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.
Defines the nature and importance of clinical judgement. Although physicians make use of science, this book argues that medicine is not itself a science, but rather an interpretive practice that relies on clinical reasoning. It also contends that there can be adverse side effects to assuming that medicine is strictly science.
A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care 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 doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And 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. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients. How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, 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. Danielle Ofri offers up an unflinching look at the impact of emotions on health care. With her renowned eye for dramatic detail, 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 and her forever fear of making another. 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. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.
An outsider's account of how he sees, as an individual, the Medical profession and it's practitioners - The Doctors. A really, simple, humorous was of saying what the authors feels on the issue of - What Doctors Think Of Other Than Medicine And Sex.
Illuminating the Mystery of How Doctors Think, What They Feel and Why They Do the Things They Do
Author: Herdley Paolini
Pubpsher: Florida Hospital Publishing
Are physicians a mystery? To many of us, yes. Physicians perform one of the most valuable personal services in the world. They care for our bodies in the most intimate of ways. We place our lives in their hands and trust they have our best interest at heart. But how much do we really know of physicians and their inner world? Relatively little. The environment for practicing medicine has changed dramatically over the past few decades. The commoditizing of physicians and their work frequently causes a dehumanization of the doctor and the doctor/patient relationship not to mention the connections between physicians and other staff. Due to the training, practice culture, constraints, liabilities, and pressures placed on physicians today, they often cannot practice the kind of personalized, relationship-enhancing medicine that would benefit both patient and caregiver. In this monograph Dr. Herdley Paolini does a great service by opening the inner world of physicians and helping us understand them, how to relate to them, and how to best support them in their critical role in healthcare. Her insights will be of great value to everyone from hospital administrators and clinical staff, to insurance providers, government agencies, and anyone who interacts with physicians. The Florida Hospital Healthcare & Leadership Monograph Series is an innovative teaching and learning tool from the largest admitting hospital in America. Monographs in this series provide focused, relevant training to individuals and organizations on a wide variety of healthcare and leadership topics.Ideal for healthcare professionals, leadership innovators, researchers, teachers, students, and other pioneering professionals each volume provides the latest information and break-through thinking on the subject in a clear, concise, readable form.
Advice on Working with Doctors, Prioritizing Care, and Time Management
Author: Beth Hawkes
Pubpsher: Simon and Schuster
An Indispensable Guide for First-Time Nurses on Working with Doctors, the Joys of the Night Shift, and Facing Mistakes! You've completed the necessary education, passed the exams, and you're finally ready for your first year as a professional nurse. But there is still trepidation, accompanied by many unanswered questions. A true first year of nursing 101 guide, this book covers topics like managing feedback, working with doctors, working night shift, and recovering from a mistake. Writer and nursing professional Beth Hawkes draws from her own experiences to offer expert tips for first-timers venturing into this important discipline. Writing in a manner that's digestible and including illustrative anecdotes along the way, Hawkes will put readers at ease with her clear advice and directives—many of which can be applied in professional settings outside of nursing. She offers rookie nurses sample questions to help guide them on how they should be communicating with preceptors and colleagues, from morning to night. The perfect gift for nurses just entering the field!
Clinical medicine, as a thinking discipline, is concerned not only with what clinicians do, but why. When physicians act in medicine they have some purpose or goal in mind. What they actually do and how they go about it is in the service of their purposes and their goals. Such goals cover a wide range of topics centering on patients, the doctor-patient relationship, the acts of doctoring patients, and the goals involved in being a physician among other physicians working within the institutions of medicine. The Nature of Clinical Medicine takes its direction from a catalog of goals of medicine that range from the expected diagnosis and treatment of diseases to wider concerns for patients, for physicians, and for medicine itself. The chapters are specific in teaching the kinds of knowledge that clinicians require in order to be able to achieve these goals. The central focus of the clinician and of this book is the patient. According to Eric Cassell, everything else, including the disease, is secondary. Using many examples from real-life medical practice, each chapter examines the different kinds of thought involved in caring for the patient. Cassell takes on a variety of difficult issues, from thinking about values to developing wisdom. The care of the dying, what thinking itself is, and finally, why would one want to do this exciting and rewarding but difficult work, come under discussion in this book.
As the number of individuals undergoing rehabilitation medicine in a variety of rehabilitation settings increases, more and more patient safety concerns are being raised. Regulatory and accreditation organizations are scrutinizing the safety of patients in both hospital and rehabilitation settings and the general public and payors are demanding that patient safety is at the top of the agenda for institutions providing care. As leaders in the practice of rehabilitation medicine, physiatrists need to be educated on this important topic. The goal of this issue is to provide the reader with a foundation on the topic of patient safety as it applies to the practice of rehabilitation medicine as well as a set of tools that can be used to improve the safety of rehabilitation patients.
This book challenges functional models for more aesthetic and ethical models, where communication is grounded in values systems of cultures. Here, communication is treated as a distributed phenomenon involving networks of persons, activities and artifacts, and extends beyond doctor-patient relationships to working in and across teams around patients. The purpose of the book is to stimulate thinking about how patient care and safety may be improved through a focus upon the ‘non-technical’ work of doctors – interpersonal communication, teamwork and situation awareness in teams. The focus is then not on the personality of the doctor, but on the dynamics of relationships which form doctors’ multiple identities.