A Family Of Doctors

With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.

-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)

"This guidebook systematically analyses the contribution of family medicine to highquality primary health care in addressing the challenges faced by current health systems, and provides options for moving forward. It serves as a pragmatic guide to potential strategies for putting in place family care teams which effectively contribute to health sec

"Every Doctor spoke to me deeply and personally ... as we face the challenges of 21st Century medical practice, I felt cared for, much like I do when visiting my personal family doctor. Every Doctor will speak to you as well." Associate Professor Sandy Buchman, Family Physician Practising in Palliative Care, President-Elect of the Canadian Medical Association "As implicit in the title, the book reaches out to every doctor from recent graduates to the experienced – general practitioner and specialist. The message is universal, timeless and challenging." Emeritus Professor John Murtagh, Department of General Practice, School of Primary Health Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Australia "Michael and Leanne are indeed the best family doctors to author Every Doctor because they have demonstrated in this book how much they understand about us as medical practitioners, as leaders and advocates, and about our journeys and our future. They share precious experience and offer precious advice." Dr Donald Li (Hong Kong, China), President, World Organisation of Family Doctors (WONCA), 2018-2020 "If you ever feel like giving up medicine - and all of us have those sorts of days - then this remarkable, courageous and joyful book is the one for you." Dr Iona Heath CBE, President, Royal College of General Practitioners (2009-2012) ‘Every Doctor’ is about thriving in medicine at a time of massive advances and changes in global health systems and medical services. The book is a must-read for doctors of all specialties at all stages of their careers wherever they practise in the world, because exemplary care of patients, peers, profession and self is a lifelong journey.

This book outlines the benefits and dangers of alternative medicine, drawing on scientific research to show which treatments work, which don’t, and how to use them. It offers a balanced, unbiased perspective backed by science.

Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us.

When we need help, we count on doctors to put us back together. But what happens when doctors fall apart? Funny, fresh, and deeply affecting, We Are All Perfectly Fine is the story of a married mother of three on the brink of personal and professional collapse who attends rehab with a twist: a meditation retreat for burned-out doctors. Jillian Horton, a general internist, has no idea what to expect during her five-day retreat at Chapin Mill, a Zen centre in upstate New York. She just knows she desperately needs a break. At first she is deeply uncomfortable with the spartan accommodations, silent meals and scheduled bonding sessions. But as the group struggles through awkward first encounters and guided meditations, something remarkable happens: world-class surgeons, psychiatrists, pediatricians and general practitioners open up and share stories about their secret guilt and grief, as well as their deep-seated fear of falling short of the expectations that define them. Jillian realizes that her struggle with burnout is not so much personal as it is the result of a larger system failure, and that compartmentalizing your most difficult emotions—a coping strategy that is drilled into doctors—is not useful unless you face these emotions too. Jillian Horton throws open a window onto the flawed system that shapes medical professionals, revealing the rarely acknowledged stresses that lead doctors to depression and suicide, and emphasizing the crucial role of compassion not only in treating others, but also in taking care of ourselves.