How Doctors Think has ratings and reviews. Kirsti said: Things that you should find worrisome if a doctor says them to you or a loved one:*. In this very engaging and well-researched book, Jerome Groopman, a practicing oncologist with expertise in AIDS-related malignancies. ‘a series of illuminating essays that explore the rational and irrational factors that influence medical decision-making which Dr. Groopman, a clear writer and a.

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Is it possible I have more than one problem? Why did several physicians fail to diagnose Maxine Carlson’s ectopic pregnancy until the day it ruptured? Combining 30 years of dedication to internal medicine with a reputation as an accomplished essayist, Jerome Groopman, MD, has produced a fascinating tome exploring the minds and thinking processes of physicians.

I found a wealth of research that modeled “optimal” medical decision-making with complex mathematical formulas, but even the advocates of such formulas conceded that they rarely mirrored reality at the bedside or could be followed practically.

One example — a woman who was underweight, suffering from loss of bone and kidney issues, who went from one doctor to another and had a case file which labeled her as suffering from anorexia and bulimia. Her internist had told her that Dr.

How Doctors Think

Commentary If How Doctors Think has one limitation, it is that Groopman tends to assume that wrong decisions were necessarily “bad” decisions. Everyone needs to be their own advocate for their health care. I was the attending physician on “general medicine,” meaning that it was my responsibility to guide this team of trainees in its care of patients with a wide variety of clinical problems, not just those in my own specialties of blood diseases, cancer, and AIDS.


Can Jerome Groopman be my doctor? I then was lucky to meet my friend’s cousin, a Harvard Med student, who within moments said “you don’t even have the right symptoms for carpel tunnel – you have a pinched nerve in your neck and any surgery to your wrist would just cause you more pain and discomfort”. Maybe one day she would be, as she put it, “whole” again. I felt that if I became more aware of my own way of thinking, particularly its pitfalls, I would be a better caregiver.

Anne Dodge had lost count of all the doctors she had seen over the past fifteen years. Her primary care doctor had opposed the trip, arguing that Anne’s problems were so long-standing and so well defined that this consultation would be useless.

The best doctors, he shows, have learned what guides Dr. I recommend this book for all physicians, regardless of the type of medicine they practice.

How doctors think

This is an doctorw disorder, in essence an allergy to gluten, a primary component of many grains. I was concerned about the lack of give-and-take among the trainees, but even more I was disappointed with myself as their teacher.

He includes discussions on how radiologists process visual data, how doctors make decisions about prescriptions, how oncologists balance treatments, side effects, patient preference and doctor bias in order to design a treatment plan, how pharmacy companies influence doctor care, etc. Finally, Groopman could have drawn more on a growing body of neurocognitive research that could offer a hhink understanding of how unexamined preconceptions can alter the way we perceive clinical data.

That ignorance inhibits us from successfully communicating with the doctor, from telling him all that he needs to hear to come to the correct diagnosis fhink advice on thonk best therapy. Jan 25, Kirsti rated it really liked it Shelves: Do a doctor’s emotions—his like or dislike of a particular patient, his attitudes about the social and psychological makeup of his patient’s life—color his thinking?


He also seemed to fix on the little loose stool that remained in her rectum. Now she had a new chance to restore her health.

How Doctors Think – Wikipedia

Now, in the middle of my third year of medical school, I understand more about the process of arriving at a differential diagnosis and the book had significance to me in a way it did not before.

Instead, he looked carefully at her skin and then at her palms. I enjoyed this book a lot. Jerome Groopman, a staff writer at The New Yorkerhas written a book about how doctors make decisions regarding their patients.

Medical school admissions committees no longer accept a record of gentlemen’s C’s at an Ivy League college. The rest of the book, however, feels incomplete. Sometimes a radiologic study can be re-examined, or repeated for better clarity.

The mechanisms to cope that Fox observed included, for example, black humormaking bets about who would be right about a patient’s prognosis, and engaging in magical thinking to maintain a sense of poise and competence in front of patients while performing circumspect procedures.

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Trainees observed senior physicians the way apprentices observed master craftsmen in a medieval guild, and somehow the novices were supposed to assimilate their elders’ approach to diagnosis doctofs treatment. This is Bayesian analysis, a method of decision-making favored by those who construct algorithms and strictly adhere to evidence-based practice.