Download PDF Also Human: The Inner Lives of Doctors
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Also Human: The Inner Lives of Doctors
Download PDF Also Human: The Inner Lives of Doctors
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Review
"With a compassionate eye for detail and a deep understanding of just how the systems we train and practice in as doctors can fail us as human beings, Caroline Elton offers a crucial and timely reminder that doctors arealso human."―Atul Gawande, author of Being Mortal"Written with perceptive sympathy for the wounded healer, it is necessary reading for both doctors and patients."―Hilary Mantel, Man Booker Prize-winning author of Wolf Hall and Bring Up the Bodies"Elton...passionately advocates for paying greater attention to the unique emotional needs of physicians."―Health Affairs"This important and much needed book describes the psychological difficulties of doctors in training and in practice and the woeful lack of support to them from teachers, colleagues, and institutions."―LitMed"Elton is particularly good on the subtle matters of gender and ethnic discrimination that punish doctors who are different from the white, male mainstream.... A useful adjunct to books from within medicine by the likes of Richard Selzer [and] Atul Gawande."―Kirkus"Elton, a vocational psychologist, spent the last 20 years observing, counseling, and helping very real, vulnerable, and wholly human people in the medical field.... Written in a welcoming style, this practical and helpful look at best medical practices will benefit patients, practitioners, and everyone else involved in health care."―Booklist"At a time when burnout and depression among doctors have reached epidemic proportions, Caroline Elton masterfully dissects the issues to explain how we arrived at this point. Ultimately, we must remember that doctors are Also Human and we need a comprehensive approach to uplift the emotional well-being of the medical workforce."―Eric Topol, Executive Vice-President of Scripps Research Institute and author of The Patient Will See You Now"At the heart of this book is the problem of how emotional resilience can be identified in prospective doctors and strengthened in practicing doctors. We are fallible human beings, not omniscient gods."―Henry Marsh, Sunday Times (UK)"A vivid, compelling account of how wounded healers may struggle to find healing. Elton has helped hundreds of doctors through crises in their personal and professional lives, and her stories read as an urgent manifesto to reform the caring professions--that they might begin to care for their own. With reference from the psychological literature, as well as her own extensive clinical experience, she examines why some doctors are overwhelmed by the pressures of medicine, while others may even thrive under them."―Gavin Francis, physician and author of Adventures in Human Being and Shapeshifters"Fascinating and troubling. Read it and weep."―Susie Orbach, author of Fat Is a Feminist Issue
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About the Author
Caroline Elton is a vocational psychologist who has spent the past twenty years working with doctors. She received her PhD from the eepartment of academic psychiatry, University College London School of Medicine, and set up and led the Careers Unit, an NHS-funded support service for doctors in over seventy hospitals across the capital. She lives in London.
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Product details
Hardcover: 336 pages
Publisher: Basic Books; 1 edition (June 12, 2018)
Language: English
ISBN-10: 0465093736
ISBN-13: 978-0465093731
Product Dimensions:
6.5 x 1.2 x 9.6 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review:
3.8 out of 5 stars
21 customer reviews
Amazon Best Sellers Rank:
#719,669 in Books (See Top 100 in Books)
Not worth reading, at least by a doctor. Went to Goodwill.
This book touches on experiences many of us in the medical profession either personally went through or know someone who went through them but were never properly addressed.
good book
When this book was on my Vine list, it had not yet been published, so all I had to go on was the two paragraph description which mentioned several American television shows as proof of our fascination with doctors. My late father was also a doctor, so I was curious to see what this book had to say versus what happened in my own home.So I was rather dismayed, and feeling a bit mislead, when it turned out to to be a book almost exclusively about the training of doctors in the UK. There were some comparisons to the US, mostly on how primary care was emphasized more in the UK than in the US as a specialty and how doctors in the UK were encouraged to seek therapy when needed which is almost verboten in the US.The book concentrates on three distinct levels - medical school, residency and going into practice. These were interesting but difficult to relate to as it is so different for the US medical system. Doctors in the UK have the NHS so for the most part they do not have an insurance company telling them how to practice medicine. My doctor friends here universally state that the biggest reason for displease in their profession to the sense of being hogtied to the whims of an insurance provider who may or may not have any medical training.I have two doctor friends, a psychiatrist and a primary care doctor who would like to read this book. After they do, I will amend this review to give their insights.
Dr. Elton is a vocational psychologist who works with doctors. This has put her in place to have firsthand experience with the mental problems they have. She also obviously does a lot of research on it; she cites studies and statistics fluently.Doctors have pretty much the hardest training of any occupation. It’s not just the book learning that’s hard; it’s also the long hours, and the helpless feeling when tossed into the hospital and they are suddenly responsible for patients. Everyone knows a doctor or two with a big ego, but there are probably just as many who constantly fear they will not be good enough. As in any profession, they face racism and sexism. There is never time for family or even sleep. They sometimes have patients die. It’s not easy. The book is heavy on the subject of new doctors entering training; I assume this must be the time of the most stress since it’s emphasized. It’s mostly on the NHS system, although she does give some time to the American system.The book was interesting, but not quite as interesting as I’d hoped. I think I was hoping for more case studies; the book was too heavy on the statistics for me (although I do realize a book like this *had* to have statistics). The chapters seemed to be arbitrarily divided and just sort of blended into each other. Three stars.
At least I didn't. This book is written by a Psychologist, Dr. Catherine Elton, who specializes in physicians having mental health issues. She talks about things that I had thought about, like how a physician deals with having to tell a family that their baby had died to things that never occurred to me, like doctors feeling trapped because they feel they chose the wrong specialty and the ramifications of that decision. She compares how doctors in Britain, Australia and New Zealand (and their associated governments and medical societies) or the US deal with mental health issues in physicians and the differences between those places. For example, in the US, a doctor's choce of specialty is strongly influenced by how much debt they expect to carry when they are finished with their education. In other countries it is not a serious consideration, although Britain tripled the fees a physician must pay to be trained and the financial considerations are beginning to loom larger in a doctor's choice of specialty.Dr. Elton also treats medical students and residents as they wind their way through the system, trying to learn while working often superhuman hours and having to function as free labor for the doctors who are supposed to be training them. Not all doctors have to work 80+ hours a week (the limit in the US, although it is widely ignored in hospitals. The other countries largely limit doctors in training to about 40-ish hours a week. It is also ignored, but to a lesser degree), trying to learn while haivng to make some of the most difficult decisions in their lives. How trained medical personnel have learned to dread July (or August in the UK), because the doctor treating you may have graduated from med school a few weeks before and you might be the time your doctor makes life-changing decisions without someone to help them. Some Interns are tasked with telling familty members that their child has died, simply because they are the lowest member of the food chain and the more experienced doctors don't want to have to do it. (Nice, huh?Doctors aren't the only ones feeling stress. Dr. Elton has had to talk many young medical students off the ledge of a building, so to speak. Many smart young people are pressured into becoming doctors because of cultural expectations or to fulfill parental dreams. After all, if your kid is very smart, it's a lot more prestigious to speak about "your child the doctor" instead of "your child the web site programmer," even though the pay scales are comparable.Because of these expectiations, and because young people are expected to make career choices that effect their entire lives before the ink on their high school diplomas is dry. Making changes to a specialty can spell financial rin and career suicide, even though a student probably hasn't heard of all the specialties and subspecialties out there, is not an excuse. Neither is the fact that the person making the decision is too young to buy a beer in the US, on the grounds that kids cannot make such important decisions at that age. It's no surprise that despite the fact that seeking mental health care is considered a sign of weakness in the medical communion, a lot of young people attempt or succeed at suicide at rates far higher than that of the general population.The book is a fascinating look behind the sheet that serves as a wall in most hospital rooms, and will help you cut your own doctor a break when she says that she's exhausted after having to work the previous weekend to cover for a doctor who couldn't be there. (Perhaps because she gave birth to her own child the previous day, and the "tough guy" attitude shown by many medical staffers keeps junior physicians from asking for time off, no matter what the reason might be.The book is pretty small, and a real page turner, although I took a few breaks to think about what Dr. Elton was communicating. I'd love to see this as required reading before the July 1 date when a medical student becmes a doctor, or before a college student applies to med school. It sounds that as bad as it is to be a patient, it's even worse to be a doctor.
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