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Digital Seminar

Healing Arts: Narrative Medicine and Pain Care

Speaker:
Julia Schneider, MA, LMT, C-IAYT
Duration:
2 Hours 01 Minutes
Format:
Audio and Video
Copyright:
Apr 26, 2024
Product Code:
POS065482
Media Type:
Digital Seminar
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Description

There is no objective measurement for pain. No thermometer, blood test, visual or manual assessment will tell you how much someone hurts. Pain is a lived experience revealed only through the stories of the one living it. Neuroscience shows that pain is highly influenced by stories too: personal experiences, beliefs, and expectations (the stories we tell ourselves) are just as relevant to recovery as diagnosis and prognosis (the stories our doctors tell us). And yet, most clinical education fails to prepare healthcare professionals to interact with stories in a meaningful way. Narrative Medicine, a new field of study emerging from Columbia Medical School, addresses the need for narrative competence with a practice. Through close reading, the signature method of Narrative Medicine, healthcare professionals learn how to listen attentively and generously to patient stories. Reflective writing exercises also help practitioners examine their own narrative in supportive group settings. By bridging healthcare and the humanities, Narrative Medicine hopes to reform healthcare systems that so often miss the story behind the symptom and the human behind the patient.

Credit

Planning Committee Disclosure - Relevant relationships

 
 
 
 
Dr. Danny Porcelli is an independent contractor presenter with RockTape USA. His relevant financial relationship with an ineligible company has been mitigated.
 
 
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 2.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker

Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 9334. This Distance Learning-Independent is offered at .2  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Full attendance at this Distance Learning-Independent activity qualifies for 2.0 contact hours.

 

Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 2.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 2.0 self-study continuing education credits.

CE Broker

Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 2.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.

Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 2.0 clock hours of instruction applicable for physical therapists.

Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 2.0 continuing competency hours.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 2.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 2.0 CE credit hours.

Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 2.0 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 2.4 contact hours.

Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 2.0 continuing education hours.

Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 2.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 2.0 clock hours of instruction that is applicable for physical therapists.

Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 2.0 clock hours of continuing education instruction.

Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 2.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 2.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 

Massage Therapists - Florida Massage Therapists

PESI, Inc. is approved by the Florida Board of Massage Therapy as a continuing education Approved Provider. Provider #50-399. This course is offered for 2.0 self-study CE hours.

*Please note: this course was not designed to meet requirements for the "relevant to and focused on massage therapy techniques, skills or protocols" category by distance learning. 

Chiropractors - Chiropractors

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PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 2.0 clock hours of continuing education instruction. Approval #065482/04262024.

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor question if they would like their participation submitted to PACE.

Athletic Trainers - Athletic Trainers

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 2.0 hours of Category A continuing education.

Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.

Handouts/Brochure

File type File name Number of pages
PDF Manual - Healing Arts (2.4 MB) 39 Pages Available after Purchase

Speaker

Julia Schneider, MA, LMT, C-IAYT's Profile

Julia Schneider, MA, LMT, C-IAYT Related seminars and products

Julia Schneider holds a master’s in literature from University of Texas at Austin and is a graduate of Columbia University’s professional certification in narrative medicine. She is the founder of RISE Wellness Center in Austin, TX, a team of psychotherapists and massage/yoga therapists specializing in treating persisting pain. She is also the founder and director of NarrativeRx, an international learning community for healthcare providers, patients, teachers, and activists interested in deepening their listening skills through literature, philosophy, and the arts. She hosts group workshops, teaches online courses, and provides one-on-one training in narrative medicine at NarrativeRx.com.

 

Speaker Disclosures:
Financial: Julia Schneider is the director and founder of Narrative Rx. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Julia Schneider is a member of the Western Literature Association, the International Association of Yoga Therapy, Associated Bodywork and Massage Professionals, and the National Certification Board for Therapeutic Massage and Bodywork.

Additional Info

Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. To develop our skills as close readers of art so that we become more attentive to the stories of our patients and learn how to listen and reflect with empathy.
  2. To provide a psychosocial complement to biomedical models of healthcare.
  3. To build a safe space for healthcare providers to connect, collaborate, and process our experiences through the lens of art.

Outline

Introduction
  • What is Narrative Medicine?
    • ”A medical approach that uses people’s stories in clinical practice, research, and education as a way to promote healing” ~ NYU School of Law
    • ”A response to a commodified health care system that places corporate and bureaucratic concerns over the needs of the patient” ~Rita Charon
    • As we practice absorbing, interpreting, and reflecting on the stories told in literature and other artworks, we are simultaneously learning how to absorb, interpret, and reflect on the stories our patients tell us in a clinical setting – and to be as moved by them.
  • Experiential Learning
    • Narrative competence is built experientially rather than didactically
    • Didactic learning: explanatory, removed, cognitively fixed, theoretical, individual, focused on the question “what”
    • Experiential Learning: exploratory, immersive, cognitively flexible, practical, collaborative, focused on the questions “how” and “why”
    • Through the lens of art, we approach our self-stories obliquely with fresh curiosity. By allowing our self-stories to brush up against the stories of others, we shake the dust of our own curated and stagnant personal histories
  • Pain Science Stories: An Online Collaborative
    • Review of our 15-week qualitative research study with pain care providers from around the world
    • Student self-assessments pre-and-post study; the impact of Narrative Medicine on practitioner listening skills, empathy, and burnout
Integrative Narrative Medicine Workshop
  • Close Reading
    • The careful, sustained analysis of an artwork that focuses on significant details or patterns in order to develop a deeper understanding of the text’s meaning
    • Close Reading Workshop: Picasso’s Weeping Woman
    • Take a few minutes to observe this painting in silence. As you observe, I invite you to slow down, be with this painting, enter its space and perspective, and consider the ways it speaks to you
    • After a few minutes of observation, you might begin to notice that you can read this painting a lot like you can read a story from a book. Let’s begin our discussion by examining this painting’s setting and plot:
      • What is happening in this painting?
      • Describe the woman’s expression. Does she have more than one?
      • Describe how the color palette and the geometry shifts as you move toward the center of the painting. What does this shift in color and geometry suggest about suffering?
    • Students use chat box or “raise hand” to answer the close reading questions above
  • Reflective Writing
    • Timed writing prompts are an experiment in self-discovery. Writing is a way of learning what one knows
    • Writing “in the shadow” of the text: an invitation for you to creatively express how this story has impacted and interacted with your own personal story
    • Reflective Writing Workshop
    • Students free-write for 5 minutes on the following prompt: “Give this painting a voice” OR “Where have you seen this face before?”
  • Attentive Listening
    • Thinking “with” rather than “against”
    • An ethic of listening humbly and generously that gives storytellers the benefit of the doubt (even as we ask them questions and make observations that will help then refine their thoughts)
    • ”In listening for the other, we listen for ourselves.” ~Craig Irvine
    • Attentive Listening Workshop
    • We will share our reflective writing with the group, “close reading” each other’s writing with the same generous attention to detail we gave Weeping Woman. We will ground our observations in the details of what is being told, observing the details of plot, time, setting, perspective, and imagery
    • Ask for 1-3 volunteers to read their responses aloud to the group. Leader demonstrates active listening/reflecting and asks volunteers from the group to share their reflections too
    • If possible, plenary group breaks into small groups via breakout rooms to practice listening and reflecting to each other’s stories
    • Sharing is never an obligation. If a student would prefer not to share what they’ve written, I will encourage them to share what it felt like to write something so vulnerable instead
  • Integration
    • Group Discussion (volunteers “raise hand” to answer): After all this reading, creating, and sharing, how do you feel?
    • Share a nugget of wisdom you’ve picked up here
    • How does this relate to your pain care practice?
Conclusion
  • Recap: The 3 Movements of Narrative Medicine: These “movements” are cultivated through the practices of close reading, attentive listening, and reflective writing:
    • Attention: the “heightened focus” that a listener devotes to a teller
    • Representation: a retelling of what is told to us in the effort to better comprehend a story
    • Affiliation: the relationship that develops between storyteller and listening as a result of true listening and generous reflection
  • The Ethics of Caregiving
    • ”Spaceship Ethics”: A coping mechanism in which caregivers consider themselves removed from, or above, the plights of the ill and dying. A disembodied perspective that denies both the patient and the caregiver humanity vs
    • Narrative Ethics: An ethical practice of positioning oneself on an equal plane with a storyteller, not allowing oneself to be affected, changed, and moved to action by a patient’s story
    • ”To decide to listen, to attend to the other’s story, is already to take an ethical stand. To enter the story, the listener must experience its moral complexity in all its ambiguity and challenge to one’s own moral sense” ~ Arthur Frank, The Wounded Storyteller
  • Contact Info and References
    • Limitations of the research and potential risks

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapist Assistants
  • Licensed Massage Therapists
  • Chiropractors
  • Athletic Trainers
  • Nurses
  • Nurse Practitioners

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