By The Bedside Of The Patient: Lessons For The Twenty-First-Century Physician
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In By the Bedside of the Patient, Nortin Hadler places current efforts to reform medical education--from the undergraduate level through residency programs and on to continuing medical education--in historical context. In doing so, he traces the evolution of medical school curricula, residency and fellowship programs, and the clinical practices they promoted. Hadler examines crucial junctures in history to locate the seeds for reform. Some believe that medical education and training should highlight literature, ethics, and culture, while others emphasize science and efficiency to abbreviate the time from entry to licensure. Neither of these approaches, Hadler argues, maintains or improves patient care, which should be at the core of medical education and practice. Hadler contends that most reform attempted thus far constitutes, at best, little more than a reshuffling of the basic curriculum and, at worst, an augmenting of medicine's predilection to measure, grade, and record. Examining generational changes in medical education, Hadler mines sixty years of training and practice to identify mistaken approaches and best practices. Ultimately, in the contemporary era of managed care, Hadler argues for a clinical practice that draws on the best available scientific knowledge, transmits the wisdom of experienced clinicians, reforges an empathetic relationship between physician and patient, and treats each patient as an individual--all centered on restoring the mandate to care.

Hardcover: 224 pages

Publisher: The University of North Carolina Press; 1 edition (March 18, 2016)

Language: English

ISBN-10: 1469626667

ISBN-13: 978-1469626666

Product Dimensions: 6.5 x 0.9 x 9.4 inches

Shipping Weight: 1.2 pounds (View shipping rates and policies)

Average Customer Review: 4.9 out of 5 stars  See all reviews (7 customer reviews)

Best Sellers Rank: #78,661 in Books (See Top 100 in Books) #23 in Books > Textbooks > Medicine & Health Sciences > Medicine > Clinical > Physician & Patient #23 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Practice Management & Reimbursement #26 in Books > Medical Books > Administration & Medicine Economics > Practice Management & Reimbursement

This is yet another brilliant book by Dr. Hadler. By the Bedside of the Patient is an excellent read for anyone who wants the unvarnished truth about healthcare in America today. It begins with an interesting history of the art of healing since the 1950's and ends with gems such as this: "Americans believe they should be free of morbidity from birth until that fateful eight-fifth birthday. Americans and their physicians need to be disabused of that fantasy."I wish every health benefit manager and consultant would read this book.

An excellent history of the rapid evolution of American healthcare and medical education. This is a great reference point for medical students and residents. If only our political thought leaders would understand how far off the trail of excellence we have strayed.

An excellent assessment of where the medical profession has come with good historic perspective.Having practiced through this era I found the book enlightening and helpful in understanding a very chaotic period of medical history. I enjoyed his perspective.The author offers ideas for healing and improvement in the profession. While I admire all his work and have read most of it, this part of his analysis seems a bit optimistic. I fear that meaningful change will require a considerably harder line.

Essential work with insightful critique of American Health Care and call to restablish the primacy of each individual and personal doctor patient relationship

very thoughtful book, with insight into the cracks and breaks in our system

Excellent book. What we sre missing in all aspects of health care.

excellent

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