Co-Chair of the Group on Spirituality Dana King has a new book out.
It will be of interest to women, as well as health professionals. You
can see it at Amazon or Barnes and Noble:
http://search.barnesandnoble.com/booksearch/isbnInquiry.asp?
userid=Lf44H70Ba3&isbn=0789023032&itm=3

Coming in November from Radcliffe Medical Press.  A book by Co-Chair
Stephen Kliewer D.Min and Chair of Family Medicine at OHSU, John
Saultz MD.  "Spirituality and Healthcare"

I would encourage any listserve member who have read a book they have
found helpful related to this topic to share such reads on the
listserve.

For me the most useful book I have read recently was Miller, WR,
Ed.,  Integrating Spirituality into Treatment,  APA, Washington DC,
1999

An excellent book coming out of the world of mental health

Peace

Steve

I appreciate the information.  However,  I discontinued my STFM membership
some time ago because of moral and ethical differences.  Please update your
mailing list by removing my name.

Thank you.
Ivan Abdouch


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                                                                    Subject
                                        [STFM-Spirituality] STFM Behavioral
              07/08/2005 04:43          Science  Conference
              PM


              Please respond to
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              @yahoogroups.com






Hey folks

We would like to encourage you all to consider the upcoming
conference on Behavioral Science and Family Medicine in Chicago.
Many of the topics discussed will prove interesting and applicable
to those interested in working with patients with spiritual issues.

Take a look at the following information

____________________________________________________

The 26th Forum for Behavioral Science in Family Medicine

September 15-18, 2005 ~ Chicago, Illinois

Cosponsored by the Society of Teachers of Family Medicine

And

The Medical College of Wisconsin


"Making the Difference in Family Medicine Today and Tomorrow"


NEW LOCATION for 2005…"Just steps away from the legendary
Magnificent Mile," Double Tree Guest Suites Chicago-Downtown,
Chicago, IL.


The incorporation of behavioral scientists truly makes the
difference in family medicine today.  But to maintain and improve
behavioral science education in family medicine tomorrow requires a
shift in emphasis from processes to outcomes as required by the
Accreditation Council for Graduate Medical Education's (ACGME)
newly
mandated competency-based education.  Outcomes are the results of
processes that matter to students, residents, patients, colleagues
and the various communities that shape and are shaped by our work.
This year's theme challenges us to examine and report on outcomes
that are sometimes difficult to measure such as resident
professionalism, internalizing the value of interdisciplinary
teamwork, and commitment to supporting patients' healthy
lifestyle
behavior changes over time.  The 26th Forum for Behavioral Science
in Family Medicine will examine and report the differences
behavioral science has made and the practical methods that help us
evaluate outcomes, among others.  The theme also provides us with a
great opportunity to recognize and celebrate the profound and
meaningful differences we continue to make in family medicine.


2005 Plenary Speakers:

* Marian Stuart, PhD, UMDNJ-Robert Wood Johnson Medical School

* Robert Rakel, MD and David Rakel, MD, Baylor College of Medicine
and Madison Family Practice Residency Program, Madison, Wisconsin

* Jerry Kruse, MD, MSPH, Southern Illinois University


The 2005 conference will offer workshops, seminars, and educational
breakfast forums highlighting the following important topics:

• Outstanding features of behavioral science education;

• Practices and methods that advance communication and
interpersonal
skills;

• Evaluation of outcomes in system-wide patient care programs;

• Innovative methods that help learners meet – or exceed
– ACGME
competency requirements;

• PLUS…the Forum is offering the Balint Track Workshop again
this
year.  Enrollment is limited!


For the 26th year, the Forum offers inspiring prominent speakers in
the intimacy of a regional meeting.  Each year brings together both
veteran and first-time attendees to gain skills, share and discuss
important ideas, and develop engaging colleague relationships.
Participants leave feeling personally refreshed and professionally
renewed.  We look forward to having you join us this fall in Chicago!

               REGISTER ON-LINE TODAY AT  WWW.STFM.ORG





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   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links

Hey folks

We would like to encourage you all to consider the upcoming
conference on Behavioral Science and Family Medicine in Chicago.
Many of the topics discussed will prove interesting and applicable
to those interested in working with patients with spiritual issues.

Take a look at the following information

____________________________________________________

The 26th Forum for Behavioral Science in Family Medicine

September 15-18, 2005 ~ Chicago, Illinois

Cosponsored by the Society of Teachers of Family Medicine

And

The Medical College of Wisconsin


"Making the Difference in Family Medicine Today and Tomorrow"


NEW LOCATION for 2005…"Just steps away from the legendary
Magnificent Mile," Double Tree Guest Suites Chicago-Downtown,
Chicago, IL.


The incorporation of behavioral scientists truly makes the
difference in family medicine today.  But to maintain and improve
behavioral science education in family medicine tomorrow requires a
shift in emphasis from processes to outcomes as required by the
Accreditation Council for Graduate Medical Education's (ACGME)
newly
mandated competency-based education.  Outcomes are the results of
processes that matter to students, residents, patients, colleagues
and the various communities that shape and are shaped by our work.
This year's theme challenges us to examine and report on outcomes
that are sometimes difficult to measure such as resident
professionalism, internalizing the value of interdisciplinary
teamwork, and commitment to supporting patients' healthy
lifestyle
behavior changes over time.  The 26th Forum for Behavioral Science
in Family Medicine will examine and report the differences
behavioral science has made and the practical methods that help us
evaluate outcomes, among others.  The theme also provides us with a
great opportunity to recognize and celebrate the profound and
meaningful differences we continue to make in family medicine.


2005 Plenary Speakers:

* Marian Stuart, PhD, UMDNJ-Robert Wood Johnson Medical School

* Robert Rakel, MD and David Rakel, MD, Baylor College of Medicine
and Madison Family Practice Residency Program, Madison, Wisconsin

* Jerry Kruse, MD, MSPH, Southern Illinois University


The 2005 conference will offer workshops, seminars, and educational
breakfast forums highlighting the following important topics:

• Outstanding features of behavioral science education;

• Practices and methods that advance communication and
interpersonal
skills;

• Evaluation of outcomes in system-wide patient care programs;

• Innovative methods that help learners meet – or exceed
– ACGME
competency requirements;

• PLUS…the Forum is offering the Balint Track Workshop again
this
year.  Enrollment is limited!


For the 26th year, the Forum offers inspiring prominent speakers in
the intimacy of a regional meeting.  Each year brings together both
veteran and first-time attendees to gain skills, share and discuss
important ideas, and develop engaging colleague relationships.
Participants leave feeling personally refreshed and professionally
renewed.  We look forward to having you join us this fall in Chicago!

               REGISTER ON-LINE TODAY AT  WWW.STFM.ORG

STFM Spirituality Interest Group members*support STFM in New Orleans!

  38th STFM Annual Spring Conference
"Conflict, Collaboration, and Resolution: Family Medicine Education in the 21st
Century"
April 30-May 4, 2005
New Orleans Marriott    New Orleans, LA

The New Orleans Marriott will be the site for the 2005 STFM Annual Conference,
April 30-May 4.  If you attend only one conference this year, come to the one
that is more than presentation and plenary talks; where learning is as likely to
take place in networking activities and the hallways between sessions as it is
during the planned program; where you will get to know the other attendees
because the value of the conference is in the people who gather there to
network, consult, and mutually inspire each other.

  This year's meeting will include the following educational sessions of special
interest to our Group, including*.

Monday, May 2, 2005 10:30 AM
L11A Computer-assisted Learning in Medical Ethics and Communication Skills:
Resolving Clinical Conflicts,  Janet Fleetwood, PhD; Eugene Hong, MD

Ethical dilemmas pose complex conflicts in family medicine, and resolving these
conflicts often goes beyond textbook solutions. MedEthEx Online, our natural
language computer-assisted-learning program available free on the Internet,
provides an educational resource for residents to improve ethical reasoning and
communication skills. Our program includes video images, graphics, and sound.
Four scenarios feature patients addressing HIV and confidentiality,
physician-assisted suicide, cultural competency and patient decision-making, and
adolescent health. By clicking on icons and reading the on-screen instructions,
the learner interacts with videotaped patients, accesses resources in ethics,
law and communication, and obtains "consultations" from experts in clinical
specialties, medical ethics, culture, and spirituality. Participants will use
MedEthEx Online, review educational outcome data, and discuss integrating
computer-assisted learning in ethics and communication into residency education.

  L12A Sharing Spirituality With Patients: The Role of Family Physicians
     Florence Gelo, DMin

Through interactive case studies, the presenter (a board-certified chaplain and
behavioral science faculty in a department of family medicine) will familiarize
participants with the clinical relevance of religion and spirituality in the
patient-physician relationship and introduce a basic method of spiritual
assessment that can be duplicated for residency programs.



--------------------------------------------------------------------------------

  Tuesday, May 3, 2005 1:45 PM

RJ3 Spirituality and Health Care Education in Family Medicine
     Dana King, MD

Objective: This study evaluated the current status of spirituality training in
family medicine residency training programs. Methods: We surveyed 138 randomly
selected US family medicine residencies regarding their spirituality and health
care curriculum. A response rate of 73% (101/138) was obtained. Results: Almost
all (92%) of program directors said spirituality teaching was important, but
only 31% of programs have a specific curriculum to guide the spirituality and
health teaching of their residents. The most common factor(84% of programs with
a structured curriculum) correlated with having a spirituality curriculum and
perceived effective education efforts was the presence of a faculty with
specific interest, expertise, or training in spirituality and health education.
Conclusions: Residency programs with trained faculty are more likely to have
structured spirituality teaching.

  National Showcase for Family Medicine Education:

Each year, approximately 1,000 family physicians, nurse practitioners,
psychologists, behavioral scientists, and other family medicine educators gather
together at the STFM Annual Conference to network, teach, and learn.  This is a
unique, one-of-a-kind conference for all involved in family medicine education!


Outstanding Plenary Speakers:

"Cultural Humility in the Era of Cultural Competence"
Melanie Tervalon, MD, MPH

"The End of the Beginning:  The Redesign Imperative in Family Medicine"
Joseph Scherger, MD, MPH

What Can Findings From Practice-Based Research Contribute To The Training Of
Physicians?
Ronald Epstein, MD

"What I Learned About Collaboration, I Learned In Kindergarten"
Martha Medrano, MD, MPH


Optional Educational Opportunities in Preconference and Electronic Classrooms:

PRECONFERENCE EDUCATIONAL WORKSHOPS:
1) Developing FFM New Model Practices in Residencies:  Learning from Experience 
($145 additional fee.)
This full-day educational session developed by leaders in STFM will include an
Overview of the Future of Family Medicine and the New Model; Electronic Health
Records; Open Access; Group Visits; Quality Improvement/Patient Safety;
Organizational Responses; and Change Management.

2) Faculty Development Series-Invitation to Excellence: A National Model for
Academic Skills Preparation:
Workshop I: "Teaching and Learning Skills" ($195 additional fee; Enrollment for
workshop is limited to 25.)

3) Faculty Development Series-Invitation to Excellence: A National Model for
Academic Skills Preparation:
Workshop V: "Career Development for Clinician Educators"  ($100 additional fee;
Enrollment for workshop is
limited to 25.)



HONE YOUR TECHNICAL SKILLS IN HANDS-ON COMPUTER WORKSHOPS:
(additional fee of $95 each; workshops are limited to 20 participants.)

* From Toys to Tools: PDA's in Education & Clinical Care
* Answering Clinical Questions with Evidence at the Point of Care
* Using Predragon Forms for Research Data Collection with Palm Devices
* The Objective Structured Computer Exam
* All You Really Need to Know About PowerPoint
* On-line Competency-focused Simulated Clinical Sessions:  Teaching and
Assessing Our Learners
* Getting Started with Reference Manager
* Advanced PowerPoint Presentations:  The Cure for Boring Babbling Presenters
* Simple, Inexpensive Web-based Collaboration & Information Sharing


Register for the Conference*there are 3 easy ways to register!
1) On-line registration: http://www.stfm.org/AnnualConf/AN03/index.htm
2) Fax registration: Print attached form, complete, and fax with credit card
information to 913-906-6096.
3) Register by mail: Print attached form, complete, and mail to STFM, 11400
Tomahawk Creek Parkway, Ste. 540, Leawood, KS  66211.


Hotel Reservations:
The STFM conference room-block at the Marriott is currently sold-out.  For
assistance in locating and securing other nearby accommodations, please call
Chris McDonald at "A Room With A View," 800-780-4343.

If you have any questions or need any additional information, please contact
Priscilla Noland at STFM, 800-274-2237, ext. 5410 or pnoland@....

On behalf of STFM and your fellow members of our Group, we look forward to
seeing you in New Orleans!

Sincerely,
Stephen Kliewer D.Min
Dana King, MD
STFM Spirituality Group Co-Chairs

PS:  PLEASE SEND YOUR IDEAS ABOUT WHAT SHOULD BE INCLUDED AS PART OF A CORE
CURRICULUM INSPIRITUALITY AND MEDICINE TO THE LIST SERVE.  SHARE YOUR THOUGHTS
WITH THE ENTIRE GROUP.  WE WOULD LIKE TO DISCUSS THIS IN NEW ORLEANS.

ALSO -  BE SURE TO JOIN US FOR THE INTEREST GROUP BREAKFAST ON SUNDAY, MAY 1 AT
7AM , AND FOR OUR GROUP MEETING ON TUESDAY AT 12:30PM.  AGENDA WILL INCLUDE A
LOOK AT THE SURVEY, A DISCUSSION ABOUT CORE COMPETENCIES, AND SETTING GOALS FOR
THE COMING YEAR.

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
Cell: 541-398-0547
FAX     541-426-3035


Email:  kliewers@...

BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Stephen Kliewer
TEL;WORK:503-494-7591
ORG:;SM.Family Medicine
TEL;PREF;FAX:503-494-2746
EMAIL;WORK;PREF;NGW:kliewers@...
N:Kliewer;Stephen
TITLE:Assistant Professor
ADR;DOM;WORK;PARCEL;POSTAL:;EJH 18
LABEL;DOM;WORK;PARCEL;POSTAL;ENCODING=QUOTED-PRINTABLE:Stephen Kliewer=0A=
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END:VCARD

Dear Stephen,

Though I have great interest in Spirituality, I am currently very busy with
other areas,  i.e., Integrative Med/CAM.

Thus,  I am aksing to pls be removed from the 'Grp on Spirituality' list serve
at this time.

However, in response to you call for ideas,  here are a few:

One idea, that seems quite natural to me, is to have our two STFM grps collab on
something~  many, if not all of the core values & philosophies of Spirituality
are integral to the practice of  Integrative/Holistic/Complementary &
Alternative Medicine,  I believe.

With regards to core competencies, the Consortium of Academic Health Ctrs for
Integratie Medicine (CAHIM) education working grp/cmt published a paper on
competiencies for Integrative Medicine,  in Academic Medicine, June 2004.   Here
is a link to the paper for those that would like to look it over:
http://www.academicmedicine.org/cgi/content/abstract/79/6/521

Also, another idea would be to explore the concept of 'Optimal Healing
Environments' (OHEs) as defined/described by the Samueli Institute
(www.samueliinstitute.org).   I really like how they have put together various
concepts re: healing.

Hope this may help & be some food for thought.

All the best,
Mary

Mary P. Guerrera, MD, FAAFP
Associate Professor
Dept of Family Medicine
Univ of CT SOM
co-PI AMSA-EDCAM Project Grant
office/vm:  860-714-6532
fax:  860-714-8080
mguerrer2@...

________________________________

From: Stephen Kliewer [mailto:kliewers@...]
Sent: Fri 2/25/2005 12:57 PM
To: STFM-Spirituality@yahoogroups.com
Subject: [STFM-Spirituality] Core Competencies




As we prepare to meet as a group in New Orleans, the Spirituality Group
would like to hear from you!

Specifically, we would like to get a list from all interested parties of
Core Competencies that people believe should be the focus of Medicine
and Spirituality curriculi at either the medical school or residency
level.

Please post your ideas on the listserve!

If you are coming to NO bring a copy with you.
Also, if you would like to bring samples of any curriculi you are
involved with...outlines, handouts, whatever, we will be looking at this
issue during out time together.

Thanks much

Stephen Kliewer, Co Chair

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
Cell: 541-398-0547
FAX     541-426-3035


Email:  kliewers@...




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   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
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   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links












NOTICE: This email and/or attachments may contain confidential or proprietary
information which may be legally
privileged.  It is intended only for the named recipient(s).  If an addressing
or transmission error has misdirected this email,
please notify the author by replying to this message.  If you are not the named
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disclose, distribute, make copies or print this email, and should immediately
delete it from your computer system.

As we prepare to meet as a group in New Orleans, the Spirituality Group
would like to hear from you!

Specifically, we would like to get a list from all interested parties of
Core Competencies that people believe should be the focus of Medicine
and Spirituality curriculi at either the medical school or residency
level.

Please post your ideas on the listserve!

If you are coming to NO bring a copy with you.
Also, if you would like to bring samples of any curriculi you are
involved with...outlines, handouts, whatever, we will be looking at this
issue during out time together.

Thanks much

Stephen Kliewer, Co Chair

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
Cell: 541-398-0547
FAX     541-426-3035


Email:  kliewers@...

I am out of the office until February 28th.  If you need immediate
assistance for a clinical matter please contact Robin Fabianek at
fabianekr@....   If you have questions or problems that concern the
Practice of Medicine, please contact Sandra Jarvis at jarviss@....

Anne Barash, MSW, MD

Greetings

Want to let you all know that the Spiritual Group will be gathering
twice at the Spring STFM conference in New Orleans.

We  will meet Sunday, hosting a special intererst breakfast at 7:00am
We will also meet Tuesday from 12:30 to 1:30pm....a brown bag affair.

This will be our chance to look at last year's activities and set any
new goals or objectives for the coming year.

We would love to see you there.
If you have a specific issue or agenda item you would like discussed
please let us know.

Thanks

Dana King, MD
Stephen Kliewer, DMin
CoChairs


Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
Cell: 541-398-0547
FAX     541-426-3035


Email:  kliewers@...

Dear friends:
I would appreciate any comments you wish to share regarding the attached
article. Your responses might be helpful in guaging current thinking
about spirituality and health.

Best wishes,

Russ Sawa

Dear Professor Sawa
Please find attached the electronic offprint of your article published in
journal CREP  vol 05 issue 03 in the form of a PDF file, for either printing or
distribution of no more than 50 copies or e-prints to your colleagues or
businesses.
Please note that this is the final version of your paper, and no further changes
can be made at this stage.
If you have any problems or queries please contact me.
Sherry Howard
Senior Production Assistant
Taylor & Francis
Tel. 01235 828699
Email. Sherry.howard@... <mailto:Sherry.howard@...>

  <<CREP_5_3_09lores.pdf>>

Name:  Michael Crouch
1. Age:  58
2. Place of birth or youth--Imboden, Arkansas (birth), Pocahontas, Arkansas
(youth)
3. Religion of youth--Baptist
4. Current religion--Unitarian Universalist
5. My personal spirituality entails a belief in the power of positive and
negative human energy and activity to generate galvanizing effects in
onself, another individual, or in small or large groups of people. Extreme
examples include spiritual healing, acts of heroism, and mob violence.
6. My personal spiritual practices include internal self-affirmations,
self-inspirations, prayer equivalents (wishing good for others and asking
Higher Power help in striving for goodness), Tai Chi, yoga, and playing and
singing music.
7.  I understand illness in many different ways, including: genetic
misfortune, adaptive and maladaptive biological adjustments to internal and
external change (including aging), and  learned behavioral responses to
interpersonal and environmental stressors. I do not envision Higher Power
causation for illness. Similarly, illness can be imbued with many meanings,
including the gift of humility, as contrast for better appreciation of one's
healthy, as warning to slow down or improve health habits and self care, as
catalyst for acknowledging one's vulnerability, frailty, and mortality, and
as rehearsal for aging and dying.
8.  I view healing as the process of becoming as whole and healthy as one is
capable of becoming in a given situation and a particular stage of life,
given one's endowments, encumbrances, and past history. I'm not sure if I
believe in the notion of cure as conventionally defined (return to prior
state of health following the resolution or eradication of an illness or
disease). I think what is often called a cure is really more like arriving
at a new unique state of health that is hard to compare with one's
"pre-morbid" state. I think the apparently same type illness can enhance one
person's sense of subsequent health in ways that are hard to articulate,
while diminishing another person's sense of health in similarly nebulous
fashion.
9.  I hold open the possibility of some kind of Higher Power energy
contributing to healing or cure. I have no direct experience with such an
effect and am quite uncomfortable intellectually and emotionally with
"God-wrought miracle" explanations. This may be a leftover of my "Recovering
Baptist" heritage.
10. In recent years I have gotten comfortable with occasionally discussing a
patient's spirituality and religious beliefs in the context of their health.
The most recent example was a woman I saw last week, who was separated from
her husband, who was behaving erratically and probably having an affair.
Although no longer Catholic (now Presbyterian), she had not been able to let
go of her inculcated belief that divorce was unacceptable and was almost
morally wrong. I suggested that she might benefit from considering the
possibility that a belief that had been consistent with her health and
welfare for most of her life might have now become maladaptive for her
current circumstances and might be in need of careful reflective
reassessment (with the help of a counselor--lay or pastoral).
11.  My spiritual perspective includes (on rare occasion) facilitating a
healing ceremony for an individual or family, and (occasionally) suggesting
the possibly applicability of a healing ceremony or ritual to a patient
struggling to accept or adapt to life or health changes. I recommend the
following books to patients who express interest.
Achterberg, J., Dossey, B., & Kolkmeier, L. (1994). Rituals of healing:
Using imagery for health and wellness. New York: Bantam Books.
Butler B (Ed.) (1996). Ceremonies of the heart: Celebrating lesbian unions.
Seattle, Washington: Seal Press.
Hammerschlag, C.A., & Silverman, H. (1997). Healing ceremonies: Creating
personal rituals for spiritual, emotional, physical and mental health. New
York: Berkley Publishing Group.
Immer-Black, E., & Roberts, J. (1992). Rituals for our times: Celebrating,
healing, and changing our lives and relationships. New York: HarperCollins
Publishers, Inc..
Johnson, D.R., Feldman, S.C., Lubin, H., & Southwick, S.M. (1995). The
therapeutic use of ritual and ceremony in the treatment of post-traumatic
stress disorder. Journal of Traumatic Stress 8:283-298.
Mahdi, L.C., Meade, M., & Christopher, N.G. (Eds.). (1996). Crossroads: The
quest for contemporary rites of passage. Chicago, Illinois: Open Court
Press.
Paladin, LS. (1991). Ceremonies for Change: Creating personal ritual to heal
life's hurts. Walpole, NH: Stillpoint.
Walker, B.G. (1988). The woman's dictionary of symbols and sacred objects.
San Francisco, CA: Harper & Row.
Weed, S.S. (1999). Menopause and beyond: The wise woman way. Journal of
Nurse Midwifery 44:267-279.

12.  Have you ever had a healing experience?  Please describe.
Yes. I conducted a healing ceremony for a family whose child I had
delivered, who was critically ill with bilateral diaphragm eventration. It
was the best thing I have ever done as a healer, including all of my 20+
year conventional medical career efforts. I wrote an article about it in
2002 that was initially accepted, then rejected by Families, Systems, and
Health. I'm still trying to figure out whether to resubmit it (what journal
would consider it?) or rewrite it as a lay magazine piece (which would be
extremely different).

-----Original Message-----
From: gary_gianini@... [mailto:gary_gianini@...]
Sent: Wednesday, December 01, 2004 12:53 PM
To: STFM-Spirituality@yahoogroups.com
Subject: RE: [STFM-Spirituality] Changes



1. Gary Gianini
2.West Hartford, CT
3. Congregational
4. Unitarian-Universalist
5. Humanist mixed with Judeo-Christian and some far Eastern religious
beliefs
6. church services, meditation, faith in action-social conscience
7. Initially I ask if there is something I did or didn't do-Absolutely NOT
God caused, believe in some randomness.
8. I believe there is healing power in positive value based
actions/thoughts-individually and group-does not mean cure -more state of
being that one is Ok/in tune with values and doing the right thing no matter
what the outcome physically
9. Not sure.
10. see 7
11. not really
12. no

Gary Gianini M.S.W., M.S.
Coordinator-Behavioral Science
Family Practice Residency
Middlesex Hospital
Middletown,CT 06457


-----Original Message-----
From: spkliewer [mailto:kliewers@...]
Sent: Tuesday, November 30, 2004 4:18 PM
To: STFM-Spirituality@yahoogroups.com
Subject: [STFM-Spirituality] Changes




Greetings
I have made a few changes to the listserve rules.
First, although only members can post at this point, I have removed
the moderation features, which means people can post messages
without approval.  If we begin to get irritating stuff, or spam, I
will change it back, but am hoping this will improve access and
generate more activity.

Second, I have change the reply from "reply to sender" to "reply
all".  In this way conversations won't die a quick death once they
have begun.

A few commnets.  JFP recently had an issue (August) with a number of
articles on Spirituality and Medicine.  Please check.

Also, I am distributing a narrative questionnaire to get a better
feel for how people view spirituality and health.  If any of you
would like to answer the following questions, I would appreciate
getting your persective.  Feel free to send your answers directly to
my OHSU email if you desire a bit of privacy.....

Name:
1. Age:
2. Place of birth or youth
3. Religion of youth
4. Current religion
5. Please describe your personal spirituality (This may be connected
to, or practiced within the context of your religion, or may be
independent)
6. Personal spiritual practices (prayer, bible reading, Torah,
meditation, other reading, group experiences, etc.)
7.  How do you think (or theologize) about illness?  In other words,
what is the meaning or value of illness (just something that
happens, God causes, etc.)
8.  How to you think (theologize) about healing or cure?
9.  How do you view the role of God/Divine/Sacred in terms of
healing or cure?
10. What is the role of your spirituality in terms of healing or
cure?
11.  Does your spiritual perspective include any healing rituals or
practices?
12.  Have you ever had a healing experience?  Please describe.

Thanks to all of you.
I hope we can get people sharing "ideas that
work"  "questions"  "issues" or whatever.  WE are in this together

STEVE
Co-Chair
Group on Spirituality






Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links









Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links

I appreciate the information.  However, I have discontinued my STFM
membership due to philosophical/moral/ethical differences.  So please
remove my name from the list.

I wish you the best in your future endeavors and may God grant you all a
blessed and peaceful Christmas!

Ivan Abdouch



The University of Nebraska Medical Center E-Mail Confidentiality
Disclaimer:
The information in this e-mail is privileged and confidential, intended
only for the use of the addressee(s) above.  Any unauthorized use or
disclosure of this information is prohibited.  If you have received this
e-mail by mistake, please delete it and immediately contact the sender.



              gary_gianini@midh
              osp.org
                                                                         To
              12/01/2004 12:52          STFM-Spirituality@yahoogroups.com
              PM                                                         cc

                                                                    Subject
              Please respond to         RE: [STFM-Spirituality] Changes
              STFM-Spirituality
              @yahoogroups.com









1. Gary Gianini
2.West Hartford, CT
3. Congregational
4. Unitarian-Universalist
5. Humanist mixed with Judeo-Christian and some far Eastern religious
beliefs
6. church services, meditation, faith in action-social conscience
7. Initially I ask if there is something I did or didn't do-Absolutely NOT
God caused, believe in some randomness.
8. I believe there is healing power in positive value based
actions/thoughts-individually and group-does not mean cure -more state of
being that one is Ok/in tune with values and doing the right thing no
matter
what the outcome physically
9. Not sure.
10. see 7
11. not really
12. no

Gary Gianini M.S.W., M.S.
Coordinator-Behavioral Science
Family Practice Residency
Middlesex Hospital
Middletown,CT 06457


-----Original Message-----
From: spkliewer [mailto:kliewers@...]
Sent: Tuesday, November 30, 2004 4:18 PM
To: STFM-Spirituality@yahoogroups.com
Subject: [STFM-Spirituality] Changes




Greetings
I have made a few changes to the listserve rules.
First, although only members can post at this point, I have removed
the moderation features, which means people can post messages
without approval.  If we begin to get irritating stuff, or spam, I
will change it back, but am hoping this will improve access and
generate more activity.

Second, I have change the reply from "reply to sender" to "reply
all".  In this way conversations won't die a quick death once they
have begun.

A few commnets.  JFP recently had an issue (August) with a number of
articles on Spirituality and Medicine.  Please check.

Also, I am distributing a narrative questionnaire to get a better
feel for how people view spirituality and health.  If any of you
would like to answer the following questions, I would appreciate
getting your persective.  Feel free to send your answers directly to
my OHSU email if you desire a bit of privacy.....

Name:
1. Age:
2. Place of birth or youth
3. Religion of youth
4. Current religion
5. Please describe your personal spirituality (This may be connected
to, or practiced within the context of your religion, or may be
independent)
6. Personal spiritual practices (prayer, bible reading, Torah,
meditation, other reading, group experiences, etc.)
7.  How do you think (or theologize) about illness?  In other words,
what is the meaning or value of illness (just something that
happens, God causes, etc.)
8.  How to you think (theologize) about healing or cure?
9.  How do you view the role of God/Divine/Sacred in terms of
healing or cure?
10. What is the role of your spirituality in terms of healing or
cure?
11.  Does your spiritual perspective include any healing rituals or
practices?
12.  Have you ever had a healing experience?  Please describe.

Thanks to all of you.
I hope we can get people sharing "ideas that
work"  "questions"  "issues" or whatever.  WE are in this together

STEVE
Co-Chair
Group on Spirituality






Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links









Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links

1. Gary Gianini
2.West Hartford, CT
3. Congregational
4. Unitarian-Universalist
5. Humanist mixed with Judeo-Christian and some far Eastern religious
beliefs
6. church services, meditation, faith in action-social conscience
7. Initially I ask if there is something I did or didn't do-Absolutely NOT
God caused, believe in some randomness.
8. I believe there is healing power in positive value based
actions/thoughts-individually and group-does not mean cure -more state of
being that one is Ok/in tune with values and doing the right thing no matter
what the outcome physically
9. Not sure.
10. see 7
11. not really
12. no

Gary Gianini M.S.W., M.S.
Coordinator-Behavioral Science
Family Practice Residency
Middlesex Hospital
Middletown,CT 06457


-----Original Message-----
From: spkliewer [mailto:kliewers@...]
Sent: Tuesday, November 30, 2004 4:18 PM
To: STFM-Spirituality@yahoogroups.com
Subject: [STFM-Spirituality] Changes




Greetings
I have made a few changes to the listserve rules.
First, although only members can post at this point, I have removed
the moderation features, which means people can post messages
without approval.  If we begin to get irritating stuff, or spam, I
will change it back, but am hoping this will improve access and
generate more activity.

Second, I have change the reply from "reply to sender" to "reply
all".  In this way conversations won't die a quick death once they
have begun.

A few commnets.  JFP recently had an issue (August) with a number of
articles on Spirituality and Medicine.  Please check.

Also, I am distributing a narrative questionnaire to get a better
feel for how people view spirituality and health.  If any of you
would like to answer the following questions, I would appreciate
getting your persective.  Feel free to send your answers directly to
my OHSU email if you desire a bit of privacy.....

Name:
1. Age:
2. Place of birth or youth
3. Religion of youth
4. Current religion
5. Please describe your personal spirituality (This may be connected
to, or practiced within the context of your religion, or may be
independent)
6. Personal spiritual practices (prayer, bible reading, Torah,
meditation, other reading, group experiences, etc.)
7.  How do you think (or theologize) about illness?  In other words,
what is the meaning or value of illness (just something that
happens, God causes, etc.)
8.  How to you think (theologize) about healing or cure?
9.  How do you view the role of God/Divine/Sacred in terms of
healing or cure?
10. What is the role of your spirituality in terms of healing or
cure?
11.  Does your spiritual perspective include any healing rituals or
practices?
12.  Have you ever had a healing experience?  Please describe.

Thanks to all of you.
I hope we can get people sharing "ideas that
work"  "questions"  "issues" or whatever.  WE are in this together

STEVE
Co-Chair
Group on Spirituality






Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links

The way to get to the JFP Articles is
by going to the following link.  You can read them online (I think)
If you can't access let me know.  www.jfponline.com

The link to Russ Sawa's article, mentioned earlier is in the text of his
message.  Again, if you have trouble accessing let me know.  I'll try to
figure out a way to get it attached to an email to the whole group.

sk

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
Cell: 541-398-0547
FAX     541-426-3035


Email:  kliewers@...
>>> ssprague@... 12/01/04 5:36 AM >>>

Is there any way to access the article you mention?  I would like to
read it.

Stuart Sprague

>>> Sawa@... 11/30/2004 5:59:01 PM >>>
spkliewer wrote:

>Greetings
>I have made a few changes to the listserve rules.
>First, although only members can post at this point, I have removed
>the moderation features, which means people can post messages
>without approval.  If we begin to get irritating stuff, or spam, I
>will change it back, but am hoping this will improve access and
>generate more activity.
>
>Second, I have change the reply from "reply to sender" to "reply
>all".  In this way conversations won't die a quick death once they
>have begun.
>
>A few commnets.  JFP recently had an issue (August) with a number of
>articles on Spirituality and Medicine.  Please check.
>
>Also, I am distributing a narrative questionnaire to get a better
>feel for how people view spirituality and health.  If any of you
>would like to answer the following questions, I would appreciate
>getting your persective.  Feel free to send your answers directly to
>my OHSU email if you desire a bit of privacy.....
>
>Name:
>1. Age:
>2. Place of birth or youth
>3. Religion of youth
>4. Current religion
>5. Please describe your personal spirituality (This may be connected
>to, or practiced within the context of your religion, or may be
>independent)
>6. Personal spiritual practices (prayer, bible reading, Torah,
>meditation, other reading, group experiences, etc.)
>7.  How do you think (or theologize) about illness?  In other words,
>what is the meaning or value of illness (just something that
>happens, God causes, etc.)
>8.  How to you think (theologize) about healing or cure?
>9.  How do you view the role of God/Divine/Sacred in terms of
>healing or cure?
>10. What is the role of your spirituality in terms of healing or
>cure?
>11.  Does your spiritual perspective include any healing rituals or
>practices?
>12.  Have you ever had a healing experience?  Please describe.
>
>Thanks to all of you.
>I hope we can get people sharing "ideas that
>work"  "questions"  "issues" or whatever.  WE are in this together
>
>STEVE
>Co-Chair
>Group on Spirituality
>
>
>
>
>
>
>Community email addresses:
>  Post message: STFM-Spirituality@onelist.com
>  Subscribe:    STFM-Spirituality-subscribe@onelist.com
>  Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
>  List owner:   STFM-Spirituality-owner@onelist.com
>
>Shortcut URL to this page:
>  http://www.onelist.com/community/STFM-Spirituality
>Yahoo! Groups Links
>
>
>
>
>
>Dear interest group members:
>
>

I have just published an article on spirituality and health. I beliieve
it will be of interest. It also addresses most if not all of the
questions in the questionnaire. If you do read it, I would appreciate
hearing from you about your views.

The article is: Russell J. Sawa. Spirituality and health: reflections
upon clinical experience and the development of theory about whole
person health care from a Lonergan perspective. Reflective Practice,
Vol. 5, No.3, October 2004.

Best wishes,

Russ Sawa





Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links







Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links

Is there any way to access the article you mention?  I would like to read it.

Stuart Sprague

>>> Sawa@... 11/30/2004 5:59:01 PM >>>
spkliewer wrote:

>Greetings
>I have made a few changes to the listserve rules.
>First, although only members can post at this point, I have removed
>the moderation features, which means people can post messages
>without approval.  If we begin to get irritating stuff, or spam, I
>will change it back, but am hoping this will improve access and
>generate more activity.
>
>Second, I have change the reply from "reply to sender" to "reply
>all".  In this way conversations won't die a quick death once they
>have begun.
>
>A few commnets.  JFP recently had an issue (August) with a number of
>articles on Spirituality and Medicine.  Please check.
>
>Also, I am distributing a narrative questionnaire to get a better
>feel for how people view spirituality and health.  If any of you
>would like to answer the following questions, I would appreciate
>getting your persective.  Feel free to send your answers directly to
>my OHSU email if you desire a bit of privacy.....
>
>Name:
>1. Age:
>2. Place of birth or youth
>3. Religion of youth
>4. Current religion
>5. Please describe your personal spirituality (This may be connected
>to, or practiced within the context of your religion, or may be
>independent)
>6. Personal spiritual practices (prayer, bible reading, Torah,
>meditation, other reading, group experiences, etc.)
>7.  How do you think (or theologize) about illness?  In other words,
>what is the meaning or value of illness (just something that
>happens, God causes, etc.)
>8.  How to you think (theologize) about healing or cure?
>9.  How do you view the role of God/Divine/Sacred in terms of
>healing or cure?
>10. What is the role of your spirituality in terms of healing or
>cure?
>11.  Does your spiritual perspective include any healing rituals or
>practices?
>12.  Have you ever had a healing experience?  Please describe.
>
>Thanks to all of you.
>I hope we can get people sharing "ideas that
>work"  "questions"  "issues" or whatever.  WE are in this together
>
>STEVE
>Co-Chair
>Group on Spirituality
>
>
>
>
>
>
>Community email addresses:
>  Post message: STFM-Spirituality@onelist.com
>  Subscribe:    STFM-Spirituality-subscribe@onelist.com
>  Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
>  List owner:   STFM-Spirituality-owner@onelist.com
>
>Shortcut URL to this page:
>  http://www.onelist.com/community/STFM-Spirituality
>Yahoo! Groups Links
>
>
>
>
>
>Dear interest group members:
>
>

I have just published an article on spirituality and health. I beliieve
it will be of interest. It also addresses most if not all of the
questions in the questionnaire. If you do read it, I would appreciate
hearing from you about your views.

The article is: Russell J. Sawa. Spirituality and health: reflections
upon clinical experience and the development of theory about whole
person health care from a Lonergan perspective. Reflective Practice,
Vol. 5, No.3, October 2004.

Best wishes,

Russ Sawa





Community email addresses:
   Post message: STFM-Spirituality@onelist.com
   Subscribe:    STFM-Spirituality-subscribe@onelist.com
   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
   List owner:   STFM-Spirituality-owner@onelist.com

Shortcut URL to this page:
   http://www.onelist.com/community/STFM-Spirituality
Yahoo! Groups Links

spkliewer wrote:

>Greetings
>I have made a few changes to the listserve rules.
>First, although only members can post at this point, I have removed
>the moderation features, which means people can post messages
>without approval.  If we begin to get irritating stuff, or spam, I
>will change it back, but am hoping this will improve access and
>generate more activity.
>
>Second, I have change the reply from "reply to sender" to "reply
>all".  In this way conversations won't die a quick death once they
>have begun.
>
>A few commnets.  JFP recently had an issue (August) with a number of
>articles on Spirituality and Medicine.  Please check.
>
>Also, I am distributing a narrative questionnaire to get a better
>feel for how people view spirituality and health.  If any of you
>would like to answer the following questions, I would appreciate
>getting your persective.  Feel free to send your answers directly to
>my OHSU email if you desire a bit of privacy.....
>
>Name:
>1. Age:
>2. Place of birth or youth
>3. Religion of youth
>4. Current religion
>5. Please describe your personal spirituality (This may be connected
>to, or practiced within the context of your religion, or may be
>independent)
>6. Personal spiritual practices (prayer, bible reading, Torah,
>meditation, other reading, group experiences, etc.)
>7.  How do you think (or theologize) about illness?  In other words,
>what is the meaning or value of illness (just something that
>happens, God causes, etc.)
>8.  How to you think (theologize) about healing or cure?
>9.  How do you view the role of God/Divine/Sacred in terms of
>healing or cure?
>10. What is the role of your spirituality in terms of healing or
>cure?
>11.  Does your spiritual perspective include any healing rituals or
>practices?
>12.  Have you ever had a healing experience?  Please describe.
>
>Thanks to all of you.
>I hope we can get people sharing "ideas that
>work"  "questions"  "issues" or whatever.  WE are in this together
>
>STEVE
>Co-Chair
>Group on Spirituality
>
>
>
>
>
>
>Community email addresses:
>  Post message: STFM-Spirituality@onelist.com
>  Subscribe:    STFM-Spirituality-subscribe@onelist.com
>  Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
>  List owner:   STFM-Spirituality-owner@onelist.com
>
>Shortcut URL to this page:
>  http://www.onelist.com/community/STFM-Spirituality
>Yahoo! Groups Links
>
>
>
>
>
>Dear interest group members:
>
>

I have just published an article on spirituality and health. I beliieve
it will be of interest. It also addresses most if not all of the
questions in the questionnaire. If you do read it, I would appreciate
hearing from you about your views.

The article is: Russell J. Sawa. Spirituality and health: reflections
upon clinical experience and the development of theory about whole
person health care from a Lonergan perspective. Reflective Practice,
Vol. 5, No.3, October 2004.

Best wishes,

Russ Sawa

Greetings
I have made a few changes to the listserve rules.
First, although only members can post at this point, I have removed
the moderation features, which means people can post messages
without approval.  If we begin to get irritating stuff, or spam, I
will change it back, but am hoping this will improve access and
generate more activity.

Second, I have change the reply from "reply to sender" to "reply
all".  In this way conversations won't die a quick death once they
have begun.

A few commnets.  JFP recently had an issue (August) with a number of
articles on Spirituality and Medicine.  Please check.

Also, I am distributing a narrative questionnaire to get a better
feel for how people view spirituality and health.  If any of you
would like to answer the following questions, I would appreciate
getting your persective.  Feel free to send your answers directly to
my OHSU email if you desire a bit of privacy.....

Name:
1. Age:
2. Place of birth or youth
3. Religion of youth
4. Current religion
5. Please describe your personal spirituality (This may be connected
to, or practiced within the context of your religion, or may be
independent)
6. Personal spiritual practices (prayer, bible reading, Torah,
meditation, other reading, group experiences, etc.)
7.  How do you think (or theologize) about illness?  In other words,
what is the meaning or value of illness (just something that
happens, God causes, etc.)
8.  How to you think (theologize) about healing or cure?
9.  How do you view the role of God/Divine/Sacred in terms of
healing or cure?
10. What is the role of your spirituality in terms of healing or
cure?
11.  Does your spiritual perspective include any healing rituals or
practices?
12.  Have you ever had a healing experience?  Please describe.

Thanks to all of you.
I hope we can get people sharing "ideas that
work"  "questions"  "issues" or whatever.  WE are in this together

STEVE
Co-Chair
Group on Spirituality

I am passing this on to the listserve...
I think Gary's thoughts are meaningful and thought provoking.
I would invite all on the serve to respond if they wish
to what he is saying....
Any other thoughts?  Concerns?  Solutions!?

STEVE


If you don't mind, I would like to forward this to Steve Kliewers ,
my co-chair of the Group on Spirituality of STFM, to be distributed
to all of our group STFM members on the listserve. I am copying him
on this email, so you two can correspond directly. These remarks may
indeed stimulate more ideas and discussion in the group.
Thanks,
Dana


Dana E. King MD
Department of Family Medicine
Medical University of South Carolina
295 Calhoun St.
Charleston, SC  29425
phone 843-792-8112
FAX 843-792-3598
"As for me and my house..."

>>> Gary McCord <gmccord@...> 08/31/04 02:43PM >>>
   I would like to thank all of those who took the time to respond to
the
spirituality study. The reaction to our research exceeded my
expectations. The commentators on the article provided insightful,
heartfelt and thoughtful observations on our study as well as the
current state of spirituality in medicine. It is obvious to me that
there are many individuals who are very passionate about the
inclusion
of spirituality in medicine and who believe it is a vital element in
the
overall wellness of human beings. I noticed that most of the
commentators on our article have published spirituality studies of
their
own. Because of your continued interest and work in this area,
spirituality in medicine stays alive. Like Dr. Marchand, I am tired
of a
seemingly endless need to prove to certain individuals that spirit
has a
right to exist in medicine. The complex interactions between body,
mind
and spiritual elements define who you are as a person. None of these
elements exist independent of the others. Illness in one component
intimately affects the others. Ask anyone you know who has suffered
a
serious physical, mental or spiritual illness whether the illness
had an
important effect on the other elements.
Research needs to move beyond whether spirit has a right to exist in
medicine to how patients' spiritual concerns can be incorporated in
medical care in a meaningful and workable way for both patients and
physicians. As Dr. Craigie pointed out, the challenge may be to
define a
unique Family Medicine perspective on understanding and nurturing
patients' spiritual resources as part of delivering holistic health
care. Development of alternative investigative methods or scientific
paradigms may be necessary in order to adequately study how
understanding, compassion, belief and hope can be incorporated into
medical patients' spiritual care, but this is a worthy and necessary
goal if one is to provide some measure of spiritual care for which
patients are asking.
However, I do have an important concern. During the 20 years that I
have
done research at the medical school, I have worked with dozens of
primary care physicians. Every single one of them who are full-time
physicians are too busy. Most are way… too busy, and this situation
has
become much more acute in recent years. The health care system in
this
country continues to place an ever increasing number of requirements
on
practicing physicians. Additionally, the pace of medicine is getting
faster and faster with no end in sight. This kind of environment is
not
particularly conducive to spiritual exploration, especially for
someone
in spiritual distress. Spiritual investigation and resolution of
issues
requires a relaxed environment and a lack of time constraints, even
with
someone not in distress. Dr. Anandarajah points out that if one were
to
use the results of our study as a screening tool, the spiritually
distressed may not be adequately identified. I absolutely agree. The
patients needing the most help may be the least likely to get it.
Therefore, challenges for family medicine include not only how to
incorporate spirituality into health care delivery, but also how to
accomplish it within the current health care system.
To digress just a little, in the movie Dark City, a self-serving
race of
beings created what they believed was their ideal world. They had
some
measure of success at achieving their goals, but their plans fell
apart
when another person intervened. The person who won the battle
created a
world of his own, a wonderful, beautiful world. If I were that
person
and could create my own world, my health care system would be one
where
no one fell through the cracks. My health care system would give
physicians all of the time and resources they needed. My physicians
would be caring, kind-hearted people who were qualified to heal the
body, mind and spirit (i.e. my definition of primary care) and who
derived a great deal of satisfaction from making people feel better.
Most of the physicians that I know fit most of those criteria
already.
The structure of the health care system itself is the most
problematic
factor in delivering comprehensive care. Nevertheless, if all you do
is
to remember to express understanding, compassion and hope to your
seriously ill patients, it may go a long way in helping them to
better
cope and deal with their illness.

Gary McCord, M.A.
Research Coordinator, Department of Family Medicine
Northeastern Ohio Universities College of Medicine
4209 State Rt. 44
P.O. Box 95
Rootstown, OH 44272
330-325-6766
gmccord@...

We have been asked to pass on this educational opportunity.
It sounds great!

SK
_________________________________________________

In case you haven't heard the exciting news....STFM is now a cosponsor of the
Forum for Behavioral Science in Family Medicine. STFM and MCW have teamed up to
cosponsor this conference and make it stronger than ever.

We invite you to attend the 25th Forum for Behavioral Science in Family
Medicine, September 30-October 3, 2004, at the Holiday Inn Chicago City Centre,
in Chicago. The program is set, and conference and registration information are
available on-line at http://www.family.mcw.edu/CME_BSF2004.htm.

Designed as an intimate gathering (<150 people) to help each participant to
attain his/her learning goals, the Forum has three key objectives:

1) Build professionally helpful connections to those with diverse backgrounds
*  Through networking and instructional sessions, participants will report one
or more productive interactions with colleagues from different professional and
cultural backgrounds.

(2) Plan, provide and/or evaluate effective educational experiences in
behavioral science
*  Participants will acquire one or more instructional skills for teaching the
required ACGME competencies.
*  Participants will acquire one or more instructional skills for assessing the
required ACGME competencies.

(3) Share new ideas in behavioral science teaching and patient care
*  Through resource exchanges with presenters and participants, participants
will acquire new methods and tools for teaching and/or patient care.

CONFERENCE INFORMATION:

Outstanding Plenary Sessions
* "Searching for the Core: Roadmaps to the Future," Bernard Ewigman, MD, MSPH,
University of Chicago
* "Sometime You Just Have to Be Patient," Jane Chevako, MD, Children's Hospital
of Wisconsin
* "Extending Health to Our Neighbors, to Our Communities, and to Ourselves,"
John Frey III, MD, University of Wisconsin, Madison

Attend more than 30 educational sessions for 3 ½ days. Many will relate to the
conference theme, "Embracing the Core and Helping to Create the Future" of
behavioral science within family medicine!

Experience formal and informal networking opportunities with colleagues and
leaders in the field from across the Midwest!

Take advantage of Continuing Medical Education credits that are available for
physicians, social workers, psychologists, and allied health professionals (up
to 16.25 contact hours or up to 16 Prescribed and 1.5 Elective).

HELPFUL REMINDERS:

(1) Register for the Conference: "Early Bird" Registration Deadline is September
15!
Register on-line at http://www.stfm.org/conference/ConfDetail.cfm?ConfID=38. You
may also contact Mary Ellen Radjenovich, conference coordinator, at
414-456-8189, meradjen@... for a printed copy of the conference brochure.

(2) Make Your Hotel Reservations: Reservation Deadline for Discounted Room Rate
is September 8.
Holiday Inn Chicago City Centre
Rate: $140 single/double

A block of rooms will be reserved for conference attendees until September 8,
2004. Call the Holiday Inn at 312-787-6100 for reservations and be sure to
mention the 25th Forum for Behavioral Science to receive the discounted
conference rate.

WE LOOK FORWARD TO SEEING YOU THIS FALL IN CHICAGO!







Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...

Not sure these messages have made it to the listserve...
so I'm forwarding them.
Let me know if you are having problems connecting with the listserve or
posting items.....

Steve

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...

We look for areas where a spiritual precept has clear value in routine
clinical practice and try to help students learn about and see how it
can be applied in clinical settings.  we have done this with
mindfulness, which obviously has the potential to dramatically improve
the quality of clinical encounters.  Great articles on this in JAMA (by
Epstein, I believe) and a recent article on it by a medical student in
Family Medicine.
rob Hatch

>>> "Stephen Kliewer" <kliewers@...> 08/06/04 06:43PM >>>
This comes from Mayank Shah.  I think it is an interesting question.
How do we promote spirituality (not just teach about it, or the
integration of spirituality and healthcare).


_____________________________________________________________
I have a question to pose to the group.  I
am curious to know what teaching techniques people have used to promote

spirituality in residency programs?  As you are all aware, one must be

comfortable about spiritual concepts and understand one's own beliefs
before
trying to help someone else with theirs.  I would appreciate any
creative
ideas.  Thanks.
_______________________________________________________________

At OHSU we ask residents to do a spiritual "pathway"  or use some sort
of media to describe their spirituality journey.  Where they are now,
how they got there, landmarks or crossroads along the way....

Some have done charts showing whether they have felt close (connected)
to the sacred, or distant.  They share why they felt that way at that
moment.

One share a collage of pictures taken of herself, family, etc.

Another brought in a group of drawings from her Native American
heritage/background to talk about her spirituality

Others have done "maps", with various illustrations along a trail to
show their "journey."

It helps us get into spirituality, spiritual issues, how their history
may influence the way they respond to others, etc.

Steve

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...





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   Post message: STFM-Spirituality@onelist.com
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Yahoo! Groups Links

Another thought from one of our members

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...

I am not in the educational field. I retired from 40 years of
general/family practice in 2000. I have been doing only "counseling"
(more accurately, it's psychotherapy) for 2 days/wk since then. I use
Spirituality as the foundation. I am amazed at how many patients  are
down on themselves, having been told early in life that they were
inferior and how they were to believe. They (most of us?) had a
religious philosophy crammed down their throats. Many times parents,
"friends," clergy, or others used religion to judge them. I use the
spirituality shared by Neale Walsch, Wayne Dyer, and many others to
attempt to "give patients back to themselves," realizing that they are
each a truly miraculous creation of "The Higher Power." I do this with
a talk I have developed, which fits virtually all situations. (As Dyer
says, "there is a spiritual solution to every problem.) If the patients
are fulfilled and inspired by their religion, the spiritual approach
augments this. I am careful to explain to them that I am in no way
trying to tell them how or what to believe. Just sowing some seeds to
give them a little different viewpoint of themselves.
I am very supportive of the approach inviting each resident to map
their own spiritual paths. I don't see any way to have absolute
conformity in this endeavor. If they are to use Spirituality in their
practices, it will be applied by each one individually, for each of us
defines our own truth, using that as our foundation.
But I feel that introducing some of Walsch, Dyer, or even Lynn Grabhorn
would accomplish two things: 1)allow each resident to at least
partially put ego aside and see each patient as a miracle, and 2) to
realize that they too are miracles, with a beautiful opportunity to
share God's love in very special ways with their patients.
So I would recommend that some work like the ones I've mentioned (and
there are many more--some ancient, some modern, all saying the same
thing) and have open discussions about it in one of their courses.

Jim Bell
belldsm@...
On Aug 6, 2004, at 5:43 PM, Stephen Kliewer wrote:

> This comes from Mayank Shah.  I think it is an interesting question.
> How do we promote spirituality (not just teach about it, or the
> integration of spirituality and healthcare).
>
>
> _____________________________________________________________
> I have a question to pose to the group.  I
> am curious to know what teaching techniques people have used to promote
> spirituality in residency programs?  As you are all aware, one must be
> comfortable about spiritual concepts and understand one's own beliefs
> before
> trying to help someone else with theirs.  I would appreciate any
> creative
> ideas.  Thanks.
> _______________________________________________________________
>
> At OHSU we ask residents to do a spiritual "pathway"  or use some sort
> of media to describe their spirituality journey.  Where they are now,
> how they got there, landmarks or crossroads along the way....
>
> Some have done charts showing whether they have felt close (connected)
> to the sacred, or distant.  They share why they felt that way at that
> moment.
>
> One share a collage of pictures taken of herself, family, etc.
>
> Another brought in a group of drawings from her Native American
> heritage/background to talk about her spirituality
>
> Others have done "maps", with various illustrations along a trail to
> show their "journey."
>
> It helps us get into spirituality, spiritual issues, how their history
> may influence the way they respond to others, etc.
>
> Steve
>
> Stephen Kliewer. D.Min.
> Assistant Professor
> Rural Resource Center and Department of Family Medicine
> Oregon Health and Science University
>
> Phone:  541-426-4524
> FAX     541-426-3035
>
>
> Email:  kliewers@...
>
>
>
>
> Community email addresses:
>   Post message: STFM-Spirituality@onelist.com
>   Subscribe:    STFM-Spirituality-subscribe@onelist.com
>   Unsubscribe:  STFM-Spirituality-unsubscribe@onelist.com
>   List owner:   STFM-Spirituality-owner@onelist.com
>
> Shortcut URL to this page:
>   http://www.onelist.com/community/STFM-Spirituality
> Yahoo! Groups Links
>
>
>
>
>
>
James R. Bell, MD
304 52nd St.
Des Moines, IA 50312
Voice:  515-277-4860
FAX:    515 277-1913
Email:  belldsm@...

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...

Dear Steve,
For some reason, I could not send this to the STFM spirituality group.
Could you please forward it for me.  Thanks.
- Gowri



In answer to your question, for the last 4 years we have been doing a
1/2
day workshop/retreat as part of our spirituality and medicine curriculum

entitled "Care of the body, mind and spirit: from self care to patient
care".  It is specifically designed to give residents a chance to spend
some time focusing on their own spiritual needs in order to be better
prepared to take care of their patients.  Since it is a required part of

the residency and residents are given a Fri pm that is free of other
obligations, so far we have had very good attendence (we also include
residents in the planning every year).  We have a very diverse group of
residents here at Brown, so we try to focus on general spiritual
issues/themes rather on specific religious beliefs.  We also build in
flexibility with choice of activities so they can choose activities
based
on their interests and comfort level. Each activity is chosen for it's
spiritual value as well as being "fun".  Some are energizing, some
relaxing; some group oriented, some individual. We have a varied group
of
faculty including MDs, CPE chaplains, behavioral scientists etc.

A sample outline of the retreat is as follows:
a) Introduction - purpose of retreat. Overview.
b) Brief relaxation exercise: eg. breath meditation
c) Small group discussion: residents divided into groups based on year.
Topics vary by group level.  1st yr: "remembering who you are"- values,
hopes, beliefs, why you went into medicine.  How to keep that alive
while
you are a resident.  2nd: "recapturing who you are". What makes you
complete and whole.  What you need to do for yourself to maintain your
ideals, values, inner strength and love. 3rd year:  "Attending to the
spiritual needs of others". Challenges.  How to keep yorself centered
and
whole in order to better take care of patients.
d) Experiential Activities - 2 hrs:  Choice of several parallel
activities
including: individual quiet time (room with inspirational books from all

the world's religions, arts and craft supplies with suggested projects,
journaling/ writing topics etc); yoga; ti chi; outdoor nature walk/bird
watching; African drumming and dance.
e) Wrap up with large group acivity to bring the group back together.

Hope this is helpful.
- Gowri Anandarajah, MD
gowri_anandarajah@...



Stephen Kliewer wrote:

> This comes from Mayank Shah.  I think it is an interesting question.
> How do we promote spirituality (not just teach about it, or the
> integration of spirituality and healthcare).
>
> _____________________________________________________________
> I have a question to pose to the group.  I
> am curious to know what teaching techniques people have used to
promote
> spirituality in residency programs?  As you are all aware, one must be

> comfortable about spiritual concepts and understand one's own beliefs
> before
> trying to help someone else with theirs.  I would appreciate any
> creative
> ideas.  Thanks.
> _______________________________________________________________
>
> At OHSU we ask residents to do a spiritual "pathway"  or use some sort

> of media to describe their spirituality journey.  Where they are now,
> how they got there, landmarks or crossroads along the way....
>
> Some have done charts showing whether they have felt close (connected)

> to the sacred, or distant.  They share why they felt that way at that
> moment.
>
> One share a collage of pictures taken of herself, family, etc.
>
> Another brought in a group of drawings from her Native American
> heritage/background to talk about her spirituality
>
> Others have done "maps", with various illustrations along a trail to
> show their "journey."
>
> It helps us get into spirituality, spiritual issues, how their history

> may influence the way they respond to others, etc.
>
> Steve
>
> Stephen Kliewer. D.Min.
> Assistant Professor
> Rural Resource Center and Department of Family Medicine
> Oregon Health and Science University
>
> Phone:  541-426-4524
> FAX     541-426-3035
>
> Email:  kliewers@...

This comes from Mayank Shah.  I think it is an interesting question.
How do we promote spirituality (not just teach about it, or the
integration of spirituality and healthcare).


_____________________________________________________________
I have a question to pose to the group.  I
am curious to know what teaching techniques people have used to promote
spirituality in residency programs?  As you are all aware, one must be
comfortable about spiritual concepts and understand one's own beliefs
before
trying to help someone else with theirs.  I would appreciate any
creative
ideas.  Thanks.
_______________________________________________________________

At OHSU we ask residents to do a spiritual "pathway"  or use some sort
of media to describe their spirituality journey.  Where they are now,
how they got there, landmarks or crossroads along the way....

Some have done charts showing whether they have felt close (connected)
to the sacred, or distant.  They share why they felt that way at that
moment.

One share a collage of pictures taken of herself, family, etc.

Another brought in a group of drawings from her Native American
heritage/background to talk about her spirituality

Others have done "maps", with various illustrations along a trail to
show their "journey."

It helps us get into spirituality, spiritual issues, how their history
may influence the way they respond to others, etc.

Steve

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...

Greetings
Hope you are all having a great summer,
and that you are all finding time for renewal and reflection!
At the STFM meeting in Toronto the group made an increased use of the
listserve as one of its goals.

To that end I am asking anyone interested to submit questions they would
like answered, or issues they would like disucssed to me.   I will
gradually post them on the listserve, and hopefull we can get some
lively disucssions going!

Please send YOUR question or issue to kliewers@...

Looking forward to hearing from you

SK

Stephen Kliewer. D.Min.
Assistant Professor
Rural Resource Center and Department of Family Medicine
Oregon Health and Science University

Phone:  541-426-4524
FAX     541-426-3035


Email:  kliewers@...

Greetings!

STFM has asked us to forward this mentoring opportunity on to those who
participate in our interest group.

If you are interested in participating in this program, please follow the
instruction in the attachment.

Peace!

STEVE

Stephen Kliewer. D.Min.
Assistant Professor
Director of Program and Research Support
Department of Family Medicine
Oregon Health and Science University

Phone:  503-494-6603
Optional: 503-314-7686
FAX  503-494-3607


Email:  kliewers@...

I have recently produced a documentary with a Health Communications/End of
Life
educator, Dr. Marcy Rosenbaum. Dr. Rosenbaum teaches medical students about
different aspects of communication with their patients at the U. of Iowa.
The feedback has been very strong and validating as to the positive effects
of this film. I am writing to you for help. I would like to have a
conversation with you about ways to get the word out about this teaching
tool. The content of this videotape is appropriate for Medical School and
CME classes addressing health and illness, health communication, death and
dying, and end of life care. It is also appropriate for liberal arts
audiences, health care professions audiences and the general public.
Particular organizations that may have interest include Hospice, Cancer
support services, Funeral homes, and Pastoral services.

A detailed discussion guide accompanies the film and provides specific
discussion questions for each of the key themes in the film, as well as some
suggestions for contexts in which the film can be used. Below is a summary
of the
film.

Like Rembrandt Draperies: A Portrait of Cathy Tingle
An Introduction

This moving documentary tells the story of Cathy Tingle, a women who lived
with serious cancer (endometrial cancer and adenocarcinoma) for 10 years.
The film provides an intimate portrait of her encounters with the health
care system, her unique approach to life and death, her relationship with
her oncologist, and her community.  Through interviews with Cathy at the end
of her life, and interviews with her oncologist, friends and family, we
learn about Cathy's choices to live a simple, rural lifestyle emphasizing
family and community; the use of both biomedical and complementary therapies
in caring for her health; her special relationship with her oncologist; and
her feelings about dying. We also see the unique way in which the community
participates in her death and burial.  Much of the film focuses on what
Cathy needed from health care providers during her odyssey with cancer and
how her oncologist cultivated a partnership and friendship with Cathy as
part of her care.  Because Cathy outlived her prognosis by almost 10 years,
her experience of "end of life" care was extensive. This is meant to be an
evocative film raising issues about living with cancer, relationships
between patients and providers, alternative therapies and lifestyles, the
meaning of dying and rituals around death.

The cost is $149 plus $5 shipping & handling, and may be ordered from Lisa
Kaplan (Producer). Testimonials, synopsis, video clips etc. are readily
available at www.lifeworksvideo or by emailing Lisa Kaplan at
.info@... or by calling (859)225-4466 and  (859)225-1060.

I look forward to hearing from you, and thank you in advance for your time
and consideration.

Sincerely,
Lisa Kaplan



_________________________________________________________________
Add photos to your e-mail with MSN 8. Get 2 months FREE*.
http://join.msn.com/?page=features/featuredemail

We think of spirituality in a fairly broad and inclusive way. I often refer
to Everett Koop's definition of spirituality from a conference he gave here
a number of years ago:  "the vital center of a person, that which is held
sacred."  For some patients (and any of the rest of us), "the vital center"
and "sacredness" are framed in religious language and draw from particular
religious traditions, and for others of them and us, they are framed in
other ways.

As we work with residents to understand the vital center for their patients
and explore how this may relate to their patients' lives (where they find
meaning, purpose and dignity, how they make health care decisions, how they
make changes), we often hear comments like "this reminds me of why I became
a doctor."  When residents have conversations with people at the level of
what their life is about and what really matters to them, I think there is
often a feeling of awe or reverence that reminds them of the privilege and
calling of being a physician.

The downside is "this is great stuff, but I don't have time to have
conversations like this."  For us as educators, I think this is really a
central challenge about spirituality... how to avoid having it be seen as an
elective or peripheral nicety that just doesn't fit in the real world of
clinical family medicine.  Might be a good topic to explore on the
listserve.

Frederic C. Craigie, PhD
Maine-Dartmouth Family Practice Residency




DISCLAIMER:

This communication (including all attachments) is intended solely for the
use of the person or persons to whom it is addressed and should be treated
as a confidential MaineGeneral Health communication. If you are not the
intended recipient, any use, distribution, printing, or copying of this
email is strictly prohibited.  If you received this email in  error, please
immediately delete it from your system and notify the originator.  Your
cooperation is appreciated. Thank you.

I promised to try to pass this on.  Here goes.  JH
-----Original Message-----
From: Fitzgerald, Anne [mailto:AFitzgerald@...]
Sent: Wednesday, January 29, 2003 10:42 AM
To: Harp, Jeff
Subject: RE: [STFM-Spirituality] Greetings from Oregon


Hi Dr. Harp,
What a coincidence.  I just picked up your message.  I tried posting the
program announcement on the Spirituality list serve but for some reason "it"
won't let me.  If you would be willing to do so on your end that would be
greatly appreciated.

The initial program announcement email is kept brief to spare people from a
long message.  I'm attaching the program description.  If you are unable to
open it, let me know and I will fax it to you.  If you have any further
questions, let me know.  If you would like a copy of the course syllabus,
send me your mailing information.  Packets go out every Friday.  Thanks for
your interest.
Regards,
Anne Fitzgerald
212.420.9520 ext.145




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Hello All:
My compliments have ranged from "I'm so glad that this type of inquiry is being
validated in medical school and residency training" to "thanks for giving us
practical tips on how to ask questions about spirituality"...

Criticisms:  Many of what others have stated, most common one being - - - "This
is too intrusive, it isn't what "real" doctors do" or "this makes me too
uncomfortable, what will I do with their answers!"

Of course, both of the criticisms can be turned around for the learner through
good teaching techniques, like role plays and good spirituality questionnaire
tools that are available. I think that it is crucial that residents in FP gain a
better understanding during their 3 years of training that skills in this area
are a vital part of what it means to be a competent FP.
Barb

Barb Supanich, RSM, MD
Assoc. Professor
Munson FP Residency

I would like to add my thanks to Stephen and Dana for continuing the dialogue.

I regularly introduce ideas about spirituality and medicine during my two week
rotation with all second year residents and with 3rd year med students who are
here for their family medicine clerkships.  Yesterday one of the med students
(Dana will be interested to know that they are from MUSC in Charleston) said
that in their training, introducing a spiritual element into history taking
seemed to be the normal course of things for the faculty.  They assumed it had
always been so.  I told them that it had not always been so and that some would
be gratified to know that that was now the norm.  Others in Charleston may be
surprised to hear that.

I find a generally upward trend in the level of acceptance of these ideas and
willingness to incorporate them into practice.  Not very many compliments or
criticisms.  Several residents have incorporated spirituality into their
research projects in recent years, so the entire group has been exposed to
colleagues who are actively engaged.

A group of us is working to develop a statewide curriculum and to incorporate
some the literature and teaching strategies into a faculty development workshop
for all eight family medicine residencies this spring.

Anxious to continue the conversation.

Stuart Sprague



_______________________________

Stuart R. Sprague, PhD
AnMed Family Practice Residency
600 N. Fant St.
Anderson, SC 29621
ssprague@...
864-261-1935  voice
864-260-3702 fax