August 21, 2008
A week of rain, a gust of wind:narrative ethics and the teachable moment.
"Everyone has a story to tell. Along with scientific ability, physicians need the ability to listen to the narratives of the patient, grasp and honour their meaning, and be moved to act on the patient's behalf."
Teachable moments often present themselves when we least expect them. Sometimes we encounter the teachable moment presicely when we are trying to get a point across about an entirely unrelated matter. The following reflective dialogue occurred in the clinical skills program of year 2 at Dalhousie Medical School. Robert Byers, a volunteer patient, met with two medical students, Andrea Lantz and Ricky Jaggi. Dr. Stephen Workman supervised the clinial encounter and later asked each of the participants to recount the experience for presentation in this paper. Although the planned activity was designed to hone the student's historytaking and assessment skills, the real teachable moment had little to do with these skills at all.
Reading：
8/18(一)
(1)5W1H的分析：
(A)who：(a)two students--Andrea Lantz, and Ricky Jaggi.(b)Dr. Stephen.(c)a volunteer patient--Robert Byers.
(B)when：didin't mention.
(C)what：(a)clincal encounter (b)teachable moment.
(D)where：Dalhousie Medical School.
(E)物：didn't mention.
(F)how：(a)encounter patient.(b)asked of the paticipants.
8/19(二)
(2)文法結構的分析：
(A)s+v+s.c
(B)s+v+o
(C)s+v+o+o.c
(D)s+v+o+o.c
(E)s+v+s.c
(F)s+v+o
(G)s+v1+o1+v2+o2+o.c
(H)s+v+s.c1+s.c2
(I)s+v
(3)情理法的分析：
(A)9/13翻譯：
一週雨、一陣風：敘事觀點及有價值的瞬間。
「每個人都有一個故事等待被訴說」。如同科學能力一樣，心理學家也需要傾聽個案敘事的能力，進而捕捉並增強當事人的敘事，並為之感動而回應當事人的行為。
有價值的瞬間常在我們最沒設想到的時候出現。特別是，當我們嘗試從一堆看來沒有關聯的事務中找到重點時，有時候就會遇到有價值的瞬間。以下的這段對話發生在Dalhousie Madical School二年級學生的最後臨床課程的情境裡。Robert Byers是一位自願個案，與兩位醫學院學生Andrea Lantz以及Ricky Jaggi面談。Stephen博士督導這個臨床會面，並在會談以後分別詢問每個人這次會談中的感受，以呈現在這份報告中。縱使這個活動的設計是為了增進學生的捕捉歷史以及分析能力，然而真正有價值的瞬間，則不受這一切的影響。
Writing：
(1)8/18：
A week of rain, a gust of wind: Narrative...and...teachable moment.everyone has a story to tell.....
(2)8/19：
A week of rain, a gust of wind: Narrative ethics and...teachable moment. Every one has a story to tell. Along with scientific ability, physician ...to listen to the narratives of their patient,...honour their meaning,.......teachable moment often present themself when we least expect them. Sometimes we.....
(3)8/21：
A week of rain, a gust of wind:Narrative ethics and the teachable moment.
"Everyone has a story to tell. Along with sceintific ability, physicians need the ability to listen to the narratives of the patient,...honour their meaning,....."
Teachable moment often present themselves when we least expect them. Sometimes we encounter the teachable moment ....
(4)9/9：
A week of rain, a gust of wind：narrative ethics and the teachable moment.
Everyone has a story to tell. Along with scientific ability, physicians need the ability to listen to the narratives of the patient,grasp and honour their meaning, and be moved to act on the patient's behalf.
Teachable moment often present themselves when we lease expect them.Sometimes we encounter the teachable moment precisely when we are trying to get a point across about an entirely unrelated matter. ......at year 2 at Dalhousie Madical School.......a volunteer patient, meet with two medical student, A...Lanz...and Roggi Jaggi. .........Although the planned activity was trying to hone the historytaking and assessment skills, the real teachable moment has little to do with these skills at all.
(5)9/10：
A week of rain, a gust of wind: narrative ethics and the teachable moment.
"Everyone has a story to tell." Along with scientific ability, physicians need ability to listen to the narratives of the patient, grasp and honour their meaning and be moved to act on the patients behalf.
Teachable moment often present themselves when we least expect them.Sometimes we encounter the teachable moment precisely when we are trying to get a point across about an entirely unrelated matter. The following ......occureed in the clinical skill program of year 2 at Dalhousie Medical School.....a volunteer patient, meet with 2 medical students,.......and Rocky Jaggi. Dr. Stemphen supervised the clinical encounter and later asked each of the participants...
(6)9/13：
A week of rain, A gust of wind: narrative ethics and teachable moment.
"Everyone has a story to tell." Along with scientific ability, physicians need ability to listen to the narratives of the patient, grasp and honour their meaning, and be moved to act on the patient's behalf.
Teachable moment often present themselves when we least expected them. Sometimes we encounter the teachable moment presicely when we trying to get a point across about an entirely unrelated matter. The following dialogue occureed in the clinical skill program of year 2 at Dalhousie Madical School. ...a volunteer patient, met with two madical students,...and Rocky Jaggi. Dr. Stephen supervised the clinical encounter and later asked each of the participants to recount the experince for presentation in this paper. Although the planned activity was to hone the historytaking and the assessment skills, the real teachable moment has little to do with these at all.
(7)9/14：
A week of rain, a gust of wind:narrative ethics and teachable moments.
"Everyone has a story to tell." Along with scientific ability, physicians need the ability to listen to the narrative of the patient, grasp and honour their meaning, and be moved to act on the patient's behalf.
Teachable moment often present themselves when we least expect them. Sometimes we encounter the teachable moment precisely when we are trying to get a point across about an entirely unrelated matter, The following dialogue occurred in the context of the clinical program of year 2 at Dalhousie Madical School. Robert Byers, a voluteer patient, met with two medical students, Andrea Lantz and Ricky Jaggi. Dr. Stephen Workmen supervised the clinial encounter and later asked each of the participant to recount the experience for presentation in this paper. Although this program was planned to hone the historytaking and assessment skills, the real teachable moment has little to do with these at all.
"Everyone has a story to tell. Along with scientific ability, physicians need the ability to listen to the narratives of the patient, grasp and honour their meaning, and be moved to act on the patient's behalf."
Teachable moments often present themselves when we least expect them. Sometimes we encounter the teachable moment presicely when we are trying to get a point across about an entirely unrelated matter. The following reflective dialogue occurred in the clinical skills program of year 2 at Dalhousie Medical School. Robert Byers, a volunteer patient, met with two medical students, Andrea Lantz and Ricky Jaggi. Dr. Stephen Workman supervised the clinial encounter and later asked each of the participants to recount the experience for presentation in this paper. Although the planned activity was designed to hone the student's historytaking and assessment skills, the real teachable moment had little to do with these skills at all.
Reading：
8/18(一)
(1)5W1H的分析：
(A)who：(a)two students--Andrea Lantz, and Ricky Jaggi.(b)Dr. Stephen.(c)a volunteer patient--Robert Byers.
(B)when：didin't mention.
(C)what：(a)clincal encounter (b)teachable moment.
(D)where：Dalhousie Medical School.
(E)物：didn't mention.
(F)how：(a)encounter patient.(b)asked of the paticipants.
8/19(二)
(2)文法結構的分析：
(A)s+v+s.c
(B)s+v+o
(C)s+v+o+o.c
(D)s+v+o+o.c
(E)s+v+s.c
(F)s+v+o
(G)s+v1+o1+v2+o2+o.c
(H)s+v+s.c1+s.c2
(I)s+v
(3)情理法的分析：
(A)9/13翻譯：
一週雨、一陣風：敘事觀點及有價值的瞬間。
「每個人都有一個故事等待被訴說」。如同科學能力一樣，心理學家也需要傾聽個案敘事的能力，進而捕捉並增強當事人的敘事，並為之感動而回應當事人的行為。
有價值的瞬間常在我們最沒設想到的時候出現。特別是，當我們嘗試從一堆看來沒有關聯的事務中找到重點時，有時候就會遇到有價值的瞬間。以下的這段對話發生在Dalhousie Madical School二年級學生的最後臨床課程的情境裡。Robert Byers是一位自願個案，與兩位醫學院學生Andrea Lantz以及Ricky Jaggi面談。Stephen博士督導這個臨床會面，並在會談以後分別詢問每個人這次會談中的感受，以呈現在這份報告中。縱使這個活動的設計是為了增進學生的捕捉歷史以及分析能力，然而真正有價值的瞬間，則不受這一切的影響。
Writing：
(1)8/18：
A week of rain, a gust of wind: Narrative...and...teachable moment.everyone has a story to tell.....
(2)8/19：
A week of rain, a gust of wind: Narrative ethics and...teachable moment. Every one has a story to tell. Along with scientific ability, physician ...to listen to the narratives of their patient,...honour their meaning,.......teachable moment often present themself when we least expect them. Sometimes we.....
(3)8/21：
A week of rain, a gust of wind:Narrative ethics and the teachable moment.
"Everyone has a story to tell. Along with sceintific ability, physicians need the ability to listen to the narratives of the patient,...honour their meaning,....."
Teachable moment often present themselves when we least expect them. Sometimes we encounter the teachable moment ....
(4)9/9：
A week of rain, a gust of wind：narrative ethics and the teachable moment.
Everyone has a story to tell. Along with scientific ability, physicians need the ability to listen to the narratives of the patient,grasp and honour their meaning, and be moved to act on the patient's behalf.
Teachable moment often present themselves when we lease expect them.Sometimes we encounter the teachable moment precisely when we are trying to get a point across about an entirely unrelated matter. ......at year 2 at Dalhousie Madical School.......a volunteer patient, meet with two medical student, A...Lanz...and Roggi Jaggi. .........Although the planned activity was trying to hone the historytaking and assessment skills, the real teachable moment has little to do with these skills at all.
(5)9/10：
A week of rain, a gust of wind: narrative ethics and the teachable moment.
"Everyone has a story to tell." Along with scientific ability, physicians need ability to listen to the narratives of the patient, grasp and honour their meaning and be moved to act on the patients behalf.
Teachable moment often present themselves when we least expect them.Sometimes we encounter the teachable moment precisely when we are trying to get a point across about an entirely unrelated matter. The following ......occureed in the clinical skill program of year 2 at Dalhousie Medical School.....a volunteer patient, meet with 2 medical students,.......and Rocky Jaggi. Dr. Stemphen supervised the clinical encounter and later asked each of the participants...
(6)9/13：
A week of rain, A gust of wind: narrative ethics and teachable moment.
"Everyone has a story to tell." Along with scientific ability, physicians need ability to listen to the narratives of the patient, grasp and honour their meaning, and be moved to act on the patient's behalf.
Teachable moment often present themselves when we least expected them. Sometimes we encounter the teachable moment presicely when we trying to get a point across about an entirely unrelated matter. The following dialogue occureed in the clinical skill program of year 2 at Dalhousie Madical School. ...a volunteer patient, met with two madical students,...and Rocky Jaggi. Dr. Stephen supervised the clinical encounter and later asked each of the participants to recount the experince for presentation in this paper. Although the planned activity was to hone the historytaking and the assessment skills, the real teachable moment has little to do with these at all.
(7)9/14：
A week of rain, a gust of wind:narrative ethics and teachable moments.
"Everyone has a story to tell." Along with scientific ability, physicians need the ability to listen to the narrative of the patient, grasp and honour their meaning, and be moved to act on the patient's behalf.
Teachable moment often present themselves when we least expect them. Sometimes we encounter the teachable moment precisely when we are trying to get a point across about an entirely unrelated matter, The following dialogue occurred in the context of the clinical program of year 2 at Dalhousie Madical School. Robert Byers, a voluteer patient, met with two medical students, Andrea Lantz and Ricky Jaggi. Dr. Stephen Workmen supervised the clinial encounter and later asked each of the participant to recount the experience for presentation in this paper. Although this program was planned to hone the historytaking and assessment skills, the real teachable moment has little to do with these at all.
