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E-raamat: Learning While Caring: Reflections on a Half-Century of Cancer Practice, Research, Education, and Ethics

(A. N. Pritzker Distinguished Service Professor Emeritus, Department of Radiology and Cellular Oncology, University of Chicago)
  • Formaat: 368 pages
  • Ilmumisaeg: 10-Nov-2016
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780190657000
  • Formaat - EPUB+DRM
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  • Formaat: 368 pages
  • Ilmumisaeg: 10-Nov-2016
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780190657000

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In the last half century, a revolution in biology and medicine has taken place, bringing about emerging practical, philosophical, and societal issues with which academia in general, and medicine and oncology in particular, must grapple. One witness to this revolution is Samuel B. Hellman, a radiation oncologist who has served as Dean of the Pritzker School of Medicine at the University of Chicago; Physician-in-Chief at Memorial Sloan Kettering Cancer Center; Chair of Radiation Therapy at Harvard Medical School; President of the American Society of Clinical Oncology; President of the American Society of Therapeutic Radiology and Oncology; and co-editor with Dr. Vincent DeVita of seven editions of Cancer: Principles and Practice of Oncology, the premier oncology text in the world.

Learning While Caring offers a collection of Dr. Hellman's essays and articles, in which he delves into the issues brought about by advances and changes in medicine over the last fifty years. The essays are organized into five sections: Medical Ethics and Learning; Academic Medicine; Research; Perceptions of Cancer; and Heroes. Each section is introduced by a new commentary from Dr. Hellman on the historical aspects and current significance of the issues presented in that section's essays. Throughout, Dr. Hellman interweaves reflections on major aspects of his professional career and the times in which they occurred as examples of the challenges and controversies that confront oncology, medicine, and academia. The book concludes with "Summing Up," reviewing changes in medical practice and biological science and concluding that, despite these huge changes, certain things remain the same, especially the primary obligation of the doctor to the patient and the need to seek and test new knowledge. Dr. Hellman writes, "We are currently at the end of the beginning of the revolution in biology and medicine resulting from the understanding of how genetic information was passed generationally. Our capacities are far greater now but the essence of medical practice and our responsibility to the patient remains the same."

Arvustused

...this excellent reflective work ...is an outstandingly well-though-out and well-written book on these life-and-death issues. * Sonu Chandiram, Biz India ^r *

Preface xi
Acknowledgments xli
Introduction 1(32)
Commentary
1(5)
The Aims of Education; an annual address to The University of Chicago freshman class; published in Perspectives in Biology and Medicine, 1990
6(14)
A Doctor's Dilemmas; Commencement Address, Allegheny College, 1984
20(5)
The End of Inevitability, or Frankenstein and the Biological Revolution; published in Pharos, 1994
25(8)
1 Medical Ethics and Learning
33(90)
Commentary
33(5)
Randomized Clinical Trials and the Doctor-Patient Relationship: An Ethical Dilemma; published in Cancer Clinical Trials, 1979
38(6)
Of Mice but Not Men: Problems of the Randomized Clinical Trial; published in New England Journal of Medicine, 1991
44(10)
Ethics of Randomized Clinical Trials; from a series of Ethics Grand Rounds, Dana Farber Cancer Institute, edited by E. J. Emanuel and W. Bradford Patterson; published in Journal of Clinical Oncology, 1998
54(16)
The Patient and the Public Good; published in Nature Medicine, 1995
70(9)
On First Looking into Kutcher's Contested Medicine: Ethical Tensions in Clinical Research; published in Perspectives in Biology and Medicine, 2010
79(14)
Managed Care and the Doctor-Patient Relationship: A Menage a Trois; unpublished essay, 1997
93(7)
Fin de Siecle Medicine: Avoiding the Unintended Consequences of Health Care Reform; published in Brookings Review, 1994
100(7)
Premise, Promise, Paradigm, and Prophesy; published in Nature Clinical Practice Oncology, 2005
107(2)
Learning While Caring: Medicine's Epistemology; published in Journal of Clinical Oncology, 2014
109(14)
2 Academic Medicine
123(38)
Commentary
123(5)
Medicine: A University; Pritzker School of Medicine, The University of Chicago, 1999
128(4)
Comments on the Presentation by President Don Randel, The University of Chicago Symposium, "University of the Future," 2001
132(3)
The Intellectual Quarantine of American Medicine; published in Academic Medicine, 1991
135(9)
Tales of the Unnatural: Return From the Dean(d); published in Journal of the American Medical Association, 1998
144(6)
A Lamentation on the Death of Collaboration; unpublished essay, 2002
150(4)
Irwin Freedberg and the Changing Times of Academic Medicine: from "Remembering Irwin Freedberg," published in Journal of Investigative Dermatology, 2006
154(4)
Ivar, Michael, and Zvi: Celebrating the Diversity of Our Friends and Colleagues; published in Nature Clinical Practice Oncology, 2005
158(3)
3 Research
161(84)
Commentary
161(9)
Reflections of a Radiation Oncologist as President of the American Society of Clinical Oncology; published in Journal of Clinical Oncology, 1987
170(7)
Technology, Biology, and Traffic; published in Acta Oncologica, 2001
177(8)
Karnofsky Memorial Lecture. Natural History of Small Breast Cancers; published in Journal of Clinical Oncology, 1994
185(14)
Dogma and Inquisition in Medicine: Breast Cancer as a Case Study; published in Cancer, 1993
199(9)
Darwin's Clinical Relevance; published in Cancer, 1997
208(16)
Oligometastases; published in Journal of Clinical Oncology, 1995
224(7)
Oligometastases Revisited; published in Nature Reviews Clinical Oncology, 2011
231(14)
4 Perceptions of Cancer
245(24)
Commentary
245(3)
Evolving Paradigms and Perceptions of Cancer; published in Nature Clinical Practice Oncology, 2005
248(14)
Oncologists and Their Patients; unpublished essay, 2016
262(7)
5 Heroes
269(28)
Commentary
269(3)
Thomas Hodgkin and Hodgkin's Disease. Two Paradigms Appropriate to Medicine Today; published in Journal of the American Medical Society, 1991
272(12)
Curies, Cure, and Culture; published in Perspectives in Biology and Medicine, 1992
284(8)
The First Century of Cancer Chemotherapy; published in Journal of Clinical Oncology, 1998
292(5)
Summing Up 297(12)
Index 309
Most recently, Dr. Hellman served as Dean of the Division of Biological Sciences and the Pritzker School of Medicine and Vice President for the Medical Center at The University of Chicago. Preceding that he was Physician-in-Chief of the Memorial Sloan Kettering Hospital for Cancer and Allied Diseases and held the Benno C. Schmidt Chair in Clinical Oncology at Memorial Sloan-Kettering Cancer Center. Before that Dr. Hellman served as Chairman of the Department of Radiation Therapy at the Harvard Medical School where he was the Alvin T. and Viola D. Fuller - American Cancer Society Professor. He was also the founding Director of the Joint Center for Radiation Therapy at the Harvard Medical School.