Monday, August 28, 2023

Personal Storytelling and PIXAR Writing Exercises: Inspiring Young Writers in SPARCC







Personal Storytelling and PIXAR Writing Exercises: Inspiring Young Writers in SPARCC 







Wendy Peltier, MD, with Kluvert Mgbatu Tabot and Neva Bergemann, SPARCC Scholars 2023



One of my greatest joys in Medicine is teaching at all levels.  Participation in the MCW Student-centered Pipeline to Advance Research in Cancer Careers (SPARCC) program over the past five years has been a gift, and a great example of the mantra, “From within challenge comes opportunity.” 

SPARCC is an intensive, eight-week program—in its fifth year this summer—that that immerses undergraduates from backgrounds underrepresented in biomedical research in the complexities of clinical cancer research.  

Who would guess that when the program was just gaining traction, we would need to completely pivot to a virtual model of teaching it? During the first year of COVID-19, we helped SPARCC students get a sense of the cancer patient experience through film, in place of in-person shadowing, thanks to the ambition and creative spirit of my colleague, Dr. Mary Rhodes.

The 2001 film, Wit, provided a unique pathway for perspective and education, depicting a cancer patient’s journey through clinical trials, starring Emma Thompson. We asked students to reflect on prompts while viewing the film—prompts that related to key aspects of provider-patient communication, and elements of end-of-life care.

The film review element of the program created such an effective opportunity to infuse humanism, we kept and expanded it when we returned to in-person sessions.  

There are so many things to celebrate about the SPARCC program, and the Transformational Times has been honored to highlight essays from participants and faculty as it has evolved.

Over time, Kristina Kaljo, PhD—Associate Professor of Obstetrics and Gynecology at MCW and co-director of SPARCC—has shared SPARCC course evaluations with teaching faculty. She notes how much scholars like hearing about our personal journeys in medicine—being as honest as possible about our doubts, our failures, and how we stayed afloat despite hardships.

That inspired me to share stories during my workshops with the SPARCC group about “heavy” topics around end-of-life care, and how to maintain a practice that includes a daily clinical focus on death and dying. The SPARCC program provides a unique and important experience for students at the undergraduate level who are just starting their journey toward medicine, and at a pivotal time, when they do not have much prior experience or exposure to cancer care. 

This year, to help "warm up" students for contributing reflections to the Transformational Times, I borrowed a template tool from colleagues involved in a Character Education project through the Kern National Network (KNN), Drs. Chris Stawski and Karen Marcdante. The template is called the PIXAR Story Spine.

This fun exercise offers the writer a structure to help creativity flow, and is best practiced in a small group of participants who are willing to share.

 
Storytelling structure: The PIXAR Story Spine

The PIXAR Story Spine

Our wrap-up on Palliative Care topics came toward the end of the program, after SPARCC students had been well-primed to share their own experiences and reflections. We had fun with the PIXAR story exercise. 

Students Kluvert Mgbatu Tabot and Neva Bergemann shared their stories from the PIXAR exercise with the Transformational Times, along with an essay by SPARCC scholar Rakshya Bhatta, exploring the concept of flourishing through both her summer program at MCW, and a prior experience in Uganda through her undergraduate work at University of Wisconsin-Madison. 


Kluvert’s short story, which he created in just a few minutes, is below:

Once upon a time, there was a curious young boy who was excited and wanted to see the world and follow his passion of helping others and impacting life through medicine. 

And every day in the summer of 2023, from June 8th- August 4th, he attended SPARCC and its wonderful guest lectures and presentations relating to his passion for medicine. In the process, he learned about himself and deepened his desire to pursue medicine. 

Then one day, he got the opportunity to do a practicum rotation with Dr. (Denise S.) Uyar in the gynecology oncology OR and followed through a procedure from surgery in the OR to talking to the patient’s family after the procedure. That further strengthened and deepened his passion to pursue a career in medicine. 

Until finally, he is sold on applying to medical school and being a physician, all thanks to the wonderful summer program, SPARCC.”


Neva's story is entitled, "Embracing 'I Don't Know.'"


Once upon a time there was a girl who felt safe when she had everything planned out. And every day she would plan out her schedule to the minute. She would plan out everything in her life, from her day-to-day to the meals she ate, to her outfits. Everything seemed to fit just right in her life, as when she planned, she knew what to expect and could be prepared. The ability to plan gave her a sense of security. But planning for her future was a bit harder. 

"What do you want to be?" was a question asked from the time she was a five-year-old in kindergarten to a twenty-year-old in college. It always seemed she needed to have an answer, and, “I don’t know,” was the last thing she could say. Saying, “I don’t know,” felt like failure. It was embarrassing that all her carefully laid plans could fall from just three small words. So, she would choose a “safe” answer, one that didn’t challenge her, or one the questioner would accept. But deep down, she never truly knew.  

Then one day, she was offered the chance of a lifetime. It was something she had hoped and prayed for, but never thought would come. It was something she couldn’t pass up, even though it meant all her plans for summer changed.  
So, she accepted the offer to join SPARCC, and ventured into a whole new world of unknowns. She was uneasy, but soon realized it was a great decision. Her anxiety and fear of the first day became excitement by the next day.

And that led to hearing health professionals share their life story, which led her to believe it is good to dream big and keep her options open. Getting to grow in a place where learning and owning your mistakes were encouraged led her to accept that it is ok when things don’t go as planned. She saw new things that sparked a fire and passion within her. And that led to making her more curious, and able to tap into the unknowns of her life and future. She still planned but focused more on living in the moment and reflecting on her experiences, with less pressure in always planning the next thing. She took a pause.  

She did this each day, until finally, she was no longer afraid of saying, “I don’t know.”

She still feels that the future can be scary but is excited for the adventures she could never plan. There truly is a whole world out there to explore and lots of “plans” to be made.

Thanks to her participation in the SPARCC program, she has more plans set on pursuing a career in healthcare. Her experience in SPARCC helped her be comfortable with what she knows, but more importantly, what she doesn’t know in her life.

Between these hopes and plans for her future lies the unknowns, about which she is proud to say, “I don’t know.”  
  

 


Wendy Peltier, MD, is an Associate Professor of Medicine and Neurology in the Division of Geriatric and Palliative Medicine at MCW. She is on the Faculty Pillar of the Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education. She is co-editor-in-chief of the Transformational Times.


Kluvert Mgbatu Tabot immigrated from Cameroon to the United States in 2019 and currently lives in Southern California.  He is studying Public Health at the University of California Berkeley and aspires to have a career in Medicine as an interventional radiologist or cardiovascular surgeon.  He also has interests in health policy and the work of the World Health Organization.


Neva Bergemann is from Sussex, WI and is a rising senior at Carthage College, where she is pursuing a bachelor’s degree in biology and psychology. Bergemann participated in the intensive, eight-week summer SPARCC program for undergraduate students from backgrounds underrepresented in biomedical research. In her free time, she enjoys reading, playing volleyball, practicing music, and spending time outdoors.   

Thursday, August 24, 2023

What is Flourishing?

From the August 25, 2023 issue of the Transformational Times - Medical school pipeline programs


What is
Flourishing?
 

 Rakshya Bhatta, SPARCC Scholar '23 


 

 
This summer, Rakshya Bhatta was a scholar in MCW’s Student-Centered Pipeline to Advance Research in Cancer Careers (SPARCC) – an eight-week program that immerses undergraduate students from backgrounds underrepresented in biomedical research in the complexities of clinical cancer research. Rakshya shares how this experience influenced her journey toward a medical career and her understanding of the concept of flourishing” … 

 


My engagement with SPARCC has been an enlightening journey that has deeply influenced my perspective on personal growth and fulfillment. SPARCC, tailored to advance research in cancer-related careers, has not only imparted knowledge and skills but ignited profound introspection. 

 

Through workshops, engaging discussions, practicum rotations, and hands-on experiences, SPARCC has encouraged me to reflect on the intricate facets of personal flourishing. 

 

It has shed light on the fact that flourishing encompasses far more than mere success; it encapsulates holistic well-being, meaningful connections, and a sense of purpose. In particular, the SPARCC program’s emphasis on mentorship and collaborative learning provided invaluable insights, connecting me with individuals who have thrived both personally and professionally. 

 

Furthermore, my exposure to clinical research and cancer-related fields has served as a microcosm of life's challenges and triumphs. Witnessing the dedication of researchers and professionals, their resilience in the face of obstacles, and their unwavering commitment to advancing human health has been inspiring. This has reinforced the notion that flourishing is often intertwined with the pursuit of noble and meaningful endeavors. 


 

SPARCC added perspective to a prior, transformative experience 

 

This past winter, I had another transformative opportunity -- to study abroad in Uganda and learn about their healthcare systems. It was an adventure that expanded my worldview, challenged my preconceptions, and left an indelible mark on my heart and mind. 

 

It shattered any remnants of naivety I held regarding the complexities of the world. It served as a stark reminder of the immense hardships that exist beyond my immediate surroundings, unmasking the harsh realities faced by many individuals whose voices often remain unheard. 


Uganda, often called the "Pearl of Africa," is a diverse nation filled with vibrant cultures, breathtaking landscapes, and warm-hearted people. Yet, beneath this surface beauty lies a profound social and economic disparity that affects vulnerable populations, particularly teenage mothers. Their dire circumstances, often driven by poverty, limited education, and societal pressures, push them into compromising situations, including trading sexual favors for necessities like food and housing.  

 

I was especially touched and in utter disbelief when I saw an eight-year-old pregnant woman. At that time, my brother was eight and I could not fathom imagining him as a dad. The stark contrast between the innocence of childhood and the immense responsibility of parenthood was both shocking and heart-wrenching to comprehend 

 

This experience forced me to confront my privileges and challenged the assumptions I had unknowingly harbored. It propelled me to critically examine the structural inequalities that perpetuate such circumstances and motivated me to question societal norms and engage in meaningful conversations. 

 

Furthermore, it ignited a fierce desire within me to advocate for social change and amplify the voices of the marginalized. Witnessing the strength and resilience of these young mothers in adversity inspired me to act. I realized that empathy alone was not enough; it must be coupled with active efforts to address systemic issues and empower those in need. 

 

I hope to go back to Uganda one day and actively advocate for free education for these young people. 



My experience with the children in Uganda will always stick with me -- the kids running up to my group and calling us mzungu or white people,’ and noting the sheer joy on their faces when coming to meet us. While there, I had the privilege of engaging in conversations with very young mothers who were compelled to exchange sex for food, which shed light on the stark realities faced by marginalized communities. I had the opportunity to visit various organizations dedicated to improving the lives of teenage mothers and talk to some of them one on one. 

As someone who likes to find happiness in the smallest things, but also strives for validation from others, flourishing encapsulates the harmonious intertwining of happiness, fulfillment, and personal development.  

It means to live a balanced life with little to no regrets. It means taking risks for your happiness and spending time with your loved ones. It means working hard to achieve your dreams and not letting obstacles deter you. It means putting yourself first and being okay with failure, as long as you learn from those experiences.  

 

Reflecting on this definition, I don’t think I am currently flourishing, at least not to my full potential. I am a people pleaser to the core, so I find it difficult to say no to people or put my own needs first. I am not doing the most to achieve my dreams. For example, I am studying for the MCAT but am constantly distracted by other responsibilities and struggle to permit myself to take a break. This mindset of pushing myself and fearing that with any deviation from studying, I will fail, adds to my self-criticism.  

 

Thinking back to Spring 2023, it was undoubtedly a transformative and flourishing period in my life. The combination of the roughest college semester and relationship problems served as a catalyst for my change in perspective. I decided to use this time for personal growth and exploration of my inner self. I spent a lot of time hanging out with my friends, studying until 2:00 AM at the library (with study buddies of course), exploring Madison, spending time with family, and traveling. At its core, this journey was an exploration of unfamiliar realms, driven by a desire to foster holistic development. This critical point in my life was not merely an isolated decision but rather a resolute pivot toward a more balanced and fulfilling existence.  

 

Looking back, I now realize that Flourishing means taking time to enjoy every experience in life, even those outside my comfort zone. I mean, the Rakshya back in 2020 would not even go to Florida without her parents, but the Rakshya in 2023 went to Paris and Uganda by herself. Each opportunity pushed me outside of my comfort zone and taught me valuable lessons about adaptability, resilience, and the beauty of embracing the unknown.  

Sometimes, we overlook the little moments that can add immense meaning to our lives. 

Taking forward what I learned in SPARCC this summer about flourishing, if I were to help a mentee or peers flourish in their life, I would ask them to first define their version of flourishing.  

 

While forming this definition, I would gently nudge them to look beyond external expectations and societal norms, enabling them to identify what truly ignites their spirit and brings them joy. I would also ask them to take a pause so that they can step back and identify the experiences that bring them genuine happiness.  

 

Whether it's enjoying a cup of tea in the morning, taking a walk, spending time with loved ones, or pursuing a hobby, every small act of happiness can contribute to a flourishing life.  

 

I would encourage them to cherish these moments and integrate them into their daily routines. Finally, I would remind them that flourishing takes time. No one can do it overnight and it’s okay to experience obstacles along the way 

 


For further reading: 


 

 


Rakshya Bhatta is originally from Nepal and will complete her education at University of Wisconsin-Madison in May 2024. She joined the SPARCC program due to her interest in clinical research and a career as a physician, with potential next steps of applying to medical school. She enjoys playing tennis, watching movies, shopping, and hanging out with friends and family in her free time.