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Practical Wisdom and Health Care

  • Barry SchwartzEmail author
  • Kenneth E. Sharpe
Chapter

Abstract

Healthcare in the developed world increasingly involves managing chronic conditions rather than curing acute ones. And managing chronic conditions typically requires that patients be partners rather than merely complaint executers of medical directives. To foster and sustain such partnerships, medical practitioners must possess not only technical competence, but moral competence. Medical education must be education in character—in virtue—and the cardinal virtue that must be educated is practical wisdom. We describe three institutional settings—inner-city health clinics, a program in medical education, and a program in a major medical center that provides palliative care—in which virtue education is taken as seriously as medical education, with good results for both the patients and the staff. Improving the health outcomes of an aging population will require that medical institutions commit themselves to allowing virtue to be nurtured and deployed.

Keywords

Practical wisdom Aristotle Telos Medical care Moral will Moral skill 

References

  1. Aristotle. (1962). Nicomachean ethics (M. Ostwald, Trans.). New York: Library of the Liberal Arts.Google Scholar
  2. Coulehan, J. (2017). Astonished harvest: The joy of medicine. Pharos (Autumn), 9.Google Scholar
  3. Feudtner, C., Christakis, D. A., & Christakis, N. A. (1994). Do clinical clerks suffer ethical erosion? Students’ perceptions of their ethical environment and personal development. Academic Medicine, 69, 670–679.CrossRefGoogle Scholar
  4. Gawande, A. (2011, January 24). The hotspotters. The New Yorker, pp. 40–51.Google Scholar
  5. Gawande, A. (2014). Being mortal. New York: Metropolitan Books.Google Scholar
  6. Hojat, M., Vergared, M. J., Maxwell, K., Brainerd, G., Herrine, S. K., Isenberg, S. K., ... Gonnell, J. S. (2009). The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine, 84, 1182–1191.CrossRefGoogle Scholar
  7. Kaldjian, L. C. (2014). Practicing medicine and ethics: Integrating wisdom, conscience, and goals of care. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  8. Lowenstein, J. (1997). The midnight meal. New Haven: Yale University Press.Google Scholar
  9. Plews-Ogan, M., Owens, J. E., & May, N. (2012). Choosing wisdom: Strategies and inspiration for growing through life-changing difficulties. West Conshohocken, PA: Templeton Press.Google Scholar
  10. Plews-Ogan, M., & Sharpe, K. E. (2017). Phronesis in medical practice: The will and the skill needed to do the right thing. https://www.jubileecentre.ac.uk/userfiles/jubileecentre/pdf/conference-papers/CharacterWisdomandVirtue/Plews-Ogan_M.pdf.
  11. Schwartz, B., & Sharpe, K. E. (2010). Practical wisdom: The right way to do the right thing. New York: Riverhead.Google Scholar
  12. Thaler, R. H., & Sunstein, C. R. (2008). Nudge. New Haven: Yale University Press.Google Scholar
  13. Zagzebski, L. (1996). Virtues of the mind. Cambridge: Cambridge University Press.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.University of California BerkeleyBerkeleyUSA
  2. 2.Swarthmore CollegeSwarthmoreUSA

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