Medicine

When the patient is the teacher, the lesson is compassion

Patients as Teachers program gives medical students unique perspective on patient illness

Penn State College of Medicine students Matthew Chapman, left, and Yuriy Pechenyy​ talk to Maria English, a longtime participant in the Patients as Teachers program. Credit: Penn State College of Medicine / Penn State. Creative Commons

HERSHEY, Pa. — Matthew Chapman was nervous — even scared — when he thought about meeting his first patient face-to-face.

The first-year Penn State College of Medicine student soon found out he had nothing to fear.

English, who has partnered with medical students since the program began more than 10 years ago, views her greatest lesson as fostering aspiring doctors’ communication connection.

“One-on-one is much better than sticking your nose in a book,” she said. “I tell all the medical students, ‘Listen to your patients because your patients know their body better than you do. And don’t ever think you’re God. There are things you’ll get wrong, but hopefully you’ll do a lot right.”

Timothy Groh, a first-year medical student, talks with Yancy Nauman over coffee before Nauman goes in for chemotherapy treatment at Penn State Cancer Institute on Friday, May 3, 2019. Looking on is fellow first-year student Nicole Legro, right, and second-year student Christina Micheals, left. Nauman, who has glioblastoma, is participating in the Patients as Teachers program with Legro and Groh. Michaels, who was in the program with Nauman last year, ran into the patient while he was having coffee with his current medical students. Credit: Penn State. Creative Commons

Penn State medical student Daniela Medina, right, talks with her patient teacher, Kristine Miller, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Penn State College of Medicine students Matthew Chapman, left, and Yuriy Pechenyy​ engage Maria English in her Hershey home on Dec. 7, 2018. English, who has non-hodgkin lymphoma, has been a long time participant in the Patients as Teachers program. Credit: Penn State. Creative Commons

Penn State medical students Nicole Cumbo, left, and Catherine Smiley, right, feed water to their patient teacher, Moses Egan, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Timothy Groh, a first-year medical student, looks on as Yancy Nauman, talks about his health, before Nauman goes in for chemotherapy treatment at Penn State Cancer Institute on Friday, May 3, 2019. Nauman, who has glioblastoma, is participating in the Patients as Teachers program. Credit: Penn State. Creative Commons

Penn State medical student Dennis Madden looks at artwork with his patient teacher, Mary Horst, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Penn State College of Medicine students Matthew Chapman, right, and Yuriy Pechenyy​ engage Maria English in her Hershey home on Dec. 7, 2018. English, who has non-hodgkin lymphoma, has been a long time participant in the Patients as Teachers program. Credit: Penn State. Creative Commons

Penn State medical students Aaron Richardson, left, and Jason Fairbourn, right, talk with their patient teacher, Susan Axe, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Timothy Groh, a first-year medical student, talks with Yancy Nauman over coffee before Nauman goes in for chemotherapy treatment at Penn State Cancer Institute on Friday, May 3, 2019. Looking on is fellow first-year student Nicole Legro, right, and second-year student Christina Micheals, left. Nauman, who has glioblastoma, is participating in the Patients as Teachers program with Legro and Groh. Michaels, who was in the program with Nauman last year, ran into the patient while he was having coffee with his current medical students. Credit: Penn State. Creative Commons

Penn State medical student Daniela Medina, right, talks with her patient teacher, Kristine Miller, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Penn State College of Medicine students Matthew Chapman, left, and Yuriy Pechenyy​ engage Maria English in her Hershey home on Dec. 7, 2018. English, who has non-hodgkin lymphoma, has been a long time participant in the Patients as Teachers program. Credit: Penn State. Creative Commons

Penn State medical students Nicole Cumbo, left, and Catherine Smiley, right, feed water to their patient teacher, Moses Egan, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Timothy Groh, a first-year medical student, looks on as Yancy Nauman, talks about his health, before Nauman goes in for chemotherapy treatment at Penn State Cancer Institute on Friday, May 3, 2019. Nauman, who has glioblastoma, is participating in the Patients as Teachers program. Credit: Penn State. Creative Commons

Penn State medical student Dennis Madden looks at artwork with his patient teacher, Mary Horst, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

Penn State College of Medicine students Matthew Chapman, right, and Yuriy Pechenyy​ engage Maria English in her Hershey home on Dec. 7, 2018. English, who has non-hodgkin lymphoma, has been a long time participant in the Patients as Teachers program. Credit: Penn State. Creative Commons

Penn State medical students Aaron Richardson, left, and Jason Fairbourn, right, talk with their patient teacher, Susan Axe, during Penn State College of Medicine’s Patients as Teachers Recognition Dinner on Friday, May 10, 2019. Credit: Penn State. Creative Commons

English doesn’t hold back on the gritty details of almost losing her life to cancer and what it’s like to live with it for years. “I tell them everything — probably more than they want to know,” she said with a chuckle.

For Chapman, it’s a lesson well learned. “I’m better able to understand the impact an illness has on someone’s life, more than just what we see at the hospital,” he said.

“Long ago, when doctors made house calls, they were much more aware of the global picture of a patient’s home and family,” said Dr. Martha Levine, associate professor of pediatrics, psychiatry and humanities at the College of Medicine and director of the Patients as Teachers Project. “We’re trying to draw on those roots and bring some of that back.”

The program was started as part of a first-year medical humanities course to help students think about loss, death and dying and disabilities. Students meet with their patients throughout the year and design videos or other creative projects to capture their relationship. The culmination of the program is a student-led dinner, where the genuine relationships and goodwill among the pairs is clearly evident.

“I don’t know of another medical school that offers this type of year-long relationship,” Levine said. “Many times, the students stay connected with their patient throughout medical school, and many patients stay in the program for years. They really enjoy working with our students and knowing that they are making a difference in their training.”

Read the full article on Penn State Medicine.

Last Updated May 23, 2019

Contact

Tags