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.

Author: Kigaramar Akinolkis
Country: Monaco
Language: English (Spanish)
Genre: Art
Published (Last): 14 February 2017
Pages: 55
PDF File Size: 20.71 Mb
ePub File Size: 19.83 Mb
ISBN: 773-8-39300-807-4
Downloads: 83359
Price: Free* [*Free Regsitration Required]
Uploader: Zulkidal

I think that this discounts the importance of psychological problems — seeing them as a catch-all for things that the physician cannot explain — and creates a rift between the patient and physician where the physician, failing to diagnose the patient, turns doctorss psychiatry.

Given the complexity of clinical decision making, and the many cognitive errors physicians may fall prey to, patients can improve their own care by helping their doctors minimize or avoid such errors.

How doctors think

Now she was tumbling forward, swept along as she had been as a child on Cape Cod when a powerful wave caught her unawares.

She was taking anti-nausea medication that had greatly reduced the frequency of her vomiting but did not help the diarrhea. Apr 20, Book Concierge rated it liked it Shelves: In the theory, “availability” is defined as the tendency to judge the likelihood of explanation for an event by the ease with which relevant examples come to mind. Likewise, they tend not to acknowledge ambiguity.

I didn’t miss it because of any egregious behavior or negligence. No one had had an illness like hers.

  AC43 13 1B PDF

Groopman’s storytelling dkctors permits him to convey complex concepts e. On presenting himself to the emergency room with complains of fatigue and swelling in his legs and abdomen, this man was quickly assumed to have alcoholic cirrhosis. To establish a more organized structure, medical students and residents are being taught to follow preset algorithms and practice guidelines in the form of decision trees.

A few of [the physicians at Philips House] were highly skilled, but several were, at best, marginal in their clinical acumen. Groopman always uses “he” when referring to doctors in general.

How Doctors Think – Wikipedia

His accent is hard to place, and his speech has an almost musical quality. After a meal, she would feel as if a hand were gripping her stomach and twisting it. I suspect each older generation carries with it the notion that its time and place, seen through the distorting lens of nostalgia, were superior to those of today.

Groopman, an groompan, looks at the way doctors perceive data and make judgments about patient care. 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.

Often, decisions made this way are correct, but groompan crucial moments they can also be wrong — with catastrophic consequences.

A book that helps clinicians to assess the way they think, and to try eliminating the diagnostic errors by diagnosing the doctors’ thinking pitfalls anchoring, attribution and availability types of errors. What else could it be?

Falchuk had given her permission to open the floodgates, and a torrent of painful memories poured forth. The epilogue offers words that patients, their families, and their friends can use to help a physician or surgeon think, and thereby better help themselves.


Three major themes run hkw the book, and each is presented with several variations. I enjoyed this book a lot. If there is one lesson here, do not be a passive bystander in your medical care. Groopman suggests three specific questions to help a physician see through common errors in thinking and come to a better solution: I found most frustrating the medical stories.

By continuing to use our website, you are agreeing to our privacy policy. I wasn’t one of the hematologists who evaluated Anne Dodge, but I could well have been, and I feared that I too could have failed to recognize what was missing in her diagnosis. This contradicts one of the major running themes in this book: But instead of losing power, the doctor becomes empowered by the invitation to collaborate with others, particularly the patients themselves.

It is an easy read, engaging, and can be shared with family and friends. Medical school admissions committees no longer accept a record of gentlemen’s C’s hod an Ivy League college. I would recommend it to anyone who is a doctor, hoping to be a doctor, or someone who is interested in medicine or decision making.