Most medical encounters are structured as transactions. The patient comes in with a specific complaint, the medical expert identifies a discrete problem, and a specific intervention is prescribed.

But at the heart of a medical encounter is a story. When a patient comes in with a medical problem, the problem cannot be disentangled from their life’s narrative — doing so risks hollowing out the essence of what it means to care for another person.

Our guest on this episode is award-winning author, and primary care physician Suzanne Koven, MD. Following the completion of her residency at Johns Hopkins Hospital, Dr. Koven joined the faculty at Harvard Medical School and practiced primary care medicine at Massachusetts General for 32 years. In 2019, she became the inaugural Writer in Residence at Mass General. Her writings have been published broadly—including in The Boston Globe, The New England Journal of Medicine, The Lancet, and The New Yorker. As a teacher and public speaker, she highlights the relationship between literature and medicine, and is a powerful advocate for female medical trainees.

In this episode, Dr. Koven shares her journey to medicine at a time when few women were represented in the field and why she finds her undergraduate English classes to be more relevant to her clinical work than her science classes. We discuss narrative medicine, its value to patients and physicians alike, and how the modern healthcare system struggles to value the patient story. Finally, Dr. Koven leaves us with her advice for up-and-coming trainees: find a place in medicine where you can be yourself – for your own good and for your patients’.

In this episode, you’ll hear about:

3:00 - Dr. Koven’s motivations for going into primary care medicine

15:49 - The impact that Dr. Koven’s English degree has had on her approach to medicine

19:36 - What narrative medicine is

24:34 - What is lost when human connection and human story are deprioritized within the practice of medicine

31:15 - The benefits doctors experience when cultivating an appreciation for the arts

37:21 - How gender representation in medicine has shaped Dr. Koven’s experience as a physician

42:54 - The need for the culture of medicine to adapt to changing demographics in the medical workforce

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.

Reclaiming Narrative in Medicine | Suzanne Koven, MD, MFA