The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder

Introduction Stigmatizing attitudes held by health care professionals against individuals with substance use disorder (SUD) result in worse clinical outcomes. Story-listening has been shown to help mitigate bias for medical trainees. We created a narrative-based small-group facilitated discussion be...

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Main Authors: Noah Sorkow, Cameron Lauf, Stephen H. Berns
Format: Article
Language:English
Published: Association of American Medical Colleges 2025-01-01
Series:MedEdPORTAL
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Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11487
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author Noah Sorkow
Cameron Lauf
Stephen H. Berns
author_facet Noah Sorkow
Cameron Lauf
Stephen H. Berns
author_sort Noah Sorkow
collection DOAJ
description Introduction Stigmatizing attitudes held by health care professionals against individuals with substance use disorder (SUD) result in worse clinical outcomes. Story-listening has been shown to help mitigate bias for medical trainees. We created a narrative-based small-group facilitated discussion between medical students and an individual in recovery from SUD through a direct partnership with a community peer-recovery organization. Methods All session materials were formulated in direct partnership with the community organization. After completing prework, second-year medical students engaged in a 1.5-hour facilitated discussion with a community member in recovery and one attending physician preceptor. Student perceptions of the session and SUD were evaluated using open-ended and Likert-scale questions through an online survey. Community members engaged in their own postsession debrief. Results One hundred twenty-four second-year medical students, 16 attending physician preceptors, and 10 community members in recovery participated in the session. Students agreed or strongly agreed that they appreciated the session format (92%), that they learned something new about SUD (83%), and that the session was applicable to their future career (92%). Students appreciated the small-group format and hearing someone's lived experience/perspective. Community members expressed how the session helped humanize health care providers and had interest in participating in future sessions. Discussion Working in direct partnership with a local community organization to create an intimate narrative-based educational experience for medical students is feasible, appreciated by medical student participants, and mutually beneficial to community members and can facilitate positive changes in student knowledge and, potentially, bias regarding SUD.
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spelling doaj-art-fcd507f00e394255929e73482c7018d52025-01-24T05:00:05ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652025-01-012110.15766/mep_2374-8265.11487The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use DisorderNoah Sorkow0Cameron Lauf1Stephen H. Berns2Fourth-Year Medical Student, Robert Larner, M.D., College of Medicine at the University of VermontExecutive Director, Turning Point Center of Chittenden CountyAssociate Professor, Division of Palliative Medicine, Department of Family Medicine, Robert Larner, M.D., College of Medicine at the University of VermontIntroduction Stigmatizing attitudes held by health care professionals against individuals with substance use disorder (SUD) result in worse clinical outcomes. Story-listening has been shown to help mitigate bias for medical trainees. We created a narrative-based small-group facilitated discussion between medical students and an individual in recovery from SUD through a direct partnership with a community peer-recovery organization. Methods All session materials were formulated in direct partnership with the community organization. After completing prework, second-year medical students engaged in a 1.5-hour facilitated discussion with a community member in recovery and one attending physician preceptor. Student perceptions of the session and SUD were evaluated using open-ended and Likert-scale questions through an online survey. Community members engaged in their own postsession debrief. Results One hundred twenty-four second-year medical students, 16 attending physician preceptors, and 10 community members in recovery participated in the session. Students agreed or strongly agreed that they appreciated the session format (92%), that they learned something new about SUD (83%), and that the session was applicable to their future career (92%). Students appreciated the small-group format and hearing someone's lived experience/perspective. Community members expressed how the session helped humanize health care providers and had interest in participating in future sessions. Discussion Working in direct partnership with a local community organization to create an intimate narrative-based educational experience for medical students is feasible, appreciated by medical student participants, and mutually beneficial to community members and can facilitate positive changes in student knowledge and, potentially, bias regarding SUD.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11487Community PartnershipsPatient NarrativesSmall-Group DiscussionsSubstance Use DisorderCase-Based LearningPain Medicine
spellingShingle Noah Sorkow
Cameron Lauf
Stephen H. Berns
The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder
MedEdPORTAL
Community Partnerships
Patient Narratives
Small-Group Discussions
Substance Use Disorder
Case-Based Learning
Pain Medicine
title The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder
title_full The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder
title_fullStr The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder
title_full_unstemmed The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder
title_short The Strength of a Story: Partnering With a Community Organization to Destigmatize Substance Use Disorder
title_sort strength of a story partnering with a community organization to destigmatize substance use disorder
topic Community Partnerships
Patient Narratives
Small-Group Discussions
Substance Use Disorder
Case-Based Learning
Pain Medicine
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11487
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