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Attending: Medicine, Mindfulness, and Humanity

di Dr. Ronald Epstein M. D.

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702381,882 (4.31)1
"The first book for the general public about mindfulness and medical practice, a groundbreaking, intimate exploration of how doctors think and what matters most--safe, effective, patient-centered, compassionate care--from the foremost expert in the field, "--Amazon.com. "As a third-year Harvard Medical School student doing a clinical rotation in surgery, Ronald Epstein watched an error unfold: an experienced surgeon failed to notice his patient's kidney turning an ominous shade of blue. In that same rotation, Epstein was awestruck by another surgeon's ability to avert an impending disaster, slowing down from autopilot to intentionality. The difference between these two doctors left a lasting impression on Epstein and set the stage for his life's work--to identify the qualities and habits that distinguish masterful doctors from those who are merely competent. The secret, he learned, was mindfulness. In Attending, his first book, Dr. Epstein builds on his world-renowned, innovative programs in mindful practice and uses gripping and deeply human clinical stories to give patients a language to describe what they value most in health care and to outline a road map for doctors and other health care professionals to refocus their approach to medicine. Drawing on his clinical experiences and current research, and exploring four foundations of mindfulness--Attention, Curiosity, Beginner's Mind, and Presence--Dr. Epstein introduces a revolutionary concept: by looking inward, health care practitioners can grow their capacity to provide high-quality care and the resilience to be there when their patients need them. The commodification of health care has shifted doctors' focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers a crucial, timely book that shows us how we can restore humanity to medicine, guides us toward a better overall quality of care, and reminds us of what matters most."--Jacket.… (altro)
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Attending isn't necessarily a book for everyone, but I appreciated many of the ideas Dr. Epstein puts forth. I think the primary audience is anyone in a health care provider, student, or administration role. However, as a massage therapist and patient I still found the ideas relevant and eye-opening.

First, I'll say that Attending rotates between being interesting and being a bit dull. It's certainly well researched, with about 35% of the book as footnotes and references.

Dr. Epstein clearly describes the components of being a mindful physician, as well as having a mindful medical practice. Those components are qualities that anyone in the health care field can incorporate into their interactions with both patients and colleagues.

This was the point in the book where I wished I knew doctors who practiced this way. And then I considered buying copies of the book for all of the physicians I see regularly. And reading it out loud to them!

After describing the ideals of Attending, Dr. Epstein explains the reality physicians face every day. With electronic health records and productivity quotas, the structure of health care today doesn't automatically encourage a mindful approach. But that's why mindful, compassionate, and curious practices matter more than ever. Epstein makes a strong case for this approach as a method to help prevent and / or fix physician burnout.

After reading about the realities of a doctor's life, I expect to be a more compassionate and understanding patient as well. Plus, I think the Attending approach should be taught at all medical schools and conferences. It sounds like it can save the lives of patients and physicians!

Thanks to NetGalley, Scribner, and the author for a digital review copy in exchange for this honest review. ( )
  TheBibliophage | Mar 20, 2018 |
Using examples from his own experiences as both a patient and a doctor, Epstein produces a remarkable look at where we are in medical health today. Written for doctors as well as the general public the book provides methods to achieve it as well as descriptions of the growing effort to make the patient a much greater part of his/her treatment. Pushing back against the rapid and extreme use of computers and time constraints, the author emphasizes that being a medical doctor will lose if we don't return to some of the time honored traditions of the past where the doctor and the patient know each other. ( )
  nyiper | May 17, 2017 |
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"The first book for the general public about mindfulness and medical practice, a groundbreaking, intimate exploration of how doctors think and what matters most--safe, effective, patient-centered, compassionate care--from the foremost expert in the field, "--Amazon.com. "As a third-year Harvard Medical School student doing a clinical rotation in surgery, Ronald Epstein watched an error unfold: an experienced surgeon failed to notice his patient's kidney turning an ominous shade of blue. In that same rotation, Epstein was awestruck by another surgeon's ability to avert an impending disaster, slowing down from autopilot to intentionality. The difference between these two doctors left a lasting impression on Epstein and set the stage for his life's work--to identify the qualities and habits that distinguish masterful doctors from those who are merely competent. The secret, he learned, was mindfulness. In Attending, his first book, Dr. Epstein builds on his world-renowned, innovative programs in mindful practice and uses gripping and deeply human clinical stories to give patients a language to describe what they value most in health care and to outline a road map for doctors and other health care professionals to refocus their approach to medicine. Drawing on his clinical experiences and current research, and exploring four foundations of mindfulness--Attention, Curiosity, Beginner's Mind, and Presence--Dr. Epstein introduces a revolutionary concept: by looking inward, health care practitioners can grow their capacity to provide high-quality care and the resilience to be there when their patients need them. The commodification of health care has shifted doctors' focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers a crucial, timely book that shows us how we can restore humanity to medicine, guides us toward a better overall quality of care, and reminds us of what matters most."--Jacket.

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