One of the few practicing physicians to be elected to the
National Academy of Sciences' Institute of Medicine and one of a
rare breed of doctors who writes with clarity and ease, Dr. Felch
describes his 40-year experience in the mainstream of medical care.
Both as a primary care physician making house calls and as a leader
in medical professional organizations, Felch reflects on everyday
matters of patient care, pointing out that they are actually
complex, multifaceted, and unique. He points out that today's
patients frequently give high marks to their physicians for
competence and proficiency, but low marks for compassion and
caring. He says our scientific enterprise is exceedingly good at
generating new technology, very good at carrying out basic
laboratory research, quite good at mounting large clinical studies
of new pharmaceuticals, but only fair at converting collective data
about disease into clear-cut strategies for doctors to use with
their individual patients. Readers of this book, including
potential doctors, will come away with a clearer understanding of
the specific activities of medical school, residency training, and
patient care as a practitioner, including the problems encountered
and the values received.
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