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In Physician Suicide Letters--Answered, Dr. Wible exposes the pervasive and largely hidden medical culture of bullying, hazing, and abuse that claims the lives of countless medical students, doctors, and patients. Now--for the first time released to the public--here are private letters and last words from our doctors who could no longer bear the pain of an abusive medical system. What you don't know about medical training and culture can kill you. Dr. Wible takes you behind the white coat and into the mind, heart, and soul of our doctors--and provides answers. **All book proceeds will be used to humanize our medical education system and help save the lives of suicidal medical students and doctors.**
- Sales Rank: #85009 in Books
- Published on: 2016-01-11
- Original language: English
- Dimensions: 9.00" h x .46" w x 6.00" l, .62 pounds
- Binding: Paperback
- 204 pages
Review
"In medicine we measure everything except the lives lost from medical education and practice. In this heart-rending book, Dr. Wible pulls back the curtain on medicine's dirty secret and calls us to action. What gives her book its extraordinary power is that Dr. Wible delivers her message in the words of the victims--some living, and some (like my son) tragically deceased. This should be required reading in every medical school." ~ Karen Miday, M.D.
About the Author
Pamela Wible, M.D., founded the Ideal Medical Care Movement and was named one of the 2015 Women Leaders in Medicine by the American Medical Student Association for her pioneering contributions to medical student and physician suicide prevention. Dr. Wible lives in Eugene, Oregon, where she loves caring for patients as a solo family physician in a clinic designed entirely by her community.
Most helpful customer reviews
28 of 31 people found the following review helpful.
A "must-read" for every medical student, intern, and resident.
By Amazon Customer
As a physician, and as the mother of a gifted physician who died by suicide at the age of 29, I applaud Dr. Wible for going where no other physician has had the courage to go before. We measure everything in medicine except the lives of physicians that are lost to suicide. Had my son read this book he might still be alive. The “game face” that physicians are forced to wear drives many of our most gifted and sensitive doctors to a place of isolation and despair. Let’s make this book a “must read” for every medical student and resident. The very first thing that all doctors must learn is that there is no shame in being human. Human vulnerability should not be thought of as a “career killer” but instead a prerequisite for looking after the physical and mental well-being of our patients.
11 of 11 people found the following review helpful.
Out of the darkness, not quite into the light
By andromeda
Kudos to Dr. Wible for shining a light where there has been none. That nearly earns 5 stars in and of itself. Having read only bits of the book before tonight I was expecting the book, in its entirety, to be less than what it is. I began with Part II. Solutions - read it from start to finish, almost without pause & proceeded to read & finish Part I. This book in total is greater than the sum of its parts. Physicians in many different circumstances and stages of their careers are represented. Many in medicine suffering the negative effects of a profession ruled from the top by varying degrees of sadistic Medical Boards will find a physician in the book who is like her/himself.
The letters, save 1 or 2, are letters about suicide; they are not actually "Suicide Letters". On their own they are powerful & would be more so without the answers Dr. Wible provided. The author's understanding of what the writers are going through seems shallow, the easy-breezy equivalent of a Get Well Soon card. Dr. Wible suggested to one: "Get a massage, get a puppy..."? That advice made me cringe; for anyone who has suffered or is suffering from depression, a puppy is another burden and finding a good massage therapist could prove to be an overwhelming demand. Dr. Wible's gift is her energetic determination to expose a formerly taboo subject to the light of day and to provide a hub for doctors and med students to find each other and talk openly. Her Achilles heel is revealed in responses that have a simplistic, condescending tone. The responses feel disingenuous.
Numerous references to the author's own blogs, to retreats she holds, to her Tedx Talks & ultimately insinuating herself, by way of a letter & photo op, into a bill in the MO legislative process - all appeared to be self-serving. I found myself wondering whether the book wasn't rushed to coincide with passage of the MO legislation that will provide funding for research into the subject of Physician Suicide.
If the goal is to prevent suicide among physicians, Dr. Wible needs to enlist the help of psychiatrists, other mental health professionals and fellow doctors who are not psychiatrists. Several of the book's letter writers expressed, in their letters, a desire to help in any way possible; requests of that nature were categorically ignored. The most disappointing and troubling aspect of the book is the dangerous mismatch between the (sometimes subtle) seriousness of the letters and Dr. Wible's replies. Did she follow up with the writers? Some were in need of real-life help and close follow-up. Having read the book, I find it unclear whether the author's priority is prevention of another physician's suicide or having her name associated with the subject.
Difficult to rate this book. If you are considering buying it, see if you can purchase a used copy or read the sample & browse the author's forum.... you'll get the same info or more. I gave the book 4 stars because the words "Physician Suicide" are in the title. It's a serious problem that needs to be discussed in public.
20 of 23 people found the following review helpful.
Physician, heal thyself!
By Sara Thurgood
Full disclosure -- I am a second-year resident in a family medicine residency in the Northeast, and I had the amazing, once-in-a-lifetime opportunity to serve as an editor for Dr. Wible's original manuscript. I was unpaid, but when she asked if I'd be willing to help, I jumped at the chance.
This topic is so vitally important and so under-addressed. The public has a very limited concept of what goes into medical education and post-graduate training, as well as the demands that continue to be placed on the shoulders of our physicians. I am blessed to be in one of the best programs in the country, where my needs -- professional, educational, and personal -- are always taken into consideration and my feedback is received with sincerity. I could not be more fortunate nor grateful. I am the exception, however. There are thousands of US medical graduates every year who do not match into a residency program and are left with a quarter-million piece of paper and nothing they can do with it. Too many of these beautiful souls lose hope and decide that suicide is a better alternative than living with crippling debt and the disappointment of feeling that they have failed their families, themselves, their dreams, aspirations, and goals. Other physicians who have been practicing for years in an abusive, demanding, thankless system become worn out and feel that they just can't keep treading water anymore. They, too, feel that they have failed themselves, their families, and their patients.
How does this happen? How are these complaints even legal? Are doctors being too sensitive and whiny? Don't physicians make, like, a gazillion dollars a year? What could they *possibly* have to complain about? Dr. Wible candidly addresses the abuses all too often found in America's medical schools and residency training programs. Most of us start out on par (or even superior to) our non-medical peers with regard to our mental health, but by graduation day, the majority of us have either suffered situational depressive episodes, if not fulminant, severe depression requiring medication and/or psychotherapy. Many choose to ignore their symptoms, chalking it up to being "the way it's always been done." Many endure it in silence, fearing that they will jeopardize their future ability to be licensed if they seek help. I didn't even realize some of the situations I endured as a naive, wide-eyed medical student and eager intern constituted abuse until after the fact. But when I took time away from my medical career to focus on my family and heal emotionally, I realized that I had truly been in denial, and for quite some time felt utterly alone in my suffering.
This book points out that, as physicians who realize we have been grossly mistreated by the systems entrusted to educate,train, and employ us, we are not alone. To those who are our patients, you deserve better -- if we are not whole and healthy, how can we help you to be? If we do not care for ourselves, how can we reliably consult with you on how to better care for yourself? Dr. Wible is the voice of so many physicians who were never able to speak out, or who would like to speak out, but fear repercussions. She is inspiring a new generation of doctors to stand up and say "no more" -- this is NOT what I signed up for, I deserve better, and my patients deserve better! She is already influencing state legislation that will protect physician anonymity so that they will be able to voluntarily seek help without worrying about being followed by state medical boards. She is reaching out and speaking to students and residents, restoring our self-worth, and encouraging us to remember why we got into medicine in the first place (and, for the vast majority of us, I can assure you dear readers, it was never for the promise of a gazillion dollars a year!).
I cannot overstate the importance of this book. It will shock and sadden, but it will also uplift and inspire. I hope that you will read with an open mind and heart. I hope that, the next time you see your doctor and answer when they ask how you've been, that you will respond in kind and ask how they are doing as well. I hope that the physicians who read this will take the time to consider their own mental and emotional states, and ponder on how they can help themselves and their colleagues, and in doing so, better serve their patients. I hope the voices of the lost and struggling will resonate in your ears and inspire you to be kinder, more tolerant, and more understanding to all those around you. We never know what people are going through. We never know what battles they are fighting in the depths of their minds. If we are to change medical care in this country for the better, we must start with ourselves. Dr. Wible has lit the match -- may it become a conflagration of positive change and better care for all!
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