Author | Pauline Chen |
---|---|
Subject | End-of-life care, US medical education, mortality |
Publisher | Knopf |
Publication date | January 9, 2007 |
Pages | 288 pp |
ISBN | 0-307-26353-3 |
Final Exam: A Surgeon's Reflections on Mortality is a 2007 book written by surgeon and liver specialist Pauline Chen. The Los Angeles Times described the main goal of the book as "to hold herself and fellow physicians accountable for providing better end-of-life care." [1] She argues that "medical schools can and should do a much better job of preparing doctors to care for the dying." [2]
Earvin "Magic" Johnson Jr. is an American businessman and former professional basketball player. Often regarded as the greatest point guard of all time, Johnson spent his entire career with the Los Angeles Lakers in the National Basketball Association (NBA). After winning a national championship with Michigan State in 1979, Johnson was selected first overall in the 1979 NBA draft by the Lakers, leading the team to five NBA championships during their "Showtime" era. Johnson retired abruptly in 1991 after announcing that he had contracted HIV, but returned to play in the 1992 All-Star Game, winning the All-Star MVP Award. After protests against his return from his fellow players, he retired again for four years, but returned in 1996, at age 36, to play 32 games for the Lakers before retiring for the third and final time.
Harvard-Westlake School is an independent, co-educational university preparatory day school consisting of two campuses located in Los Angeles, California, with approximately 1,600 students enrolled in grades seven through twelve. It is not affiliated with Harvard University. The school has two campuses, the middle school campus in Holmby Hills and the high school, or what Harvard-Westlake refers to as their Upper School, in Studio City. It is a member of the G30 Schools group.
Cardiothoracic surgery is the field of medicine involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart, lungs, and other pleural or mediastinal structures.
In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patient's medical history followed by an examination based on the reported symptoms. Together, the medical history and the physical examination help to determine a diagnosis and devise the treatment plan. These data then become part of the medical record.
A comparison of the healthcare systems in Canada and the United States is often made by government, public health and public policy analysts. The two countries had similar healthcare systems before Canada changed its system in the 1960s and 1970s. The United States spends much more money on healthcare than Canada, on both a per-capita basis and as a percentage of GDP. In 2006, per-capita spending for health care in Canada was US$3,678; in the U.S., US$6,714. The U.S. spent 15.3% of GDP on healthcare in that year; Canada spent 10.0%. In 2006, 70% of healthcare spending in Canada was financed by government, versus 46% in the United States. Total government spending per capita in the U.S. on healthcare was 23% higher than Canadian government spending. U.S. government expenditure on healthcare was just under 83% of total Canadian spending.
The Keck School of Medicine of the University of Southern California teaches and trains physicians, biomedical scientists and other healthcare professionals, conducts medical research, and treats patients. Founded in 1885, it is the second oldest medical school in California after the UCSF School of Medicine.
Children's Hospital Los Angeles (CHLA) is a nationally ranked, freestanding acute care children's hospital in the East Hollywood district of Los Angeles, on Sunset Boulevard at the corner of Vermont Avenue. The hospital has been academically affiliated with the Keck School of Medicine of the University of Southern California since 1932 and the hospital features 401 pediatric beds. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults generally aged 0–21 throughout California and the west coast. The hospital also sometimes treats adults that require pediatric care. The hospital has a rooftop helipad and is an ACS verified level I pediatric trauma center, one of a few in the region. The hospital features a regional pediatric intensive-care unit and an American Academy of Pediatrics verified level IV neonatal intensive care unit.
A trauma team is a multidisciplinary group of healthcare workers under the direction of a team leader that works together to assess and treat the severely injured. This team typically meets before the patient reaches the trauma center. Upon arrival, the team does an initial assessment and necessary resuscitation, adhering to a defined protocol.
Keith L. Black is an American neurosurgeon specializing in the treatment of brain tumors and a prolific campaigner for funding of cancer treatment. He is chairman of the neurosurgery department and director of the Maxine Dunitz Neurosurgical Institute at Cedars-Sinai Medical Center in Los Angeles, California.
Focused assessment with sonography in trauma is a rapid bedside ultrasound examination performed by surgeons, emergency physicians, and paramedics as a screening test for blood around the heart or abdominal organs (hemoperitoneum) after trauma. There is also the extended FAST (eFAST) which includes some additional ultrasound views to assess for pneumothorax.
The Martin Luther King Jr. Outpatient Center, formerly known as Martin Luther King Jr. Multi-Service Ambulatory Care Center, Martin Luther King Jr./Drew Medical Center (King/Drew), and later Martin Luther King Jr.–Harbor Hospital, was a public urgent care center and outpatient clinic and former hospital in Willowbrook, an unincorporated section of Los Angeles County, California, north of the city of Compton and south of the Watts neighborhood of Los Angeles. It closed in 2007.
An international medical graduate (IMG), earlier known as a foreign medical graduate (FMG), is a physician who has graduated from a medical school outside of the country where he or she intends to practice. The term non-local medical graduate may be similarly used in countries with distinct licensing regions within them. Generally, the medical school of graduation is one listed in the World Directory of Medical Schools (WDOM) as accredited by the Foundation for Advancement of International Medical Education and Research or the World Health Organization.
A final examination is a test given to students at the end of a course of study or training.
Harbor–UCLA Medical Center is a 570-bed public teaching hospital located at 1000 West Carson Street in West Carson, an unincorporated area within Los Angeles County, California. The hospital is owned by Los Angeles County and operated by the Los Angeles County Department of Health Services, while doctors are faculty of the David Geffen School of Medicine at UCLA, who oversee the medical residents being trained at the facility.
Maintenance of Certification (MOC) is a recently implemented and controversial process of physician certification maintenance through one of the 24 approved medical specialty boards of the American Board of Medical Specialties (ABMS) and the 18 approved medical specialty boards of the American Osteopathic Association (AOA). The MOC process is controversial within the medical community, with proponents claiming that it is a voluntary program that improves physician knowledge and demonstrates a commitment to lifelong learning. Critics claim that MOC is an expensive, burdensome, involuntary and clinically irrelevant process that has been created primarily as a money-making scheme for the ABMS and the AOA.
Marshall B. Ketchum University is a private university focused on graduate programs in healthcare and located in Fullerton, California. MBKU expanded from the Southern California College of Optometry which was founded in 1904. The university was officially established as a multidisciplinary university with the addition of School of PA Studies in 2011 and College of Pharmacy in 2013. Along with Hope International University, the campus bookends the north and south sides of the Cal State Fullerton campus respectively.
Pauline W. Chen, is a Taiwanese American surgeon, author, and New York Times columnist. She is known for her 2007 book Final Exam: A Surgeon's Reflections on Mortality as well as her online column "Doctor and Patient". She is also the recipient of numerous awards including the UCLA Outstanding Physician of the Year Award in 1999 and the George Longstreth Humanness Award at Yale for most exemplifying empathy, kindness, and care in an age of advancing technology.
Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance. The United States spends more on healthcare than any other country, both in absolute terms and as a percentage of GDP; however, this expenditure does not necessarily translate into better overall health outcomes compared to other developed nations. Coverage varies widely across the population, with certain groups, such as the elderly and low-income individuals, receiving more comprehensive care through government programs such as Medicaid and Medicare.
Peter Meong Rhee is an American surgeon, medical professor, and military veteran. During his 24 years in the United States Navy, Rhee served as a battlefield casualty physician in Afghanistan and Iraq.
Being Mortal: Medicine and What Matters in the End is a 2014 non-fiction book by American surgeon Atul Gawande. The book addresses end-of-life care, hospice care, and also contains Gawande's reflections and personal stories. He suggests that medical care should focus on well-being rather than survival. Being Mortal has won awards, appeared on lists of best books, and been featured in a documentary.