False Positive

False Positive
Author: Theodore Dalrymple
Publisher: Encounter Books
Total Pages: 242
Release: 2019-06-25
Genre: Medical
ISBN: 1641770473

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The New England Journal of Medicine is one of the most important general medical journals in the world. Doctors rely on the conclusions it publishes, and most do not have the time to look beyond abstracts to examine methodology or question assumptions. Many of its pronouncements are conveyed by the media to a mass audience, which is likely to take them as authoritative. But is this trust entirely warranted? Theodore Dalrymple, a doctor retired from practice, turned a critical eye upon a full year of the Journal, alert to dubious premises and to what is left unsaid. In False Positive, he demonstrates that many of the papers it publishes reach conclusions that are not only flawed, but obviously flawed. He exposes errors of reasoning and conspicuous omissions apparently undetected by the editors. In some cases, there is reason to suspect actual corruption. When the Journal takes on social questions, its perspective is solidly politically correct. Practically no debate on social issues appears in the printed version, and highly debatable points of view go unchallenged. The Journal reads as if there were only one possible point of view, though the American medical profession (to say nothing of the extensive foreign readership) cannot possibly be in total agreement with the stances taken in its pages. It is thus more megaphone than sounding board. There is indeed much in the New England Journal of Medicine that deserves praise and admiration. But this book should encourage the general reader to take a constructively critical view of medical news and to be wary of the latest medical doctrines.

Toward Precision Medicine

Toward Precision Medicine
Author: National Research Council
Publisher: National Academies Press
Total Pages: 142
Release: 2012-01-16
Genre: Medical
ISBN: 0309222222

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Motivated by the explosion of molecular data on humans-particularly data associated with individual patients-and the sense that there are large, as-yet-untapped opportunities to use this data to improve health outcomes, Toward Precision Medicine explores the feasibility and need for "a new taxonomy of human disease based on molecular biology" and develops a potential framework for creating one. The book says that a new data network that integrates emerging research on the molecular makeup of diseases with clinical data on individual patients could drive the development of a more accurate classification of diseases and ultimately enhance diagnosis and treatment. The "new taxonomy" that emerges would define diseases by their underlying molecular causes and other factors in addition to their traditional physical signs and symptoms. The book adds that the new data network could also improve biomedical research by enabling scientists to access patients' information during treatment while still protecting their rights. This would allow the marriage of molecular research and clinical data at the point of care, as opposed to research information continuing to reside primarily in academia. Toward Precision Medicine notes that moving toward individualized medicine requires that researchers and health care providers have access to very large sets of health- and disease-related data linked to individual patients. These data are also critical for developing the information commons, the knowledge network of disease, and ultimately the new taxonomy.

NEJM Clinical Problem Solving

NEJM Clinical Problem Solving
Author: Sanjay Saint
Publisher: McGraw-Hill Professional
Total Pages: 308
Release: 2006-05-09
Genre: Medical
ISBN:

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Expert clinical problem-solving methods and guidance—from the editors and contributors of the New England Journal of Medicine This invaluable resource from the New England Journal of Medicine expertly addresses methods and challenges in clinical diagnosis. Including the peer-reviewed content of the NEJM’s renowned “Clinical Problem Solving” feature, this powerful resource is packed with case discussions from both ambulatory and hospital practice. Each Case Presentation reveals thought-provoking clinical and laboratory clues as the diagnostic considerations begin to emerge. Subsequent clinical detail and discussion and expert analysis add to the diagnostic picture until a final clinical diagnosis is reached. New England Journal of Medicine: Clinical Problem-Solving features: Published cases drawn from the New England Journal of Medicine reflecting actual patient-management situations that physicians experience in their everyday clinical practice Two brand new, never-before-published chapters on medical decision-making skills and methods Wide-ranging coverage of the major considerations in each case, from underlying pathophysiology to signs from the physical examination to lab testing strategies More than 100 full-color illustrations, tables, and algorithms Meticulously selected references that open up avenues for further study And much more! From cover to cover, New England Journal of Medicine: Clinical Problem-Solving presents the best case analysis, diagnostic thought processes, and problem-solving-- direct from master clinicians.

Medical History of Contraception

Medical History of Contraception
Author: Norman Edwin Himes
Publisher: Schocken
Total Pages: 564
Release: 1970
Genre: Medical
ISBN:

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"Both an exhaustive survey of many cultures over a period of three thousand years, and a thoughtful application of sociological discipline to the history of medicine, Medical History of Contraception is a fascinating introduction to the era of Humanae Vitae. 'Men and women have always longed for both fertility and sterility, each at its appointed time and in its chosen circumstance,' the author declares, and his book, first published in 1936, is a masterful collation of historical and anthropological evidence, from pre-literature Trobianders to semi-literate London. The bibliography of 1500 items, covering publications up to the mid-1930's, is a unique contribution to scholarship."--Publisher's description.

Making Healthcare Safe

Making Healthcare Safe
Author: Lucian L. Leape
Publisher: Springer Nature
Total Pages: 450
Release: 2021-05-28
Genre: Medical
ISBN: 3030711234

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This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

When Doctors Become Patients

When Doctors Become Patients
Author: Robert Klitzman
Publisher: Oxford University Press
Total Pages: 344
Release: 2008
Genre: Medical
ISBN: 0195327675

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For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.

Iconoclast: Abraham Flexner and a Life in Learning

Iconoclast: Abraham Flexner and a Life in Learning
Author: Thomas Neville Bonner
Publisher: Plunkett Lake Press
Total Pages: 410
Release: 2019-08-16
Genre: Biography & Autobiography
ISBN:

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Abraham Flexner (1866-1959), raised in Louisville, Kentucky in a family of poor Jewish immigrants from Germany, attended the Johns Hopkins University in the first decade of its existence. After graduating in 1886, he founded, four years before John Dewey’s Chicago “laboratory school,” a progressive experimental school in Louisville that won the attention of Harvard President Charles W. Eliot. After a successful nineteen years as teacher and principal, he turned his attention to medical education on behalf of the Carnegie Foundation. His 1910 survey — known as the Flexner Report — stimulated much-needed, radical changes in American medical schools. With its emphasis on full-time clinical teaching, it remains the most widely cited document on how doctors best learn their profession. Flexner’s subsequent projects — a book on medical education in Europe and a comparative study of medical education in Europe and America — remain unsurpassed in range and insight. For fifteen years a senior officer in the Rockefeller-supported General Education Board in New York City, he helped distribute grants — more than 6 billion in today’s dollars — for education in medicine and other subjects and started the Lincoln School in 1917. His devastating critique of American higher education (“Intellectual inquiry, not job training, [is] the purpose of the university.”) raised important questions, upsetting many educators. In 1930, Flexner created and led the Institute for Advanced Study at Princeton, convincing Albert Einstein to accept the first appointment at the new institute. “Iconoclast is a thoughtful, wonderfully crafted, solidly researched account of an uncommon life that far exceeds Abraham Flexner’s association with reform in medical education... Bonner’s labors have produced a critical, insightful portrait of Flexner as a brilliant, tireless, extraordinarily persuasive visionary. In addition to detailed portraits of the man ‘at the vortex of swiftly moving scientific, educational, and philanthropic currents’ in higher education in the United States, Bonner also provides an account of Flexner’s personal life... Iconoclast offers a learned portrait of the distance traveled in medical education during the past 100 years, along with consideration of the curricular and pedagogical problems that persist.” — Delese Wear, New England Journal of Medicine “Bonner’s great achievement in this scholarly and captivating book is to model Flexner’s critical appraisal skills in writing about him. Even Flexner himself lacked critical awareness in his autobiography... Bonner, on the other hand, offers a gentle and thoughtful appraisal. The elements that contribute to Flexner’s greatness — perseverance, vision, clear thinking, and fair mindedness — are all balanced with his weaknesses — an obstinate unwillingness to retract and clouded political insight... Bonner dissects Flexner’s contribution with meticulous scholarship, avoiding all cheap adulation or debunking. This is an outstanding book.” — Ed Peile, British Medical Journal “The book offers historical insights about philanthropy, educational reform, and institutional governance and decision making... In Bonner’s capable hands, Flexner emerges an interesting figure whose successes are combined with contradictions and shortcomings.” — Amy E. Wells, Academe “An outstanding and thorough study of this remarkable American educator who, more than anyone before or since, defined what a medical school should be, left indelible marks on public education, and founded one of the most innovative centers of advanced study in the world. Bonner adroitly portrays in this masterful biography what America and the world owes to Flexner for his vision, creativity, tenacity, and advocacy of progressive education.” — John S. Haller, Jr., Journal of American History “Few nonphysicians have had as profound and long-lasting an effect on modern American medicine as Abraham Flexner... An excellent book about a highly significant and neglected figure.” — Janet A. Tighe, Ph.D., JAMA (Journal of the American Medical Association) “Not only fills a major void but also provides an important evaluation of an individual whose contributions to education and a variety of social problems have generally been overlooked... Bonner’s biography restores Flexner to the position of importance that he merits... This biography is a major addition to American historiography.” — Gerald N. Grob, Journal of the History of Medicine and Allied Sciences “Excellent... Deeply researched, carefully presented... This thorough, creative biography adjusts our view of this powerful man so engaged in an astounding array of twentieth-century educational developments.” — Linda Eisenmann, H-Net “Thanks to Thomas Bonner’s Iconoclast, we finally have the biography Flexner deserves and readers seek.” — John R. Thelin, Journal of Higher Education “If you want to know why more than half of the Nobel Prizes in medicine and science since 1945 have gone to Americans, you must read Thomas Bonner’s book. Abraham Flexner was the architect of a revolution in medical education in the United States that explains how this country became the medical mecca of the world. Bonner brings Flexner’s remarkable story to life with clarity, sympathy, and verve.” — James H. Jones, author of Bad Blood and Alfred C. Kinsey: A Public/Private Life “At last we have a life of one of the most powerful shapers of medicine, science, and higher education. This beautifully crafted life of Flexner will rescue a giant of his times from fragmentation and, sometimes, misunderstanding. Bonner has written not only a very important book but a deeply thoughtful and searching interrogation of recurrent social and moral problems that take on life and meaning in a concrete, historical setting.” — John C. Burnham, Ohio State University “Abraham Flexner was one of the great innovators in education of the twentieth-century. Thomas N. Bonner, a distinguished historian as well as an educator/manager, is the biographer Flexner deserves.” — Daniel M. Fox, President, Milbank Memorial Fund, Perspectives in Biology and Medicine “This biography is a solid, well-researched study of a towering figure in American biomedical research.” — Darwin Stapleton, Rockefeller Archive Center “This is a brilliant, beautifully crafted, and much needed biography of one of the legendary figures in American medicine and higher education. Once again Thomas Bonner has shown that he is one of the great medical historians of our time.” —Kenneth M. Ludmerer, Washington University “Though [Abraham] Flexner wrote an autobiography, until now we have had no comprehensive biography. Fortunately, Thomas Bonner has filled that gap with Iconoclast. As a former university president with significant experience working with donors, Bonner is well qualified to understand his subject.” — Martin Morse Wooster,Philanthropy “As Thomas Bonner relates in his excellent biography, [Abraham] Flexner initiated several... significant developments in American secondary and higher education over some three-quarters of a century.“ — David Mitch, History of Education Quarterly “Iconoclast captures the boldness as well as the sweeping impact of Flexner’s work in the field of American education in the first half of the twentieth century.“ — Adam R. Nelson, Paedagogica Historica

Demystifying Psychiatry

Demystifying Psychiatry
Author: Charles F. Zorumski
Publisher:
Total Pages: 241
Release: 2010
Genre: Medical
ISBN: 019538640X

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Psychiatry is arguably the most misunderstood specialty in modern medicine and psychiatrists are often thought of as part physician, part confessor, part police officer, and part shaman. In Demystifying Psychiatry, two eminent psychiatrists offer an illuminating look at the entire field, offering a clear and informative portrait of a medical specialty often clouded in myth. Zorumski and Rubin range from a basic discussion of what psychiatry is, to the types of illnesses psychiatrists treat, the training of psychiatrists, the treatment of psychiatric disorders (covering medications, psychotherapy, lifestyle interventions, electroconvulsive therapy, and much more), and how families can help with treatment. They caution the consumer about practices that should raise red flags. The book also covers new trends in psychiatry and explores the future of the field, predicting that major advances in genetics and neuroscience will lead to rapid and amazing changes in psychiatry. The book concludes with extensive reference materials that will be valuable both to general readers and medical practitioners.

Unequal Treatment

Unequal Treatment
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 781
Release: 2009-02-06
Genre: Medical
ISBN: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.