Afflicted: How Vulnerability Can Heal Medical Education and Practice

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Nicole M. Piemonte (Academic Success Consultant, St. Joseph's Hospital and Medical Center) Arthur L. Caplan (Director, NYU Langone Medical Center)

Afflicted

How Vulnerability Can Heal Medical Education and Practice

Nicole M. Piemonte (Academic Success Consultant, St. Joseph's Hospital and Medical Center), Arthur L. Caplan (Director, NYU Langone Medical Center)

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English

MIT Press
12 January 2018

Ethics & moral philosophy; Educational visits & field trips; Medical ethics & professional conduct

Series: Afflicted

"How medical education and practice can move beyond a narrow focus on biological intervention to recognize the lived experiences of illness, suffering, and death.

In Afflicted, Nicole Piemonte examines the preoccupation in medicine with cure over care, arguing that the traditional focus on biological intervention keeps medicine from addressing the complex realities of patient suffering. Although many have pointed to the lack of compassion and empathy in medical practice, few have considered the deeper philosophical, psychological, and ontological reasons for it. Piemonte fills that gap, examining why it is that clinicians and medical trainees largely evade issues of vulnerability and mortality and, doing so, offer patients compromised care. She argues that contemporary medical pedagogy and epistemology are not only shaped by the human tendency to flee from the reality of death and suffering but also perpetuate it. The root of the problem, she writes, is the educational and institutional culture that promotes reductionist understandings of care, illness, and suffering but avoids any authentic confrontation with human suffering and the fear and self-doubt that can come with that confrontation. Through a philosophical analysis of the patient-practitioner encounter, Piemonte argues that the doctor, in escaping from authentic engagement with a patient who is suffering, in fact ""escapes from herself.""

Piemonte explores the epistemology and pedagogy of medicine, examines its focus on calculative or technical thinking, and considers how ""clinical detachment"" diminishes physicians. She suggests ways that educators might cultivate the capacity for authentic patient care and proposes specific curricular changes to help students expand their moral imaginations."

By: Nicole M. Piemonte (Academic Success Consultant St. Joseph's Hospital and Medical Center)
Series edited by: Arthur L. Caplan (Director NYU Langone Medical Center)
Imprint: MIT Press
Country of Publication: United States
Dimensions: Height: 229mm, Width: 152mm, Spine: 16mm
ISBN: 9780262037396
ISBN 10: 0262037394
Series: Afflicted
Pages: 304
Publication Date: 12 January 2018
Recommended Age: From 18 years
Audience: Professional and scholarly , Undergraduate
Format: Hardback
Publisher's Status: Active

Nicole M. Piemonte is an Assistant Professor in the Department of Medical Education at Creighton University, School of Medicine, and Academic Consultant at St. Joseph's Hospital and Medical Center, Phoenix.