The same shortcuts that help physicians save lives can also lead to grave errors. Jerome Groopman on the psychology of diagnosis. In this very engaging and well-researched book, Jerome Groopman, a practicing oncologist with expertise in AIDS-related malignancies. In the hands of Jerome Groopman, professor of medicine at Harvard and One of the messages of “How Doctors Think” is that patients need to.
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Thanks for telling us about the problem. Return to Book Page. How Doctors Think by Jerome Groopman. 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 thnik. In this myth-shattering book, Jerome Groopman pinpoints the forces a On average, a physician will interrupt a patient describing her symptoms within eighteen seconds.
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 griopman 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 groompan diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.
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. Hardcoverpages. Published March 19th by Houghton Mifflin Harcourt first published To see what your friends thought of this book, please sign up.
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See 1 question about How Doctors Think…. Lists with This Book. Jan 25, Kirsti rated it really liked it Shelves: Things that you should find worrisome if a doctor says them to you or jerpme loved one: Is it possible that I left out something important that I don’t realize is important?
What about a false negative rating? Do you want to call or e-mail me, or should I schedule another appointment? Doctors notice an apparent refusal to follow diet, exercise, and medication regimes but do not always realize that other factors such as illiteracy may be the reason for noncompliance.
Excellent and thoughtful book, but I subtracted one star for a minor problem: Groopman always uses “he” when referring to doctors in general. This groopmsn me crazy because he’s trying to note differences in groopmaan and younger doctors, and I think a rather substantial difference is that about half of younger doctors are female.
Also, many of the most successful and thoughtful doctors he interviews are thin. He refers to patients in general as “they. View all 14 comments. Everyone needs to be their own advocate for their health care. A good first step is to understand how doctors think, and that’s what this book attempts to do. The book generally focuses on the problem of incorrect diagnoses. Following each example of incorrect diagnosis there jeerome an analysis of the reasons why the errors were made.
Jeroome the authors suggests ways doctors and patients can avoid similar problems in the future. There are numerous ideas and suggestions for patients to use in improving Everyone needs to be their own advocate grkopman their health care. There are numerous ideas and suggestions for hoow to use in improving their chances of being correctly diagnosed. Generally speaking my reaction to most of the examples in the book was that the docors are human, and they can slip up occasionally.
Incidentally, that’s about the same rate of accuracy as modern weather forecasting. What I was most alarmed to learn about was how inaccurate radiologist and pathologists were. After hearing the accuracy rates for those professions, I think it to be unwise to allow a serious operation be performed based upon the test results reported by a single radiologist or pathologists.
The author is a doctor himself. One of the most interesting examples in the book was his own personal story of finding a solution for pain in his right hand.
How Doctors Think
I lost count, but I think he visited about six different specialists trying to find a solution to the problem. I noticed that his wife, who’s also a doctor, insisted on coming along to some of the visits with doctors to make sure her husband would ask the corrrect questions.
He used his medical connections to get in to see what are considered to be the top experts in the nation, and even he was unhappy with the way he was treated. If he wasn’t happy, imagine what happens to the rest of us.
However, if he had gone forward with about 4 of the 6 proposed operations, the result would have either been no improvement or maybe ending up in a worse condition. But most doctors get most diagnoses right most of the time. The questions Groopman asks are crucial: What assumptions do doctors make about patients that lead to misdiagnoses?
And what can you, the patient, do to help your doctor think clearly and avoid fatal jumps to conclusions? This is one book that can definitely improve your health. View all 11 comments. Dec 22, Ali rated it it was amazing Recommends it for: How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment.
The book is loosely laid out in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab tests, the differential diagnosis which is al How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment.
The book is loosely laid out in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab tests, the differential diagnosis which is also spread throughout the booktreatment and other factors that may influence a physician with respect to a patient. The first time was during my second year of medical school and I re-read my review of it, remembering how confusing just the process of arriving at a differential diagnosis can be.
Last year when I read the book, I read it almost as a patient more than a physician. 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. The main lessons that I gleaned from the book: 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 to psychiatry.
I also thing that he did not take into account one major thing — disbelief of the patient.
‘How Doctors Think’
I saw an intern groan and moan about this patient who had a number of complaints and appeared to be annoying her — the patient turned out to have groopmna colon cancer. I think that this plays a large role in the patient — jeromf interaction and should be studied more closely. I loved this book, I hope he writes more. I plan to read it again in a few years. Dec 17, Katie Bananas rated it it was amazing Shelves: This book was so good.
It illustrates the importance of the patient-doctor relationship in the aspects of psychological well being, diagnosis, and treatment of patients. I found that the audiobook was so effective in its delivery and reading of the book. I was very engaged with a constant eagerness to learn. Groopman emphasizes prime mistakes broopman in medical practices of doctors in different specialties. At some point in the last chapter, he states: This is such a true statement when it comes to medical practice and building relationships with patients.
It’s crucial to listen to the patient without interruptions to record their stated symptoms accurately to avoid making rushed decisions to arrive at an unnecessary diagnosis that could be very well avoided. Aug 02, Sue rated it it was amazing Recommends it for: Every doctor, every potential patient.
A must read for every doctor who practices medicine and for those patients who forget that doctors are practicing medicine and make errors in judgment and he explains why soctors mistakes are made in a very very entertaining way. The book served as a reminder that a patient needs to be the captain of their own ship, challenging the inflated notion of even the most respected doctor The chapter “A New Mother’s Challenge” was probably one of the best examples of how and why doctors err and how t A must read for every doctor who practices medicine and for those patients who forget that doctors are practicing medicine and make errors in judgment and he explains why these mistakes are made in a very very entertaining way.
The chapter “A New Mother’s Challenge” was probably one of the best examples of how and why doctors err and how the caregiver is oftentimes in the best position to solve the mystery.
Who will be their advocate? Jan 18, Musab Abed rated it really liked it. 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.
How Doctors Think | The Journal of the American Osteopathic Association
In my opinion; stereotyping is the most common cause of diagnostic errors. The more expert clinician would be better in diagnosisbut – unfortunately- due to the more ‘stereotypes’ they had! Jun 23, Sarah rated it liked it. My book club read this book last rgoopman. We found it interesting, but repetitive. Recognizing these fallibilities–understanding how a doctor is trained to think– enables patients to be more proactive, to ask better questions, and thus help themselves by helping the doctor find the correct My book club read this book last month.
Recognizing these fallibilities–understanding how a doctor is trained to think– enables patients to be more proactive, to ask better questions, and thus help themselves by helping the doctor find the correct diagnosis or best treatment.