Prof. Orit Karnieli-Miller

Medicine Dean & Assoc. Deans
Medical Education
דיקאנט ומנהל הפקולטה לרפואה סגל אקדמי בכיר
Prof. Orit Karnieli-Miller
Phone: 03-6409858
Fax: 03-6406916
Office: Sackler School of Medicine, 904

Positions

2018-present    Head of the Department of Medical Education, Sackler Faculty of Medicine

2013-present    Director of the Communication skills training 

2013-2019         Academy of Communication in Healthcare, Board of Directors member 

2018-present     International Association of Healthcare (EACH), Deputy National Representative  

2014-2018        Society of Medical Education in Israel (Healer), Member, Founding Committee

 

 

Research

Studying Doctor-Patient Relationships, Communication and Medical Professionalism

Our primary research and teaching interests are focused on:

  • Professionalism and humanism in medical schools. Understanding what students experience, how they interpret it and what we should do to help their development as humanistic professionals.
  • Developing communication skills for handling and assessing multi-participant conversations (triadic communication) physician-patient-companion. Understanding how we should and could involve family members.
  • Teaching medical students and professionals how to break bad news, including assessing how their personal difficulties and biases affect their communication.
  • Enhancing medical students self-awareness (e.g., by using reflective diaries and narratives in medical education).
  • Defining and applying Shared Decision Making in healthcare.

Latest Grants:

2017-2020 Improving Patients’ Quality of Care through Enhancing Physicians’ Professionalism and Preventing Burnout in a Surgical 

                  Division,  The Israel National Institute for Health Policy Research

 

2017-2019  Enhancing Patient Centered Care through Understanding Barriers and Promotors to Implementing Shared Decision Process in

                    Diabetes, The Israel National Institute for Health Policy Research

 

2016-2020  Enhancing professionalism and resiliency and  Preventing burnout in A large surgical unit, The Cohen-Harris Resilience Center (of

                    the Association for Children at Risk, R.A).

 

2014-2016  Using narrative writing on breaking bad news encounters to improve the communication skills of medical professionals in cancer                            care, Israel Cancer Association 

 

2014-2016  Identifying best practices for communication challenges of medical clowns with patients parents, adolescent patients and medical                           teams,  The Magi Foundation​

Publications

Meitar, D., & Karnieli-Miller, O.  (2021). Twelve tips to manage a breaking bad news process: Using S-P-w-ICE-S - a revised version of the SPIKES protocol. Medical Teacher. https://doi.org/10.1080/0142159X.2021.1928618

Brand Gothelf, A. Hasson-Ohayon, I, Hertz-Palmor, N., Basel, D. Gothelf, D, & Karnieli-Miller, O. (2021). The delivery of diagnosis by child psychiatrists: Process characteristics and correlates of distress. Frontiers in Psychiatry, 12, 632207. https://www.frontiersin.org/articles/10.3389/fpsyt.2021.632207/full

Franco, R. S., Franco, C. A. G., Karnieli-Miller, O. (In press). Deepening the teaching and learning of clinical communication: the importance of reflection and feedback in health education.  Education in Health Sciences

Rozental, L., Meitar, D., &  Karnieli-Miller, O. (2021). Medical students' experiences and needs from written reflective journal feedback. Medical Education, 55,505-517. https://doi.org/10.1111/medu.14406

Karnieli-Miller, O., Mimon, R., , Benyamini, Y. (2021). The experience of obstetricians during the first outburst of COVID-19. Harefua, 160(5), 13-18.

Tokatly Latzer, I., Leitner, Y., & Karnieli-Miller, O. (2021). Core experiences of parents of children with autism during the COVID-19 pandemic lockdown. Autism: International Journal of Research and Practice, 25(4):1047-1059. https://doi.org/10.1177/1362361320984317

Karnieli-Miller, O. (2020). Reflective practice in the teaching of communication skills. Patient Education and Counseling, 103(10), 2166-2172. DOI: 10.1016/j.pec.2020.06.021

Karnieli-Miller, O., Michael, K., Gothelf, A., Palombo, M., & Meitar, D. (2020). The association between reflective practice and communication skills. Patient Education and Counseling. DOI: 10.1016/j.pec.2020.06.028

Michael, K., Gutgeld Dror, M., Karnieli-Miller, O. (2019). Students’ patient-centered-care attitudes: The contribution of self-efficacy, communication, and empathy. Patient Education and Counseling, 102, 2031–2037

Frankel, R, M., Karnieli-Miller, O., Inui, T. (2018/20). Values at work: Comparing affirming and challenging narratives of nurses and physicians in a large health system. Communication & Medicine, 15(3), 268–281. https://doi.org/10.1558/cam.35227

Michael, K., Solenko, L., Yakhnich, L., & Karnieli-Miller, O. (2018) Significant life events as a journey of meaning making and change among at-risk youths, Journal of Youth Studies, 21(4), 439-458

Karnieli-Miller, O., Michael, K., Eidelman, S., and Meitar, D. (2018). What you ‘see’ is how you communicate: medical students’ meaning making of a patient’s vignette. Patient Education & Counseling, 101, 1645–1653.

Karnieli-Miller O,  Palombo M, Meitar D. (2018). See, reflect, and learn more: Qualitative analysis of breaking bad news reflective narratives. Medical Education, 52, 497–512

Zisman-Ilani Y, Roe D, Elwyn G, Kupermintz H, Patya N, Peleg I, Karnieli-Miller O. (2018). Shared decision making for psychiatric rehabilitation services before discharge from psychiatric hospitals. Health Communication, 2, 1-7

Karnieli-Miller O, Michael K, Segal O, Steinberger A. (2018). Assessing an intervention focused on enhancing interpersonal communication skills and humor: a multi-method quasi-experiential study among medical students. Health Communication, 33(12), 1560-1572

Karnieli-Miller, O., Neufeld Kroszynski, G. (2018). The potential of argumentation theory in enhancing patient-centered care in breaking bad news encounters. Journal of Argumentation in Context, 7(2), 120–137

Naaman A, Roe D, Karni-Weiser N, Karnieli-Miller O. (2017). Exploring the process of self-disclosure from the perspective of people coping with Schizophrenia.  Society & Welfare. 2017; 37 

Goldberg M, Hadas-Lidor N, Karnieli-Miller O. (2017). Professional development of social work students coping with mental illness.Society & Welfare. 2017; 37, 187-213

Bril-Barniv S, Moran GS, Naaman A, Roe D, Karnieli-Miller O.  (2017). A qualitative study examining experiences and dilemmas in concealment and disclosure of people living with serious mental illness. Qualitative Health Research, 27(4), 573-583.

Zisman-Ilani Y, Roe D, Scholl I, Härter M, Karnieli-Miller O. (2017). Shared decision making during active psychiatric hospitalization:assessment and psychometric properties. Health Communication, 32(1), 126-130

Karnieli-Miller O,  Nissim G, Goldberg M. (2017). "It's in the Cards": The contribution of illustrated metaphor cards to exploring values within narratives. Qualitative Health Research, 27(1), 138-151

Reis S, Urkin J, Nave R, Ber R, Ziv A, Karnieli-Miller O, Meitar D, Gilbey P, Mevorach D.c (2016). Medical education in Israel 2016: five medical schools in a period of transition. Israel Journal Health Policy Research, 15(5), 45  

Hart Y, Czerniak E, Karnieli-Miller O, Mayo AE, Ziv A, Biegon A, Citron A, Alon U. (2016). Automated video analysis of non-verbal communication in a medical setting. Frontiers Psychology, 7, 1130

Zisman-Ilani, Y., Roe, D., Scholl, I., Härter, M., Karnieli-Miller, O. (2016). Shared decision-making during active psychiatric hospitalization: assessment and psychometric properties. Health Communication. DOI: 10.1080/10410236.2015.1099504

Czerniak, E., Biegon, A., Ziv, A., Karnieli-Miller, O., Weiser, M., Alon, U., & Citron, A. (2016). Manipulating the placebo response in experimental pain by altering doctor’s performance style . Frontiers in Psychology, 7, 874

Goldberg, M., Hadas-Lidor, N., Karnieli-Miller, O. (2015). From patient to Therapatient: Social work students coping with mental illness. Qualitative Health Research. 25, 887–898. 2015, DOI:10.1177/1049732314553990

Zisman-Ilani, Y., Roe, D., Karnieli-Miller, O. (2015) Involving patients in decision making: understanding the past and planning the future. Quality in Medicine, 3, 10-12. 2015 (Hebrew)

Michael K., Solenko L., Karnieli-Miller, O. (2015). Perspectives of significant life events among at-risk youth. Society and Welfare, 35, 537-562 (Hebrew).

Karnieli-Miller, O., Nissim, G., Goldberg, M. (2015). “It’s In the Cards:” The contribution of illustrated metaphor cards to exploring values within narratives. Qualitative Health Research, 1-14. DOI: 10.1177/1049732315609897

Karnieli-Miller, O., Zisman-Ilani, Y., Meitar, D. & Mekori, Y. (2014) The role of medical schools in promoting social accountability through shared decision-making. Israeli Journal of Health Policy, Israel Journal of Health Policy Research 4-1 ,3 ,2014.

Moran, G., Oz, G., & Karnieli-Miller, O. (2014) Psychiatrists’ challenges in considering disclosure or schizophrenia diagnosis in Israel. Qualitative Health Research. 24, 1368–1380.

Karnieli-Miller, O., Frankel, R.M., & Inui, T.S. (2013). Cloak of compassion or evidence of elitism? an empirical analysis of white coat ceremonies? Medical Education, 43, 97-108.

Karnieli-Miller, O., Perlick, D. A., Nelson, A., Mattias, K., Corrigan, P., & Roe, D. (2013). Family members’ of persons living with a serious mental illness: Experiences and efforts to cope with stigma. Journal of Mental Health, 22, 254-262. 

Karnieli-Miller, O. Werner, P. Neufeld Kroszynski, G. Eidelman, S. (2012). Are you talking to me?!? An exploration of the triadic physician-patient-companion encounter in memory-clinics. Patient Education and Counseling, 88, 381–390.

Karnieli-Miller, O. Werner, P. Aharon-Perets, J. Sinoff, G. Eidelman,, S. (2012). Expectations, experiences and tensions in the memory clinic-- the process of diagnosis disclosure of dementia within a triad. International Psychogeriatrics, 24, 1756-1770. *equal contributors

Karnieli-Miller, O. Vu, R.T. Frankel, R.M. Holtman, M. Clyman, S. Hui, S.L, & Inui T.S. (2011). Which Experiences in the Hidden Curriculum Teach Students About Professionalism? Academic Medicine, 86, 369-377.

Karnieli-Miller, O., Taylor, A.C. Inui, T.S. Ivy, S.S. Frankel, R.M (2011). Understanding values in a large health care organization through work-life narratives of high performing employees. Rambam Maimonides Medical Journal, 2, 1-14.

Goldblatt, H. Karnieli-Miller, O. Neumann, M. (2011). Sharing qualitative research findings with participants: Study experiences of methodological and ethical dilemmas. Patient Education and Counseling, 82, 389-395

Karnieli-Miller, O. & Salyers, M. (2011). Clinical communications with persons who have severe mental illnesses. In Rudnick, R., & Roe, D. (Eds.) SMI: Person-centered approaches. Radcliffe Press, 155-167

Taylor, A. Karnieli-Miller, O. Inui, T.S. Ivy, S.S. & Frankel R.M. (2011). Appreciating the power of narratives in healthcare: A tool for understanding organizational complexity and values.In C. N. Candlin and S. Sarangi (Eds.) Handbook of communication in organizations and professions. Berlin, Germany: Mouton de Gruyter, pp. 457-479, 2011

Karnieli-Miller, O. Vu, R.T. Holtman, M. Clyman, S. Inui, T.S. (2010). Medical student narratives and professionalism: a window on the ‘hidden curriculum’. Academic Medicine, 85(1),  124-133.

Werner, P., Karnieli-Miller, O.  Adler, A. & Eidelman, S. (2010). How neurologists tell their patients with alzheimer disease about their diagnosis another side to tarek et al’s study. Alzheimer Disease & Associated Disorders - An International Journal, 24(2), 115-117.

Karnieli-Miller, O. Taylor, A. Cottingham, A.H. Inui, T.S. Vu R.T. & Frankel R.M. (2010). Exploring the meaning of respect in medical student education: an analysis of student narratives. Journal of General Internal Medicine, 25, 1309-1314.

Werner P, Karnieli-Miller, O., Adler A, Eidelman S. (2010). How neurologists tell their patients with Alzheimer disease about their diagnosis another side to Tarek et al’s study. Alzheimer Disease & Associated Disorders - An International Journal, 24(2), 115-117.

Karnieli-Miller, O., Vu R.T. Holtman M, Clyman S, Inui T.S. (2010). Medical student narratives and professionalism: a window on the ‘hidden curriculum’. Academic Medicine, 85(1), 124-133.

Meitar D, Karnieli-Miller, O., Eidelman, S. (2009). The impact of senior medical students' personal difficulties on their communication patterns in breaking bad news. Academic Medicine, 84(11), 1582-1594

Karnieli-Miller, O., Strier R, Pessach L. (2009). Power relations in qualitative research. Qualitative Health Research, 19, 279-289.         

Karnieli-Miller, O., & Eisikovits Z. (2009). Physician as salesman or partner?! Shared decision making in real-time encounters. Social Science & Medicine, 69, 1-8.

Karnieli-Miller, O., Eisikovits Z. (2009). The place of persuasion in shared decision making: A contextual approach. A response to Eggly. Social Science & Medicine, 69, 12-13.

Karnieli-Miller, O., Adler A, Merdler L, Rosenfeld L, Eidelman, S. (2009). Written notification of test results: meanings, comprehension and implication on patients health behavior. Patient Education & Counseling, 71, 341-347.

Frankel R.M, Karnieli-Miller, O., Welsh A. (2008). Communication challenges and opportunities during transfers of care. Asian Hospital & Healthcare Management, 14, 19-20.

Sherer M, Karnieli-Miller, O. (2007). Intentions for advice and help seeking among Jewish and Arab Youth in Israel. Youth & Society, 39(1), 33-53.

Hareli S, Karnieli-Miller, O., Hermoni D, Eidelman S. (2007). Factors in the doctor-patient relationship that accentuate physicians’ hurt feelings when patients terminate the relationship with them. Patient Education & Counseling, 67, 169-175.

Karnieli-Miller, O., Werner P, Aharon-Peretz Y, Eidelman S. (2007). Dilemmas in the (un)veiling of the diagnosis of Alzheimer's disease: Walking an ethical and professional tight rope. Patient Education & Counseling, 67, 307-314.

Yagil D, Karnieli-Miller O, Eisikovits Z, Enosh G. (2006). Is that a "No"? The interpretation of responses to unwanted sexual harassment. Sex Roles, 54(3-4), 251-260

Winstok Z, Eisikovits Z, Karnieli-Miller O. (2004). The impact of father-to-mother aggression on the structure and content of adolescents’ perceptions of themselves and their parents. Violence Against Women, 10, 1036-1055.

Sherer M, Karnieli-Miller, O. (2004). Aggression and violence among Jewish and Arab youth in Israel. International Journal of Intercultural Relations, 28, 93-109.

Buchbinder E, Eisikovits Z, Karnieli-Miller, O.  (2004)  Social workers’ perceptions of the balance between the psychological and the social. Social Service Review, 78, 531-552

Reviews

Karnieli-Miller, O.,  Miron-Shatz T, Siegal G, Zisman-Ilani Y. (2017). On the verge of shared decision making in Israel: Overview and future directions. Z Evid Fortbild Qual Gesundhwes. 2017 Jun; 123-124:56-60. doi:10.1016/j.zefq.2017.05.007. Epub 2017 May 19. PubMed PMID: 28529120.

Karnieli-Miller, O. (2018).  Stigma is a prominent barrier for parental disclosure of a child with a mental illness.  Evidence Based Nursing, 21(1), 17.

Karnieli-Miller, O., & Neufeld-Kroszynski, G., (2020). Combining machine learning and human reflective process for teaching communication skills,  Medical Education. doi:10.1111/MEDU.14391

Werner, P., Karnieli-Miller, O., Eidelman, S. (2013). Current knowledge and future directions about the diagnostic disclosure of dementia: A systematic review of the first decade of the 21st century. Alzheimer's & Dementia, 9, e74–e88.

Chapters in books

Finkelstein, A., Karnieli-Miller. O., Meitar, D., Orkin, Y., Gilbey, P., Kaufman, M., & Shaham, D. (2019). Humanistic Education in Medicine and its implimintation in medical schools in Israel. S. Shafran-Tikva, J. Shemer, Y. Weiss (editors). Partnership in healthcare : the patient, the caregiver and the bridge between them. Akademon and Assuta, Jerusalem. pp. 73-89.

Goldberg, M.,S & Karnieli-Miller, O. (2018). A personal and exploratory journey - between the inside and out - social work students coping with mental disabilities. In N. Hadas-Lidor and M Lachman (Eds). Against all odds - from rehabilitation and recovery in mental health to community Integration. Ono Academic Collage, pp. 175-184

Karnieli-Miller, O. (2018). Integrating the process of shared decision making in Diabetes care. In O. Tamir, S. Furman-Assaf, and K. Hershkop (Eds.) Therapeutic patient education in diabetes and chronic diseases: A practical guide (Hebrew). Spidagan, pp. 70-78

Shalev A., Goldberg M, Karnieli-Miller O. (2017). Building relationships, promoting communication and partnership with families of people coping with a mental Illness. In A. Shalev and N. Lidor-Hadass (Eds.,) From invisibility to partnership: Paths to recovery and coping with mental illness in the family (Hebrew). Kiryat Ono: Ono Academic College, pp 235-272 (vol 2)

Yamin A, Roe D, Karnieli-Miller O. (2017). Re-viewing from the inside and out – the processes of parents of people coping with a mental illness enrolled in a group intervention to reduce self-stigma. In Shalev A,  Lidor-Hadass N (Eds.,) From invisibility to partnership: Paths to recovery and coping with mental illness in the family (Hebrew). Kiryat Ono: Ono Academic College, pp 117-130 (vol 2).

Taylor A.C, Karnieli-Miller O, Inui T.S, Ivy S.S, Frankel R.M.(2011). Appreciating the power of narratives in healthcare: A tool for understanding organizational complexity and values. In C. N. Candlin and S. Sarangi (Eds.) Handbook of communication in organizations and professions (pp. 457-479). Berlin, Germany: Mouton de Gruyter.

Karnieli-Miller O, Salyers M. (2011). Clinical communications with persons who have severe mental illnesses. In Rudnick, R., & Roe, D. (Eds.) SMI: Person-centered approaches (pp. 155-167). Radcliffe Press.

 

Other publications:

Benyamini, Y., Bar-Noy, S., Karnieli-Miller, O., Neufeld Kroszinski, G., Takach-Meliniak, K., et al., (2020). Monograph of Dealing with Child Birth during the COVID-19 pandemic: recommendations for healthcare providers, managers and women. (Hebrew) https://deanstudents.tau.ac.il/social-involvement/IsraelAcademiaCollectiveImpact-covid19

Karnieli-Miller, O., Keidar, H., & Ofer-Bialer, G. (2020). Short pamphlet to guide professionals about Breaking Bad News about COVID-19. (Hebrew)

Karnieli-Miller, O. (2021). Teaching breaking bad news to undergraduate medical students. Evidence Snapshots International Association for Communication in Healthcare. (invited) https://each.international/resources/peach/ https://each.international/wp-content/uploads/2021/04/Teaching-breaking-bad-news.pdf

 

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