Enjoying the Struggle

  • Michael E. Debakey
  • J. Willis Hurst


At once one of the most demanding and most rewarding of all professions, medicine can be tyrannizing or exhilarating. If the pressing responsibilities, sensitive interpersonal relationships, and strenuous time pressures in caring for patients are allowed to create tedium or drudgery, the passion for medical practice will vanish. If patient care becomes overly demanding, onerous, or boring, enthusiasm and pleasure will fade, and both patient and physician will suffer. But that does not have to happen. The practice of medicine is admittedly a strict taskmaster, requiring daily decisions about puzzling, often life-threatening illnesses, and demanding constant awareness of the newest available information. But medicine also offers endless opportunities for enjoyment, satisfaction, and exhilaration through intellectual expansion and service to patients.


Medical Student Lifelong Learning Rheumatic Heart Disease Bedside Teaching Master Teacher 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Richards, Robert K.; Cohen, Rita M. Why physicians attend traditional CME programs. J Med Educ Jun 1980; 55 (6): 479–485.Google Scholar
  2. 2.
    Hoùle, Cyril O. Continuing Learning in the Professions. San Francisco: JosseyBass, 1980; 208–209.Google Scholar
  3. 3.
    Osier, William. The reserves of life. Address delivered at St. Mary’s Hospital, London, Oct 2, 1907. St. Mary’s Hospital Gazette Nov 1907; 13: 97.Google Scholar
  4. 4.
    Shaw, Bernard. John Bull’s Other Island. In: Bernard Shaw Selected Plays with Prefaces, Vol 2. New York: Dodd, Mead & Co., 1957: 611.Google Scholar
  5. 5.
    Osier, William. After twenty-five years. An address at the opening of the session of the medical faculty, McGill University, September 21, 1899. Montreal Med J Nov 1899; 28 (11): 832.Google Scholar
  6. 6.
    Johnson, Samuel. The Rambler, Vol 5, No. 150, Aug 24, 1751. London: J. Payne and J. Bouquet, 1752: 120.Google Scholar
  7. 7.
    DeBakey, Lois. The Scientific Journal: Editorial Policies and Practices. St. Louis: The C. V. Mosby Company, 1976.Google Scholar
  8. 8.
    DeBakey, Lois; DeBakey, Selma: The Case Report. I. Guidelines for Preparation. Int J Cardiol Oct 1983; 4 (3): 357–364.PubMedCrossRefGoogle Scholar
  9. 9.
    DeBakey, Lois; DeBakey, Selma: The Case Report. II. Style and Form. Int J Cardiol Aug 1984; 6 (2): 247–254.PubMedCrossRefGoogle Scholar
  10. 10.
    Moynihan, Sir Berkeley. Abdominal Operations, Vol 1, revised, preface to the 4th ed. Philadelphia: W. B. Saunders Co., 1926: 11–12.Google Scholar
  11. 11.
    Osier, William. Books and men. In: Aequanimitas, with Other Addresses to Medical Students, Nurses and Practitioners of Medicine. 3rd ed. Philadelphia: The Blakiston Company, 1945: 210.Google Scholar
  12. 12.
    Whitehead, Alfred North. Technical education and its relation to science and literature. In: The Aims of Education and Other Essays. New York: The MacMillan Company, 1959: 79.Google Scholar
  13. 13.
    Adler, Mortimer. Why only adults can be educated. In: Gross, Ronald, ed. Invitation to Lifelong Learning. Chicago: Follett Publishing Company, 1982: 92.Google Scholar
  14. 14.
    Osier, William. In: Bean, William Bennett, ed. Sir William Osier: Aphorisms from His Bedside Teachings and Writings. Springfield, Illinois: Charles C. Thomas, 1968: 36.Google Scholar
  15. 15.
    Holmes, Oliver Wendell. Scholastic and Bedside Teaching. In: Medical Essays: 1842–1882, Vol IX. Boston and New York: Houghton Mifflin Company, 1911: 273.Google Scholar
  16. 16.
    Maugham, W. Somerset. The Summing Up. Garden City, New York: Doubleday & Company Inc., 1946.Google Scholar
  17. 17.
    Miller, George E. Continuing education for what? J Med Educ Apr 1967; 42 (4): 322.Google Scholar
  18. 18.
    Tough, Allen. The Adult’s Learning Projects: A Fresh Approach to Theory and Practice in Adult Learning, 2nd ed. Austin, Texas: Learning Concepts, 1979.Google Scholar
  19. 19.
    Whitehead, Alfred North. The rhythmic claims of freedom and discipline. In: The Aims of Education and Other Essays. New York: The MacMillan Company, 1959: 57.Google Scholar
  20. 20.
    Whitehead, Alfred North. Universities and their function. In: The Aims of Education and Other Essays. New York: The MacMillan Company, 1959: 147.Google Scholar
  21. 21.
    Weed, Lawrence L. Your Health Care and How to Manage It. Essex Junction, Vermont: Essex Publishing Company Inc., 1975: 91.Google Scholar
  22. 22.
    Paz, Octavio. Development and other mirages. In: The Other Mexico: Critique of the Pyramid. Kemp, Lysander (trans). New York: Grove Press Inc., 1972: 68.Google Scholar
  23. 23.
    Khayyam, Omar. Rubaiyat of Omar Khayyam. Fitzgerald, Edward (trans). London: John Lane the Bodley Head Ltd, 1922: quatrain 7.Google Scholar

Copyright information

© Springer Science+Business Media New York 1987

Authors and Affiliations

  • Michael E. Debakey
    • 1
  • J. Willis Hurst
    • 2
  1. 1.Department of Surgery; and Olga Keith Wiess Professor of SurgeryBaylor College of MedicineHoustonUSA
  2. 2.Candler Professor of Medicine (Cardiology) Emory University School of MedicineChief of Cardiology, Emory University Hospital and ClinicAtlantaUSA

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