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Programme: accepted abstracts

Abstract ID: 223

Part of General Poster Session (Other abstracts in this session)

Towards a patient-centered model of medical case report

Authors: Murawska, Magdalena
Submitted by: Murawska, Magdalena (School of English, Adam Mickiewicz University, Poland)

A case is an essential element in medicine. It commences the whole process of diagnosis and treatment through gathering information, its interpretation and presentation (Hunter 1991: 68). It frames the patient’s account of a disease into a story and retells it in the physician’s discourse. This poster presentation reports on the work in progress on a project for a new type of case report that is patient-centered, i.e. the one that emphasizes the individual experience of illness. To this aim, an interactive type of case report will be demonstrated, which will be used as the basis for the new model. Introduced by the BMJ a few years ago both as a teaching and learning tool, it is a series of case reports devoted one particular topic, published in subsequent issues, starting with case presentation, through case progress to case outcome. Apart from the inclusion of the readers’ responses and comments supplied in the course of treatment, interactive case reports contain the patients’ account which appears in the third part. The presentation will focus on the patient-centered elements of interactive case reports, i.e. the aforementioned patient’s voice (subjective and lay perceptions) as well as the enhanced status of the patient in the doctors’ contribution (patient’s textual visibility and acknowledgement of the experience of illness), which will be illustrated with the examples from authentic interactive case reports. It will also be demonstrated how they can be used in the proposed model. It is believed that such a case report can be beneficial both to doctors in the development of compassion towards patients and to patients who become active participants in the process of diagnosis and treatment. It is a model for a narrated story of the case from the doctor’s perspective but with the patient’s voice and co-constructed by both parties.