Narrative Education

Dr Nick Broughton is Medical Director of HAVAS LYNX Medical and has a strong interest in the ethics of business and compliance. Nick tries to explore the good and not so good in an industry he cares about. Below he writes about narrative education.

Narrative education: The power of storytelling, the importance of the individual and the start of a radical shift in pharma, by Dr Nick Broughton.

Telling stories
Telling stories

Boston 2013 and a bunch of agency types collect in a rather cramped and faintly dismal hotel function room for an afternoon of whatever it was the meeting agenda said. Into this arena of postprandial apathy steps Dr Rita Charon foremost exponent of narrative medicine and it appears she has forgotten her slides. Nothing appears on the screen behind her save for an artistic abstract featuring, as I recall, purple lines and black rectangles.

With nothing on the screen to stimulate the senses, a confused audience turns its attention to the quietly spoken senior gentlewoman occupying stage front. The lady is talking, clearly though not loudly, and with little, if anything, that could be described as so vigorous as a gesticulation. All I could think (given the piscatorial attention span of the average agency executive) was that I hoped the gags were good. There were no gags.

Dr Charon told stories. Individual patient stories recounted with depth of feeling and detail no one had witnessed before and, unexpectedly, the audience was rapt. These weren’t case studies as beloved by clinicians (49 year old man with three year history of x, had lab results y so I gave treatment z) or patient pictures (photo of healthy looking smiley person with something chronic and life-shortening) as beloved by the more naïve end of the pharma marketing community. These were stories that put disease, healthcare and treatment in their proper place within the context of individual human lives: narrative medicine.

The point here is that it is impossible to understand the impact of an illness on an individual without understanding the individual’s story. The effect on a person of being diagnosed as HIV positive is quite different depending on their marital status, their age, their culture and, most significantly, a myriad of factors particular to them.  This is the ‘data’ you need in order to act for that individual; this is the patient story. The art of the good doctor is to understand the narrative so as to be able to understand the disease and target therapy appropriately. Good medicine is narrative medicine, but narrative medicine is also, I would propose, good education. Dr Charon in describing the narrative of a patient with a rare disease indelibly imprinted the memory of its signs, symptoms, treatment and outcome in the memories of one hundred people who, up to that time, had lived in happy ignorance of any such disease.

Yes, stories are powerful but it’s really a bit glib to leave it at that. Storytelling, story appreciation and story learning are hard wired into our brains. We humans consume and repeat stories rapaciously all across our lives. From gossip down the pub, to jokes, to news stories we frankly can’t get enough. We absorb stories to the extent that we can completely suspend reality in pursuit of story enjoyment. When you turn on Coronation Street you (probably) know it’s not real, it’s being displayed on a flat screen for one thing, it’s shot in a studio, the actors appear in the papers, but none of this interferes with your appreciation of the story. It gets more bizarre still – theatre goers watching Shrek (the stage version naturally) rapidly forget their own presence when sat in rows in front of the acting ranks to absorb a story about an eight foot ogre. The truth of the story does not impact their appreciation or indeed their memory of it, and that latter fact is the crux of the medical educational opportunity that good storytelling represents.

The obvious opportunity in storytelling is to educate about disease, treatment and outcomes through the prism of individual patient stories as evidenced by Dr Charon. Good case studies told well on the congress stage can get part way there as they recount the triumphs and tragedies of a diagnostic conundrum, but they lack the medically irrelevant human details they need to make them good stories. Good storytelling needs that characterisation to make you care about the outcome and a good plot to surprise and dismay you along the way. Us humans like a structure to our stories, a set-up, a series of crunch points, a climax, a resolution. If you are Quentin Tarantino you might get away with mucking with plot structure but lesser mortals shouldn’t bother.

A good patient narrative, in effect an anecdote, is a Trojan horse for knowledge that our brains are unlikely ever to be suspicious of, but we must avoid confusion with anecdotal evidence. Patient stories should represent tested evidence and medical fact or give pertinent lessons on the unusual and be clearly labelled as such. This missive is not a plea for Daily Mail medicine.

Of course, such thoughts could be seen as a bit drippy in the hard EBM world we live in today; narrative education as I’m describing here is hardly mainstream. What’s wrong with explaining medical matters in blocks of prose with umpteen graphs and a slug of stats? What do you mean you can’t remember it? Thing is though, underneath all the bluster your top KOL/external expert/therapy area expert (the names vary – the gist is the same) is just the same story loving beast as the rest of us even where medicine is concerned. Telling the tale of your new medicine’s development, the characters, the failures, the blinding insights and the dumb mistakes can be an intriguing cocktail if told well. It has the useful spin off that for many a HCP it provides the first realisation that there are one or two steps for pharma before selling a drug.

Training on storytelling recently I got into in-depth discussion of whether storytelling could ever impact on that most sacred of objects, the clinical paper. Do they have to be quite so dull and unmemorable? I know we all (well ‘piscatorians’ at least) read the abstract and only carry on if there is something positive but it still seems like a wasted opportunity.

Wouldn’t it be cool if you wanted to pick up a clinical paper for the pleasure of reading the story within it rather than as a necessary drudge to find the interesting bits? More seriously, when reading clinical papers is such hard work is it any wonder we naturally ignore those that hold only negativity and non-significance. There are patient consequences to positive bias as our friend Dr. Goldacre has recently been explaining, but unlike him I suspect the issue is grounded more in human disinterest in the uninteresting than pharma malevolence.

The structure of a story, its characters and plot is one thing, but above all a story needs a storyteller. Stephen Fry I suspect could read a train timetable and keep us fixated. Harry Potter would have passed unnoticed into oblivion if his many exploits were described in an SOP. Execution is critical and herein pharma has created its own demons by spending too long supporting too many mediocre medical story-tellers to speak on its behalf.

Times are a changing and, I suggest, it’s about time. Pharma is equipping itself and its medical teams for a radical shift that will involve it speaking more for itself about the medicines it develops, the research it does, the lives it improves and (yes) the profits it makes. The shift is barely underway and will be painfully slow, but as we break ground let’s not forget the whole flaming point of what we do when we speak for ourselves – the patient and their story.

Mind and matter

Stuart Wilson founded Creative Lynx in 1986. In 2012, when the company became HAVAS LYNX, Stuart took the position of non-executive chairman. Below he writes about the values and beliefs upon which the company was built and I am proud to say still remain true today.

building up

It’s so easy to criticise big pharma. The Constant Gardener didn’t help and acts of altruism can wrongly be perceived as market development, but compared to bankers, politicians or energy companies I believe they have been a much greater force for good in society over the last 20 years. We quickly forget that drug and device developments have improved and extended the lives of millions.

In 1996 we launched Aricept for Eisai/Pfizer as the world’s first treatment for Alzheimer’s disease. At that time ‘Old People’ were, at best, given little more than tea and sympathy; at worst totally ignored. Our clients had a mountain to climb to promote an understanding of the appalling challenges Alzheimer’s sufferers and their families faced. Geriatricians knew what a game changer this drug was – but to change the perceptions of government, the payers and the media our clients invested not only millions of dollars but massive amounts of time, energy and commitment. I was proud to see how a client can look beyond stigma and ageism to fight for better social care… not just to sell their product but to genuinely try to improve lives. Nearly 20 years on and Alzheimer’s is now recognised as a difficult and life changing disease the world over. There are many other products in many therapy areas that have done the same.

So, back in 1986 when we started out on this long, creative road I believed the LYNX ethos shouldn’t be based on vacuous and transient consumerism. Instead we should use our talents for the greater good…in some small way. Of course, consumer work is more glamorous, especially when you are asked what you are working on by your mates in the pub…Carling, probably the best advertising job in the world… or is it? McDonalds? Nike?

Now, I know we’re part of a multinational advertising empire and that’s all well and good. At HAVAS LYNX we fiercely believe that we can help change things for the better and thankfully that’s how our clients think. And, nearly 30 years later, when everyone talks about ‘ethics’ or ‘business morals’ we can honestly say that’s where we came from, where we are, and where we will stay.

And, after 30 years, I can happily say that I am proud of our stance. It’s still difficult to explain what we are working on at a dinner party and sometimes it’s not that glamorous, but to my mind the main thing is it matters.

The above post was written by Stuart Wilson, Non-Executive Chairman of HAVAS LYNX

 

 

Addressing the needs of pharmaceutical marketing and embracing 2014

2014, what are the strategic priorities for HAVAS LYNX? By David Hunt

Embracing 2014 and building on our strengths
Embracing 2014 and building on our strengths

Agency life is exciting, fluid & often unpredictable. I believe that the success of an agency depends on the team & the culture, and the ability they afford an agency to respond to change. However, whilst responding to the market, competitive landscape & technology is essential, so too is a bold strategy. As we embark on 2014, what are the strategic priorities for HAVAS LYNX?

People make an agency. Their talent, expertise & commitment deliver great campaigns, great innovation & great service. In 2014 we are launching the LX Academy to develop expertise & knowledge.

And it’s not just our people that shape our fortunes, the impact of good & bad clients is immeasurable. A good client values your opinion & respects your service. A bad client jeopardises your product, profitability & most importantly your people. In 2014 we will be as selective as our clients.

HAVAS LYNX Medical was launched in 2013. 2014 will be their year. Combining scientific expertise, digital innovation & ethics, they will provide unsurpassed medical education & scientific exchange. Led by Dr Nick Broughton, they will deliver significant ROI through smart, integrated campaigns that are defined by customers & not tradition.

The fantastic teams in LYNX London, LYNX Local & HAVAS HEALTH Software will continue to prosper & build on robust foundations. They are each unique & entirely designed around the needs of pharmaceutical marketing. LYNX London are shaping global strategies for Novartis, Janssen & Roche. In their fourth year, LYNX Local continue to ensure global campaigns have a local impact. And HAVAS HEALTH Software are a technology start-up that is redefining healthcare communications.

Founded in 1986 as Creative Lynx, HAVAS LYNX were driven by ideas & strategy. In the early noughties we embraced & defined digital in healthcare, but we never forgot our roots. As we move forward many of our clients partner with us for their strategy, ideas & innovations. Our ambition for 2014 is to continue this trend, delivering best-in-class campaigns that are defined by customer needs & not technology.