Medicine at the Crossroads

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Stories and Conversations to Forge a Vision for Health CareMedicine at the Crossroads is a collection of revised and expanded essays based a column originally published in the Waco-Tribune Herald by renowned cardiologist Dr. Michael Attas. It touches on three perspectives - the physician, the patient, and the healthcare system - and addresses some of the most pressing questions in medicine today. Individually, each story of illness, medicine, and healing provides a tiny, fragmented glimpse into the heart of a problem. Collectively, it is Dr. Attas's hope that these stories forge together to reveal a larger narrative truth.The collection originated among scores of bright, inquisitive students in the classrooms of Baylor University, where Dr. Attas founded the Medical Humanities Program. The program was the first of its kind in the United States, and it redefined how students prepare for a career in health care. Dr. Attas and his students explored medicine and the human condition through stories of brokenness and redemption, pain and loss, and joy and despair.But the stories that have emerged from Dr. Attas's 40-year career are not just for students. The conversations are for all of us. Whether you are a physician, patient, or other participant in the healthcare system, may you be bold enough, humble enough, and vulnerable enough to listen to these stories-and to the stories of those around you-with wonder and awe.While this collection may offer some solutions with "fear and trembling, " it does not dare claim to have all the answers. The purpose is simply to start conversations. So, let us take a collective breath and examine our personal feelings and expectations of medicine. May we each glimpse the possibilities and discover our own fresh, creative solutions.Ultimately, the purpose of Medicine at the Crossroads is to help us find our way to compassionate, humane health care for all. Together, may we find healing-for ourselves, our loved ones, and our system.What leaders are saying"For years, Dr. Attas has been prescient about changes in medicine and the physician's role. In a time of radical change in health care, when the very practice of medicine is in question, he shows us that the essential relationship is between the patient and the physician." - United States Ambassador Lyndon L. Olson, Jr. "Candid, transparent, and provocative, this is a "stained glass" collection of stories for talking about health care through the lens of the medical humanities, helping us understand how the science and art of medicine intersect. A must-read for anyone entering or serving in health care." - Joel T. Allison, FACHE, Retired CEO, Baylor Scott and White Health, Senior Advisor, Robbins Institute for Health Policy and Leadership"Dr. Attas reclaims ancient wisdom and offers a new vision. This is not only a handbook about recognizing patients' needs in body and soul, but about how those holding life and death in their hands at work can recognize and meet their own needs of body and soul. I hope every clinician reads it." - Kerry Egan, MDiv, Author of On Living"At the intersection of faith and medicine, Dr. Attas grapples with the dilemmas and dissonances of modern medicine in stories that are both personal and prophetic. This important conversation about the future of health care reminds future healthcare professionals of their sacred duty to care for patients and urges us all to build a healthcare system based on compassion, wisdom, and justice." - Lauren Barron, MD, Director, Medical Humanities Program, Baylor University