Structured around personal stories, this book provides a rigorous review of current thinking and research on the physician life cycle. It considers the trajectories and factors that influence a doctor's development over decades of a medical career. Taking an integrated approach, the authors consider the formal stages of a physician's training including medical school, residency training and practice, and review discourses around professionalism, competency-based education, lifelong learning, expertise development, reflection, and narrative that merge into the construct of medical professional identity formation--
What does "I am a doctor" mean currently? Structured around personal stories, this book provides a rigorous review of current thinking and research on the physician's life cycle. The book considers the trajectories and factors that influence a doctors development over decades of a medical career.
Taking an integrated approach, the authors consider the formal stages of a physicians training including medical school, residency training and practice and review discourses around professionalism, competency-based education, lifelong learning, expertise development, reflection, and narrative that merge into the construct of medical professional identity formation.
Reflecting the dramatic changes that have occurred in the physicians role, job description, and reality of modern clinical practice, further compounded by the pandemic, this new book will support and encourage medical educators to ensure that the enduring values of the medical profession prevail.
Structured around personal stories, this book provides a rigorous review of current thinking and research on the physician life cycle. It considers the trajectories and factors that influence a doctors development over decades of a medical career.
Recenzijas
Dont read this book unless you are poised for transformation. While providing a comprehensive review of decades of academic research and scholarship on adult learning, Becoming and Being a Physician gifts its reader with moments of instantaneous clarity. - Rita Charon MD PhD
This book is an important step in providing a philosophical and moral framework for developing those to whom all of us will entrust our lives. - Ron Epstein MD
"Years ago, the book, Changing and Learning in the Lives of Physicians (Fox, Mazmanian & Putnam; Prager Press, 1989) offered a career path, and opened the door to profound reflection and redirection. It literally changed my life. Nearly four decades later, Becoming and Being a Physician offers the same gift - a masterful, inspiring and richly-referenced book, crafted from the personal journeys of three physician educators. Both emotionally moving and scientifically-based, this is a must-read for anyone interested in lifelong learning and professional development. It might change their lives, too." - Dave Davis MD
"I have been reading [ the book] with great pleasure and respect! [ The] developmental autobiography [ of Shmuel Reis] was very moving and brought home the message of the book in a wonderfully personal way [ while the] view and thoughts about a development through the lifecycle, including the senior professor role, is very important in understanding the continuity of the calling and the mission that doctoring at its best evokes and is very helpful to me, now. [ This] chapter, and the whole book, emphasizes the importance of this emotional development." - Eric R. Marcus MD
"[ This book] is absolutely wonderful ... The narratives are beautiful, powerful, and grounding of all that [ the authors] teach us in the book. The way that the authors cover such scoping amounts of content, connect and integrate it, and make it digestible (as well as thought provoking), is truly impressive." - Miriam Hoffman MD
Preface
List of figures
List of tables
About the Authors
Acknowledgements
List of Abbreviations
Prologue: Rita Charon
Introduction: The Hidden Patient: An Incident that Changed my Professional
Life
1. Developmental Theories: Stages, Transitions, and Liminality
2. Adult Learning and Continuous Medical Education: The Practice Years
3. Expertise, Clinical Reasoning, Deliberate Practice, and Phronesis
4. Moral and Character Development
5. Narrative, Storytelling, and Reflection: The Handling of Emotions
6. Developmental Issues, Remediation, and the Wounded Healer
7. Gender, Race, and Core Identities, Bias, Discrimination, and Mistreatment
8. The Impact of COVID-19 on the Doctors Life Cycle
9. Professional Identity Formation: Incorporating Professionalism and Care
10. Discussion
Epilogue: Ronald M. Epstein
Appendix
Index
Shmuel P. Reis, MD, MHPE, is a family physician and Professor of Medical Education at the Holon Institute of Technology, Holon, and the Center for Medical Education, Faculty of Medicine, Hebrew University/Hadassah, Jerusalem, Israel.
Adina L. Kalet, MD, MPH, is a general internist and Professor of Medicine and Medical Education at the Medical College of Wisconsin, Milwaukee, USA.
W. Wayne Weston, MD, CCFP, FCFP, is Emeritus Professor of Family Medicine at the Schulich School of Medicine and Dentistry at Western University in Ontario, Canada.
