Six film clips that focus on doctor‐patient con‐ In a following scene, Dr McKee arrives late at his own . doctor‐patient relationship becomes unsalvageable. A. Keywords: narrative based medicine, doctor-patient relationship, movies, .. This is evident in the first scene of this movie when Dr. Kelekian. The Best Movies For Doctors And Medical Students. Haunted by the patients he failed to save, an extremely burned-out Manhattan.
The decorum in the operating theater is very casual and the chatter between him and his partner, Dr. Murray Kaplan, not particularly professional. When a patient with a chest scar mentions her husband wants to know if it will go away, Jack responds that she should tell him that she is just like a "Playboy centerfold, because she has the staple marks to prove it.
His wife is shocked when he coughs up blood all over her and the car.
Movie treatments: film psychiatrists and patients
In an examination, Jack has a sample of a growth removed from his throat. The biopsy comes back positive for cancer. His time spent with another cold, impersonal surgeon in this examination is the beginning of his transformation. Further tests and disappointments are blended with scenes of other patients' grace and empathy towards each other and a much better view of the delays and missteps of their doctors and medical support personnel.
As Jack experiences life as a patient, there comes a clearer understanding of the emotionally void hospitals, some doctors, and his own colleagues can display. This is evident in the first scene of this movie when Dr.
The Best Movies For Doctors And Medical Students - IMDb
Kelekian communicates the diagnosis to Vivian in only four minutes, asking her to join the experimental clinical trial without informing her of the side effects and the uselessness of the treatment. Their perfect symbiosis is interrupted abruptly after the appearance of Claire, a television actress, affected by fertility problems.
The obsession for Claire and her illness will push Beverly towards drug addiction, soon followed by his brother Elliot in this destructive spiral. Medical horror and thriller, instead, are more focused on bioethical themes such as euthanasia, transplants, cloning, abortion, artificial insemination and many others.
Despite the limitations due to the small group that has selected, viewed and evaluated the movies, and the necessity to discard many interesting but not available titles, it was possible to reach some interesting conclusions.
Undoubtedly, the negative portrayals of physicians and of the health institutions are on the increase: In this sense, narrative based medicine and cinema could constitute useful tools for educational and training purposes. Another interesting consideration concerns the figure of the female doctor, who is on the rise, evolving from 4. Woman doctors are predominantly portrayed in a positive way We believe it is important to pursue this area of investigation in future studies.
First of all, it would be relevant to consider the figure of the woman doctor.
Secondly one could look for objective criteria for the assessment and identification of the most useful titles for didactic purposes, taking also into consideration the increasing interest that is developing around narrative medicine, the problem of doctor-patient relationship and, especially, the need to re-humanize medicine. Family Medicine, 26, The golden age of medicine.
The Nebraska State Medical Journal, 35, Lo specchio della vita: Medici e malati sullo schermo del cinema. Twenty years of experience using trigger films as a teaching tool. Most frequently, this cynical behaviour or deep relativism may be a defensive mechanism against all of the suffering that physicians are confronted with every day. Nevertheless, we should be careful about this situation, as many patients may be considerably disturbed and mistreated.
This need of empathic communication has recently received considerable interest and has been submitted to specific programmes to develop it8. A new didactic approach to understand the doctor-patient relationship: Therefore, alternative methods to approach such issues should be welcomed.
Doctors have been an important source of writers in all countries: Moreover, many works of literature are devoted, or at least linked, to medical topics. Since the introduction of Humanities in medical curricula performed by Penn State University in the late seventies9, an increasing interest in the topic has been noted.
In this way, it has been suggested that literature may help to introduce students to difficult topics and improve their abilities to cope with the uncertainties of the medical profession10, More recently, attention has also been focussed on the use of popular movies as teaching tools It is not surprising that movies should be considered as an interesting approach in medical education In recent years, several references to some of them may be found not only in highly reputed, general and specialised medical journals, but also in other academic disciplines, such as general science22, nursing23 or law They may be derived from fiction or real stories and may influence public perceptions on health issues, and may also change attitudes that might benefit or be against any topic, even when they are not fully realistic or completely true.
For instance, it has been suggested that cinematic depictions of physicians may influence and affect the patient-physician relationship25, In fact, movies may also change attitudes regarding medical procedures, as has been shown to be the case of electroconvulsive therapy When the Doctor is the Patient, as well as the movies that were inspired by them, are reviewed.
The Doctor ( film) - Wikipedia
They are two good examples of how this approach may help medical students to better understand their future profession. La Maladie de Sachs Martin Winckler the pseudonym of the French physician Marc Zaffran published this work, originally in French, inbut an English translation is available28 Figures 1 and 2. This novel is a remarkable work for many reasons, not only for its literary value but also for its medical interest.
It tells the story of Bruno Sachs, a rural, contemporary French physician in his thirties, who practises medicine in a very particular way He pays special attention to the personal problems of his patients, not only to just the biological component of diseases. Patients are pictured as whole persons that have worries that are not biological in nature in most cases.
In fact, they are ordinary people who are afflicted by ailments that are scarcely shown in any medical textbook. Sachs never refuses to attend any patient even when his medical role is severely limited. One of the main interests of the novel is that Sachs never speaks for himself and we learn about him by means of what people around him say.
- MOVIE PORTRAYALS OF PHYSICIANS AND THE DOCTOR – PATIENT RELATIONSHIP
His patients, his secretary, his mother or his girlfriend explain to us what they think about Sachs and his behaviour. The story was later converted into a film with the same title and directed by Michel Deville Figure 3. The film is an example of a neorealist movie and is an excellent tool to show the professional activity and the personal life of a physician, often intermingled. Sachs himself talks to the audience to explain his personal feelings, his frustrations and fears about his failure to achieve happiness.
As well as the novel, the film shows a different way of practising medicine and of caring for patients beyond their signs or symptoms. Symptoms of his disease are excessive worry for his work of caring for people until the extreme of neglecting himself, and devoting most of his time to doctoring He extends his sarcasm to the society as a whole, and the daily conflicts are treated with strong bitterness.
Sachs is very critical of the way his peers practise medicine. At times, he may even be considered as a fundamentalist in some of his opinions, such as those which affect professional secrecy or implicates physicians in situations that are not commonly accepted as subjected to medical duties.
However, the film is not a hagiographic portrait. Sachs is a human being and he makes mistakes and some of his patients are not very happy with him and disagree with his advice. What does the movie show us? I recommend seeing it more than once in order to understand all of the messages that it contains.
My favourite scenes are those of the man telling Sachs the story of his wife, who is dying in the next room, the great care Sachs takes with a woman submitted to an abortion procedure, or several episodes of his nightshifts figure 4.
Nevertheless, every spectator will choose his or her best scenes, as there are many. In my opinion, the movie may be used as an educational tool to show medical students what doctors are or should be, what we do or should do, what we say or do not say and also what we should refrain from saying.
The Best Movies For Doctors And Medical Students
A Taste of my Own Medicine: When the Doctor is the Patient The Doctor In Edward Rosembaum, a retired rheumatologist, published an autobiographical book about what happened to him after he was diagnosed with larynx cancer. The title was self-explanatory: When the Doctor is the Patient31 Figure 5.
In his book, Rosembaum explained the feelings of being diagnosed with a severe disease, the initial mistakes some colleagues made until the definite diagnosis, the long treatment and all of the feelings of uncertainties and fears that followed.
The book is specially revealing about how a doctor feels when treated as a patient and how he considers the disease from the eyes of a patient after practising medicine for many years. Additionally, the book includes several situations, such as long delays in being visited or treated, diagnostic mistakes or bureaucratic worries, which add unnecessary suffering for the patients.
As the author explains, these events were not considered by him before his disease was diagnosed. When he was obliged to adopt the role of patient, he started to consider the medical profession in a new light.
The disease has deeply changed him, and many situations which were neglected in the past now have a completely new consideration. Contrary to Le Maladie de Sachs, this film was a rather free version that changed many of the features of the original book. Compared with the book, the movie is pure Hollywood32 and some of its scenes are purely topical about physicians. Here, the main character is Jack McKee, a young and bright surgeon. At the beginning of the film, several scenes show how Dr.
McKee is an arrogant and insensitive doctor with a cynical sense of humour that he generously applies to his patients.