Since 1970 a medical sciences curriculum has been taught jointly by Harvard Medical School and the Massachusetts Institute of Technology. In 1978, a doctoral program was founded to prepare physical scientists and engineers to address research at the interface of technology and clinical medicine. This volume describes, analyzes, and evaluates those first 25 years of the largest lasting collaborative educational and research program between two neighboring research universities.

Containing introductory comments by the presidents of both institutions at the time of the inauguration of the program, this volume presents historiographic and autobiographical chapters by senior officials and faculty of both universities who helped to guide it through its first quarter century. Evaluation of the program and follow-up data on the first graduates are included as well. Courses are listed in the appendices, as are curricula, faculty, theses topics, and major research projects.

One hundred years ago a series of seminal documents, starting with the Flexner Report of 1910, sparked an enormous burst of energy to harness the power of science to transform higher education in health. Professional education, however, has not been able to keep pace with the challenges of the 21st century. A new generation of reforms is needed to meet the demands of health systems in an interdependent world.

The report of the Commission on the Education of Health Professionals for the 21st Century, a global independent initiative consisting of 20 leaders from diverse disciplinary backgrounds and institutional affiliations, articulates a fresh vision and recommends renewed actions. Building on a rich legacy of educational reforms during the past century, the Commission’s findings and recommendations adopt a global and multi-professional perspective using a systems approach to analyze education and health, with a focus on institutional and instructional reforms.

Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility.

Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.

In 1913, the Peter Bent Brigham Hospital in Boston admitted its first patient, Mary Agnes Turner, who suffered from varicose veins in her legs. The surgical treatment she received, under ether anesthesia, was the most advanced available at the time. At the same hospital fifty years later, Nicholas Tilney—then a second-year resident—assisted in the repair of a large aortic aneurysm. The cutting-edge diagnostic tools he used to evaluate the patient’s condition would soon be eclipsed by yet more sophisticated apparatus, including minimally invasive approaches and state-of-the-art imaging technology, which Tilney would draw on in pioneering organ transplant surgery and becoming one of its most distinguished practitioners.

In Invasion of the Body, Tilney tells the story of modern surgery and the revolutions that have transformed the field: anesthesia, prevention of infection, professional standards of competency, pharmaceutical advances, and the present turmoil in medical education and health care reform. Tilney uses as his stage the famous Boston teaching hospital where he completed his residency and went on to practice (now called Brigham and Women's). His cast of characters includes clinicians, support staff, trainees, patients, families, and various applied scientists who push the revolutions forward.

While lauding the innovations that have brought surgeons' capabilities to heights undreamed of even a few decades ago, Tilney also previews a challenging future, as new capacities to prolong life and restore health run headlong into unsustainable costs. The authoritative voice he brings to the ancient tradition of surgical invasion will be welcomed by patients, practitioners, and policymakers alike.

Leaving a Legacy: Lessons from the Writings of Daniel Drake is a selective collection of excerpts from the vast writings from the nineteenth-century doctor and medical pioneer Daniel Drake. From Drake’s life, documented here in his own words from excerpts of lectures, personal journal entries, presentations, speeches, books, and letters to his children, readers learn about the scope of his accomplishments in medicine, contributions to his community, and dedication to his family. Diller goes beyond biography to contextualize Drake’s life choices and what made him a role model for today’s physicians. Diller selected one hundred and eighty thematically arranged excerpts, which he paired with original reflection questions to guide the reader through thought-provoking prompts. In doing so, Diller presents the lessons from Drake’s remarkable life and work as a guide for others who wish to build an enduring legacy.

You're young, ambitious, entering the field of your dreams; you're on your own, the competition is fierce--and then you see your chance: the big story, the big role, the big discovery. But you'll have to cut a few corners, bend the rules, cheat a bit. What choices will you make?

After studying more than a hundred young people launching their careers, these longtime researchers of "good work"--work that is both skillful and honorable--find unsettling answers. Although young workers know what it takes to do good work, they don't always feel they can follow the ethical route. "Later, when I'm successful," is their implicit promise.

Making Good explores the choices confronting young workers who join the ranks of three dynamic professions--journalism, science, and acting--and looks at how the novices navigate moral dilemmas posed by a demanding, frequently lonely, professional life. The authors also uncover striking comparisons between these young professionals and the veterans in their fields--most notably, older workers recall inspiring models and mentors, while today's beginners see themselves as on their own. With extensive insights into how young workers view their respective domains, the nature of their ambitions, the sacrifices they are willing to make, and the lines they are prepared to cross, this study will prove instructive to young employees and employers alike, as well as to those who wish to understand the shifting moral and social character of the working world.

Youth mentoring programs must change in order to become truly effective. The world’s leading expert shows how.

Youth mentoring is among the most popular forms of volunteering in the world. But does it work? Does mentoring actually help young people succeed? In Older and Wiser, mentoring expert Jean Rhodes draws on more than thirty years of empirical research to survey the state of the field. Her conclusion is sobering: there is little evidence that most programs—even renowned, trusted, and long-established ones—are effective. But there is also much reason for hope.

Mentoring programs, Rhodes writes, do not focus on what young people need. Organizations typically prioritize building emotional bonds between mentors and mentees. But research makes clear that effective programs emphasize the development of specific social, emotional, and intellectual skills. Most mentoring programs are poorly suited to this effort because they rely overwhelmingly on volunteers, who rarely have the training necessary to teach these skills to young people. Moreover, the one-size-fits-all models of major mentoring organizations struggle to deal with the diverse backgrounds of mentees, the psychological effects of poverty on children, and increasingly hard limits to upward mobility in an unequal world.

Rhodes doesn’t think we should give up on mentoring—far from it. She shows that evidence-based approaches can in fact create meaningful change in young people’s lives. She also recommends encouraging “organic” mentorship opportunities—in schools, youth sports leagues, and community organizations.

Winner of the Eleanor Maccoby Book Award

“This engaging and well-written book is a significant advance in our understanding of when and how mentoring matters…[It] lays the foundations for an approach to mentoring that is both rigorous and rich in new ideas.”
—Robert D. Putnam, author of Our Kids: The American Dream in Crisis

“Rhodes forces us to slam the brakes on ineffective practices and improve an industry that is devoted to the potential of our nation’s children…The author’s concrete recommendations will create new pathways to opportunity for youth in greatest need.”
—Michael D. Smith, Executive Director, My Brother’s Keeper Alliance

“A powerful assessment of what is needed to best help young people today.”
—Pam Iorio, President and CEO, Big Brothers Big Sisters of America

Youth mentoring is one of the most popular forms of volunteering in the world today, but does it work? Drawing on over thirty years of research and her own experience in the field, Jean Rhodes reveals that most mentoring programs fail to deliver what young people actually need. Many prioritize building emotional bonds between mentors and mentees. But research shows that effective programs go far beyond this, developing specific social, emotional, and intellectual skills.

Most mentoring programs rely on volunteers, who rarely have the training to teach these skills. Their one-size-fits-all models struggle to meet the diverse needs of mentees, and rarely take account of the psychological effects of poverty on children. Rhodes doesn’t think we should give up on mentoring—far from it. Instead, she recommends “organic” mentorship opportunities—in schools, youth sports leagues, and community organizations—and shares specific approaches that can spark meaningful change in young people’s lives.

“A powerful and extraordinarily important book.”
—James P. Comer, MD

“A marvelous personal journey that illuminates what it means to care for people of all races, religions, and cultures. The story of this man becomes the aspiration of all those who seek to minister not only to the body but also to the soul.”
—Jerome Groopman, MD, author of How Doctors Think

Growing up in Jim Crow–era Tennessee and training and teaching in overwhelmingly white medical institutions, Gus White witnessed firsthand how prejudice works in the world of medicine. While race relations have changed dramatically since then, old ways of thinking die hard. In this blend of memoir and manifesto, Dr. White draws on his experience as a resident at Stanford Medical School, a combat surgeon in Vietnam, and head orthopedic surgeon at one of Harvard’s top teaching hospitals to make sense of the unconscious bias that riddles medical care, and to explore how we can do better in a diverse twenty-first-century America.

“Gus White is many things—trailblazing physician, gifted surgeon, and freedom fighter. Seeing Patients demonstrates to the world what many of us already knew—that he is also a compelling storyteller. This powerful memoir weaves personal experience and scientific research to reveal how the enduring legacy of social inequality shapes America’s medical field. For medical practitioners and patients alike, Dr. White offers both diagnosis and prescription.”
—Jonathan L. Walton, Plummer Professor of Christian Morals, Harvard University

“A tour de force—a compelling story about race, health, and conquering inequality in medical care…Dr. White has a uniquely perceptive lens with which to see and understand unconscious bias in health care…His journey is so absorbing that you will not be able to put this book down.”
—Charles J. Ogletree, Jr., author of All Deliberate Speed

If you’re going to have a heart attack, an organ transplant, or a joint replacement, here’s the key to getting the very best medical care: be a white, straight, middle-class male. This book by a pioneering black surgeon takes on one of the few critically important topics that haven’t figured in the heated debate over health care reform—the largely hidden yet massive injustice of bias in medical treatment.

Growing up in Jim Crow–era Tennessee and training and teaching in overwhelmingly white medical institutions, Gus White witnessed firsthand how prejudice works in the world of medicine. And while race relations have changed dramatically, old ways of thinking die hard. In Seeing Patients White draws upon his experience in startlingly different worlds to make sense of the unconscious bias that riddles medical treatment, and to explore what it means for health care in a diverse twenty-first-century America.

White and coauthor David Chanoff use extensive research and interviews with leading physicians to show how subconscious stereotyping influences doctor–patient interactions, diagnosis, and treatment. Their book brings together insights from the worlds of social psychology, neuroscience, and clinical practice to define the issues clearly and, most importantly, to outline a concrete approach to fixing this fundamental inequity in the delivery of health care.

Medical students preparing for a career in clinical practice must become familiar with a wide range of diagnostic imaging techniques and image-guided interventions. They must learn to identify the indications for radiological examination and recognize the role each procedure plays in the workup, diagnosis, and therapeutic management of patients. That is why Squire’s Fundamentals of Radiology has been such an important, long-standing resource for medical students, physicians, and other professionals at all stages of their careers. It teaches essential topics in the radiology curriculum and features hundreds of illustrative cases clinicians can turn to again and again in practice.

In this long-awaited seventh edition, Robert Novelline provides more than 600 new high-resolution images representing the current breadth of radiological procedures: conventional x-rays, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), angiography, radioisotope scanning, positron emission tomography (PET), and molecular imaging. This edition’s expanded coverage addresses dual energy CT, breast tomosynthesis, PET-MR scanning, and tractography brain imaging, along with best practices for managing patient experiences during and after examination. All new images were produced at a major teaching hospital using state-of-the-art imaging technologies.

Squire’s Fundamentals of Radiology is designed to be read cover to cover by students, with concepts, principles, and methods progressing in a logical, cumulative manner. It also serves as an invaluable tool for teachers and an indispensable reference for seasoned practitioners. Written by a radiologist who has trained thousands of medical students and residents, this textbook is the clear choice for excelling in the general practice of radiology.