Why Doctors Should Read Fiction
Updated on August 15 at 3:15 p.m. ET
Last week, Sam Kean wrote about a new paper in Literature and Medicine. The paper, he explained, argues that “certain literary exercises can expand doctors’ worldviews and make them more attuned to the dilemmas real patients face.”
As a physician who teaches both ethics and creative writing to medical students and house officers, I appreciate the value of using fiction and narrative to enhance the training of future physicians. These tools are certainly helpful in cultivating humanistic and compassionate doctors. However, medical school is rather late in the game to introduce these techniques. Ideally, admissions committees at medical schools should be looking for students who are imaginative and who are already reading literature, including literature about illness and physician-patient relationships. One might argue for altering medical school admissions requirements accordingly—for instance, replacing required courses in Newtonian physics with those that foster creativity and emotional understanding. As a physician, I am often asked to listen to my patients’ stories with empathy; in contrast, not once have I ever had to calculate the trajectory of a patient to be shot out of a cannon.
Jacob M. Appel, M.D., J.D., M.P.H.
Assistant Professor of Psychiatry and Medical Education
Director of Ethics Education in Psychiatry
Mount Sinai School of Medicine
New York, N.Y.
A reader replies to Jacob M. Appel:
Dr. Appel makes a fantastic point; medical schools ought to select for well-read individuals. His brief dispatch omits, however, that his own institution already requires one year of intensive writing courses for admission (per their website), as do many programs across the country. Further, almost every medical school requires sitting the MCAT, an exam that has an entire section dedicated to critical reading [Critical Analysis and Reasoning Skills]. And in several interviews during my own application process, I was asked to discuss a recent book I had read.