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DTSTART:19700308T020000
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DTSTAMP:20241017T183512Z
LOCATION:Harbor Ballroom A
DTSTART;TZID=America/Los_Angeles:20241017T080000
DTEND;TZID=America/Los_Angeles:20241017T082000
UID:ncs_NCS 2024_sess104_ccrnt281@linklings.com
SUMMARY:Narrative Competence in Serious Illness Discussions
DESCRIPTION:Breakout Session\n\nHannah Kirsch (Stanford University School 
 of Medicine)\n\nThe skill of leading serious illness conversations (someti
 mes called “family meetings” or “goals of care conversations”) is most oft
 en taught using highly structured, often acronymic models that are easily 
 standardized for use in multiple educational settings and levels of traini
 ng. Despite increasingly robust education in this arena, studies in neuroc
 ritically ill patients and their surrogate decision-makers (SDMs) demonstr
 ate difficulty achieving goal-concordant care persistent discordance in un
 derstanding of prognosis between the SDMs and medical team (e.g. Kiker et 
 al, 2021). In this talk, I will address the importance of combining struct
 ured “acronymic” models of serious illness conversation with the concept o
 f “narrative competence.” Narrative competence, first defined in 2001 by D
 r. Rita Charon, is the ability to attend humanistically to the social, cul
 tural, and personal context with which a patient or SDM approaches their i
 llness. This talk will explore methods of assessing narrative competence i
 n oneself and in learners. The talk will introduce attendees to techniques
  to improve their own narrative competence and integrate narrative techniq
 ues into serious illness conversations to facilitate more flexible, goal-c
 oncordant, and empathetic care.\n\nTrack: Clinical Practice\n\nFocus Area:
  Basic/Neurocritical Care 101, Coma, General Critical Care, Hospitalist Pr
 actice, NCC Fellowship/Training\n\nTarget Audience: Intermediate, Advanced
 \n\nSession Chair: Dea Mahanes (UVA Health)
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