Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.
Emergency medicine is the medical speciality concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency medicine physicians specialize in providing care for unscheduled and undifferentiated patients of all ages. As first-line providers, in coordination with emergency medical services, they are primarily responsible for initiating resuscitation and stabilization and performing the initial investigations and interventions necessary to diagnose and treat illnesses or injuries in the acute phase. Emergency medical physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units. Still, they may also work in primary care settings such as urgent care clinics.
Naturopathy, or naturopathic medicine, is a form of alternative medicine. A wide array of practices branded as "natural", "non-invasive", or promoting "self-healing" are employed by its practitioners, who are known as naturopaths. Difficult to generalize, these treatments range from the pseudoscientific and thoroughly discredited, like homeopathy, to the widely accepted, like certain forms of psychotherapy. The ideology and methods of naturopathy are based on vitalism and folk medicine rather than evidence-based medicine, although practitioners may use techniques supported by evidence. The ethics of naturopathy have been called into question by medical professionals and its practice has been characterized as quackery.
Bioethics is both a field of study and professional practice, interested in ethical issues related to health, including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine, ethical education in science, animal, and environmental ethics, and public health.
Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal. These four values are not ranked in order of importance or relevance and they all encompass values pertaining to medical ethics. However, a conflict may arise leading to the need for hierarchy in an ethical system, such that some moral elements overrule others with the purpose of applying the best moral judgement to a difficult medical situation. Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment.
Medical humanities is an interdisciplinary field of medicine which includes the humanities, social science and the arts and their application to medical education and practice.
The SOAP note is a method of documentation employed by healthcare providers to write out notes in a patient's chart, along with other common formats, such as the admission note. Documenting patient encounters in the medical record is an integral part of practice workflow starting with appointment scheduling, patient check-in and exam, documentation of notes, check-out, rescheduling, and medical billing. Additionally, it serves as a general cognitive framework for physicians to follow as they assess their patients.
Arthur Michael Kleinman is an American psychiatrist, social anthropologist and a professor of medical anthropology, psychiatry and global health and social medicine at Harvard University.
Medical education is education related to the practice of being a medical practitioner, including the initial training to become a physician and additional training thereafter.
Patient advocacy is a process in health care concerned with advocacy for patients, survivors, and caregivers. The patient advocate may be an individual or an organization, concerned with healthcare standards or with one specific group of disorders. The terms patient advocate and patient advocacy can refer both to individual advocates providing services that organizations also provide, and to organizations whose functions extend to individual patients. Some patient advocates are independent and some work for the organizations that are directly responsible for the patient's care.
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of deleterious mental conditions. These include various matters related to mood, behaviour, cognition, perceptions, and emotions.
Cecil Helman was a South African doctor, author, and medical anthropologist. He published poetry, essays, and short stories, as well as academic books and papers.
Healing Words: Poetry and Medicine is a sixty-minute documentary (ISBN 978-0-7936-9468-6) filmed in 2008 primarily at Shands at the University of Florida. The production portrays individuals in personal quest to recover psychologically and physically from illnesses that have dramatically changed their lives. This film validates expressive art in medical settings can build doctor–patient relationships and be a supportive companion in the healing process.
Comic book therapy is a form of art therapy in which those undergoing rehabilitation or those who have already completed rehabilitation express their experiences through personal narratives within a comics format. The combination of text and image enables patients to process their memories and emotions through two different, yet compatible mediums. Comic book therapy can also be used in a psychotherapeutic setting, whereby clients are encouraged to read specific comic books, often surrounding topics similar to their own diagnoses. Clients are encouraged to present their thoughts and feelings they experienced while reading as well as to draw parallels with their own lived experiences based on the events that occur within the books. This is done in an effort to reach a cathartic moment of clarity and understanding of one's own life.
Graphic medicine connotes the use of comics in medical education and patient care.
Rita Charon, is a physician, literary scholar and the founder and executive director of the Program in Narrative Medicine at Columbia University. She currently practices as a general internist at the Associates in Internal Medicine at Columbia Presbyterian Hospital, and is a professor of clinical medicine at the College of Physicians and Surgeons of Columbia University.
The rhetoric of health and medicine is an academic discipline concerning language and symbols in health and medicine. Rhetoric most commonly refers to the persuasive element in human interactions and is often best studied in the specific situations in which it occurs. As a subfield of rhetoric, medical rhetoric specifically analyzes and evaluates the structure, delivery, and intention of communications messages in medicine- and health-related contexts. Primary topics of focus includes patient-physician communication, health literacy, language that constructs disease knowledge, and pharmaceutical advertising. The general research areas are described below. Medical rhetoric is a more focused subfield of the rhetoric of science.
Clinical empathy is expressed as the skill of understanding what a patient says and feels, and effectively communicating this understanding to the patient. The opposite of clinical empathy is clinical detachment. Detached concern, or clinical detachment, is the ability to distance oneself from the patient in order to serve the patient from an objective standpoint. For physicians to maximize their role as providers, a balance must be developed between clinical detachment and clinical empathy.
in-Training: Stories from Tomorrow’s Physicians is a print collection of 102 manuscripts originally published on in-Training, the online magazine for medical students, since its founding in July 2012. The collection was written, curated, and edited entirely by medical students.
Fitzhugh Mullan was an American physician, writer, educator, and social activist. He participated in the founding of the Student Health Organization, the National Coalition for Cancer Survivorship, Seed Global Health, and the Beyond Flexner Alliance. Mullan was a professor of Health Policy and Management and of Pediatrics at the George Washington University and the George Washington University Health Workforce Institute, now renamed the Fitzhugh Mullan Institute for Health Workforce Equity. He was an elected member of the National Academy of Medicine.
