Doctors are taught how to cure people. But they don’t always know how to care for them. Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional healthcare system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us. Uncaring draws an original and revealing portrait of what it’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.
This book engages topical and problematic issues regarding the impacts of cultural change on traditional healing beliefs and practices in both developing and developed nations. It describes issues ranging from the attrition of cultural heritage knowledge, or traditional knowledge (TK), to the implications of unconventional modern and traditional healing in various guises encountered during projects that entailed research fieldwork in communities of Australia, Africa and within institutions of mainstream healthcare in the United States. Furthermore, it explores philosophical aspects of contemporary complementary medicine practices. This book has pertinence for many practitioners and consumers of traditional non-medical forms of health practices, and relevance for the theoretical body of understanding related to these diverse fields. In particular, the individual chapters describe topics important to indigenous persons, people living in rural areas, those with mental illnesses, practitioners of Chinese medicine and massage therapy, practitioners and consumers of traditional Western herbal medicine, social theorists interested in unconventional health domains, and US veterans seeking adjunctive wellbeing care and advice alongside medical treatment, It also provides a chapter with information dedicated to their medical and complementary wellbeing providers. In the contemporary context, for Western countries such as US, UK and Australia, non-biomedical treatments are generally grouped together under the common term Complementary and Alternative Medicine (CAM), or more recently Complementary and Integrative Healthcare (CIH). In developing countries such as Africa, and in relation to indigenous healing (for instance, in many communities in remote Australia where there is a concentrated population of Aboriginal and Torres Strait Islander people), heritage healing practices and unconventional approaches to healthcare, including spiritually-focused and specific cultural approaches to managing diseases, may instead be termed traditional healing. Much health research today is geared towards securing quantitative outcomes that fortify the significant gains advanced by biomedicine in treating disease. However, the global spread of biomedical practices and ways of conceptualising health unfortunately follows in the footsteps of centuries of Western social and economic global colonisation, and thereby represents a current ongoing process of deep colonisation. The cultural shift brought about by this process has wrought deep and lasting changes in the body of heritage practices and beliefs that belong to culturally-situated healing traditions, and in the retention of TK associated with such healing. This book presents several chapters of anthropological and qualitative research, which contribute to literature describing this process of cultural change and its impacts. It offers suggestions and commentary regarding the value of CAM and traditional healing to: 1) Promote wellbeing; 2) preserve traditional knowledge and medicinal plant species; 3) address specific health problems and the needs of population groups; and 4) extend a willingness to accept and incorporate essential CAM healthcare services, holistic beliefs and new understandings of well-being, alongside Western biomedicine.
Attaining professional success and finding personal happiness in academic medicine is not an easy path, yet both are critical if the future is to be brighter through better science, better clinical care, better training, better responsiveness to communities, and better stewardship and leadership in the health professions. This concise, easy to read title consists of “mini” chapters intended as a resource to assist early- and middle-career physicians, clinicians, and scientists in understanding the unique mission of academic medicine and building creative, effective, and inspiring careers in academic health organizations. Organized in eight sections, the Guide covers such areas as finding your path in academic medicine, getting established at an institution, approaching work with colleagues, writing and reviewing manuscripts, conducting empirical research, developing administrative skills, advancing your academic career, and balancing your professional and personal life. Each chapter includes pointers and valuable career and “best practices” strategies in relation to the topic area. An exciting addition to the professional development literature, Achievement and Fulfillment in Academic Medicine: A Comprehensive Guide is an indispensable resource for anyone seeking to achieve a fulfilling career in academic medicine.
Arts Therapies and Gender Issues offers international perspectives on gender in arts therapies research and demonstrates understandings of gender and arts therapies in a variety of global contexts. Analysing current innovations and approaches in the arts therapies, it discusses issues of cultural identity, which intersect with sex, gender norms, stereotypes and sexual identity. The book includes unique and detailed case studies such as the emerging discipline of creative writing for therapeutic purposes, re-enactment phototherapy, performative practice and virtual reality. Bringing together leading researchers, it demonstrates clinical applications and shares ideas about best practice. Incorporating art, drama, dance and music therapy, this book will be of great interest to academics and researchers in the fields of arts therapies, psychology, medicine, psychotherapy, health and education. It will also appeal to practitioners and teachers of art, dance-movement, drama and music therapy.
In the 21st century, academic medical centers across the United States continue to make scientific breakthroughs, to make improvements in patient care, and to p- vide the most advanced information and guidance in matters affecting public health. The signs of growth are everywhere—in new research buildings, new pa- nerships with industry, new forms of molecular medicine, and new sensitivity to the role of the human spirit in healing. This growth is due in large part to the dedication and productivity of our faculty, who are providing more patient care, more research, more teaching, and more community service than ever before. Today, there are roughly 135,000 physicians, scientists, and other faculty wo- ing at approximately 125 academic medical centers around the country. Increasingly, they are asked to do more with less. Since the 1990s, academic medical centers in the United States have lost the financial margin they once enjoyed, thereby putting new pressures on research, education, and clinical care. Medical school faculty, previously given funded time for teaching and research, are increasingly drafted to bring in clinical revenues to cover their salaries. Dedicated to the missions of research, teaching, and care, our faculty have responded well to these challenges and perform at a very high level. However, we are beginning to see the results of ongoing stress.
Contemporary confluences of leadership decision-making and citizenship behavior often unintentionally contribute to the depletion of the world’s resources – escalating health, education, and social crises, as well as community, societal, and cultural struggles – to adapt to emerging global shifts. Leadership and management practices in this context affect the wellbeing of organizational members (e.g., their safety, health, financial security, etc.) but also entail positive or negative impacts on consumer practices and collective community well-being (e.g., education, obesity, cancer, safe or green driving, energy conservation, diversity based health care, etc.). Decision-making in most businesses and organizations is largely responsive to demands for short-term profit or cost minimization. On the consumer side, both cultural values and the corporate marketing practices that sustain them encourage high levels of consumption necessary to sustain corporate practices. In exploring the emerging applications of behavior science to these challenges, this book showcases emerging work by internationally recognized scholars on leadership and cultural change. The book will aid organizations and leaders in creating new models of stewardship, and will open opportunities for innovation while adapting and responding to growing social upheaval, technological advances, and environmental concerns, as well as crises in the global economy, health, education, and environment. This book was originally published as a special issue of the Journal of Organizational Behavior Management.
This is an open access book. The book provides an overview of the state of research in developing countries – Africa, Latin America, and Asia (especially India) and why research and publications are important in these regions. It addresses budding but struggling academics in low and middle-income countries. It is written mainly by senior colleagues who have experienced and recognized the challenges with design, documentation, and publication of health research in the developing world. The book includes short chapters providing insight into planning research at the undergraduate or postgraduate level, issues related to research ethics, and conduct of clinical trials. It also serves as a guide towards establishing a research question and research methodology. It covers important concepts such as writing a paper, the submission process, dealing with rejection and revisions, and covers additional topics such as planning lectures and presentations. The book will be useful for graduates, postgraduates, teachers as well as physicians and practitioners all over the developing world who are interested in academic medicine and wish to do medical research.
Systemic racism profoundly affects the medical education work and learning environment, from the staff and faculty who are the backbone of every medical school, to what and how medical students are taught, who teaches them, and how they are supported and evaluated. Achieving Antiracism in Medical Education addresses the underlying root causes of racism in medical education— its culture, values, and mental models—and offers practical, real-world strategies for transforming its culture instead of merely reacting to crises and solving discrete problems.• Offers a ground-breaking, five-phase approach to dismantling racism in medical education with a strategy that is broadly transformative, lifelong, people-dependent, and responsive to the world around us.• Offers activity-led guidance for medical education—from readiness and engagement through implementation, change management, and sustainability.• Provides practical tools and guidance to establish a self-sustaining cycle, including downloadable forms and worksheets.• Written by authors who have established a thriving antiracism program at Icahn School of Medicine at Mount Sinai and schools who have participated in their framework.• Includes student perspectives.• An outstanding resource for faculty, staff, students, administrators, and leaders in medical education, as well as those in other areas of health care who provide education and training.• An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, make notes and highlights, and have content read aloud.N/A