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At a time of great change in the technology and delivery of medical care, the timelessness and permanence of the non-technical aspects of medicine—the human side—are of profound value to patients and physicians alike. With more than 30 years of medical practice, teaching, advising, and mentoring medical students and undergraduates, Savett champions two premises: first, that the importance of physicians mastering the human side of medicine is as critical as learning its biology and technology; and second, that this can be taught. Attending to the human side refines diagnosis and treatment by recognizing the uniqueness of each patient's experience, and it enriches the experience for all those in the caring professions. Physicians who have always put their patients' interests first and never compromised their professional values have preserved their identity, vitality, and enthusiasm as caring doctors. This is a book about what keeps the practice of medicine stimulating: not fascinating cases, but fascinating people and relationships, the best reasons to enter medicine. Learning the human side of medicine, asserts Savett, will help attract talented and compassionate people to the field. Full of stories and lessons, ^IThe Human Side of Medicine^R is important reading for those considering a career in medicine and related professions, those already practicing—and patients.
By New Yorker and Atlantic writer Carl Elliott, a readable and even funny account of the serious business of medicine. A tongue-in-cheek account of the changes that have transformed medicine into big business. Physician and medical ethicist Carl Elliott tracks the new world of commercialized medicine from start to finish, introducing the professional guinea pigs, ghostwriters, thought leaders, drug reps, public relations pros, and even medical ethicists who use medicine for (sometimes huge) financial gain. Along the way, he uncovers the cost to patients lost in a health-care universe centered around consumerism.
Modesty, humor, compassion, and wisdom are the traits most evident in this illuminating selection of personal papers from the Albert Einstein Archives. The illustrious physicist wrote as thoughtfully to an Ohio fifth-grader, distressed by her discovery that scientists classify humans as animals, as to a Colorado banker who asked whether Einstein believed in a personal God. Witty rhymes, an exchange with Queen Elizabeth of Belgium about fine music, and expressions of his devotion to Zionism are but some of the highlights found in this warm and enriching book.
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Medicine, Religion, and Health: Where Science and Spirituality Meet will be the first title published in the new Templeton Science and Religion Series, in which scientists from a wide range of fields distill their experience and knowledge into brief tours of their respective specialties. In this, the series' maiden volume, Dr. Harold G. Koenig, provides an overview of the relationship between health care and religion that manages to be comprehensive yet concise, factual yet inspirational, and technical yet easily accessible to nonspecialists and general readers. Focusing on the scientific basis for integrating spirituality into medicine, Koenig carefully summarizes major trends, controversies, and the latest research from various disciplines and provides plausible and compelling theoretical explanations for what has thus far emerged in this relatively young field of study. Medicine, Religion, and Health begins by defining the principal terms and then moves on to a brief history of religion's role in medicine before delving into the current state of research. Koenig devotes several chapters to exploring the outcomes of specific studies in fields such as mental health, cardiovascular disease, and mortality. The book concludes with a review of the clinical applications derived from the research. Koenig also supplies several detailed appendices to aid readers of all levels looking for further information. Medicine, Religion, and Health will shed new light on critical contemporary issues. They will whet readers' appetites for more information on this fascinating, complex, and controversial area of research, clinical activity, and widespread discussion. It will find a welcome home on the bookshelves of students, researchers, clinicians, and other health professionals in a variety of disciplines.
A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.
Proceedings of the 15th International Conference on Applied Human Factors and Ergonomics and the Affiliated Conferences, Nice, France, 24-27 July 2024.
“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.
Edward Golub, distinguished researcher and former professor of immunology, shows that major advances in medicine are caused by changes in the way scientists describe disease. Bleeding, sweating, and other treatments we consider barbaric were standard treatments for centuries because they conformed to a conception of disease shared by patients and doctors. Scientific breakthroughs in the understanding of disease in the nineteenth century transformed treatment and the goals of medicine. Golub argues that the ongoing revolution in molecular genetics has opened the door to the "biology of complexity," again transforming our view of disease. This thought-provoking, timely book reveals a crucial but overlooked role of science in medicine, and offers a new vision for the goals of both science and medicine as we enter the twenty-first century.
A professor of medicine reveals how technology like wireless internet, individual data, and personal genomics can be used to save lives.