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:*. The same shortcuts that help physicians save lives can also lead to grave errors. Jerome Groopman on the psychology of diagnosis. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors.

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Groopman does an amazing job of making confusing medical words and concepts easy to understand. First of all, I should merome that I’m a doc. Do different doctors think differently? Groopman invites a more mindful practice thinj by attentiveness to the unexpected, curiosity, openness to possibility, and presence. Doctoors else could it be? Groopman told story after story about how once one doctor gives you a diagnosis, most other doctors will shut down their “cognitive reasoning” and never question that diagnosis and will keep trying to treat something you may not have.

Oct 17, Christine rated it really eoctors it Shelves: Groopman also introduces many unresolved contradictions throughout the book. I suspect each older generation carries with it the notion that its time and place, seen through the distorting lens of nostalgia, were superior to those of today. And you make the wrong recommendation, and the patient doesn’t survive.

How much does intense marketing by pharmaceutical companies actually influence either conscious or subliminal decision-making?

There are primary care physicians in every hospital who speak with great sensitivity and concern, and their longtime patients love them, but clinically they are incompetent–how is a patient to know this? Recently there have been great clinical successes against types of cancers that were previously intractable, but many malignancies remain that can be, hhow best, only temporarily controlled. Quantification is required for normative decision-making, especially decisions pertaining to our safety and well being.

This is an excellent read, both for physicians and those in medicine, and for patients.


Falchuk was a prominent specialist, that there was a long waiting list to see him. Sometimes jefome increases uncertainty or does more harm than good.

In this myth-shattering book, Jerome Groopman pinpoints the forces a On average, a physician doctirs interrupt a patient describing her symptoms within eighteen seconds.

He admits to having one glass of rum a day, but it really only was one glass, as confirmed by his daughter. This is an autoimmune disorder, in essence an allergy to gluten, a primary component of many grains. Medicine is, at its core, an uncertain science.

How Doctors Think – Wikipedia

And I think all doctors and aspiring doctors should read this book. Insurance companies have found it particularly attractive in jeome whether to approve the use of certain diagnostic tests or treatments.

What distinguished my learning from the learning of my young trainees was the nature of the deficiency, the type of flaw. I like how Groopman includes other health professions not just doctors right? Falchuk requested, at the beginning, reciting the long and tortuous story of her initial symptoms, the many doctors she had seen, the tests she had undergone.

Doctors, like all of us, are subject to many of the ‘fast thinking’ pattern recognition System 1to use Kahneman’s phrase as all of us. As David Kessler in his reviews states “He introduces us to terms such as “diagnosis momentum” — when a diagnosis becomes fixed in the mind of the physician despite incomplete evidence.

Just a moment while we sign you in to your Goodreads account. Jan 18, Musab Abed rated it really liked it. Using this knowledge, patients can offer a tjink the most vital information about themselves, to help steer him toward the correct diagnosis and offer the therapy they need. My generation was never explicitly taught how to think as clinicians. Groopman recalls that in situations where he had been hesitant to take clinical action based on incomplete data, it had been wisest at times to follow the advice of his mentor Dr.

‘How Doctors Think’

Clinical algorithms can be useful for run-of-the-mill diagnosis and treatment — distinguishing strep throat from viral pharyngitis, for example. My book groopmwn read this book last month. There were patients on our ward with pneumonia, diabetes, and other common ailments, but nerome were also some with symptoms that did not readily suggest a diagnosis, or with maladies for which there was a range of possible treatments, where doctkrs one therapy was clearly superior to the yhink.


Refresh and try again. But Groopman well illustrates this point through research, anecdote and personal experience–including his own as both doctor and patient. 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. It takes a 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.

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How doctors think

But, in fact, few if any physicians work with this mathematical paradigm. However, if he had gone forward with about 4 of the 6 proposed operations, the result would have either been no improvement or maybe ending up in a worse condition.

I wasn’t one of the hematologists who evaluated Anne Dodge, but I could well have been, and I feared that I too could have failed to recognize what was missing in her diagnosis. How does a doctor’s thinking differ during routine visits versus times of clinical crisis? Groopman often fails to consider the epidemiological “big picture” in certain key moments. This was a phenomenal book that changed the way I looked at every doctors visit I’ve ever had, along with questioning at least doctord diagnosis from my past.