We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
A Piece of My Mind |

The Case for Social Medicine

Komal Kothari, BA1
[+] Author Affiliations
1Harvard Medical School, Boston, Massachusetts
JAMA. 2014;311(24):2483-2484. doi:10.1001/jama.2014.5240.
Text Size: A A A
Published online


The first patient I ever interviewed as a medical student was a middle-aged woman named Barbara. Wearing my crisp new white coat, the pockets yet unburdened with a physician’s paraphernalia, I walked in with only the intention of having a conversation. I discovered that Barbara had kidney failure and needed dialysis three times a week, which restricted her to working part-time. Barbara now had a systemic infection, for the third time in the past few months, which required an emergency department visit and a week-long hospitalization. She would be following up with her primary care physician and nephrologist, who are in different locations from the dialysis center she attends. A few weeks later, I met Lisa in the emergency department. She suffered from an acute exacerbation of chronic pancreatitis and was in excruciating pain. After gathering her medical history, I asked Lisa where she lived. Holding back tears, she said that she had been a nurse, but now lived in a homeless shelter with her 8-year old daughter.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Collections