A deeply concerned physician reflects on today’s doctor-patient relationships and offers a compelling vision of a better way to practice medicine Patients and doctors alike are keenly aware that the medical world is in the midst of great change. We live in an era of continuous healthcare reforms, many of which focus on high volume, efficiency, and cost-effectiveness. This compelling, thoughtful book is the response of a practicing psychiatrist who explains how population-based reforms have diminished the relationship between doctors and patients, to the detriment of both. As an antidote to failed reforms and an alternative to stubbornly held traditions, Dr. Abraham M. Nussbaum suggests ways that doctors and patients can learn what it means to be ill and to seek medical assistance. Using a variety of riveting stories from his own and others’ experiences, the author develops a series of metaphors to explore a doctor’s role in different healthcare reform scenarios: scientist, technician, author, gardener, teacher, servant, and witness. Each role influences what a physician sees when examining a person as a patient. Dr. Nussbaum cautions that true healthcare reform can happen only when those who practice medicine can see, and be seen by, their patients as fellow creatures. His memoir makes a hopeful appeal for change, and his insights reveal the direction that change must take.
Abraham M. Nussbaum, M.D., is the Chief Education Officer at Denver Health and is an associate professor of psychiatry at the University of Colorado School of Medicine. He lives in Denver, CO.
Table of Contents
Introduction: Parts and Money 1
1 Seeing Wisely 10
2 Occult Findings 26
3 The Book and the Coat 38
4 Full Responsibility 52
5 Duty Hours 67
6 Efficient and Effective 84
7 Checklists and Dance Lessons 99
8 Famous Factory Meatloaf 114
9 Sickbeds and Garden Beds 131
10 Committed 146
11 Impatient Attending 162
12 Muscle Ups 176
13 Doctors Without Silver 191
14 Red Cards 207
15 Witnesses 223
16 Hope 239
Epilogue: Luster 258
What do you hope readers will take away from the experience of reading The Finest Traditions of My Calling? I hope readers will learn that healthcare reform is not just a question of who should have access to care and who should pay for it, but also of our desire for a favorable outcome when a physician meets a person as a patient. Reformers believe the problem with medicine is that it does not consistently and safely deliver the best treatments. And the solution is to transform the delivery of medical care using processes pioneered in high-risk industries like aviation, mining, and automobile manufacturing: run hospitals like factories, optimized for efficiency and effectiveness. But factories make things, not people.
How might your book help change the practice of medicine? I hope to shift the conversation from the reform of healthcare systems to the renewal of medical practice. We need to envision hospitals and clinics not as factories but as cultural spaces such as schools and gardens, restaurants, and gyms, all of which require human relationships for their operation.
What are examples of the roles physicians and patients assume when they interact? Physicians are like scientists who want to know how the body works; technicians who control it; authors who tell its story; gardeners who carefully tend it; teachers who help patients achieve what they could not on their own; and servants who give of themselves for the sake of their patients.
In this ambitious reinterpretation of the early Stuart period in England, Glenn Burgess contends that
the common understanding of seventeenth-century English politics is oversimplified and inaccurate. The long-accepted standard view holds that gradual polarization between the Court and Parliament during ...
This study is the most comprehensive account to date of modern treatments of the love
commandment. Gene Outka examines the literature on agape from Nygren’s Agape and Eros in 1930. Both Roman Catholic and Protestant writings are considered, including those ...
A new look at Henry VIII's second wife In this groundbreaking new biography, G. W.
Bernard offers a fresh portrait of one of England’s most captivating queens. Through a wide-ranging forensic examination of sixteenth-century sources, Bernard reconsiders Boleyn’s girlhood, her ...
One of Jonson’s greatest plays, Sejanus, has seldom been edited, and is here published, with
full notes and introduction, for the first time since 1911. Mr. Barish shows that Jonsonian tragedy can be understood and appreciated only by clearing the ...
C. S. Lewis (1898–1963) is best remembered as a literary critic, essayist, theologian, and novelist,
and his famed tales The Chronicles of Narnia and The Screwtape Letters have been read by millions. Now, A. T. Reyes reveals a different side of ...
Does forgetting signal a failing mind? What can be done to ward off forgetfulness? Is
there an upside to forgetting? In his highly praised book The Nostalgia Factory, renowned memory scholar Douwe Draaisma explored the puzzling logic of memory in ...
This book poses an eloquent challenge to the common conception of the hermeneutical tradition as
a purely modern German specialty. Kathy Eden traces a continuous tradition of interpretation from Republican Rome to Reformation Europe, arguing that the historical grounding of ...
This book sets forth the provocative theories of a musician who has been called the
outstanding harpsichordist of this century. The late Ralph Kirkpatrick reveals here his approach to a deeper comprehension of music, showing how his methods are applied ...