The Doctor Shortage

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The Nation's Physician Workforce

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309175895
Total Pages : 121 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Nation's Physician Workforce by : Institute of Medicine

Download or read book The Nation's Physician Workforce written by Institute of Medicine and published by National Academies Press. This book was released on 1996-01-19 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enormous changes are occurring in the organization and financing of the U.S. health care systemâ€"rapid changes that are being driven by market forces rather than by government initiatives. Although it is difficult to predict what they system will look like once it begins to stabilize, the changes will affect all components of the health care workforce, and the numbers and types of health care professionals that will be needed in the futureâ€"as well as the roles they will fillâ€"will surely be much different than they were in the past. Despite numerous studies in the past 15 years showing that we might have more doctors than we need, the number of physicians in residency training continues to grow. At the same time, there is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is taking place at a time when, coincident with the result of failure of comprehensive health care reform, there is no coordinated and widely accepted physician workforce policy in the United States. The present study examines the following three questions: (1) Is there a physician policy in the United States? (2) If there a surplus, what is its likely impact on the cost, quality, and access to health care and on the efficient use of human resources? (3) What realistic steps can be taken to deal with a physician surplus? December

Addressing the Physician Shortage in Occupational and Environmental Medicine

Author : Institute of Medicine (U.S.). Committee on Enhancing the Practice of Occupational and Environmental Medicine. Subcommittee on Physician Shortage
Publisher : National Academies
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.1/5 (362 download)

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Book Synopsis Addressing the Physician Shortage in Occupational and Environmental Medicine by : Institute of Medicine (U.S.). Committee on Enhancing the Practice of Occupational and Environmental Medicine. Subcommittee on Physician Shortage

Download or read book Addressing the Physician Shortage in Occupational and Environmental Medicine written by Institute of Medicine (U.S.). Committee on Enhancing the Practice of Occupational and Environmental Medicine. Subcommittee on Physician Shortage and published by National Academies. This book was released on 1991 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Education in the United States and Canada

Author : Abraham Flexner
Publisher :
ISBN 13 :
Total Pages : 376 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis Medical Education in the United States and Canada by : Abraham Flexner

Download or read book Medical Education in the United States and Canada written by Abraham Flexner and published by . This book was released on 1910 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: A landmark work which precipitated major reforms in medical education. It recommended closing commercial schools and reducing the overall number of medical schools from 155 to 31, with the aim of raising standards. Includes frank evaluative sketches of each school based on site visits by the author.

Recent Trends in International Migration of Doctors, Nurses and Medical Students

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264318658
Total Pages : 138 pages
Book Rating : 4.2/5 (643 download)

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Book Synopsis Recent Trends in International Migration of Doctors, Nurses and Medical Students by : OECD

Download or read book Recent Trends in International Migration of Doctors, Nurses and Medical Students written by OECD and published by OECD Publishing. This book was released on 2019-07-25 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report describes recent trends in the international migration of doctors and nurses in OECD countries. Over the past decade, the number of doctors and nurses has increased in many OECD countries, and foreign-born and foreign-trained doctors and nurses have contributed to a significant extent. New in-depth analysis of the internationalisation of medical education shows that in some countries (e.g. Israel, Norway, Sweden and the United States) a large and growing number of foreign-trained doctors are people born in these countries who obtained their first medical degree abroad before coming back. The report includes four case studies on the internationalisation of medical education in Europe (France, Ireland, Poland and Romania) as well as a case study on the integration of foreign-trained doctors in Canada.

Tracking the Care of Patients with Severe Chronic Illness

Author : John E. Wennberg
Publisher : Dartmouth Institute for Health Policy and Clinical Practice
ISBN 13 : 9780981586205
Total Pages : 170 pages
Book Rating : 4.5/5 (862 download)

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Book Synopsis Tracking the Care of Patients with Severe Chronic Illness by : John E. Wennberg

Download or read book Tracking the Care of Patients with Severe Chronic Illness written by John E. Wennberg and published by Dartmouth Institute for Health Policy and Clinical Practice. This book was released on 2008 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Atlas builds on the analyses presented in the 2006 edition. As before, the focus is on Medicare beneficiaries who had severe chronic illnesses and were in their last two years of life. This edition both updates the earlier analyses to encompass more recent data (through 2005) and expands the scope to include all sectors of care covered by the Medicare program. This Atlas also proposes new ways of thinking about how to achieve better care coordination and reduce the overuse of acute care hospital services. It offers concrete recommendations on the ways different stakeholders can use the new data - from choosing the right provider to reforming the U.S. health care system.

Integrating Behavioral Health Into the Medical Home

Author : Kent Corso
Publisher :
ISBN 13 : 9780996258463
Total Pages : 204 pages
Book Rating : 4.2/5 (584 download)

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Book Synopsis Integrating Behavioral Health Into the Medical Home by : Kent Corso

Download or read book Integrating Behavioral Health Into the Medical Home written by Kent Corso and published by . This book was released on 2016-11-17 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide offers up- to-the-minute guidance on how to integrate behavioral health (BH) into primary care in a manner which is legal, profitable, clinically effective, time-efficient, and reflective of best practices.

The Future of the Nursing Workforce in the United States

Author : Peter Buerhaus
Publisher : Jones & Bartlett Publishers
ISBN 13 : 0763756849
Total Pages : 329 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis The Future of the Nursing Workforce in the United States by : Peter Buerhaus

Download or read book The Future of the Nursing Workforce in the United States written by Peter Buerhaus and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.

The Doctor Crisis

Author : Jack Cochran
Publisher : PublicAffairs
ISBN 13 : 1610394445
Total Pages : 241 pages
Book Rating : 4.6/5 (13 download)

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Book Synopsis The Doctor Crisis by : Jack Cochran

Download or read book The Doctor Crisis written by Jack Cochran and published by PublicAffairs. This book was released on 2014-05-06 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.

Superbugs

Author : Matt McCarthy
Publisher : Scribe Publications
ISBN 13 : 192569352X
Total Pages : 300 pages
Book Rating : 4.9/5 (256 download)

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Book Synopsis Superbugs by : Matt McCarthy

Download or read book Superbugs written by Matt McCarthy and published by Scribe Publications. This book was released on 2019-06-04 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug-resistant bacteria — known as superbugs — are one of the biggest medical threats of our time. Here, a doctor, researcher, and ethics professor tells the exhilarating story of his race to beat them and save countless lives. When doctor Matt McCarthy first meets Jackson, a mechanic from Queens, it is in the ER, where he has come for treatment for an infected gunshot wound. Usually, antibiotics would be prescribed, but Jackson’s infection is one of a growing number of superbugs, bacteria that have built up resistance to known drugs. He only has one option, and if that doesn’t work he may lose his leg or even his life. On the same day, McCarthy and his mentor Tom Walsh begin work on a groundbreaking clinical trial for a new antibiotic they believe will eradicate certain kinds of superbugs and demonstrate to Big Pharma that investment in these drugs can save millions of lives and prove financially viable. But there are countless hoops to jump through before they can begin administering the drug to patients, and for people like Jackson time is in short supply. Superbugs is a compelling tale of medical ingenuity. From the muddy trenches of the First World War, where Alexander Fleming searched for a cure for soldiers with infected wounds, to breakthroughs in antibiotics and antifungals today that could revolutionise how infections are treated, McCarthy takes the reader on a roller-coaster ride through the history — and future — of medicine. Along the way, we meet patients like Remy, a teenage girl with a dangerous and rare infection; Donny, a retired firefighter with a compromised immune system; and Bill, the author’s own father-in-law, who contracts a deadly staph infection. And we learn about the ethics of medical research: why potentially life-saving treatments are often delayed for years to protect patients from exploitation. Can McCarthy get his trial approved and underway in time to save the lives of his countless patients infected with deadly bacteria, who have otherwise lost all hope?

Taking Action Against Clinician Burnout

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309495474
Total Pages : 335 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Taking Action Against Clinician Burnout by : National Academies of Sciences, Engineering, and Medicine

Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Patients at Risk

Author : Niran Al-Agba
Publisher : Universal-Publishers
ISBN 13 : 1627343164
Total Pages : 254 pages
Book Rating : 4.6/5 (273 download)

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Book Synopsis Patients at Risk by : Niran Al-Agba

Download or read book Patients at Risk written by Niran Al-Agba and published by Universal-Publishers. This book was released on 2020-11-01 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans. With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision. Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. WORDS OF PRAISE and REVIEWS Al-Agba and Bernard tell a frightening story that insiders know all too well. As mega corporations push for efficiency and tout consumer focused retail services, American healthcare is being dumbed down to the point of no return. It's a story that many media outlets are missing and one that puts you and your family's health at real risk. --John Irvine, Deductible Media Laced with actual patient cases, the book’s data and patterns of large corporations replacing physicians with non-physician practitioners, despite the vast difference in training is enlightening and astounding. The authors' extensively researched book methodically lays out the problems of our changing medical care landscape and solutions to ensure quality care. --Marilyn M. Singleton, MD, JD A masterful job of bringing to light a rapidly growing issue of what should be great concern to all of us: the proliferation of non-physician practitioners that work predominantly inside algorithms rather than applying years of training, clinical knowledge, and experience. Instead of a patient-first mentality, we are increasingly met with the sad statement of Profits Over Patients, echoed by hospitals and health insurance companies. --John M. Chamberlain, MHA, LFACHE, Board Chairman, Citizen Health A must read for patients attempting to navigate today’s healthcare marketplace. --Brian Wilhelmi MD, JD, FASA

Where Have All the Nurses Gone?

Author : Faye Satterly
Publisher : Prometheus Books
ISBN 13 : 1615921516
Total Pages : 225 pages
Book Rating : 4.6/5 (159 download)

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Book Synopsis Where Have All the Nurses Gone? by : Faye Satterly

Download or read book Where Have All the Nurses Gone? written by Faye Satterly and published by Prometheus Books. This book was released on 2009-09-25 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: At 6:30 A.M. a head nurse reviews room assignments and the day''s challenges ahead: twenty-nine patients, most of them seriously ill, and four nurses to care for them. That means a barely manageable and potentially risky patient-nurse ratio of seven to one, with one nurse taking eight patients. Unfortunately, this dismal scenario is played out again and again in hospitals across the country.This in-depth, behind-the-scene''s account of a healthcare system under stress and the declining quality of medical treatment in America should serve as a wakeup call to the public. Faye Satterly, a Registered Nurse with over two decades of experience, spells out the alarming statistics: The average nurse today is forty-five years old and anticipating retirement. Only 12 percent of nurses are under age thirty. At the same time, nursing schools report decreasing enrollments and fewer graduates. The result is that the nurses who are on the front lines of healthcare are feeling overwhelmed and leaving the field for less stressful opportunities outside hospital settings.Compounding the looming crisis is the fact that just as nurses are becoming scarce, the need for them is becoming ever greater. Over the next decade, aging baby boomers will swell the ranks of the over-fifty-five population, a group that experiences higher healthcare needs than those in their thirties and forties.There are answers, the author insists, but they will require an honest public debate about our choices and expectations. What are we willing to do and how much are we willing to pay for safe, effective delivery of healthcare?This fascinating and disturbing account by a veteran nurse with extensive experience is a compelling call for action to counter the nursing shortage and ensure that "caring" regains its premium status in healthcare.

Overtreated

Author : Shannon Brownlee
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1596917296
Total Pages : 363 pages
Book Rating : 4.5/5 (969 download)

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Book Synopsis Overtreated by : Shannon Brownlee

Download or read book Overtreated written by Shannon Brownlee and published by Bloomsbury Publishing USA. This book was released on 2010-06-25 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Brownlee dissects what she calls "the medical-industrial complex" and lays bare the backward economic incentives embedded in our system, revealing a stunning portrait of the care we now receive. Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. It offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee's humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone.

Ensuring Quality Cancer Care Through the Oncology Workforce

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309177561
Total Pages : 95 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Ensuring Quality Cancer Care Through the Oncology Workforce by : Institute of Medicine

Download or read book Ensuring Quality Cancer Care Through the Oncology Workforce written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-28 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Society of Clinical Oncology (ASCO) predicts that by 2020, there will be an 81 percent increase in people living with or surviving cancer, but only a 14 percent increase in the number of practicing oncologists. As a result, there may be too few oncologists to meet the population's need for cancer care. To help address the challenges in overcoming this potential crisis of cancer care, the National Cancer Policy Forum of the Institute of Medicine (IOM) convened the workshop Ensuring Quality Cancer Care through the Oncology Workforce: Sustaining Care in the 21st Century in Washington, DC on October 20 and 21, 2008.

Health Professions Education

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

The Coming Shortage of Surgeons

Author : Thomas E. Williams Jr., M.D., Ph.D.
Publisher : Bloomsbury Publishing USA
ISBN 13 : 0313380716
Total Pages : 220 pages
Book Rating : 4.3/5 (133 download)

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Book Synopsis The Coming Shortage of Surgeons by : Thomas E. Williams Jr., M.D., Ph.D.

Download or read book The Coming Shortage of Surgeons written by Thomas E. Williams Jr., M.D., Ph.D. and published by Bloomsbury Publishing USA. This book was released on 2009-09-15 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: A critical, quantitative look at the future supply and demand of surgical specialists that may foretell rationing of surgical services. The Coming Shortage of Surgeons: Why They Are Disappearing and What That Means for Our Health is the only quantitative analysis of the workforce in orthopedic and thoracic surgery, otolaryngology, obstetrics and gynecology, general surgery, neurosurgery, and urology. It analyzes the demand and supply for these surgeons and gives the causes and remedies for these shortages. The Coming Shortage of Surgeons quantifies the demand for the surgical workforce, then examines the constraints to supply, which include soaring tuition and medical students' debts, the demand for a controllable or scheduled lifestyle, malpractice premium expenses, early retirement, and perhaps the most difficult hurdle to overcome: the provision in the Balanced Budget Act of 1997 that caps all medical and surgical residencies at 1996 levels.

Unhinged

Author : Daniel Carlat
Publisher : Simon and Schuster
ISBN 13 : 1416596356
Total Pages : 274 pages
Book Rating : 4.4/5 (165 download)

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Book Synopsis Unhinged by : Daniel Carlat

Download or read book Unhinged written by Daniel Carlat and published by Simon and Schuster. This book was released on 2010-05-18 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this stirring and beautifully written wake-up call, psychiatrist Daniel Carlat writes with bracing honesty about how psychiatry has so largely forsaken the practice of talk therapy for the seductive—and more lucrative—practice of simply prescribing drugs, with a host of deeply troubling consequences. Psychiatrist Daniel Carlat has noticed a pattern plaguing his profession. Psychiatrists have settled for treating symptoms rather than causes, embracing the apparent medical rigor of DSM diagnoses and prescription in place of learning the more challenging craft of therapeutic counseling, gaining only limited understanding of their patients’ lives. Talk therapy takes time, whereas the fifteen-minute "med check" allows for more patients and more insurance company reimbursement. Yet, DSM diagnoses, he shows, are premised on a good deal less science than we would think. Writing from an insider’s perspective, with refreshing forthrightness about his own daily struggles as a practitioner, Dr. Carlat shares a wealth of stories from his own practice and those of others that demonstrate the glaring shortcomings of the standard fifteen-minute patient visit. He also reveals the dangers of rampant diagnoses of bipolar disorder, ADHD, and other "popular" psychiatric disorders, and exposes the risks of the cocktails of medications so many patients are put on. Especially disturbing are the terrible consequences of overprescription of drugs to children of ever younger ages. Taking us on a tour of the world of pharmaceutical marketing, he also reveals the inner workings of collusion between psychiatrists and drug companies. Concluding with a road map for exactly how the profession should be reformed, Unhinged is vital reading for all those in treatment or considering it, as well as a stirring call to action for the large community of psychiatrists themselves. As physicians and drug companies continue to work together in disquieting and harmful ways, and as diagnoses—and misdiagnoses—of mental disorders skyrocket, it’s essential that Dr. Carlat’s bold call for reform is heeded.