I came across this article again, written by one of my mentors, Dr. Faith Fitzgerald in 2003. I was always astonished that her discussions, and her talks, even at Morning Report, that off-the-cuff discussion of cases the morning after a busy overnight on-call, seemed to come out of her mouth, like fully formed medical textbook chapters.
As interns and residents, we were riveted, and also despaired that we would ever achieve that level of knowledge and mastery of medicine.
In fact, this worked directly against me, when, in my naiveté, I suggested that she use Pubmed, or the online search tool (in 1989!) to find relevant medical articles. As she would regularly devour volumes of medical literature, she could easily cite more relevant articles, and faster, than I could type in MeSH search terms. And, she never agreed that the introduction of electronic health records was a positive influence on healthcare in this country.
Nevertheless, I always looked up to her thoughtfulness, to her skill as a master clinician, and her writings. If you’re inclined, use “scholar.google.com” (to find research articles) and search for “Faith Fitzgerald” and “annals” and you’ll get numerous personal viewpoint articles she wrote for the Annals of Internal Medicine. They’re one page and beautifully written anecdotes.
“Dark Rounds” was a particular favorite (link above), about how a frustrated attending physician, in the too-busy environment of hospitals, teaching rounds, rush-to-discharge to shorten “length of stay” found a way to connect with her patients.
CMIO’s take? Master physicians like Dr. Fitzgerald are rare and precious. How do we grow more like her?