Manners, Morals, and Medical Care : How to Be an Effective Physician

This book is a unique reference for medical students, residents, and allied healthcare workers who are just entering the medical field. It outlines in an anecdotal, yet pedagogical manner what one should expect and what is expected of an individual when embarking on a career at a clinic or hospital. Organized into two sections, the book defines in clear terms student responsibilities, expectations, and appropriate collegial interactions through the implementation of historical, moral, and ethical narrative techniques. Chapters discuss the justification of “medical professionalism” as defined in medical school core curriculum, and how and why such ideological norms exist. The book employs clinical scenarios based on incidents chosen to illustrate appropriate behavioral guidelines. The book also addresses common but difficult interpersonal problems all practitioners deal with that require empathy including delivering bad news, working with families, sexual harassment, the importance of diversity, and burnout in the work place. Each chapter includes short biographies meant to give context of the integral role of medicine in the development of our modern complex diverse society.Comprehensive, socially conscious, and written in an engaging yet didactic narrative style, __Manners, Morals, and Medical Care__ serves as an authentic source and a practical guide on the responsibilities of a practitioner when caring for patients. Preface Acknowledgments Contents Contributors About the Editors Part I: The Importance of Being Professional Chapter 1: Introduction Introduction Courtesy and Civility as a Corner Stone of Practice The Hidden Curriculum Meeting Expectations Practicing Manners-Based Medicine References Chapter 2: Medical Professionalism Ideology of Medical Professionalism The Hippocratic Oath, John Gregory, and Modern Concepts of the Doctor-Patient Relationship Medical Bioethics and Moral Principles of Medical Practice Changing Attitudes About Physicians External Forces on Healthcare Delivery References Chapter 3: Manners, Morals, and Medicine Manners Versus Etiquette Changing Social Conventions Is Civility Pertinent in Medicine? Evolution or Revolution Transformation on the Medical Wards Medical Students Learn Their Behaviors at the Bedside Learning from Mentors It Is All About Respect Do Good Manners Need Guidelines? References Chapter 4: Compassion and Communication in Caring for Patients Civility and Respect Improve Patient Care Rules of Etiquette Educating Your Patients About What to Expect Communication with Your Colleagues References Chapter 5: How to Act as an Effective Physician The Essence of Bedside Manners Improving Communication Changing Times Changing Behavior Trust in Patient Care Doctor-Patient Relationship Teaching the Lost Art of Healing Threats to the Doctor-Patient Relationship Set an Example References Chapter 6: Responding to Bias, Bullying, and Harassment Case Study History of Diversity in Medicine What Qualifies as Bullying or Harassment? Hierarchy and Its Relationship to Harassment and Bullying Responding to Bias, Discrimination, or Harassment Structural Changes Conclusion References Part II: Providing Quality Care Chapter 7: A Welcoming Office First Impressions Manners Matter Why Is the Patient Here? The Importance of Empathy Patient-Doctor Relationship Placing the Patient First Waiting, Waiting, Waiting The Patient’s Medical History The Physical Exam: Naked Patients Chaperones Completing the Consultation Anyone Can Improve Patient Care Social Media: Use and Abuse References Chapter 8: A Challenging Experience: Inpatient Care Considering the Patient First The Emergency Department The Cost of Caring The Hospital Inpatient Service Case Studies Communication on the Hospital Floor Who Is in Charge? Medical Manners and Working with Patients and Family in the Hospital Caring for the Patient Dialogue with the Family Considering Abusive and Disruptive Behavior Case Study References Chapter 9: Breaking Bad: Bad News, Unexpected News, and Hope References Chapter 10: Special Considerations in Pediatrics: “[A] child is not a little adult...” Caring for the Teenager Immunizations The Importance of Being Hopeful Professionalism in Pediatrics References Chapter 11: Burnout: A Burgeoning Twenty-First-Century Problem Challenges to a Successful Career What Is Burnout? What Is Moral Injury and How Does It Impact Providers and Patients? How Does Moral Injury Affect Healthcare? Who Is Affected? Why Moral Injury Is a Twenty-First-Century Problem? What Can Be Done? Heading into Practice References Chapter 12: The Joy of Medicine Renewing the Passion Clinical Research Is Fulfilling A Medical Degree Opens Many Nonclinical Career Choices Elements of a Successful Career References Index "This book is a unique reference for medical students, residents, and allied healthcare workers who are just entering the medical field. It outlines in an anecdotal, yet pedagogical manner what one should expect and what is expected of an individual when embarking on a career at a clinic or hospital. Organized into two sections, the book defines in clear terms student responsibilities, expectations, and appropriate collegial interactions through the implementation of historical, moral, and ethical narrative techniques. Chapters discuss the justification of "medical professionalism" as defined in medical school core curriculum, and how and why such ideological norms exist. The book employs clinical scenarios based on incidents chosen to illustrate appropriate behavioral guidelines. The book also addresses common but difficult interpersonal problems all practitioners deal with that require empathy including delivering bad news, working with families, sexual harassment, the importance of diversity, and burnout in the work place. Each chapter includes short biographies meant to give context of the integral role of medicine in the development of our modern complex diverse society. Comprehensive, socially conscious, and written in an engaging yet didactic narrative style, Manners, Morals, and Medical Care serves as an authentic source and a practical guide on the responsibilities of a practitioner when caring for patients."--Quatrième de couverture