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Final Exam: A Surgeon's Reflections on Mortality
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Published:
Knopf Doubleday Publishing Group 2007
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Description

A brilliant transplant surgeon brings compassion and narrative drama to the fearful reality that every doctor must face: the inevitability of mortality.
“Uncommonly moving ... A revealing and heartfelt book." —Atul Gawande, #1 New York bestselling author of Being Mortal
When Pauline Chen began medical school, she dreamed of saving lives. What she could not predict was how much death would be a part of her work. Almost immediately, she found herself wrestling with medicine’s most profound paradox—that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education and practice as she struggles to reconcile the lessons of her training with her innate sense of empathy and humanity. A superb addition to the best medical literature of our time.

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Format:
Adobe EPUB eBook, Kindle Book, OverDrive Read
Street Date:
01/09/2007
Language:
English
ISBN:
9780307267283
ASIN:
B000OI0FPS
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Citations
APA Citation (style guide)

Pauline W. Chen. (2007). Final Exam: A Surgeon's Reflections on Mortality. Knopf Doubleday Publishing Group.

Chicago / Turabian - Author Date Citation (style guide)

Pauline W. Chen. 2007. Final Exam: A Surgeon's Reflections On Mortality. Knopf Doubleday Publishing Group.

Chicago / Turabian - Humanities Citation (style guide)

Pauline W. Chen, Final Exam: A Surgeon's Reflections On Mortality. Knopf Doubleday Publishing Group, 2007.

MLA Citation (style guide)

Pauline W. Chen. Final Exam: A Surgeon's Reflections On Mortality. Knopf Doubleday Publishing Group, 2007.

Note! Citation formats are based on standards as of July 2022. Citations contain only title, author, edition, publisher, and year published. Citations should be used as a guideline and should be double checked for accuracy.
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      • value: health
      • value: Death and Dying
      • value: grieving
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      • role: Author
      • fileAs: Chen, Pauline W.
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        PAULINE W. CHEN attended Harvard University and the Feinberg School of Medicine at Northwestern University and completed her surgical training at Yale University, the National Cancer Institute (National Institutes of Health), and UCLA, where she was most recently a member of the faculty. In 1999, she was named the UCLA Outstanding Physician of the Year. Dr. Chen’s first nationally published piece, “Dead Enough? The Paradox of Brain Death,” appeared in the fall 2005 issue of The Virginia Quarterly Review and was a finalist for a 2006 National Magazine Award. She is also the 2005 cowinner of the Staige D. Blackford Prize for Nonfiction and was a finalist for the 2002 James Kirkwood Prize in Creative Writing. She lives near Boston with her husband and children.

      • name: Pauline W. Chen
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2007-01-09T00:00:00-05:00
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title
Final Exam
fullDescription

A brilliant transplant surgeon brings compassion and narrative drama to the fearful reality that every doctor must face: the inevitability of mortality.
“Uncommonly moving ... A revealing and heartfelt book." —Atul Gawande, #1 New York bestselling author of Being Mortal
When Pauline Chen began medical school, she dreamed of saving lives. What she could not predict was how much death would be a part of her work. Almost immediately, she found herself wrestling with medicine’s most profound paradox—that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education and practice as she struggles to reconcile the lessons of her training with her innate sense of empathy and humanity. A superb addition to the best medical literature of our time.

reviews
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      • source: Los Angeles Times Book Review
      • content:

        "Incandescent . . . The real power of her book lies in her stories. Balanced and perfect, each one seeks out the reader's heart like a guided missile, and explodes."--The New York Times"Final Exam is a revealing and heartfelt book. Pauline Chen takes us where few do. . . Her tales are also uncommonly moving, most especially when contemplating death and our difficulties as doctors and patients in coming to grips with it."--Atul Gawande, author of Complications: A Surgeon's Notes on an Imperfect Science"Chen has a clear and unwavering eye for exposing the reality behind the mythology of medical training. . . . We would all do well to listen to what she has to say."--San Francisco Chronicle"In graceful, lucid prose, [Chen] narrates key events through which medical students and trainees first encounter death and, ultimately, depersonalize it. . . . Fresh and honest."

      • premium: True
      • source: Publisher's Weekly
      • content:

        November 20, 2006
        Like most physicians, Chen, a transplant surgeon and former UCLA faculty member, entered medicine in order to save lives. But as a medical student in the 1980s, she discovered that she had to face death repeatedly and "found disturbing inconsistencies" as she learned from teachers and colleagues "to suspend or suppress any shared human feelings for my dying patients." Chen writes with immaculately honed prose and moral passion as she recounts her quest to overcome "lessons in denial and depersonalization," vividly evoking the paradoxes of end-of-life care in an age of life-preserving treatments. Chen charts her personal and professional rites of passage in dealing with mortality, from her first dissection of a human cadaver, through the first time she pronounces a patient dead, to having to officially took responsibility for the accidental death of a patient in her care. Focusing on the enormous moral and psychological pressures on doctors and on the need for greater empathy in hospital end-of-life care, Chen also reports on signs of change within the profession, stemming from both criticisms of training and institutions and from physicians' initiatives to bring a greater sense of shared humanity to their work. Announced first printing of 75,000.

      • premium: True
      • source: Library Journal
      • content:

        January 1, 2007
        Numerous articles and books have shown that many physicians do not know how to treat terminally ill patients appropriately and humanely. Some physicians, in fact, use extreme and futile medical interventions to treat dying patients, with little regard to their costs, the pain and suffering they cause, or even the patients' own wishes. Chen, a young Asian American transplant surgeon, further addresses this profound paradox of medicinea profession premised on caring for the ill that systematically depersonalizes the dyingby compiling her own experiences dealing with death and dying. She skillfully interweaves personal narratives of her patients with reflections of broader issues in medical education and end-of-life care. Readers learn how Chen's medical training and clinical practice inappropriately taught her and other physicians coping mechanisms to deal with, deny, and, in many cases, depersonalize dying patients. Chen also reflects on needed changes in medicine and individual practices. This well-written, thoughtful, and engaging book is highly recommended for both public and academic libraries. [See Prepub Alert, "LJ" 9/1/06.]Ross Mullner, Sch. of Public Health, Univ. of Illinois, Chicago

        Copyright 2007 Library Journal, LLC Used with permission.

      • premium: True
      • source: Booklist
      • content:

        December 15, 2006
        There is a vast popular literature about physician ineptitude with dying and death, whose doctor authors often cite their own cases to make points. Chen takes the logical next step by recounting only her immediate experience with dying and dead persons and what she learned from it. She starts with her first dead "patient," the woman she dissected in anatomy class. She continues with the many, many deaths she witnessed as an intern and resident and later. She poses them against the backdrop of being encouraged to disengage emotionally from patients and to opt always for prolonging life. She recounts, with pain, her own failures to "be there" for dying patients and their loved ones. She notes recent medical education reforms aimed at helping physicians accept death and prepare patients and loved ones for it. She recalls, with wonder, good physician dealings with death--those of doctors she learned from and, finally, her own. A graceful, precise, and empathetic writer enthralled by her work, Chen imparts much about medical schooling and surgery, too.(Reprinted with permission of Booklist, copyright 2006, American Library Association.)

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shortDescription

A brilliant transplant surgeon brings compassion and narrative drama to the fearful reality that every doctor must face: the inevitability of mortality.
“Uncommonly moving ... A revealing and heartfelt book." —Atul Gawande, #1 New York bestselling author of Being Mortal
When Pauline Chen began medical school, she dreamed of saving lives. What she could not predict was how much death would be a part of her work. Almost immediately, she found herself wrestling with medicine’s most profound paradox—that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education and practice as she struggles to reconcile the lessons of her training with her innate sense of empathy and humanity. A superb addition to the best medical literature of our time.

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