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On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
Doctors leaving the medical profession is a global problem that can no longer be ignored. In this ground-breaking book, you’ll be taken on a journey to unveil many common sources of physicians’ frustrations and discover how to: • Address the causes and effects of burnout and stress. • Empower doctors to use their voices as vital feedback. • Boost engagement, productivity, and retention. • Mindfully collaborate with healthcare stakeholders. • Influence fit-for-purpose technology solutions. • Enhance workplace experience and wellbeing. • Purposefully transform the future of healthcare. The Doctor’s Voice is a unique and inspiring vade mecum for medical students, junior doctors, and consultants to help them develop their communication, leadership, and self-governance skills. It is a blueprint for building engagement and trust across the spectrum of stakeholders for the purpose of creating thriving healthcare. This book is a window into the endless opportunities arising from unleashing the priceless value of what doctors have to give.
"Simple text and photographs present doctors and their role in the community"--
“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.
Doctors are struggling.The profession has changed, from a craft focused on healing and built on knowledge, thought, and character, to what ends up feeling more and more like a factory job with an assembly line mentality, concerned primarily with budgets and efficiency. Doctors have gone from leaders to servants. Stress, uncertainty, and burnout have naturally followed.This is not a book about health care policy, or about what might, could, or should happen in the future. Instead, it's a book to help every doctor understand what is happening — to him, to his colleagues, and to his profession — and to help everyone who works with doctors understand how to harness the power of doctors in order to move health care forward. It's a book that shows doctors what they can do to empower themselves, expand their influence, and make a difference in their professional lives, every day.Solutions to health care problems have become so much more varied and complex than they used to be — but what they all have in common is that they are filtered through doctors. And, unfortunately, too many doctors today are suffering.In this book, you can take the three-step journey to help Rescue The Doctor —REFRAME the way you see the state of health care and the changes affecting doctors worldwide,TRANSLATE these shifts into the skills that you need in order to succeed and thrive, and then DELIVER real results — along the way becoming a more fulfilled, more satisfied, and more successful doctor — a rescued one.Doctors today aren't just patient healers — they're system healers, the connectors between management and patients, research and clinics — the bridge carrying medicine forward into the future. To rescue health care, and make things better — for patients and for society — it's imperative that we Rescue The Doctor."Pramstaller and Smith offer doctors a clear and useful roadmap to accomplish the patient work that they aspire to. When doctors reframe, translate, and deliver, they rescue themselves and serve their patients. This rescue has implications for doctors, patients, policy makers, and administrators throughout the health care system. The authors do an exceptional job of adapting management principles to physician opportunities."-- Dave Ulrich, Rensis Likert Professor of Business, University of Michigan
"The tough-minded and revealing story of a leading doctor's crusade against medical harm...Fascinating reading." -Atul Gawande, author of The Checklist Manifesto. First, do no harm. Doctors, nurses, and clinicians swear by this code of conduct. Yet, medical errors are made every single day-avoidable mistakes that often cost lives. Inspired by two such mistakes, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Safe Patients, Smart Hospitals shows how Dr. Pronovost started a revolution by creating a simple checklist that standardized a common ICU procedure. His reforms are being implemented in all fifty states and have saved hundreds of lives by cutting hospital-acquired infection rates by 70%. Atul Gawande profiled Dr. Pronovost's reforms in a New Yorker article and his bestselling book The Checklist Manifesto is based upon Dr. Pronovost's success in patient safety. But Safe Patients, Smart Hospitals is the real story: an inspiring, thought-provoking, accessible insider's narrative about how doctors and nurses are improving patient care for all Americans, today.
"In Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference, physician scientists Stephen Trzeciak and Anthony Mazzarelli uncover the eye-opening data that compassion could be a wonder drug for the 21st century. Now, for the first time ever, a rigorous review of the science - coupled with captivating stories from the front lines of medicine - demonstrates that human connection in health care matters in astonishing ways. Never before has all the evidence been synthesized together in one place."--Amazon.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
An insider's guide to searching online, communicating with your physician, and maximizing your health from a doctor who works at Google. We've all been there. Late at night, staring into the glow of a phone trying to make sense of some health-related issue that we know nothing about. In Searching for Health, Dr. Kapil Parakh, with Anna Dirksen, brings to life knowledge he gained from working at Google and practicing medicine. Helping readers avoid common pitfalls, get the information they need, and partner effectively with their health team to figure out a path to good health together, the book distills decades of scientific research into a set of easy-to-follow tips. It also incorporates • firsthand accounts of common challenges on the path to good health; • an inside look at how doctors approach and assess health-related information; • techniques that consumers can use to locate evidence-based information online, whether in blogs, social media postings, forums, or news stories; • guidance on how individuals can make the best use of new technologies, such as health trackers and other applications; • recommendations to help patients assess health information for themselves and make decisions based on what they find; • brief summaries of the scientific studies underpinning the recommendations; and • online and offline resources—including handy checklists and worksheets—to help readers prepare for appointments, discuss tough topics with their doctors, and take control of their health. In addition to helping readers find evidence-based information online, the book provides insights into what you can expect from a visit to a doctor or hospital, how to make a decision about surgery or other treatment, what tests doctors will order, which symptom trackers are really effective, and what questions to ask about medications, supplements, and more. Searching for Health is a valuable resource for charting a healthier path through life.
In this book an eminent physician explores how patients and caring doctors can help lessen suffering when illness occurs. Dr. Howard Spiro urges that physicians focus on their patients' feelings of pain and anxiety as well as on physical symptoms. He also suggests that patients and their doctors be receptive to the emotional relief that may be obtained from nature and from hope. Drawing on his previous highly praised work on the doctor-patient relationship and the problem of pain, Dr. Spiro tells how people can be helped by a combination of alternative medicine and mainstream medicine--a treatment of mind, body, and spirit that energizes patients, strengthens their expectations, and starts them on the road to feeling better. In various forms of alternative medicine, from meditation to massage, from faith healing to folk medicine, from herbology to homeopathy, practitioners heed patients' complaints and help them to help themselves. Dr. Spiro encourages physicians to talk and listen to their patients as much as they look and measure, to treat the whole patient and not just the disease, and to integrate a scientific approach to medicine with alternative approaches that may alleviate pain and suffering.