The Doctor-Patient Relationship
Suggested Readings
Suggested Readings
The Oath and Prayer of Maimonides
Articles
The Care of the Patient, JAMA, March 19, 1927; 877-882, Peabody, Francis W.
Francis Peabody's "The Care of the Patient", JAMA, Vol. 252, pp. 819-820, Aug. 10, 1984, Pauline L. Rabin, MD; David Rabin, MD
The Good Old Days, Lancet, 12/12/98, Vol. 352 Issue 9144, p.1930, 2; Herman, Joseph
Images of Physicians in Literature, Lancet, 09/14/96, Vol. 348 Issue 9029, p734, 3p; Jones, Anne
IMAGES OF PHYSICIANS IN LITERATURE: FROM QUACKS TO HEROES, Lancet, 08/17/96, Vol. 348 Issue 9025, p458; McLellan, M. Faith
Effective Doctor-Patient Communication Reaps Healthy Results, Effective doctor-patient communication reaps healthy results. San Antonio Business Journal, 04/03/98, Vol. 12 Issue 8, p17; Lindemann, Lynn
A Buddhist Remedy, UNESCO Courier, Feb98, Vol. 51 Issue 2, p12, 3p; Kawai, Hayao
Clues That You May Need A New Doctor, USA Today Magazine, Oct97, Vol. 126 Issue 2629, p1
Are You And Your Doctor Good Partners, Health, Apr97, Vol. 11 Issue 3, p67
Breaking Up Is Hard To Do , Harvard Health Letter, Feb97, Vol. 22 Issue 4, p4, Percy, Susan
FIN DE SIECLE MEDICINE, AVOIDING THE UNINTENDED CONSEQUENCES OF HEALTH CARE REFORM, Brookings Review, Spring94, Vol. 12 Issue 2, p12, Hellman, Samuel
Adams, Patch M.D., 1998, Gesundheit! : Bringing Good Health to You, the Medical System, and Society Through Physician Service, Complementary Therapies, Humor, and Joy, Healing Arts Press.
Adams, Patch M.D. , 1998, House Calls, Robert D. Reed.
Aronowitz, Robert A. 1998, Making Sense of Illness : Science, Society, and Disease. Cambridge History of Medicine.
Broyard, Anatole, 1992. Intoxicated By My Illness, New York: Ballantine Books.
Frank, Arthur W. , 1992. At the Will of the Body : Reflections on Illness: Houghton Miffin Co.
Frank, Arthur W. , 1997. The Wounded Storyteller: Body, Illness, and Ethics, University of Chicago Press.
Kleinman, Arthur M.D. , 1989. The Illness Narratives : Suffering, Healing, and the Human Condition, Basic Books
Solzhenitsyn, Aleksandr I. : Reissue,1 991 . Cancer Ward, Noonday Press.
Sontag, Susan, 1989. Illness As Metaphor and AIDS and Its Metaphors, New York: Anchor Books.
Session One (January 25)
Patch
Adams
AMA-
Dr. "Patch" Adams
Session Two (February 8)
Welcome
to the Neurology Web Forums at Massachusetts General
Hospital. This is a continuing
effort by the Department of Neurology at Massachusetts General
Hospital to foster online discussions between patients, caregivers
and physicians about various Neurology-related topics. Please feel
free to post any questions or comments. Ketogenic
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Emotional
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Medical Information on the Internet-articles on assessing quality.
Rejuvenating the Symbols of Medicine MS JAMA - Perspective Vol. 281, pp. 479, Feb 3, 1999 Timothy Lahey, MD, LDS Hospital, Salt Lake City, Utah
I took the greatest interest in his doctor's bag, a miniature black suitcase, fitted inside to hold his stethoscope and various glass bottles and ampules, syringes and needles, and a small metal case for instruments.-Lewis Thomas, The Youngest Science: Notes of a Medicine Watcher
Aesculapius: A Modern Tale MSJAMA-Essay Vol. 281, pp. 476-477, Feb 3, 1999, Judith Anne Stanton, University of Florida College of Medicine
CONNECTIVITY
Change is accelerating in all areas. Doctors in the future will need to develop new strategies to keep up. Accelerated personal growth will be critical. We will need to learn to grow rapidly. Future careers will demand competence, integrity, character, attitude and the ability to add value to the people or organization that is hiring you.
Concentrate on what is important. Decide what really counts. The Doctor-Patient Relationship is central.
-Johann Wolfgang von Goethe
Relating matters. People matter. Your patients matter. Remember the Pareto Principle-"the 80-20 rule". 80 Percent of your performance gains will come from 20 percent of your growth efforts. What should we invest in ? What few goals will make the major contribution to your personal growth? Technical skills are not enough for success. Being an expert with people is critical. Interpersonal skills are mandatory. Think about your Emotional Intelligence. The future of medicine requires cooperation. In an increasingly interconnected world, connectivity is a core competency. Personal growth will be required for success.
Please read the articles on Assessing the Quality and Reliability of Medical Information on the Internet. Then go to Sample Health Care Resources and follow instructions. Pick several sites and evaluate them for quality and reliability using the criteria from the articles on Assessing Quality and Reliability. You can use the Health-Related Web Site Evaluation Form to help you. Look over other Health Related Resources: i.e.: books, videos, CD-ROMs, magazines, newspapers etc. and evaluate them for quality and reliability. Find other Health related information and apply the criteria for quality and reliability.
When Doctors Make Mistakes, The New Yorker, February 1, 1999, Atul Gawande
Kleinman, Arthur M.D. , 1989. The Illness Narratives : Suffering, Healing, and the Human Condition, Basic Books
Solzhenitsyn, Aleksandr I. : Reissue,1 991 . Cancer Ward, Noonday Press.
Sontag, Susan, 1989. Illness As Metaphor and AIDS and Its Metaphors, New York: Anchor Books.
Session Five (Tuesday,April 27)
Please read the articles on Assessing the Quality and Reliability of Medical Information on the Internet. Then go to Sample Health Care Resources and follow instructions. Pick several sites and evaluate them for quality and reliability using the criteria from the articles on Assessing Quality and Reliability. You can use the Health-Related Web Site Evaluation Form to help you. Look over other Health Related Resources: i.e.: books, videos, CD-ROMs, magazines, newspapers etc. and evaluate them for quality and reliability. Find other Health related information and apply the criteria for quality and reliability.
Medical Humor Web Sites
The current crisis in medicine can be felt not only in film but in popular humor. After decades of being held in great respect, in the 1950's there began a growing disrespect toward physicians that is reflected in popular culture. These "jokes" and cartoons certainly make clear that the public experiences modern medicine quite differently than Hippocrates' "purity and with holiness" or Maimonides' "May I never see in the patient anything but a fellow creature in pain."
However, humor also suggests the types of changes patients would like to expect. Patients want a humanistic medicine. They want to be known as individual people, not just an illness. They want their physicians to to listen and to care. They agree with what Hippocrates wrote 2500 years ago: " where there is love of man, there is also love of the art." As you read the humor on the sites below, I encourage you to search for the messages presented.
A
Code of Ethical Behavior for Patients
Doctor
Translator
Medical
Records
Profession
Jokes-Doctors