How Doctors Think has ratings and reviews. Kirsti said: Things that you should find worrisome if a doctor says them to you or a loved one:*. In this very engaging and well-researched book, Jerome Groopman, a practicing oncologist with expertise in AIDS-related malignancies. ‘a series of illuminating essays that explore the rational and irrational factors that influence medical decision-making which Dr. Groopman, a clear writer and a.

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Summary In How Doctors Think, Jerome Groopman explores clinical decision making with a particular emphasis on the poor communication skills and cognitive errors that often lead to misdiagnosis and inappropriate treatment. Is there another physician or center that would have more insight doctirs my problem? It takes tnink half decent idea from the social sciences in this case, that heuristic reasoning is essential for managing very complex environment, but that heuristics have predictable failings.

Many doctors assumed she was not eating the amount they suggested and framed her for lying.

I leave that up to future readers to understand this part. How Doctors Think s is a smart yet accessible book that could be usefully read by patients and their families, as well as by physicians who want to become more effective at their job. Jan 21, Imene Gouichiche rated it it was amazing. Groopmn testing increases uncertainty or does more harm than good.

She’d been through so much, so many tests, so many procedures: Books by Jerome Groopman. It was refreshing to learn of Dr Groopman’s frustrations with his medical care, and the four different opinions he received about his right hand.

A patient that curious about the illnesses and in search of its information are rare and can help in finding out what actual problem is 6. The traditional medical curriculum avoids jow with internal processes and encourages trainees to concentrate their attention thunk. What I was most alarmed to learn about was how inaccurate radiologist and pathologists were.

As a future doctor myself, this doesn’t really help me understand how to avoid cognitive errors.

Jay Katza clinical instructor at Yale Law School has since termed these coping mechanisms under the rubric ‘disregard of uncertainty’, which he believes physicians develop to deal with the anxiety of shifting from the certainty of theoretical discussions of medicine early in their training to yroopman more happenstance practical application. The recommendations he made were based on a purely logical understanding of cardiac physiology. Another strength is the focus on self-awareness.


Much has been made of the power of intuition, and certainly initial impressions formed in a flash can be correct.

How Doctors Think

How does a doctor’s thinking differ during routine visits versus times of clinical crisis? However, the interpersonal skills required for effective doctor-patient interaction are too often considered intuitive or self-evident, and, therefore, assumed. We learn about Bayesian Perspective thinking. The dcotors subspecialist, the reasoning goes, should also be able to provide this [broad] range of medical services.

How doctors think

They will know what I mean by this when they and might think like I did and get a nice slap when the point of why the problem is elaborated. Groopman praises the young doctor for ignoring data from the all-mighty MRI scan and paying heed to pertinent data in reaching the correct diagnosis Ch.

Using many examples of this sort, including some from his own life, Dr Groopman This book was primarily about habits of thinking that can lead a doctor to misdiagnose a case or miss clues that make a difference in treatment. Groopman suggests we shouldn’t; in fact, How Doctors Think is organized around learning from these mistakes.

The nausea and pain were so intense that occasionally she vomited. Do different doctors think differently? Groopman explains the conflict: The two hematologists Anne had consulted attributed the low blood counts to her nutritional deficiency. She recalled her internist’s reluctance to refer her to a gastroenterologist, and wondered whether the procedure was pointless, done for the sake of doing it, or, even worse, to make money. Groopman suggests three specific questions to help a physician see through common errors in thinking and come to a better solution: Salem’s query required a much more comprehensive answer, which I hope this book will help provide.

‘How Doctors Think’

Through multiple interviews with doctors and patients in Boston and San Francisco hospitals, Groopman discusses why and how doctors make errors of misdiagnosis and along the way he provides some very useful tips for how to: Is it possible I have more than one problem?

This question, not surprisingly, spawned others: The doctor has a lot to learn from society to understand that the treatment given is not the “only way,” but that there are other treatments out there that actually leaves an individual more happy with their decision.


The book is loosely laid out in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab tests, the differential diagnosis which is also spread throughout the booktreatment and other factors that may influence a physician with respect to a patient.

What can doctors and patients do to find time to think? Groopman closes with an epilogue giving advice for patients. But the symptoms continued. We dial a wrong number, or accidentally put bleach in the washing machine with the jeans, or don’t see the stop sign.

I loved this book, I hope he writes more. Nonetheless, their patients were devoted to them.

How doctors think

Now she was grooopman forward, swept along as she had been as a child on Cape Cod when a powerful wave caught her unawares. I howw always been interested in medicine and diagnostics and this book really gave you a glimpse into what it is like for doctors to diagnose a patient and the consequences of a misdiagnosis. Anne Dodge saw his eyes drift away from hers. We listen to all of the recommendations and weigh the evidence as best we can.

First, the story line of many of the anecdotes culminated in getting a test to finally arrive at the correct diagnosis, often at the insistence of a patient that more be done. That industry is a vital one; without it, there would be a paucity of new therapies, a slowing dochors progress. You will receive an email whenever this article is corrected, updated, or cited in the literature.

In today’s parlance, these primary care physicians are termed “gatekeepers,” because they open the portals to specialists. The author approaches each example with sensitivity and explains how successful physicians have learned to adapt their methods to minimize errors.

So what can the reader do to ensure their doctor considers all the possibilities and comes to the correct dotcors