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"Rosenbaum, Lisa"
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Facing Covid-19 in Italy — Ethics, Logistics, and Therapeutics on the Epidemic’s Front Line
Physicians in northern Italy have learned some painful lessons about rationing care during an epidemic. As health care systems work out ethical allocation principles, it seems clear that only with transparency and inclusivity can public trust and cooperation be achieved.
Journal Article
The Untold Toll — The Pandemic’s Effects on Patients without Covid-19
As the pandemic focuses medical attention on treating affected patients and protecting others from infection, how do we best care for people with non-Covid disease? Some physicians predict that “the toll on non-Covid patients will be much greater than Covid deaths.”
Journal Article
Escaping Catch-22 — Overcoming Covid Vaccine Hesitancy
About 27% of Americans say they definitely or probably won’t get a Covid vaccine, even if it’s free and deemed safe by scientists. The behavioral obstacles to widespread vaccination are thus as important to understand as the scientific and logistic hurdles.
Journal Article
On Calling — From Privileged Professionals to Cogs of Capitalism?
Many current trainees see medicine more as a job than a calling. What societal forces are reshaping attitudes about work? And why is medicine particularly vulnerable to these critiques?
Journal Article
Being Well while Doing Well — Distinguishing Necessary from Unnecessary Discomfort in Training
Maintaining medicine’s commitment to excellence while remedying our failures requires distinguishing unnecessary trainee harms from necessary discomforts. Why is it so hard to make these distinctions?
Journal Article
Tragedy, Perseverance, and Chance — The Story of CAR-T Therapy
The FDA has approved the first chimeric antigen receptor T-cell therapy, whose emergence reflects the incremental insights of many scientists over decades. Its story says as much about the methodical nature of scientific progress as about the passions that sustain it.
Journal Article
Reassessing Quality Assessment — The Flawed System for Fixing a Flawed System
Decades into the quality improvement movement in U.S. health care, the fix for the system has become a massive, cumbersome, time-consuming, demoralizing system in its own right — and we don’t even know whether it is improving care.
Journal Article
Peers, Professionalism, and Improvement — Reframing the Quality Question
Drawing on peer review and professionalism, some quality-improvement efforts tap into physicians’ intrinsic motivations for giving their patients the best possible care. How can we scale up such promising approaches and create and sustain a spirit of inquiry?
Journal Article
Why Have We Chosen Not to Fix Primary Care? The Vicious Cycle of Medical Hierarchy
Why Have We Chosen Not to Fix Primary Care? Luring trainees to primary care requires making its work more tenable and increasing its financial resources. But this recognition won’t lead to change without a transformation of underlying values.
Journal Article
PCPs, APPs, and the Everything Bagel Problem — Choosing Not to Choose
PCPs, APPs, and the Everything Bagel Problem The weight of preventive care tasks may be threatening the PCP skills critical to managing complex chronic disease. Have we overloaded primary care with worthy goals, causing paralysis?
Journal Article