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Gresham College: Prof. Roger Kneebone – Medical Education and Training: #1/4 – Performing Medicine, Performing Surgery

26/03/2019

Another good  lecture on an  interesting topic

About this series

In four lectures,Professor Roger Kneebone explores nontraditional aspects of medical education and training through performance.

Medicine demands factual knowledge, physical skill and the ability to work with patients and colleagues. Most of the time clinicians learn from other clinicians, studying hard within a frame that discourages exploration outside medicine. Focusing on the performance of medicine challenges this frame by connecting with actors, musicians, craftsmen, dancers and other experts. Professor Kneebone explores the idea of frames, using illustrations to ask what benefits may result from thinking widely and challenging longstanding assumptions.

The consultation is the focal point of medicine. A clinician and a patient, held together in a relationship of care, collaborate in identifying that patient’s needs and finding a solution. Scientific knowledge and clinical skill only make sense in the context of that interaction. Each consultation is unique, a close-up live performance with a very small audience. After describing key elements of the consultation, an expert in a different kind of close-up live performance will be introduced – Will Houstoun, a leading magician. After watching Will perform, similarities and differences will be explored through conversation.

People often think that surgery is about the skill of a single surgeon. In fact, operations depend on teamwork, with nurses, surgeons, anaesthetists and technicians all playing vital roles as they work together. Experts outside medicine need similar skills and have much to teach clinicians. Professor Kneebone introduces Rachel Warr, a leading puppeteer and dramaturg. After Rachel demonstrates how she and her colleagues bring puppets to life, we will discuss how her expertise in dexterity, teamworking and preparation for performance can shed light on the world of surgery. 

Touch is central to the performance of medicine. Traditionally, doctors depended on touch to diagnose illness. Revolutions in imaging technology, machine learning and artificial intelligence seem to reduce the need for physical examination. Yet touch is not only about gathering information but is how we express compassion and care. Professor Kneebone considers how ‘gnostic’ touch (identifying disease) and ‘pathic’ touch (conveying care) are becoming separated by technological developments and asks what we can do to ensure that touch remains central in connecting doctors and patients.,

About this lecture

Medicine demands factual knowledge, physical skill and the ability to work with patients and colleagues. Most of the time clinicians learn from other clinicians, studying hard within a frame that discourages exploration outside medicine.

Focusing on the performance of medicine challenges this frame by connecting with actors, musicians, craftsmen, dancers and other experts. This lecture explores the idea of frames, using illustrations to ask what benefits may result from thinking widely and challenging longstanding assumptions.

Professor Roger Kneebone

Professor Roger Kneebone is Visiting Professor of Medical Education at Gresham College and Professor of Surgical Education and Engagement Science at Imperial College London. His clinical career has ranged from trauma surgery in Southern Africa to general practice in Wiltshire and he has a longstanding fascination with education and simulation. His academic interests cross disciplinary boundaries and he is Director of the Imperial College Centre for Engagement and Simulation Science (ICCESS) and the Royal College of Music – Imperial College Centre for Performance Science.

In recognition of his innovative work combining medicine, music and the arts, Roger has been awarded Honorary Membership of the Royal College of Music, received the City & Guilds of London Art School’s first Honorary Fellowship, and been elected a full member of the Art Workers Guild. In 2012 he was awarded a Wellcome Trust Engagement Fellowship..

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