Addressing human elements

Edward Rosenow III is an experienced physician who is seeking to pass on his skills in how best to relate to patients as well as to other professional staff. The book can be dipped into and enjoyed in small portions or it can be consumed in more substantial quantities. However you approach it, this book has something to offer most people. Written in a pithy and humorous style, with many quotations, it is easy to read. At the same time the author has some important messages that he is offering to the younger physician in particular.

The very full curriculum provided for medical students today allows little time to deal with the more qualitative aspects of how to balance the pressures of a professional career with one's needs as a whole person and one's responsibilities to family and community. The value of role models and mentoring in supporting, and gently nurturing, the inherent skill of the young physician certainly strikes a chord with my own views.

The author is quite concerned about the public image of the physician and is aware that there has been a decline in the level of trust of physicians generally. It is no surprise that the longest chapter in the book is called "Qualities of the respected person", in which he works his way through many qualities, such as trustworthiness, humility, communication skills, collegiality and professionalism.

The more serious section of the book deals with how to avoid stress, "burnout", and depression, suggesting a range of practical and cognitive strategies. The chapter on end-of-life issues clearly demonstrates his compassion and sensitivity, and provides poignant reminders of the importance of the good physician’s role and obligations at this time.

This slim volume is certainly value for money and will empower the reader to focus attention on the human elements of our work that have become endangered in the modern world.

Chris MileshkinDirector of Clinical Services St Vincent’s Mental Health Services Melbourne, VIC