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Missed it

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Michael J Green at Pennsylvania State College of Medicine
Michael J Green
  • Pennsylvania State College of Medicine
Ray Rieck
Ray Rieck
Ray Rieck
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Ann Intern Med. 2013;158:357-361.
Author and illustrator information is available at www.annals.org.
Annals of Internal Medicine Special Article
© 2013 American College of Physicians 357
Special Article Missed It
358 5 March 2013 Annals of Internal Medicine Volume 158 • Number 5 (Part 1) www.annals.org
Special ArticleMissed It
www.annals.org 5 March 2013 Annals of Internal Medicine Volume 158 • Number 5 (Part 1) 359
Special Article Missed It
360 5 March 2013 Annals of Internal Medicine Volume 158 • Number 5 (Part 1) www.annals.org
Special ArticleMissed It
www.annals.org 5 March 2013 Annals of Internal Medicine Volume 158 • Number 5 (Part 1) 361
Author and Illustrator Information: Michael J. Green, MD, MS, is a
Professor of Medicine and Humanities at Penn State College of Medi-
cine, where he cares for patients, teaches medical students, and conducts
research on informed medical decision making. He is a founding orga-
nizer of several international conferences on Comics and Medicine
(www.graphicmedicine.org/comics-and-medicine-conferences) and is a
member of the editorial collective of a forthcoming book series on
graphic medicine from Penn State University Press. He teaches a course
on comics and medicine to fourth-year medical students (whose comics
can be viewed online at www2.med.psu.edu/humanities/for-medical
-students/research-opportunities/graphic-storytelling-medical-narratives).
The author wishes to acknowledge the Physicians Writers Group at Penn State
Hershey who provided support and critical feedback on the story that inspired
this comic.
Ray Rieck is a freelance illustrator and graphic designer with over 14
years of experience creating comics, storyboards, print and product de-
sign, children’s activity books, and curricula. He teaches at Pennsylvania
College of Art and Design in Lancaster, Pennsylvania, and can be found
online at www.rayrieck.com.
Annals of Internal Medicine
W-174 5 March 2013 Annals of Internal Medicine Volume 158 • Number 5 (Part 1) www.annals.org
... Visual stories are ubiquitous in society, helping people to understand events through visual cognition (Cohn, 2013). This theory has already been successfully applied in teaching (Green & Myers, 2010), medicine (Green & Rieck, 2013), business process management (Antunes et al., 2013;Simões et al., 2018;Simões et al., 2016;Simões et al., 2015), human-computer interaction (Sakamoto et al., 2007;Truong et al., 2006), and software engineering (Haesen et al., 2010;Williams & Alspaugh, 2008). We posit that visual narrative theory may also be useful in improving the quality of information exchange in judicial processes, in particular when plaintiffs represent themselves submitting statements of claim. ...
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... Visual stories are ubiquitous in society, helping people to understand events through visual cognition (Cohn, 2013). This theory has already been successfully applied in teaching (Green & Myers, 2010), medicine (Green & Rieck, 2013), business process management (Antunes et al., 2013;Simões et al., 2018;Simões et al., 2016;Simões et al., 2015), human-computer interaction (Sakamoto et al., 2007;Truong et al., 2006), and software engineering (Haesen et al., 2010;Williams & Alspaugh, 2008). We posit that visual narrative theory may also be useful in improving the quality of information exchange in judicial processes, in particular when plaintiffs represent themselves submitting statements of claim. ...
METHOD SUPPORTING THE ADOPTION OF VISUAL STORIES IN JUDICIAL SYSTEMS
Conference Paper
Full-text available
  • May 2019
The submission of statements of claim is a critical procedure in civil judicial systems, where plain-tiffs plead the court to resolve conflicts with other parties. Under the assumption that plaintiffs seek to represent themselves, we are particularly concerned with the quality of the information ex-change with the court. To address this problem, we develop a method for constructing statements of claim that uses visual stories. The research adopts design science research, focusing on method construction and evaluation in a set of experiments. The results suggest the method supports the construction of coherent statements of claim and contributes to promote self-help and visual nar-rative in judicial systems
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... This idea probably originated with the use of comics. Their graphic images are excellent for conveying understanding of biases and other cognitive failures [21]. Finally, another creative strategy that has recently emerged is through playing "serious games", web-based exercises developed to address cognitive bias in national security analyses [22]. ...
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... By 2013, the "On Being a Doctor" and "On Being a Patient" stories had become a well-established tradition in Annals, and then someone submitted a manuscript in graphic-novel format to the "On Being a Doctor" section. This manuscript titled, "Missed It" told the story of an error a physician made when a young trainee that haunted him throughout his professional life (10). But the story was told using black-and-white, comic-book style illustrations with captions. ...
Do Stories Deserve a Place in Medical Journals?
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  • Jan 2017
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Given the high costs of producing a medical journal, the need to publish clinically relevant information, and the fact that many journals can publish only a small fraction of the many scientific papers they consider, it seems reasonable to wonder whether stories deserve a place in a scholarly medical journal. Using examples from Annals of Internal Medicine, this commentary discusses the important role stories can serve in scholarly medical journals.
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... Green and illustrator Ray Rieck also instructed students on the practical aspects of comic creation. Green's own example of graphic medicine, "Missed It," was used as a case study for how physicians can use comics as a tool to reflect on their own experiences during medical training and pass on valuable lessons to others in the medical profession [5]. By the end of the course, the students had studied the methods of comic creation, analyzed graphic medicine comics created by both patients and physicians, and applied A E D C B that knowledge to create a comic informed by their own experiences with disease and the health care system. ...
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Comics have long been a focus of scholarly inquiry. In recent years, this interest has taken a methodological turn, with scholars integrating comics creation into the research process itself. In this article, the authors begin to define and document this emerging, interdisciplinary field of methodological practice. They lay out key affordances that comics offers researchers across the disciplines, arguing that certain characteristics—multimodality, blending of sequential and simultaneous communication, emphasis on creator voice—afford powerful tools for inquiry. The authors finish by offering some questions and challenges for the field as it matures.
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Information architecture is the structural design of shared information environments, optimizing users' interaction with that content and their context. Comic arts may be considered in light of information architecture in that it uses sequential frames, text, and their “containers,” and design conventions as information architectural “tools” to represent information and engage the user in interacting with it. This chapter explains information architecture, focusing on comic arts' features for representing and structuring knowledge. Then it details information design theory and information behaviors relative to this format, also noting visual literacy. Next, applications of comic arts in education are listed. With this background, several research methods that combine information design and comic arts are explained, followed by a concrete research example. It also recommends strategies for addressing information architecture explicitly for knowledge acquisition and communication.
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