Download Treatment Kind and Fair: Letters to a Young Doctor (Letters by Perri Klass PDF
By Perri Klass
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Additional info for Treatment Kind and Fair: Letters to a Young Doctor (Letters to a Young...)
Example text
From then on, she held the floor. I did not introduce the students, and for the first fifteen minutes of the interview, they did not have any chance to ask their questions. The grandmother talked. Sentences poured out—the terrible day of the accident, the hours in the emergency room, the head trauma, the broken limbs. The intensive care unit, the surgeries, the setbacks, the infections, the complications. But in a sense, she hurried through the story of the child’s current medical condition, though she clearly knew everything there was to know.
No, my job was just to help my tutorial group learn to ask questions and begin to think about how you understand a patient’s story. They weren’t responsible for taking a formal medical history, and heaven knows they weren’t supposed to formulate a treatment plan. So why did they look so nervous? Courses like this one represent a major change in medical education. We are trying now, in medical school, to bring patients in earlier, to leaven the basic science with clinical reality. It used to be that the individual you got to know best in your first year was your cadaver, and that you received specific instruction on teasing out the nerves of a dead body, but you heard nothing about teasing out the details of a living person’s life.
Over the past twenty years, I’ve walked into so many rooms to start versions of this medical conversation—with patients I know well, with total strangers, with people in pain, with people unwilling to tell me what’s really wrong, with people who can’t stop telling me what’s wrong—I’ve come to take it for granted. It was clear that none of the people in my tutorial group took this for granted in any way. This was a big deal: an interview with a real patient. They had listened carefully to the course guidelines; they were dressed professionally (no T-shirts, no sandals), they were not carrying big bags or backpacks, which might take up too much space in a patient’s small room, and they were wearing their short white jackets.