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"Charon, R"

Jessica E Justman, Stephania Koblavi-Deme, Amilcar Tanuri, Allison Goldberg, Luis Felipe Gonzalez, Charon R Gwynn
The rapid scale-up of HIV care and treatment in resource-limited settings has overwhelmed many public health laboratory services already burdened with human resource shortages, an aging and inadequate infrastructure, and a lack of quality systems. There is, however, a growing appreciation of the opportunity to use HIV-related laboratory strengthening as means to strengthen health systems in general. We briefly describe ongoing efforts to integrate HIV laboratory support into HIV care and treatment systems, thereby strengthening laboratory systems in support of both HIV scale-up and overall health systems strengthening...
November 2009: Journal of Acquired Immune Deficiency Syndromes: JAIDS
R Charon, M Spiegel
No abstract text is available yet for this article.
2001: Literature and Medicine
R Charon
No abstract text is available yet for this article.
2001: American Journal of Bioethics: AJOB
R Charon
The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society...
October 17, 2001: JAMA: the Journal of the American Medical Association
R Charon
No abstract text is available yet for this article.
2001: Literature and Medicine
R Charon
No abstract text is available yet for this article.
January 2, 2001: Annals of Internal Medicine
R Charon, M Montello
No abstract text is available yet for this article.
March 1999: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
R Charon
Literature and medicine share an inherently enduring relationship. Doctors turn to literature--both its plots and its forms--to understand what occurs in their patients' lives, to increase their own narrative competence, to interpret accurately the texts of medicine, to develop empathy, and to deepen their capacities for reflection and self-knowledge. Together, these skills, attitudes, and bodies of knowledge contribute to the effective practice of medicine. Literature is now taught in almost three quarters of the medical schools in the United States...
May 2000: American Journal of the Medical Sciences
R Charon
There are seasons in the geriatric patient-physician relationship. As they age together, doctors and patients see one another through crises, recoveries, uncertainties, and losses, slowly weaving between them at times tapestries of complex narrative richness. What is known about the patient-physician relationship from scientific research can be contemplated by what is known about intimate human relationships. This article turns to three poems, written by Charles Simic, Wallace Stevens, and T. S. Eliot, to understand how the passage of time might lead to human intersubjective understanding...
February 2000: Clinics in Geriatric Medicine
R Charon
Literature and medicine is a flourishing subdiscipline of literary studies that examines the many relations between literary acts and texts and medical acts and texts. The author examines the historical connections between these two fields and suggests that the growth and decline in medicine's attentiveness to the power of words can be used as a marker for medicine's degree of attentiveness to the individual patient's predicament. The recent explosive growth in medicine's interest in literature and narrative is taken as evidence that medicine's swing toward the reductionist and away from the narrative has ended...
January 2000: Academic Medicine: Journal of the Association of American Medical Colleges
R Charon
Doctors and patients move together through time, humble in the face of its dictates. Novelists allow their characters to enter time, revealing in the characters' particular, ongoing lives some universal truths about living. Both the medical chart and the novel capture individual human lives as they change and as they age, finding some meaning in the random events that happen in them. Literary critics who write about the novel provide useful frameworks for doctors who reflect on their practice. In this essay, I examine the medical charts of two of my patients in detail and describe the experiences I shared with them...
January 4, 2000: Annals of Internal Medicine
M H Swartz, J A Colliver, C L Bardes, R Charon, E D Fried, S Moroff
PURPOSE: To test whether global ratings of checklists are a viable alternative to global ratings of actual clinical performance for use as a criterion for standardized-patient (SP) assessment. METHOD: Five faculty physicians independently observed and rated videotaped performances of 44 medical students on the seven SP cases that comprise the fourth-year assessment administered at The Morchand Center of Mount Sinai School of Medicine to students in the eight member schools in the New York City Consortium...
September 1999: Academic Medicine: Journal of the Association of American Medical Colleges
R Selzer, R Charon
In this first article for the feature Humanism and Medicine, Rita Charon introduces an excerpt from Richard Selzer's introduction to his latest book, The Doctor Stories. In her introductory and concluding comments, Charon contemplates the role of stories in medicine and how both truth and healing can be found in both listening to and telling stories. In the excerpt presented, surgeon and writer Selzer muses on his twin crafts. As a writer, Selzer can fully appreciate that which he witnesses in his life as a doctor...
January 1999: Academic Medicine: Journal of the Association of American Medical Colleges
R Charon, M Montello
No abstract text is available yet for this article.
June 1, 1998: Annals of Internal Medicine
M H Swartz, J A Colliver, C L Bardes, R Charon, E D Fried, S Moroff
PURPOSE: To test the criterion validity of existing standardized-patient (SP)-examination scores using global ratings by a panel of faculty-physician observers as the gold-standard criterion; to determine whether such ratings can provide a reliable gold-standard criterion to be used for validity-related research; and to encourage the use of these gold-standard ratings for validation research and examination development, including scoring and standard setting, and for enhancing understanding of the clinical competence construct...
July 1997: Academic Medicine: Journal of the Association of American Medical Colleges
R Charon, H Brody, M W Clark, D Davis, R Martinez, R M Nelson
This essay is composed of five stories written by practicing physicians about their patients. Each clinical story describes a challenging ethical condition-potential abuse of medical power, gravely ill and probably over-treated newborns, iatrogenic narcotic addiction, deceived dying people. Rather than singling out one ethical conflict to resolve or adjudicate, the authors attempt, through literary methods, to grasp the singular experiences of their patients and to act according to the deep structures of their patients' lives...
June 1996: Journal of Medicine and Philosophy
R Charon
No abstract text is available yet for this article.
September 1, 1994: Annals of Internal Medicine
M G Greene, R D Adelman, E Friedmann, R Charon
There has been extensive research on the factors associated with patient satisfaction with communication during medical encounters, however, little attention has been paid to satisfaction among subgroups of patients, including the elderly. It is inappropriate to assume that all patients have the same physician-patient relationship needs, and thus, they will all be satisfied with the same communication approaches during medical visits. In this study, we examine the interactional correlates of older patient satisfaction with an initial visit with a general internist...
May 1994: Social Science & Medicine
R Charon, M G Greene, R D Adelman
This paper reviews the conceptual frameworks of several research approaches to the study of medical interactions. Two methods are discussed: process analysis and microanalysis. Adapted from Robert Bales's study of the behavior of small groups, process analysis sorts and tallies such interviewing processes as questioning and informing, achieving analysis of large numbers of interviews at the expense of attention to the content or context of the interview. When used in medical interaction research, process analysis seeks correlation between processes documented in the interview and outcomes of the interview...
October 1994: Social Science & Medicine
R Charon, J T Banks, J E Connelly, A H Hawkins, K M Hunter, A H Jones, M Montello, S Poirer
Introduced to U.S. medical schools in 1972, the field of literature and medicine contributes methods and texts that help physicians develop skills in the human dimensions of medical practice. Five broad goals are met by including the study of literature in medical education: 1) Literary accounts of illness can teach physicians concrete and powerful lessons about the lives of sick people; 2) great works of fiction about medicine enable physicians to recognize the power and implications of what they do; 3) through the study of narrative, the physician can better understand patients' stories of sickness and his or her own personal stake in medical practice; 4) literary study contributes to physicians' expertise in narrative ethics; and 5) literary theory offers new perspectives on the work and the genres of medicine...
April 15, 1995: Annals of Internal Medicine
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