An ingenious new approach to educating doctors.
An exploration of “how physicians can see patients better.”
Nussbaum, chief education officer at Denver Health and author of The Finest Traditions of My Calling, agrees that the 19th-century introduction of science into medical education was an admirable revolution that converted medicine to a profession based on human physiology rather than folk beliefs. The result has been miraculous advances in curing diseases and repairing broken bodies, but people still get sick and die. Indeed, they often stay sick longer, take longer to die, and have limited access to appropriate cures. Nussbaum maintains that medical education, now based on the “textbook of the body,” should expand to include the “textbook of the community.” He makes his case by describing a pilot program at the University of Colorado, where he is a professor of psychiatry, and similar programs are being instituted at a few other schools. Medical students traditionally spend their third year in a hospital rotating through the specialties (surgery, obstetrics, psychiatry, etc.). The author describes seven students who do not follow doctors but patients, accompanying them to clinics, emergency rooms, and surgical procedures, as well as to their homes and communities. This approach, as Nussbaum demonstrates, has proven transformative, especially because research shows that “social determinants have more effect on a patient’s health than a physician’s clinical care.” The author also describes how, in the past few decades, medical schools have started paying greater attention to communication skills, and classes now include far more women and people of color. Nussbaum lays out his concepts with refreshing clarity, though he notes that his vision of medical education remains a work in progress. Given the success of the pilot programs so far, readers will hope that the work continues to improve and spread to more medical schools and hospitals.
An ingenious new approach to educating doctors.Pub Date: June 25, 2024
ISBN: 9781421448947
Page Count: 408
Publisher: Johns Hopkins Univ.
Review Posted Online: April 17, 2024
Kirkus Reviews Issue: May 15, 2024
BOOK REVIEW
Alternately admiring and critical, unvarnished, and a closely detailed account of a troubled innovator.
A warts-and-all portrait of the famed techno-entrepreneur—and the warts are nearly beyond counting.
To call Elon Musk (b. 1971) “mercurial” is to undervalue the term; to call him a genius is incorrect. Instead, Musk has a gift for leveraging the genius of others in order to make things work. When they don’t, writes eminent biographer Isaacson, it’s because the notoriously headstrong Musk is so sure of himself that he charges ahead against the advice of others: “He does not like to share power.” In this sharp-edged biography, the author likens Musk to an earlier biographical subject, Steve Jobs. Given Musk’s recent political turn, born of the me-first libertarianism of the very rich, however, Henry Ford also comes to mind. What emerges clearly is that Musk, who may or may not have Asperger’s syndrome (“Empathy did not come naturally”), has nurtured several obsessions for years, apart from a passion for the letter X as both a brand and personal name. He firmly believes that “all requirements should be treated as recommendations”; that it is his destiny to make humankind a multi-planetary civilization through innovations in space travel; that government is generally an impediment and that “the thought police are gaining power”; and that “a maniacal sense of urgency” should guide his businesses. That need for speed has led to undeniable successes in beating schedules and competitors, but it has also wrought disaster: One of the most telling anecdotes in the book concerns Musk’s “demon mode” order to relocate thousands of Twitter servers from Sacramento to Portland at breakneck speed, which trashed big parts of the system for months. To judge by Isaacson’s account, that may have been by design, for Musk’s idea of creative destruction seems to mean mostly chaos.
Alternately admiring and critical, unvarnished, and a closely detailed account of a troubled innovator.Pub Date: Sept. 12, 2023
ISBN: 9781982181284
Page Count: 688
Publisher: Simon & Schuster
Review Posted Online: Sept. 12, 2023
Kirkus Reviews Issue: Oct. 15, 2023
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
BOOK TO SCREEN
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.
The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.
“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.Pub Date: April 20, 2021
ISBN: 978-1-4197-4478-5
Page Count: 184
Publisher: Abrams
Review Posted Online: May 5, 2021
Kirkus Reviews Issue: June 1, 2021
© Copyright 2024 Kirkus Media LLC. All Rights Reserved.
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