Howard Hiatt


Book Description

The seven-decade career of Howard Hiatt, a pioneer in public health, advocate for global health and health equity, a mentor to generations of healthcare leaders. Howard Hiatt—physician, scientist, advocate for global health, and mentor to generations of healthcare leaders—has spent much of his seven-decade career being ahead of his time. His innovative ideas as head of Harvard's School of Public Health from 1972 to 1984—about preventive medicine, the incorporation of cutting-edge science into the curriculum, and cross-disciplinary collaboration—met fierce resistance at the time but are now widely recognized building blocks of public health. Hiatt's interest in global health and health equity equipped him to advocate for a series of younger physicians and researchers, including Paul Farmer and Jim Kim, two founders of Partners in Health, and the prominent health policy expert Don Berwick. This book tells the story of Hiatt's life and work, with important lessons for today drawn from Hiatt's 92 years of experience. Hiatt, born in 1925, attended Harvard College and received an M.D. degree from Harvard Medical School. Before he headed the School of Public Health, he was a modernizing force as chief of medicine at Boston's Beth Israel Hospital. After his stormy tenure at SPH, he went to Brigham and Women's as a professor of medicine and a senior physician with a portfolio of his own devising. It was at the Brigham that Hiatt took on the role of mentor, influencing generations of physicians and staking out new territory in the fields of global health and clinical effectiveness. He is still active at 92 as teacher and mentor.




One Doctor


Book Description

This book is an epic story told by a unique voice in American medicine. One doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today. Whipsawed by daily crises and frustrations, Reilly must deal with several daunting challenges simultaneously: the extraordinary patients under his care on the teeming wards of a renowned teaching hospital; the life-threatening illnesses of both of his ninety-year-old parents; and the tragic memory of a cold case from long ago that haunts him still. As Reilly's patients and their families survive close calls, struggle with heartrending decisions, and confront the limits of medicine's power to cure, One Doctor lays bare a fragmented, depersonalized, business-driven health-care system where real caring is hard to find. Every day, Reilly sees patients who fall through the cracks and suffer harm because they lack one doctor who knows them well and relentlessly advocates for their best interests. Filled with fascinating characters in New York City and rural New England -- people with dark secrets, mysterious illnesses, impossible dreams, and many kinds of courage -- One Doctor tells their stories with sensitivity and empathy, reminding us of professional values once held dear by all physicians. But medicine has changed enormously during Reilly's career, for both better and worse, and One Doctor is a cautionary tale about those changes. It is also a hopeful, inspiring account of medicine's potential to improve people's lives, Reilly's quest to understand the "truth" about doctoring, and a moving testament to the difference one doctor can make




Strategic Weapons Proposals


Book Description




Making Healthcare Safe


Book Description

This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.




Learning While Caring


Book Description

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."







Nuclear Preparedness


Book Description




The Pleasures of Statistics


Book Description

From his unique perspective, renowned statistician and educator Frederick Mosteller describes many of the projects and events in his long career. From humble beginnings in western Pennsylvania to becoming the founding chairman of Harvard University’s Department of Statistics and beyond, he inspired many statisticians, scientists, and students with his unabashed pragmatism, creative thinking, and zest for both learning and teaching. This candid account offers fresh insights into the qualities that made Mosteller a superb teacher, a prolific scholar, a respected leader, and a valued advisor. A special feature of the book is its chapter-length insider accounts of work on the pre-election polls of 1948, statistical aspects of the Kinsey report on sexual behavior in the human male, mathematical learning theory, authorship of the disputed Federalist papers, safety of anesthetics, and a wide-ranging examination of the Coleman report on equality of educational opportunity. This volume is a companion to Selected Papers of Frederick Mosteller (Springer, 2006) and A Statistical Model: Frederick Mosteller’s Contributions to Statistics, Science, and Public Policy (Springer-Verlag, 1990). Frederick Mosteller (1916–2006) was Roger I. Lee Professor of Mathematical Statistics at Harvard University. His manuscript was unfinished at his death and has been updated.




We Can't Eat Prestige


Book Description

This story explodes the popular belief that women white-collar workers tend to reject unionization and accept a passive role in the workplace. On the contrary, the women workers of Harvard University created a powerful and unique union--one that emphasizes their own values and priorities as working women and rejects unwanted aspects of traditional unionism. The workers involved comprise Harvard's 3,600-member "support staff," which includes secretaries, library and laboratory assistants, dental hygienists, accounting clerks, and a myriad of other office workers who keep a great university functioning. Even at prestigious private universities like Harvard and Yale, these workers--mostly women--have had to put up with exploitive management policies that denied them respect and decent wages because they were women. But the women eventually rebelled, declaring that they could not live on "prestige" alone. Encouraged by the women's movement of the early 1970's, a group of women workers (and a few men) began what would become a 15-year struggle to organize staff employees at Harvard. The women persisted in the face of patronizing and sexist attitudes of university administrators and leaders of their own national unions. Unconscionably long legal delays foiled their efforts. But they developed innovative organizing methods, which merged feminist values with demands for union representation and a means of influencing workplace decisions. Out of adversity came an unorthodox form of unionism embodied in the Harvard Union of Clerical and Technical Workers (HUCTW). Its founding was marked by an absorbing human drama that pitted unknown workers, such as Kris Rondeau, a lab assistant who came to head the union, against famous educators such as Harvard President Derek Bok and a panoply of prestigious deans. Other characters caught up in the drama included Harvard's John T. Dunlop, the nation's foremost industrial relations scholar and former U.S. Secretary of Labor. The drama was played out in innumerable hearings before the National Labor Relations Board, in the streets of Cambridge, and on the walks of historic Harvard Yard, where union members marched and sang and employed new tactics like "ballooning," designed to communicate a message of joy and liberation rather than the traditional "hate-the-boss" hostility. John Hoerr tells this story from the perspective of both Harvard administrators and union organizers. With unusual access to its meetings, leaders, and files, he examines the unique culture of a female-led union from the inside. Photographs add to the impact of this dramatic narrative. Author note: John Hoerr, a freelance writer, has been a journalist for more than thirty years at newspapers, magazines, public television, and United Press International. A specialist in labor reportage, he is the author of And the Wolf Finally Came: The Decline of the American Steel Industry.