Nather is of the National University Hospital Bone Bank, Singapore.
Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.
Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.
At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.
Complications is a 2002 National Book Award Finalist for Nonfiction.
The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable.
At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.
Often humorous and always informative, these essays cover a broad range of medical subjects. Weisse tackles medical ethics, offers advice to medical and premedical students and their families, delves into unusual episodes in medical history, confronts considerations of aging and self-image, and discusses the vagaries of rewards and recognition available from medical research. He also examines honesty in medical thinking, investigates ways of dealing with bureaucracies, and considers ways of learning to live with oneself. Finally, he evaluates the changing nature of medicine and medical research and looks into the roles of minorities and women in medicine.
Weisse knows whereof he speaks, enlivening each essay with personal anecdotes. When he explains past and current medical school admissions policies, for example, he approaches the subject with the combined knowledge of a former premedical student, a medical student, a faculty member, and an admissions chairperson over the past thirty years. As a medical researcher whose chief turned against him, he certainly knows what he is talking about in "Betrayal." He also writes with authority in his humorous account of how he, as a senior physician, struggles to keep on top of the overwhelming onslaught of medical advances ("Confessions of Creeping Obsolescence"). And in an essay to boost all of our spirits, he tells how an ivory tower physician (Weisse himself) gets drawn up in the service of the IRS bureaucracy and winds up tweaking its nose a bit ("In the Service of the IRS").
Perhaps nothing better illustrates the vigor, wit, and élan that characterize Weisse’s essays than his titles. "On Chinese Restaurants" deals with unusual syndromes and the way in which they have evolved and affected the way we look at ourselves. Other titles are "Pneumocystis and Me," "The Vanishing Male," "Say It Isn’t 'No," "Bats in the Belfry or Bugs in the Belly?: Helicobacter and the Resurrection of Johannes Fibiger," and "PC: Politically Correct or Potentially Corrupting?"
Finally, two words in this book’s subtitle succinctly characterize Weisse’s essays: pertinent and impertinent--germane and irreverent information rakishly presented.
Ideal for the pre-clinical years and USMLE candidates,Medical Sciences at a Glance: Practice Workbookfeatures:
• An introductory section featuring step-by-stepguidance on exam technique and papers
• Over 390 questions of varying formats - and fullexplanations to the answers
• A topic-based structure reflecting vital foundationconcepts, including anatomy, physiology, pathology andpharmacology
Medical Sciences at a Glance: Practice Workbook meets theneeds of medical students with a spectrum of educational approachesin mind. Whatever your course type, working through this book willgive you the advantage when it comes to basic science exams.
· Explore consulting as a way to improve patient care
· Lay the foundation for a career in academic medicine
· Provide leadership in healthcare
· Strengthen ties between a clinic and the community
· Broaden one’s experience as a medical student
· As a journalist or writer, open a window onto medicine for non-experts
Some physicians will pursue another degree, while others may not, in anticipation of moving into public service, business, education, law, or organized medicine. Their common ground is the desire to enhance their professional fulfillment.
Drs. Urman and Ehrenfeld’s book features individual chapters on the wide array of non-traditional careers for physicians, each one written by an outstanding leader in medicine who him- or herself has successfully forged a unique career path. A final chapter brings together fascinating brief profiles – “case studies” – of physicians who have distinguished themselves professionally outside of traditional settings.
Suitable for readers at any point in their medical career – practitioners, fellows, residents, and medical students – who want to explore possibilities beyond traditional medical practice, the book also sets out common-sense advice on topics such as work-life balance, mentorship, and the relationship between personality and job satisfaction.
“This is a resource for success and should be a part of any researcher's library."
--Doody's Medical Reviews (Praise for the First Edition)
Written for researchers, clinicians and doctoral students, the newly revised edition of this comprehensive reference continues to deliver the essentials of intervention research with added content on evidence-based quality improvement, a must for improving healthcare quality, safety and population health outcomes. Although typically it takes years for research-based interventions to make their way to real world clinical settings, this “prolonged time for translation” frustrates researchers and their interprofessional teams. This second edition now delves even deeper into key strategies for rapidly moving research-based interventions into real world settings in the form of evidence-based quality improvement as well as the challenges of working in an increasingly diverse professional research environment.
Intervention Research and Evidence-Based Quality Improvement, Second Edition begins at the pilot study phase for intervention research and highlights every step of the way through to full-scale randomized controlled trials. Written in user-friendly format, content covers designing, conducting, analyzing, and funding intervention studies that improve healthcare quality and people’s health outcomes. Chapters cover writing grant applications and show examples of actual applications that have been funded by NIH and other organizations. These real-life samples are available online, alongside additional progress reports and final reports. Real-world examples of evidence-based quality improvement projects that have improved outcomes also are highlighted in this second edition.
New to the Second Edition:Describes evidence-based quality improvement and specific steps in conducting EBQI projects, which are essential for enhancing healthcare quality, safety and costs along with enhancing population health outcomes.Emphasizes the importance of interprofessional teamsFocuses on using research-based interventions in real-world settingsSix new chapters
o Generating Versus Using Evidence to Guide Best Practice
o Setting the Stage for Intervention Research and Evidence-based Quality Improvement
o Evidence-based Quality Improvement
o Translational Research: Why and How
o Factors Influencing Successful Uptake of Evidence-Based Interventions in Clinical Practice
o Using Social Media to Enhance Uptake of Research-Based Interventions into Real World Clinical Settings
Key Features:Provides a practical, comprehensive resource for designing, conducting, analyzing, and funding intervention studiesOutlines the specific steps in designing, conducting and evaluating outcomes of evidence-based quality improvement projectsIncludes examples of funding research grants, progress reports, and final reportsServes as a core text for students in doctoral nursing and other health sciences programs