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.
Author(s): Barry Silverman, Saul Adler
Publisher: Springer
Year: 2020
Language: English
Pages: 267
City: Cham
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
