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We all have a good idea of how we want things to go when we visit a physician. We expect to be able to explain why we are there, and we hope the physician will listen and possibly ask questions that help us clarify our thoughts. Most of us hope that the physician will provide some expression of empathy, offer a clear, nontechnical assessment of our problem, and describe "next steps" in a way that is easy to understand. Ideally, we would like to be asked about our ability to follow treatment recommendations. Some experts say that these expectations are not only reasonable but even necessary if patients are to get the care they need. Yet there is a growing body of research that suggests the reality of physician communication with patients often falls short of this ideal in many respects.

A careful analysis of the findings of this research can provide guidance to physician educators, health care administrators, and health policy makers interested in understanding the role that improved physician communication can play in improving quality of care and patient outcomes. Physician Communication with Patients summarizes findings from the academic literature pertaining to various aspects of this question, discussing those findings in the context of current pressures for change in the organization and delivery of medical services.

The remarkable story of the physician whose public health victories changed the world.

Physician to the World by John M. Gibson is a study of the career of William Crawford Gorgas, focusing primarily on the 22 years from the Spanish-American War until his death at the age of 65. The book details the medical community’s gradual acceptance of the mosquito theory as the cause for yellow fever epidemics and follows Gorgas as his initial skepticism gave way to belief while he participated in Walter Reed’s massive cleanup of Havana. From this success Gorgas moved to the Panama Canal Zone and a bureaucratic quagmire as he attempted to apply sanitary principles there to control yellow fever and malaria. As canal construction proceeded, assorted red-tape and critics repeatedly thwarted Gorgas’s efforts. His particular nemesis was the imperious engineer George Goethals, who ruled the construction project with an iron hand. Gorgas’s dogged persistence to make Panama healthy for both Americans and natives eventually succeeded, enabling the project to be completed with minimum loss of life. During World War I Gorgas became U.S. Surgeon General, and finally his reputation equaled his accomplishments. He traveled widely in Europe, South Africa, and South America on behalf of public health improvements and was about to begin another such journey when he died of complications from a stroke in London in 1920.

WINNER OF THE JAMES F. SULZBY AWARD

Healing against the odds—Black doctors, bold resistance, and the fight for medical justice in Alabama.

Physicians for the People chronicles the remarkable stories of 241 Black doctors who practiced medicine in Alabama during the Jim Crow era. Historian Jack D. Ellis reveals the ingenuity and resilience of these trailblazing doctors who defied segregation by establishing hospitals and clinics and providing vital healthcare to underserved Black communities.

This meticulously researched work draws on archival sources, oral histories, and an unparalleled database to dismantle the myth of a monolithic medical system in the Jim Crow South. Jack D. Ellis argues that the post–Civil War lives of Black physicians, dentists, pharmacists, nurses, and midwives hold special significance, illuminating both the causes of health care disparities among African Americans and the reasons for their continued underrepresentation in the medical professions.

Offering much of interest to students and scholars of Black history, medical history, and the civil rights movement, Physicians for the People exposes the deliberate exclusion faced by Black doctors within the white medical establishment and their ongoing fight for racial equality in medicine.

The first scholarly exploration of the forums, practice, and economics of functional medicine.

Physicians of the Future interrogates the hidden logics of inclusion and exclusion in functional medicine (FM), a holistic form of personalized medicine that targets chronic disease. Rosalynn Vega uncovers how, as “wounded healers,” some FM practitioners who are former chronic disease sufferers turn their illness narratives into a form of social capital, leveraging social media to relate to patients and build practices as “doctor-influencers.” Arguing that power and authority operate distinctly in FM when compared to conventional medicine, largely because FM services are paid for out of pocket by socioeconomically privileged “clients,” Vega studies how FM practitioners engage in entrepreneurship of their own while critiquing the profit motives of the existing healthcare system, pharmaceutical industry, and insurance industry. Using data culled from online support groups, conferences, docuseries, blogs, podcasts, YouTube, and TED Talks, as well as her own battles with chronic illness, Vega argues that FM practices prioritize the individual while inadvertently reinscribing inequities based on race and class. Ultimately, she opens avenues of possibility for FM interlocutors wrestling with their responsibility for making functional medicine accessible to all.

This monograph, a coherent and consistent historical narrative about Romania's modernization, focuses on one section of the country's elites of the late nineteenth century, namely the health professionals, and on the imagery they constructed as they interacted with the peasant and his world. Doctors ventured out of cities and became a familiar sight on dusty country roads in of Moldavia and Wallachia. Beyond a charitable impulse they did so thru patriotism as the rural world became ever more prominent within the national ideology. Furthermore, new health legislation required the district general practitioner (medicul de plasa) to visit the villages in his catchment area twice a month. Based on solid original research, the book describes rural conditions of the time and the efforts aiming to improve peasants' way of life with abundant quotes from doctors' public health reports and memoirs. The book sheds light on a variety of microscale realities of social life in the medical discourse on the peasant and the rural world in the mirror of medical discourse. Themes include general hygiene, clothing, dwellings, nutrition, drinking habits and healing practices of the peasantry, in the eye of medical specialists. Related official measures, laws, regulations, norms about public health are also discussed in the frame of wider modernizing processes.

Medicine has always been an emotionally and spiritually challenging profession. Today, confronted with the rapid progress of technology, the shifting sands of health care economics, and glaring disparities in health care and human rights, physicians experience challenges that grow constantly more demanding. As a result, many doctors attempt to build into their lives opportunities for reflection and self-awareness. It is in this context that medical poetry has blossomed.Primary Care, the second anthology of physician poems edited by Angela Belli and Jack Coulehan, proves that the poetry movement in medicine continues to flourish. Fifty-two contemporary physician poets contribute one hundred poems that explore medical practice, interpersonal relationships, and the modern world. Their poems record instances of pain and suffering, joy and grief, humor and irony. Their subjects range from caregivers, patients, trainees, and teachers to poverty, injustice, and war throughout the world.In some cases we find the poets in their professional milieu as they reveal interactions with patients and colleagues. Other poems address private worlds and family relationships. In others the poets turn outward and direct their attention to social and global concerns. Characterized by an immense and kind-hearted sympathy for and empathy with those who are suffering, the poets recognize that everyone’s life is diminished by the trauma of illness and death.