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Biomedical subjects

C R Hanlon

Publications and source records attributed to C R Hanlon.

At least 19 recordsLinked to original sources
PubMed1998

Ethics in surgery.

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American Medical Association↗
PubMed1997

Quality assessment and tracking results of cardiac surgery.

Long-standing efforts to assess quality in medical care have been intensified by the striking expansion of managed care plans. Agencies such as the Joint Commission on Accreditation of Health Care Organizations and the National Committee on Quality Assurance have formalized the evaluation of health plan quality using criteria of structure, process, and outcome. A review of attempts to apply these criteria to individual physicians and to disease-specific interventions such as myocardial revascularization demonstrates the great difficulty of reliable quality assessment in this evolving surgical field. Cardiac surgeons must continue their work in deriving valid socioeconomic and clinical conclusions from The Society of Thoracic Surgeons and Veterans Affairs databases. This may prevent the precipitate adoption of newer treatment methods driven by entrepreneurial technology companies and large group purchasers of care. These entities tend to focus on economics rather than patient welfare. New technologies may also delude patients into insisting on treatment featuring short-term convenience and comfort despite less satisfactory long-term results. "Black box" methodology providing practice profiles and physician report cards must have critical validation.

Cardiac Surgical Procedures↗
PubMed1995

The commemoration of surgical teachers.

This address was given at a biennial meeting of the Michael E. DeBakey International Surgical Society. Surgical teachers are commemorated by the imitation of their pupils in accord with the human tendency to model ourselves after our heroes. The modeling is not merely a search for technical mastery but an emulation of virtues beyond the purely scientific. The lecture addresses the nature of teachers and teaching, the role of teachers as exemplars or heroes, the reasons why we commemorate certain teachers, and finally, the personal recollection of virtues, such as compassion, that make surgeons memorable for their pupils and patients. Citations from Thomas Carlyle, Jacques Barzun, and William Bennett illustrate the role of heroes, the nature of teaching, and the importance of virtue. Lessons are drawn from the lives of John Hunter and William S. Halsted, and from the work of the DeBakey family in surgery and in the craft of medical writing.

Education, Medical, Undergraduate↗
PubMed1979

Haste makes waste.

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Health Services↗
PubMed1978

The rhetoric of specialization. The 1978 Harvey Cushing oration.

The 1978 Cushing Orator shows the role of rhetoric in the process by which various specialties change in response to sociological and legislative demands. He discusses the effect of applying concepts of restraint of trade to medicine, and welcomes a closer liaison through the American College of Surgeons between general surgeons and other surgical specialties.

Family Practice↗