Compassion draws physicians into medicine, but then they believe they must jettison that compassion to survive. Paradoxically, science has now shown that losing that compassion not only harms the patient, it also harms the doctor. How Doctors Care: The Science of Compassionate and Balanced Caring in Medicinee xplains what physicians and other clinicians can do to provide balanced and compassionate caring for patients without becoming emotionally detached or overwhelmed. The text provides a research-informed and non-sentimental description of physician/clinician compassion. Bringing together cutting-edge scientific research for practicing physicians and those in training, How Doctors Care provides the first full articulation of what constitutes optimal compassionate mental performance in the practice of medicine. It argues how maintaining this internal state is the key to physician resilience and fulfillment in a dysfunctional healthcare system. Rather than blaming clinicians for burnout, How Doctors Care argues that healthcare organizations must provide organizational protection and support to clinicians so that they are able to maintain the compassionate internal state they desire so much and that benefits patients the most. Dominic O. Vachon, M.Div., Ph.D., is the John G. Sheedy M.D. Director of the Ruth M. Hillebrand Center for Compassionate Care in Medicine in the College of Science at the University of Notre Dame. He is also a professor of practice in the Preprofessional Studies Department, where he teaches courses in compassionate care in medicine, medical counseling skills, and spiritualties of caring in the helping professions. Dr. Vachon does research on the internal mental and emotional process of the clinician compassion mindset in patient care, clinician communication skills, and innovations in medical training applying the science of compassion. Dr. Vachon has devoted the last 25 years of his professional career to supporting and training physicians, residents, medical students, premedical students, and other clinicians in patient communication skills as well as dealing with burnout and the recovery of compassionate care in the inner lives of clinicians. As a medical psychologist who has spent most of his life training new physicians as well as conducting his own clinical practice, Vachon has been uniquely positioned to hear how physicians suffer in clinical practice and to bring to bear the insights of the science of compassionate caring to help them restore their compassionate ideals and thereby, to improve patient care.

“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

This is the essential insider's guide for anyone who has to make healthcare decisions - for yourself or your loved one.

-An excellent resource for pre-med students and medical school advisors. -Possible adoptions for courses in Medical Humanities (pre-med undergraduate and medical school/graduate, first two years) and Family Practice Clerkship (medical school/graduate) -In-depth profiles reveal the everyday reality of the shortage through poignant stories and candid dialogue. -The foreword is written by Dr. Robert Taylor (Family Medicine; Fundamentals of Family Medicine)

A doctor on the front lines of hospital care illuminates one of the most important and controversial social issues of our time. It is harder to die in this country than ever before. Though the vast majority of Americans would prefer to die at home—which hospice care provides—many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to “fight disease and illness at all cost.” Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that how we die represents a national crisis today. To ensure the best possible elder care, Dr. Byock explains we must not only remake our healthcare system but also move beyond our cultural aversion to thinking about death. The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning life-or-death medical drama. It has the power to lead a new national conversation.

This study of the caring dimension of medicine examines the central role of touch and procedure in building doctor-patient trust. It explores the impact of technology, the Internet, and patient rights on doctor-patient relationships, and develops proposals to recruit and train primary care physicians who are both caring and procedurally oriented.