W. Bruce Fye

W. Bruce Fye Wallace Bruce Fye (born 1946 in Meadville, Pennsylvania) is an American cardiologist, medical historian, award-winning writer, and emeritus professor of medicine and the history of medicine at the Mayo Clinic. He was elected in 1978 a Fellow of the American College of Cardiology (ACC). Quotes Managed care is an impatient industry, especially when Wall Street is involved. Healthcare professionals must be sure that aggressive strategies to cut costs and enhance short-term profits do not harm patients. We face special challenges when new policies are implemented abruptly. For example, a managed care company in Wisconsin gave hospitals less than 2 months’ notice in 1994 that they would routinely authorize just 5 days of hospitalization for patients undergoing CABG despite the fact that fewer than 9% of Coronary artery bypass surgery CABG patients in the state were achieving this target at the time. 10.1161/01.CIR.97.19.1895 Managed Care and Patients with Cardiovascular Disease 1998 Circulation 97 19 1895–1896 9609080 The history of medicine serves several useful functions today, when doctors and the American health care system confront many challenges. Physicians live and work in an era of escalating expectations, eroding autonomy, and decreasing discretionary time. There is so much—far too much—to know, to learn, and to do. Understandably, many doctors are concerned about the future of medicine as they watch so many powerful political, economic, and social forces transform medical practice, research, and education. In this context, the history of medicine provides useful perspective and teaches valuable lessons. Just as a Patient history patient’s history helps us assess the significance of their symptoms and develop a diagnostic and therapeutic strategy, the history of medicine provides important perspective on present and future challenges and opportunities. ...History also teaches humility. I could cite many examples that apply to institutions, organizations, nations, and entire cultures, but I will focus on humility at the level of the individual. The aphorism “fame is fleeting” applies to medicine, as it does to any other area of human endeavor. Almost all of the most influential physicians and medical scientists of earlier generations are now forgotten. ... 10.1016/S0735-1097(02)02828-0 https://www.jacc.org/doi/full/10.1016/S0735-1097%2802%2902828-0 President's Page: Medical history: A valuable tool to help us frame the present and predict the future 2003 Journal of the American College of Cardiology 41 2 346–349 12535833 Why is a book that weaves together histories of heart care, a celebrated medical center, and specialization important? And why should it interest general readers as well as health care professionals, historians, social scientists, and policymakers? First of all, most individuals living in industrial countries have or will develop cardiovascular disease during their lifetimes. And most of them have already seen coronary heart disease alter or end the lives of family members and friends. Despite astonishing developments in diagnosis and treatment in recent decades, cardiovascular disease still kills more Americans than any other cause. Its economic implications are staggering. In the United States alone, medical costs and productivity losses related to cardiovascular disease are approaching $500 billion annually. ...Second, the Mayo Clinic is the world's oldest and largest multispeciality group practice. There is value in understanding why this institution has been a national leader in health care since the early twentieth century. ...Specialization is the book's third major topic. I agree with historian Rosemary A. Stevens Rosemary Stevens's assertion that "specialization is the fundamental theme for the organization of medicine in the twentieth century." ... Introduction https://books.google.com/books?id=cKGeBgAAQBAJ&pg=PR21 xxi Caring for the Heart: Mayo Clinic and the Rise of Specialization New York Oxford University Press 2015 978-0-19-998235-6 chapter titles with abstracts for each chapter External links Category:1946 births Category:Living people Category:Academics from the United States Category:Educators from the United States Category:Historians from the United States Category:Non-fiction authors from the United States Category:Physicians from Pennsylvania Category:Johns Hopkins University alumni