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M. Cook et al. NEJM, 2006. AMERICAN MEDICAL EDUCATION: A 100 YEARS AFTER THE FLEXNER REPORT: “No one would cheer more loudly for a change in medical education than Abraham Flexner.

He recognized that medical education had to reconfigure itself in response to changing scientific, social, and economic circumstances in order to flourish from one generation to the next. The flexibility and freedom to change — indeed, the mandate to do so — were part of Flexner’s essential message. He would undoubtedly support the fundamental restructuring of medical education needed today. Indeed, we suspect he would find it long overdue”.


PROGRAMA DE LITERATURA Y MEDICINA: ANTOLOGÍA TEMÁTICA:

A. Hunsaker et al. Teaching Literature and Medicine /R. Nadelhaft, Imagine What It´s Like/ R. Charon, NARRATIVE MEDICINE, Honoring the Stories of Illness


The Patient-Centered Medical Home The Patient-Centered Medical Home (PCMH) model is an approach to providing comprehensive primary care for children, adolescents, and adults. The PCMH is a health care setting that facilitates partnerships between patients and their personal physicians, and when appropriate, the patient's family: Access to a personal physician who leads the care team within a medical practice / A whole-person orientation to providing patient care/ Integrated and coordinated care/ Focus on quality and safety: AAP/ AAFP/ ACP/ AOA


Literature & Medicine: Humanities at the Heart of Health Care Literature & Medicine is a national award-winning reading and discussion program for health care professionals that, as one participant writes, “renews the heart and soul of health care.�


Educating Physicians: A Call for Reform of Medical School and Residency Publisher: San Francisco: Jossey-Bass, 2013 Publication Author: Molly Cooke, David M. Irby, Bridget C. O'Brien Abstract: In the centennial year of the Carnegie Foundation's ground-breaking Flexner Report that radically changed medical education, Carnegie has released another call for reform. The authors of Educating Physicians: A Call for Reform of Medical School and Residency write that a new vision is needed to drive medical education to the next level of excellence. "The future demands new approaches to shaping the minds, hands and hearts of physicians." This study of medical education was part of a larger program of research by the Carnegie Foundation on preparation for the professions. Educating Physicians is a companion to reports on educating the clergy, lawyers, engineers, and nurses.


htpp://med-lit.jimdo.com 100 años de retraso internacional: Informe FLEXNER (1910) ANTOLOGÍA TEMÁTICA: EQUIPO DOCNTE: FSuniaga, FMoleiro, VLecuna; JA Pinto P, Freddy Leal P., S Hecker, ABorges, VBravo… “ENSEÑANAZA DE LAS HUMANIDADES MÉDICAS” “Libros Traydos y Viejos y Algunos Rotos que tuvo el Br. Fernando de Rojas, nombrado autor de la obra llamada Celestina”, 1541


Med-Lit no busca ser una expresión narcisista de una realidad utópica / Pretende ser una herramienta intelectual de substitución que ofrece un refugio contra la vida moderna aquí y allá; quizás sea el ANTÍDOTO UNIVERSAL que tanto buscamos en medicina clínica/ No se trata de una idea riesgosa, pues no ocasiona gastos. Sí es, por el contrario, un tema de presión intelectual profesoral universitario/ Congregación UCVista, que ostenta fines compartidos por todos sus componentes, en un mismo espacio físico; que sigue e irrespeta la mayoría de las normas, que se encuentran bajo una dirección sometida a frecuentes desacatos, que no emiten votos de castidad, pobreza, obediencia y ocultismo; y que siempre mantendrán a los Directores bajo el estado de sitio de una vigilante sospecha, con el objetivo de adelantar reformas tan pronto como ellas sean del todo perentorias, dentro de un marco de protestantismo militante…a sabiendas que la tierra es el reino de la locura y que la única libertad concedicda al hombre es la de su infinita imaginación.


JOSE CLEMENTE OROZCO: MURAL BAKER LIBRARY DARTMOUTH COLLEGE HANOVER, NEW HAMPSHIRE


Medicina y Literatura: http://med-lit.jimdo.com Estructura y Función

MEDICINA BASADA EN LA EVIDENCIA “CORE MATERIAL” / “FLEXIBLE CURRICULUM”/ “COMPETENCE”/ “EXCELENCE”/ “SCIENCES & HUMANITIES”/ “PROFESSIONALISM”/ ”SOCIETY ROL”/ “SKILLS TO TEACH THEMSELVES”/ “DESARROLLO DEL ESPÍRITU CRÍTICO” /

EHRs HRA

Historia Médica Centrada en el Paciente (Los Seis Quijotes, Tolstoi, Chejov, Mansfield, Calvino, Kafka, Stevenson, Charon)

INVESTIGACIÓN Básica/Clínica

Publicaciones/ Biografías/Bibliotecas Extramuros/MOCCs MURAL Salas de Lectura


BIBLIOTECA INICIAL PARA ALUMNOS DE MEDICINA Y LITERATURA EN LA ESCUELA DE MEDICINA “LUIS RAZETTI”

BIBLIOTECA EN LA MEMORIA - Capítulo I, inicio: El Quijote - Texto final (latin): Eneida - “Sensation”: Rimbaud - “Chanson d´ automne: Verlaine - Que serais-je sans toi”: Louis Aragon/Jean Ferrat - “Ne me quitte pas”: Jacques Brel “Poema de los dones”: Borges - Capítulo 68, Rayuela: Cortázar - Relaciones anatómicas del MOTOR OCULAR COMUN BIBLIOTECA DE PAPEL - Seis Quijotes - “Una cuestión personal”: Kenzaburo Oé - PORTAFOLIO: (para rellenar) - HERRAMIENTA MÓVIL con Wi Fi: IPAD


Published Online October 3 2013 Science 18 October 2013: Vol. 342 no. 6156 pp. 377-380

Reading Literary Fiction Improves Theory of Mind David Comer Kidd, Emanuele Castano /NY- The New School for Social Research kiddd305@newschool.edu (D.C.K.); castanoe@newschool.edu (E.C.)

Understanding others’ mental states is a crucial skill that enables the complex social relationships that characterize human societies. Yet little research has investigated what fosters this skill, which is known as Theory of Mind (ToM), in adults. We present five experiments showing that reading literary fiction led to better performance on tests of affective ToM (experiments 1 to 5) and cognitive ToM (experiments 4 and 5) compared with reading nonfiction (experiments 1), popular fiction (experiments 2 to 5), or nothing at all (experiments 2 and 5). Specifically, these results show that reading literary fiction temporarily enhances ToM. More broadly, they suggest that ToM may be influenced by engagement with works of art.


D. Bowen et al. Learning to Think Critically: A Visual Art Experiment. Educational Researcher. Nov. 12, 2013 This article examines whether exposure to the arts has an effect on the ability of students to engage in critical thinking. We conduct a randomized controlled trial involving 3,811 students who were assigned by lottery to participate in a School Visit Program at the newly opened Crystal Bridges Museum of American Art. Students who participated in the School Visit Program demonstrated significantly stronger critical thinking skills when analyzing a new painting . These effects were larger for students from more disadvantaged backgrounds. In light of recent declines in the availability of the arts for disadvantaged populations, our results have important policy implications for efforts to restore and expand access to the arts. (G. P. Seurat: Un Dimanche Après-midi a L’ Îlle de la Grande Jatte, 1884)


ASHOKA (India): A New University Offers Liberal Arts as Higher Education Alternative

“We have young people who have never even read a book outside of school. They may have technical ability, but what about their ability to learn and adapt?” A group of successful professionals and entrepreneurs, some of them alumni of these universities (I.I.T.’s and I.I.M.), have come together to establish an alternative to what they say is an educational paradigm that overly emphasizes technical capabilities while neglecting vital skills like critical thinking, communications and teamwork. “Two invaluable lessons can be taught through teaching Shakespeare. A) He’s difficult and there’s something to be said for sitting and working through something difficult, and B) Shakespeare demands that we deal with ambiguity and ask questions of the world around us.” Ashoka has partnered with a number of Western universities, including Oxford, Sciences Po in Paris, Yale, the Universities of Michigan and Pennsylvania and Carleton College, a leading American liberal arts college


POEMA NÚMERO 5 (anonimo)

POEMA NÚMERO 5

Katherine Ella lo esperaba

ansiosa, inventando vivir. Al verlo, saltó escaleras abajo, veloz. Para abrazarlo con un rojo estallido final, que le tiñó


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA I •

- Platón: República, Libro II (crimen e impunidad: el anillo de Giges)

- Platón: República, Libro VII (alegoría de la caverna)

- Platón: El Banquete: Ejercicio de lectura en común (en presencia de Diotima y Sócrates)

• •

- Aristóteles: Ética Nicomáquea (Introducción , Sobre la felicidad: Biblioteca Básica Gredos,) /”Aristotle´s Cardinal Virtues: Their Application to Assesment of Psychopathology and Psychotherapy” - Bocaccio: Decamerón

- Erasmo: Elogio de la locura/ Carta a Tomás Moro

- Don Quijote de la Mancha: Edición del IV CENTENARIO

• •

- Hermenéutica: Biblia: Eclesiástico: El Médico y Literatura General - Luciano de Samósata: Relatos Fantásticos - Las Bibliotecas y los libros: Quevedo: Desde la Torre/ A Manguel: The Library at Night, A Reader on Reading, A History of Reading y The Dictionary of Imaginary Places: Selección al azar por los alumnos y los docentes (ADAM´S COUNTRY, p.ej.?)


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA II

- JE Cirlot: Diccionario de Símbolos vs M Ferber: A Dictionary of Literary Symbols: Ejercicios de libre selección por los alumnos; por ejemplo: ROSA

- Shakespeare: La Tempestad y sus símbolos (Calibán, etc)

- Rabelais: Gargantúa y Pantagruel (ed. Con G Doré): RABELAIS por ANATOLE FRANCE: lectura en grupo; Cap. XV- CÓMO GARGANTÚA FUE RECOMENDADO A OTROS PEDAGOGOS, etc.)

- Goethe: Werther, lectura conjunta

- Omar Khayyam: Rubáiyát: lectura conjunta

- Montaigne: Ensayos (El Autor al Lector; De los mentirosos; De la ejercitación; De los libros;)

• •

- Umberto Eco: “A Rose by Any Other Name”: Guardian Weekly, Jan 1994, Translated by William Weaver - Anónimo (poema): Al dulce nombre de la rosa (análisis)

- Clásicos de la Literatura Italiana del siglo XX: Selección promovida por los estudiantes: Carducci, Deledda, Pirandello, Quasimodo, Montale, Fo.

- I Calvino: Por qué leer los clásicos?/ Borges y E. Montale: el “hide-behind”


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA III •

- El cuento corto: significados: Chejov, Woolf, Monterroso

• • •

- La enfermedad y la literatura: ejercicios sobre la literatura y la tuberculosis (seis casos): Mann, Brontë, Keats, Chejov, Stevenson, Kafka , Mansfield y Cela

- I Calvino: Seis propuestas para el próximo milenio/

- Molière: Molière por Anatole France; El Enfermo imaginario

- Mary Shelley: Frankenstein

- Maupassant: La máscara y otros cuentos fantásticos: La mano

- Nietzsche: El nacimiento de la tragedia

- George Steiner: ANTÍGONAS (una poética y una filosofía de la lectura)

- Julio Cortázar: Historias de Cronopios y de Famas/Una flor amarilla

- Nathaniel Hawthorne: Mitos Griegos Contados Otra Vez


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA IV

- Maurice Joly: Diálogo en el infierno entre Maquiavelo y Montesquieu: Prefacio de Jean François Revel, etc

- Martin Buber: “I and Thou”

- FMoleiro: Tres veces el mismo espejo y experiencias con VM “Chino” Valera Mora

- Preguntas a Vicente Lecuna T sobre: Informe Médico

- Preguntas a JA Sáenz A: Su experiencia con Beatrice

- Henry Miller: Los Libros en mi Vida (español, inglés)/ El tiempo de los asesinos

- JLBorges: El Libro de Arena/El Hacedor

• • • •

- Alfonso Reyes: CUENTOS, 2010: Análisis de “La Cena”, “La mano del comandante Aranda”, “Érase un perro” y “La asamblea de los animales”: Lectura a labios cerrados!

• •

- J L Borges y Adolfo Bio Cáceres: Cuentos Breves y Extraordinarios: La Pata de Mono (WW Jacobs, 1902)


http://med-lit-jimdo.com ANTOLOGÍA TEMÁTICA V

- G García Márquez: Yo no vengo a decir un discurso, 2010/ La bendita manía de contar

- G García Márquez y sus 28 Letras del alfabeto

- G García Márquez: Cien años de soledad

- Volney: Las Ruinas de Palmira

• • • • • •

- A.P. Reverend: LA ÚLTIMA ENFERMEDAD DE SIMÓN BOLÍVAR. Paris, Imprenta Hispanoamericana de Cosson y Comp (Calle Dufour Saint Germain, 43) ----- 1866. 43 páginas:----Copia exacta del original en “Biblioteca de Medicina y Literatura” de Héctor Campos, MD: Mérida, calle 17, No. 438-A, Edo. Mérida.: ANÁLISIS CRÍTICO

- Ambrose Bierce: El Diccionario del diablo

- Ambrose Bierce: Fábulas fantásticas

- Por qué queremos tanto a STEVENSON?


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA VI •

- Ana María Shua: HISTORIAS MÉDICAS - ¿QUÉ ME PASA DOCTOR?

- Pío Baroja: El árbol,de la ciencia: lectura conjunta

- M Yourcenar: Memorias de Adriano

- Saki se llamaba Héctor: Cuentos de humor negro

- Kenzaburo Oé: Una Cuestión Personal

- Mo Yan: Storyteller - Nóbel Lecture, Estocolmo 2012

- Vargas Llosa: Nóbel Lecture, Estocolmo, 2010

- Robert Burton: The Anatomy of Melancholy: Brevísimo análisis puntual (selección de los alumnos)

- Jonathan Swift: Los Viajes de Gulliver

- Michel Foucault: El nacimiento de la clínica


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA VII

- Walter Gratzer: Eurekas y Euforias

- Bertrand Russel: La Sabiduría de Occidente

• •

- J Keats , J Cortázar: ejercicios de memoria con “ode to a mockinberg” (bilingüe) y Rayuela (cap. 68)

• •

- Ejercicios de memoria: WH Auden: Musée Des Beaux Arts/ ST Coleridge: Dejection: An Ode (bilingüe)

- Mariano Picón- Salas: Comprensión de Venezuela

- Antonio Arráiz: Tío Tigre y Tío Conejo: Tío Tigre Enfermo

- Isaac J. Pardo: Fuegos bajo el agua. La invención de utopía

• •

- J. Ferrater Mora: Diccionario de Filosofía; F. Copleston: Historia de la Filosofía: Ejercicios de libre selección por los alumnos

- Michel Onfray: El Vientre de los Filósofos


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA VIII

• • •

- Cela: Lectura conjunta de “Izas, Rabizas y Colipoterras”, con dedicatoria

• •

- La infancia en la HISTORIA MÉDICA: Vicente Gerbasi (“Mi padre el inmigrante”/Te amo, infancia); Francisco Suniaga (“Margarita infanta”); Katherine Mansfield Cuentos completos: “Je ne parle pas Français”

- Preguntas a Alberto Barrera Tyszka sobre “La enfermedad”

- W Fernández Flores: Antología de la Literatura Universal / Discurso, RAE

- Miguel Otero Silva: Fiebre / Casas Muertas

- Andrés Eloy Blanco: Vargas, albacea de la angustia

• • •

- Preguntas a Ildemaro Torres sobre: el HUMOR en: AE Blanco; Miguel Otero Silva; F Pimentel; Leoncio Martínez; A Nazoa; PL Zapata y Jaime Ballestas

- Preguntas a Francisco Suniaga


http://med-lit.jimdo.com ANTOLOGIA TEMÁTICA IX

• •

- A Monterroso: Antología del cuento triste; Libros de El Nacional: Cuentos que hicieron historia: Selección libre por los alumnos

- Rita Charon: Narrative Medicine

• •

- Seth Vannatta. Functional Realism: “A defense of Narrative Medicine”. Journal of Medicine and Philosophy (2013)

- Ruth Nadelhaft, Victoria Bonebakker: Imagine What It´s Like

- A Hunsaker and M Chandler: Teaching Literature and Medicine

• •

- D. Comer Kidd, E. Castano. Reading Literary Fiction Improves Theory of Mind. Science. 2013; 342:377-380

- R Coles: A life in Medicine: A Literary Anthology

- W Carlos Williams: The Doctor Stories

- Martin Buber: I And Thou


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA X

• • •

- P. Valdesolo. The Psychological Power of Satan. Scientific American Oct 29, 2013 & M. Rafal. The Origin of Evil According to Soren Kierkegaard. CEJSH. 2009; 10:33-54

• •

- M. Burzynska. The Character of Nastasia Filippovna Barashkova from the Perspective of Kierkegaard´s Philosophy. CEJSH. 2007; 56:477-497

• •

- IPPC: Intergovernmental Panel on Cllimate Change, Stockholm Sept. 2013 / U.S. Climate Action Report 2010 – UN Framework Convention on CLIMATE CHANGE

- HRCampos: ENSAYO I: Los Seis Quijotes, análisis crítico basado en la evidencia

• • •

- HRCampos: ENSAYO II: La Nueva Atención Médica Primaria Centrada en el Paciente, Basada en la Integración de la Evidencia, el Diálogo, la Narrativa, el HRA y el Registro Electrónico de Salud.

- HRCampos: ENSAYO III: Cultural Destruction is a Violation of Human Wrights

- HRCampos: ENSAYO IV: Medicina Primaria y Educación Médica

- HRCampos: Medicina y Literatura (II): Pinter y Neruda

- HRCampos: Cessna ∆9-THC, cuento corto: análisis en grupo


http://med-lit.jimdo.com ANTOLOGÍA TEMÁTICA XI

- “Humanist Manifesto” I, II, III / “Manifiesto Humanista 2000”: (A.I.H.)

- Gunther Weitz: love and death in Wagner´s Tristan und Isolde: “Liebestod”---an epic anticholinergic crisis - Bela Bartok: Tercer concierto para piano y García Márquez

- Pink Floyd, “The Wall” , 1982/ “Dark side of the moon”: Análisis pasional

- Omar Ledezma: Concepción, descripción e interpretación musical

- Nino Rota y Dámaso Pérez Prado: Banquete con…

- Visita guiada al Museo de Arte Contemporáneo de Caracas/Museo de Bellas Artes de Caracas


TELON DE FONDO MEDICINA Y LITERATURA hrcampos.11@gmail.com http://med-lit.jimdo.com

- Muerte de la naturaleza – Muerte de la belleza: El cambio climático; Filipinas 2013 dixit - Malanutrición: Subnutrición, déficit de Micronutrientes, sobrepeso y obesidad en Venezuela: Llamado al Profesor Bengoa! - Embarazadas, Recién nacidos desnutridos, Jóvenes con posmenarquia temprana e ingesta de alcohol vs cáncer de mama a futuro - Carbohidratos excesivos y demencia temprana y sus costos elevados - AHA y Nuevas guías sobre estatinas vs dislipidemia y revaluación del estilo de vida y la pérdida prematura de años útiles de vida -Medicina Primaria: nuevo paradigma: El Hogar Médico Centrado en el Paciente (HMCP) -Carnegie Foundation: Contraataque antes del 4D - Medicina y Literatura en la Universidad Venezolana: CIEN AÑOS DE SOLEDAD


DEADLY MOLECULES ANALGÉSICOS NARCÓTICOS / PESTICIDAS / MOLÉCULA GARGANTUA

Oxicodona

Buprenorfina

Ractopamina


Ut meus oblito pulvis amore jacet Quevedo, Propercio

From S. Critchley, “Hans Jonas”

professor of philosophy

at the New School for Social

Research in New York, 2013

“WHEN SOCRATES MET PHAEDRUS:

EROS IN PHILOSOPHY”


UMP-BE Unidad de Medicina Preventiva


SCIENTIFIC AMERICANTM

P. Valdesolo. The Psycological Power of Satan Oct 29, 2013

Evil has been defined as taking pleasure in the intentional inflicting of harm on innocent others, and ever since World War II social psychologists have been fascinated by the topic. Many of the formative thinkers in the field — Kurt Lewin, Stanley Milgram, Solomon Asch — were inspired by their experiences with, and observations of, what appeared to most people at the time to be the indisputable incarnation of pure evil…The grestest trick the devil could ever pull is convincing the world he didn´t exist…

CEJSH. Misiak Rafal. 2009. 10:33-54. The Origin of Evil According To Soren Kierkegaard Abstracts According to Kierkegaard the source of evil in the world is not the first action of the first man (Adam) but the first action of any of us. The prerequisite of evil is the jump from innocence to freedom. This jump leads to first evil action and it opens way to religious faith. It is also way to real existence. The fear is the evidence of sin. Kierkegaard's redefinition of original evil leads to recognition of our own role in appearing sin in the world and seeks some rescue in religious faith. Keeping innocence is • http: impossible for humans. The consciousness of our own sin is according to Kierkegaard the highest form of self-knowledge.

.camerican.com/media/inline/psychological-power-satan_1.jpg


IPPC: Intergovernmental Panel on Climate Change, Stockholm Sept. 2013

U.S. Climate Action Report 2010- UN Framework Convention on CLIMATE CHANGE


Ying Liu et al. Alcohol Intake Between Menarche and First Pregnancy: A Prospective Study of Breast Cancer Risk JNCI J Natl Cancer Inst (2013) doi: 10.1093/jnci/djt213

Background: Adult alcohol consumption during the previous year is related to breast cancer risk. Breast tissue is particularly susceptible to carcinogens between menarche and first full-term pregnancy. No study has characterized the contribution of alcohol consumption during this interval to risks of proliferative benign breast disease (BBD) and breast cancer.

Conclusions Alcohol consumption before first pregnancy was consistently associated with increased risks of proliferative BBD and breast cancer. Alcohol is considered by the International Agency for Research on Cancer to be causally related to invasive breast cancer (hereafter called “breast cancer�), with a 7% to 10% increase in risk for each 10g alcohol consumed daily by adult Women. One mechanism may be alcohol-induced increases in circulating estrogens and subsequently epithelial cell proliferation. However, the risk attributable to alcohol intake during adolescence and early adulthood


Teen drinking among girls increases chance of breast cancer by one third

Women who drink the equivalent of one glass of wine a night through their teens and early twenties increase their chance of breast cancer by one third, according to new research: JNCI, 2013


Paul K. Crane et al. Glucose Levels and Risk of Dementia. N Engl J Med 2013; 369:540-548August 8, 2013DOI: 10.1056/NEJMoa1215

BACKGROUND Diabetes is a risk factor for dementia. It is unknown whether higher glucose levels increase the risk of dementia in people without diabetes. RESULTS Among participants with diabetes, higher average glucose levels were also related to an increased risk of dementia (P=0.002); with a glucose level of 190 mg per deciliter (10.5 mmol per liter) as compared with 160 mg per deciliter (8.9 mmol per liter), the adjusted hazard ratio was 1.40 (95% CI, 1.12 to 1.76). CONCLUSIONS Our results suggest that higher glucose levels may be a risk factor for dementia, even among persons without diabetes. (Funded by the National Institutes of Health.)


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