During the presentation, Groopman was discussing the importance of compassion and communication in providing medical care when Salem posed the following question: There are primary care physicians in every hospital who speak with great sensitivity and concern, and their longtime patients love them, but clinically they are incompetent--how is a patient to know this? Per his account: A few of [the physicians at Philips House] were highly skilled, but several were, at best, marginal in their clinical acumen. Nonetheless, their patients were devoted to them. Thankfully, fewer students are admitted to medical school now because of social standing and family connections than at the time of my training. America has become more of a meritocracy in the professions.
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Dec 22, Ali rated it it was amazing Recommends it for: medical students, patients, physicians How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment.
The book is loosely laid out in the same manner that a physician works through a problem with a patient the history, the physical exam, the lab tests, the differential diagnosis which is How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment. The book is loosely laid out in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab tests, the differential diagnosis which is also spread throughout the book , treatment and other factors that may influence a physician with respect to a patient.
The first time was during my second year of medical school and I re-read my review of it, remembering how confusing just the process of arriving at a differential diagnosis can be. Last year when I read the book, I read it almost as a patient more than a physician. Now, in the middle of my third year of medical school, I understand more about the process of arriving at a differential diagnosis and the book had significance to me in a way it did not before.
I think that this discounts the importance of psychological problems — seeing them as a catch-all for things that the physician cannot explain — and creates a rift between the patient and physician where the physician, failing to diagnose the patient, turns to psychiatry. I also thing that he did not take into account one major thing — disbelief of the patient.
It is rampant. Not always, though. I saw an intern groan and moan about this patient who had a number of complaints and appeared to be annoying her — the patient turned out to have metastatic colon cancer. I think that this plays a large role in the patient — physician interaction and should be studied more closely.
I loved this book, I hope he writes more. I plan to read it again in a few years.
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Dec 22, Ali rated it it was amazing Recommends it for: medical students, patients, physicians How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment. The book is loosely laid out in the same manner that a physician works through a problem with a patient the history, the physical exam, the lab tests, the differential diagnosis which is How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment. The book is loosely laid out in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab tests, the differential diagnosis which is also spread throughout the book , treatment and other factors that may influence a physician with respect to a patient. The first time was during my second year of medical school and I re-read my review of it, remembering how confusing just the process of arriving at a differential diagnosis can be. Last year when I read the book, I read it almost as a patient more than a physician. Now, in the middle of my third year of medical school, I understand more about the process of arriving at a differential diagnosis and the book had significance to me in a way it did not before. I think that this discounts the importance of psychological problems — seeing them as a catch-all for things that the physician cannot explain — and creates a rift between the patient and physician where the physician, failing to diagnose the patient, turns to psychiatry.
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