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The Most Powerful Therapeutic Force
Joseph B. Kirsner, MD,PhD
Chicago, Ill
JAMA. 2002;287:1909-1910.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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We may differentiate the science from the art of medicine, but we cannot practically dissociate them.—William H. Draper, 1888
Of all the problems besetting medicine, the declining or absent patient-physician relationship, especially as a caring experience, is most often mentioned by the patient, noted in the medical and lay literature,1 and yet is the most directly remediable of medicine's difficulties. At one time the strongest element in the care of sick people, the patient-physician relationship, with the expansion of scientific knowledge and technology and with medicine's transmutation to a revenue-generating activity, has declined or disappeared.2
Some time ago, during teaching rounds, I informed a patient that his episodic abdominal pain was caused by multiple gallstones and that he required an operation. The patient responded, "OK, Doc, but I would like to talk with my doctor," pointing to the third-year medical student who had been assigned . . . [Full Text of this Article]
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