{"id":3637,"date":"2023-04-18T10:00:25","date_gmt":"2023-04-18T09:00:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3637"},"modified":"2023-04-14T10:05:49","modified_gmt":"2023-04-14T09:05:49","slug":"doctors-learning-storytelling-and-interpersonal-skills-from-tv","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2023\/04\/18\/doctors-learning-storytelling-and-interpersonal-skills-from-tv\/","title":{"rendered":"Doctors Learning Storytelling and Interpersonal Skills from TV"},"content":{"rendered":"<p><strong>Series Review Khalid Ali, Film and Media Correspondent<\/strong><br \/>\n<strong>Reflections on <em>Seventh Year Itch <\/em>(TV series, directed by Karim El Shennawy, Egypt, 2023) available on Shahid MBC<\/strong><\/p>\n<p>Integrating medical education with arts and humanities has provided great opportunities for medical students to hone their communication skills and desirable qualities such as respect and empathy.<a href=\"#_ftn1\" name=\"_ftnref1\"><sup>1<\/sup><\/a> Combining the analytical mind of a scientist with the reflective abilities of a \u2018medical humanist\u2019 has the potential of producing a \u2018good doctor.\u2019<a href=\"#_ftn2\" name=\"_ftnref2\"><sup>2<\/sup><\/a> The public value interpersonal skills as important traits that \u2018good doctors\u2019 should have.<a href=\"#_ftn3\" name=\"_ftnref3\"><sup>3<\/sup><\/a> Theatre, film, TV, and medical encounters all share the common theme of \u2018storytelling\u2019. In this article, I review <em>Seventh Year Itch<\/em> an Egyptian TV series (figure 1) portraying several concepts that are core skills for medical students.<\/p>\n<figure id=\"attachment_3638\" aria-describedby=\"caption-attachment-3638\" style=\"width: 1242px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3638 size-full\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-1.jpeg\" alt=\"Figure 1: Seventh Year Itch poster\" width=\"1242\" height=\"903\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-1.jpeg 1242w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-1-300x218.jpeg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-1-768x558.jpeg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-1-640x465.jpeg 640w\" sizes=\"auto, (max-width: 1242px) 100vw, 1242px\" \/><figcaption id=\"caption-attachment-3638\" class=\"wp-caption-text\">Figure 1: <em>Seventh Year Itch<\/em> poster<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>The series follows two couples Nadine (Amina Khalil), Adam (Mohamed Shahin) (figure 2), Salma (Asmaa Galal) and Sherif (Aly Kassem) all going through a marital crisis. Their respective families, psychologists and counsellors help them navigate their frustration and despair. Tensions arise when Nadine becomes a mother for twin boys and later when she pursues a professional career providing \u2018voiceover\u2019 in commercial adverts without Adam\u2019s blessing. Salma feels betrayed when Sherif\u2019s past resurfaces; Julia (Roya Hashmi) is Sherif\u2019s 16-year-old daughter from a one-night stand when he was a teenager. Salma is also estranged from her biological mother but has Fifi (Hanan Suliman) as the God mother she loves and trusts. Nadine\u2019s parents, Ibrahim (Mohamed Mahmoud) and Hanaa (Aiyda Riyadh) are also going through turbulent times and end up divorcing. The secrets and lies in these characters\u2019 lives are cleverly revealed in a linear chronological narrative that is reminiscent of Ingmar Bergman\u2019s TV series <em>Scenes from a Marriage<\/em> (Sweden, 1973), and Woody Allen\u2019s film <em>Husbands and Wives<\/em> (USA, 1992).<\/p>\n<figure id=\"attachment_3639\" aria-describedby=\"caption-attachment-3639\" style=\"width: 1242px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3639 size-full\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-2.jpeg\" alt=\"Figure 2: Nadine (Amina Khalil) and Adam (Mohamed Shahin) celebrating their 5th wedding anniversary \" width=\"1242\" height=\"826\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-2.jpeg 1242w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-2-300x200.jpeg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-2-768x511.jpeg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-2-640x426.jpeg 640w\" sizes=\"auto, (max-width: 1242px) 100vw, 1242px\" \/><figcaption id=\"caption-attachment-3639\" class=\"wp-caption-text\">Figure 2: Nadine (Amina Khalil) and Adam (Mohamed Shahin) celebrating their 5th wedding anniversary<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Salma and Sherif\u2019s therapy sessions with their psychologists, and marriage counsellor are master scenes in how to \u2018take a patient\u2019s history\u2019 by focussing on \u2018what matters to them\u2019. Hala (Marwa El Sawy), Salma\u2019s therapist probes deeply into Salma\u2019s childhood trauma, and encourages her to reflect on her upbringing to find peace.<\/p>\n<p>Nadine starts recording a podcast series on \u2018failed marital relationships\u2019 by interviewing friends and family. Here again targeted questions, silent interludes and active listening provide space for the viewer to emotionally invest in the characters\u2019 stories. Our deeper knowledge leads to \u2018empathy\u2019; an attribute that is highly relevant to practicing \u2018good medicine\u2019.<\/p>\n<p>The clever use of symbols and attention to details are key skills for \u2018good doctors\u2019 who are expected to spot subtle hints in patients\u2019 narratives and translate them into a \u2018focussed history\u2019. The scene where a balloon floats in the air between Salma and Sherif symbolises the \u2018trust\u2019 that is lost between them.<\/p>\n<p>\u2018Avoiding judgement\u2019 is the method that the script writers, Mariam Naoum, and Dina Nejm use to tell a compelling story. The civilised relationship that exists between Sherif\u2019s divorced parents, Hilal (Ahmed Kamal), and Maggie (Miryam Gouhar), and Nadine\u2019s parents Hanaa and Ibrahim implies that no partner should be labelled as \u2018the villain\u2019 after divorce. A \u2018non-judgmental\u2019 approach is another attribute that doctors should exercise in delivering compassionate care.<\/p>\n<p>Karim El Shennawy, the series director, is elegantly supported by the music composer Khaled Al Kammar in conveying the protagonists\u2019 contradicting emotions in a sensitive, unhurried fashion that enhances our understanding of these troubled souls. \u2018What\u2019s left unsaid\u2019, the title of episode 6 sums up the fact that the viewer is encouraged to \u2018fill in the gaps\u2019 of what is \u2018missing\u2019 from the plot as an active participant. The four lead actors, Khalil, Shahin, Galal and Kassem deliver career-best performances, while Riyadh, Gouhar (figure 3) and Suliman shine as the doting mothers.<\/p>\n<figure id=\"attachment_3640\" aria-describedby=\"caption-attachment-3640\" style=\"width: 1212px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3640\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-3.jpeg\" alt=\"Figure 3: Hanaa (Aiyda Riyadh) and Maggie (Miryam Gouhar) bonding over divorce stories\" width=\"1212\" height=\"826\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-3.jpeg 1212w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-3-300x204.jpeg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-3-768x523.jpeg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/04\/Ali-Khalid-Doctors-learning-storytelling-and-interpersonal-skills-from-TV-3-640x436.jpeg 640w\" sizes=\"auto, (max-width: 1212px) 100vw, 1212px\" \/><figcaption id=\"caption-attachment-3640\" class=\"wp-caption-text\">Figure 3: Hanaa (Aiyda Riyadh) and Maggie (Miryam Gouhar) bonding over divorce stories<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>In a poignant scene, Adam tells his twin sons Saleh and Hashem a bedtime story \u2018The Frog and the Stars\u2019, where a frog dreams of touching the stars and ends up realising that he can touch the stars\u2019 reflection on the lake next to him. While telling that story, Adam realises that <em>he<\/em> is \u2018the frog\u2019 in real life, by not being mindful of how close his source of happiness was, namely his wife and sons. Adam\u2019s honest observation, by regretting the divorce, represents another important medical profession quality which is \u2018reflective practice\u2019.<\/p>\n<p>A study by Hammer et al at the Mayo Medical School in partnership with the Guthrie Theatre in Minnesota, USA showed that \u2018theatre training\u2019 can be employed effectively in improving \u2018case presentation\u2019 skills for medical students.<a href=\"#_ftn4\" name=\"_ftnref4\"><sup>4<\/sup><\/a> I argue that watching <em>Seventh Year Itch<\/em> can be beneficial for medical students and doctors in communicating, and empathising with patients, as well as enhancing their storytelling skills.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline\"><strong>References<\/strong><\/span><\/p>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> Steiner-Hobfauer V, Schrank B, Holzinger A. What is a good doctor? Wien Med Wochenschr 2018; 168: 398-405.<\/p>\n<p><a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a> A. Borracci R, M. Alvarez Gallesio J, Ciamborne G, et al. What patients consider to be a \u2018good\u2019 doctor, and what doctors consider to be a \u2018good\u2019 patient. Rev Med Chile 2020; 148: 930-38.<\/p>\n<p><a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a> S. Grundnig J, Steiner-Hofbauer V, Drexler V, eta l. You are exactly my type! The traits of a good doctor: a factor analysis study on public\u2019s perspectives. BMC Health Services Research 2022; 22: 886.<\/p>\n<p><a href=\"#_ftnref4\" name=\"_ftn4\">[4]<\/a> Hammer R R, Rian J D, Gregory J K, et al. Telling the Patient\u2019s Story: using theatre training to improve case presentation skills. J Med Ethics; Medical Humanities 2011; 37: 18-22.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Series Review Khalid Ali, Film and Media Correspondent Reflections on Seventh Year Itch (TV series, directed by Karim El Shennawy, Egypt, 2023) available on Shahid MBC Integrating medical education with arts and humanities has provided great opportunities for medical students to hone their communication skills and desirable qualities such as respect and empathy.1 Combining the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2023\/04\/18\/doctors-learning-storytelling-and-interpersonal-skills-from-tv\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206],"tags":[15099],"class_list":["post-3637","post","type-post","status-publish","format-standard","hentry","category-film","tag-film-review"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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