      In this narrative medicine essay, a medical school professor expresses gratitude for the caring and empathy expressed by the team caring for her mother hospitalized with COVID-19 and emphasizes the importance of humanity and compassion over facts and statistics for families physically separated from their critically ill loved ones.

      Humanities A Piece of My Mind Coronavirus (COVID-19) Critical Care Medicine
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • Enjoy the Vase
      JAMA
      Opinion
      February 16, 2021

      In this narrative medicine essay, a psychiatrist finally at peace after his wife's death to cancer learns that his prostate-specific antigen levels have begun to rise, reminding him to embrace uncertainty, a loss of control, and change.

      Humanities A Piece of My Mind Prostate Cancer Urologic Cancer
      Full Text | pdf link PDF
    • Donning and Doffing
      JAMA
      Opinion
      February 9, 2021

      In this narrative medicine essay an internal medicine hospitalist explores what the new diagnosis of breast cancer means for her professional identity and considers how the COVID-19 pandemic facilitates the hiding of serious illness but also complicates disclosing the news to colleagues and friends.

      Humanities Oncology A Piece of My Mind Breast Cancer Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Outpatient Dietary Management of Electrolyte Disorders During COVID-19: Food as Medicine
      JAMA Internal Medicine
      Opinion
      February 8, 2021

      This essay discusses the use of food substitutes rather than medications as a treatment for electrolyte repletion.

      Humanities Geriatrics Perspective Acid Base, Electrolytes, Fluids Diet
      Full Text | pdf link PDF free
    • Innocence in America—Reading James Baldwin in 2020
      JAMA
      Humanities
      February 2, 2021

      This Arts and Medicine feature offers an appreciation of mid-20th century novelist, essayist, memoirist, and civil rights activist James Baldwin and argues for his continuing relevance to medicine and society at large.

      Humanities Health Disparities History of Medicine The Arts and Medicine
      Full Text | pdf link PDF
    • The In-between
      JAMA
      Opinion
      February 2, 2021

      In this narrative medicine essay, a geriatrician memory of a neuroradiology fellow’s words of calm when breaking the news that her 8-year-old daughter had a brain tumor often bubbles up years later when she breaks bad news to patients with COVID who are without the support of friends or family.

      Humanities Neuro-oncology Neurology Oncology Pediatrics
      Full Text | pdf link PDF
    • A Nursing Researcher’s Experience in a COVID-19 Vaccine Trial
      JAMA Internal Medicine
      Opinion
      February 1, 2021

      This perspective is that of a nursing researcher turned volunteer in a COVID-19 vaccine trial. She considers the experience of study participants and how clinicians will need to prepare their patients for the vaccine’s possible adverse effects.

      Humanities Nursing Perspective Vaccination Infectious Diseases
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • Eastern Kentucky’s Lost Generation and the Echoes That Remain—The Aftermath of the Opioid Epidemic
      JAMA Internal Medicine
      Opinion
      February 1, 2021

      This essay describes the author’s personal experiences witnessing the opioid epidemic and its devastation in Kentucky.

      Humanities Addiction Medicine Opioids Public Health Perspective
      Full Text | pdf link PDF
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