{"title":"Body","authors":"Nigel Nicholson, N. Selden","doi":"10.1093/med/9780190457488.003.0002","DOIUrl":"https://doi.org/10.1093/med/9780190457488.003.0002","url":null,"abstract":"Chapter 1 explores different conceptions of the human body and their effect on medical care and patient health. Ancient Greek texts offer opposed conceptions of the body, with athletic sources presenting the body as immune to injury and always operating at its full potential and the Hippocratic texts presenting it as weak and highly vulnerable. Similarly divergent narratives also affect modern evaluations of the body by both patients and physicians, interfering with positive health outcomes. Physicians must recognize the operation of these narratives, challenge them with data, and promote a more realistic vision of health and success for patients and healthcare organizations.","PeriodicalId":387948,"journal":{"name":"The Rhetoric of Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123097798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conclusion","authors":"Nigel Nicholson, N. Selden","doi":"10.1093/med/9780190457488.003.0009","DOIUrl":"https://doi.org/10.1093/med/9780190457488.003.0009","url":null,"abstract":"The conclusion emphasizes the importance of attending to the rhetoric of medicine in achieving the best health care and system outcomes for patients, physicians, and society as a whole. The negative portrait of a physician doing something immoral for money was created by the poet Pindar as an effort to shield himself from criticism that he himself was trading in commodities, not as part of a concerted attack on physicians per se. This chapter proposes that physicians should work actively on their self-presentation, not through artificial marketing strategies but by shaping a practice and profession that clearly puts patients’ welfare at its center.","PeriodicalId":387948,"journal":{"name":"The Rhetoric of Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129479828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Restriction","authors":"Nigel Nicholson, Nathan R. Selden","doi":"10.1093/med/9780190457488.003.0005","DOIUrl":"https://doi.org/10.1093/med/9780190457488.003.0005","url":null,"abstract":"Chapter 4 examines the physician’s relationship to the broader political life of the community. The Hippocratic corpus mostly frames health in terms of an individual and seems to exclude physicians from involvement in policy and politics. Yet some physicians sought to establish a less restrictive understanding of their work that would not inhibit political engagement. Modern professionals increasingly recognize a broad range of social determinants of healthcare, with a scope that exceeds the purview of traditional physicians. Accordingly, medicine should be recognized as a profession that has real relevance to public service and qualifies its practitioners for political office.","PeriodicalId":387948,"journal":{"name":"The Rhetoric of Medicine","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123158317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mentoring","authors":"N. Nicholson, N. Selden","doi":"10.1093/med/9780190457488.003.0007","DOIUrl":"https://doi.org/10.1093/med/9780190457488.003.0007","url":null,"abstract":"Chapter 6 explores tensions surrounding the mentoring of trainee physicians. Victory odes articulate an ideal of mentoring as an enduring, influential, and even transformational relationship focused on building character and moral judgment rather than technical skill. At the same time, the odes expose concerns that actual mentoring can fail to achieve this ideal, and instead prove to be elitist or more focused on obtaining immediate results than fostering independent agents. Mentorship has re-emerged as a key factor in the development of modern physicians as increased attention is paid to measuring the outcomes of medical education and humanistic competencies within medicine are revalued. Mentorship should certainly be fostered, but care must be taken to design mentorship programs that are inclusive and that develop independent agents.","PeriodicalId":387948,"journal":{"name":"The Rhetoric of Medicine","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124829212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Competition","authors":"Nigel Nicholson, N. Selden","doi":"10.1177/002743218507200101","DOIUrl":"https://doi.org/10.1177/002743218507200101","url":null,"abstract":"Chapter 3 explores ways in which physicians should distinguish their practice from other healthcare workers. One of Bacchylides’ odes exposes how Greek physicians sought to differentiate themselves from athletic trainers. These efforts were motivated by trainers’ success at winning business rather than concerns about their quality. The recent decision to unite postgraduate training in allopathic and osteopathic medicine in the United States offers a positive model for addressing competition, driven by concern for optimal patient care. Distinctions between healthcare practitioners should be rooted in demonstrated differences in outcomes, while all legitimate practitioners should be embraced. The goal is to provide the fundamental elements of care that patients value, including successful treatment outcomes and the affiliative and compassionate care.","PeriodicalId":387948,"journal":{"name":"The Rhetoric of Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125058467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}