He also talks about disparities in diagnosis and treatment, and about racism experienced by black medical students and doctors. "I called about this last week.". Our supervisor, a family physician, rechecked and confirmed the reading. This book inspires hope that racial prejudice is diminishing in medical education and patient care. There was an error retrieving your Wish Lists. The majority of my classmates graduated from high-prestige colleges like Duke, Harvard, Yale, or Stanford. There are some things “Black Man in a White Coat” doesn’t do. In the mid-1990s, blacks accounted for about 7 percent of medical students; that percentage holds steady today. Dr. Tweedy also makes a point to describe his own biases, such as those against the LGBTQ+ community and the uninsured. Picador, 245 pp. Prime members enjoy FREE Delivery and exclusive access to music, movies, TV shows, original audio series, and Kindle books. The doctor wants us to think. Summary On February 18, 1931, ... story is the story of a young man struggling to come to terms with his dual identity as both an American and as a black man in white America. According to Carter, this aim resulted in a distinct set of standards where academically successful blacks were not judged against whites (or Asians), but rather against one another. What did that say about him as a black man? You're listening to a sample of the Audible audio edition. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. WTF. Goodreads helps you keep track of books you want to read. The mid-class break offered time to use the bathroom, grab coffee, or simply remain in place and gossip. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. His discussions about empathy seemed weirdly stiff, but earnest. While admissions committees do consider other factors, I'm fairly certain that my community service record, leadership skills, and interview performance all rated average at best. In an outpatient clinic toward the end of the book, he acquires a patient, Keith, who shows up in sweat pants and a camouflage jacket and whose interests include “guns, motorcycles, pickup trucks and racecars.” (Dr. Tweedy wears a suit and tie, plays tennis, drinks fruit smoothies, drives an S.U.V. About abortions if banned putting the poor at risk, (well-off women have period pains and need d&cs, as has always been done). An engaging, introspective memoir that will force readers to contemplate the uncomfortable reality that race impacts every aspect of life, even medicine…. September 22, 2015. Our medical lives were about to begin. by You can tell that he probably has spent some time around either low-key racists or skeptics because he builds his points quite carefully. At the time, North Carolina, and the city of Durham, had few Hispanic residents. He is also telling the stories of colleagues, teachers, and patients. Moving and very thought-provoking memoir from a black doctor who grew up in DC area, went to medical school at Duke, and worked in rural clinics, Duke hospital, and inner city Grady hospital (trauma center in Atlanta). Though Duke, like many elite colleges, tried to recruit minority students, Tweedy notes that the constant subliminal and overt racism at the school—which former professor Henry Louis Gates Jr. termed "the Plantation"—caused many non-white recruits to suffer self-doubt and anxiety. He looked at me with a worried frown. Keith H. Brodie, MD, President Emeritus Duke University. In medicine, this meant that black people could begin to receive treatment side by side with whites rather than being relegated to separate and unequal facilities or sectioned off in run-down areas of white hospitals. "The average combined score was 34," our Duke professor announced. Whenever characters such as Iago feel jealousy, fear, or simple hatred toward Othello, they give vent to their feelings by using racist slurs. His face drooped as saliva dribbled out of the corner of his mouth. Rather than making a fuss, Dr. Tweedy triumphs by earning the second-highest grade on the final exam and then declining the startled teacher’s offer of a job. It is an optimistic commentary on the future of American Medicine.” ―H. Whenever characters such as Iago feel jealousy, fear, or simple hatred toward Othello, they give vent to their feelings by using racist slurs. Enjoy a great reading experience when you buy the Kindle edition of this book. I learned quite a bit. Mixing personal reflection on race as an important issue in his life, schooling, and medical practice, Tweedy discusses racial disparities and barriers in health care delivery, while also reprising a long, sad, and too common history of black professionals in a mostly white world, discounted and dismissed, as demonstrated in Yale Law School professor Stephen L. Carter's 1991 Reflections of an Affirmative Action Baby. Black Man in a White Coat Book Summary : A NEW YORK TIMES BESTSELLER • ONE OF TIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEAR A LIBRARY JOURNAL BEST BOOK SELECTION • A BOOKLIST EDITORS' CHOICE BOOK SELECTION One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans When Damon … Within a half-hour of his arrival at the emergency department, after a neurological exam and rapid CT scan of his brain, it was clear what had transpired: Jim, just a few weeks shy of forty, had suffered a massive stroke. In the process, he shines a light on disparities than can be hard to fathom…. Dr. Tweedy has done the country a favor by writing this book. Tweedy's life experiences shed light on the complexities of being a Black doctor in a system characterized by racial disparity. Instead, he stopped directly in front of me. I found particularly chilling one story about him visiting urgent care after a weekend basketball injury (twisted knee). And in doing so, they challenge us to as well.” Time“Riveting.” Entertainment Weekly, The Must List“On one level the book is a straightforward memoir; on another it’s a thoughtful, painfully honest, multi-angled, constant self-interrogation about himself and about the health implications of being black.” Sarah Lyall, The New York Times“[A] heartfelt account... Black Man in a White Coat is a commentary on challenges and lessons [Dr. Tweedy has] encountered as a physician of color, offering first-hand truths about the medical issues and racial divides in health care plaguing our community.” Ebony“Fascinating… What sets this book in motion is Tweedy’s dogged quest to understand how his personal experience relates to the staggering issue of health care inequality. Dr. Tweedy has done the country a favor by writing this book. There are some things “Black Man in a White Coat” doesn’t do. He does not have suggestions about how to make the society more equitable racially. Not likely to get any awards for best book of the year due to its simple writing style. I found particularly chilling one story about him visiting urgent care after a weekend basketball injury (twisted knee). Seated in his elegant living room amongst black medical faculty, residents, and current Johns Hopkins medical students, we heard the implicit message loud and clear: As admitted applicants, we'd been invited to join an exclusive community. Tweedy may not be the same kind of writer as Atul Gawande, he is more straightforward and simple, but that makes him a great source for a book like this. While I had considered many of those schools four years earlier and been accepted to several, I attended the lesser-known University of Maryland–Baltimore County. Members save with free shipping everyday! I don't recall the specific joke, but it made me smile and calmed me down enough that I could eat my lunch. As the title suggests, this is an must read for anyone who is interested in how race and medicine intersect, from the development of young black talent to the unfortunate racial disparities in health care delivery and outcomes. 07/27/2015In this eye-opening memoir, Tweedy, a black psychiatrist who interned at Duke University Medical School in the mid-1990s, vigorously confronts his profession and its erratic treatment of African-American patients. Attentive to the frustrating inequalities rooted in our history, Tweedy’s Black Man in a White Coat is also usefully attuned to the promising prospects ahead.” Randall Kennedy, The Washington Post“While many doctors write booksthe Greek physician Ctesias in antiquity, Atul Gawande todayfew have concerned themselves with race. Black Man in a White Coat As Tweedy continued his education and training, he discovered a passion for treating the mind over the body. Among elite medical schools — those regarded among the top ten in terms of selectivity, national reputation, and placement of graduates in prestigious clinical residency programs — Duke alone is located in the South. Sensitive as I already was about my place at Duke, this incident stabbed at the core of my insecurity. Immediate reaction, this is not just the author's story. He also talks about the mixed emotions he felt about a form of affirmative action being one of the reasons that he was admitted to Duke medical school. We work hard to protect your security and privacy. In the emergency room, he confesses that, “despite enjoying crime and medical shows,” he has no idea that the notation “GSW” means “gunshot wound.” Answering a call at a rough housing project, he admits that previously he’s only seen such neighborhoods “from inside a moving car” or as the sort of thing that turned up on “The Wire.”. It's a book that deserves a very long shelf life.” ―Essence, “In ways wholly individual but similarly intricate, Margo Jefferson, Dr. Damon Tweedy and Ta-Nehisi Coates examine the impact of race on our expectations and experiences. He attended Duke University Medical School in 1996. He explores the economic and cultural factors that lead to this problem. Race has become a huge issue over the past year. A big man, he had once been a football player. Along with another first-year medical student, I was shadowing Dr. Wilson, a faculty neurologist, as part of a weekly seminar that introduced us to clinical medicine. He recounts being discriminated against at the Duke University School of Medicine. "This also is much more prevalent in blacks -- nearly twice as common. For a better shopping experience, please upgrade now. I was thinking, "This guy needs to read more novels and practice the art of imagining yourself in someone else's shoes." According to the nurses, Regina's visits were already becoming shorter and less frequent. Some schools have just a few black students. A few weeks after leaving the hospital and moving into the rehab facility, he died from a massive blood clot that lodged in his lungs. I could go on about many issues, but they are all too well known. Her anxiety ebbed as she went off to her job at Kmart, only to resurface when he didn't answer the phone during her lunch break. In The Fish's Eye: Essays About Angling and the Outdoors, Ian Frazier explores his lifelong But his scope is a little too limited for me. Tweedy also shares his own battles with inherited kidney disorders and hypertension along with lucid thoughts on a physician's obligation to community health and the liberating power of tolerance. Using his own experience, he pens interesting anecdotes to illustrate his point: that race is a factor in the degree of access and quality of health care available to Americans. It seemed that no matter the body part or organ system affected, the lecturers would sound a familiar refrain: "It's more common in blacks than in whites.".
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