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Most people in health care understand and accept the need for clinical hierarchies. The problem is that we aren't usually prepared for them; nor are we given protocols for resolving the inevitable tensions that arise over appropriate care. Doctors and nurses are trained differently, and our sense of priorities can conflict. When that happens, the lack of an established, neutral way of resolving such clashes works to everyone's detriment. This isn't about hurt feelings or bruised egos. Modern health care is complex, highly technical and dangerous, and the lack of flexible, dynamic protocols to facilitate communication along the medical hierarchy can be deadly. Indeed, preventable medical errors kill 100,000 patients a year, or a million people a decade, wrote Rosemary Gordon and Janardan Prasad Singh in their book "Wall of Silence."

by Paul Moses - Newsday - 6/29/2001 DR. FREDERICK SMITH has the usual textbooks on ambulatory care, surgery and prescription drugs in his office. But the shelves also hold D.T.Suzuki's "Essays in Zen Buddhism," a volume of Cardinal John Henry Newman's writings, books on Confucianism and Judaism, the Quran and alarge-type, 69-year-old Bible a patient gave him, so worn that its cover has fallen off. These, too, are tools of Smith's trade. As associate chief of internal medicine at North Shore University Hospital in Manhasset, the gray-bearded, 56-year-old physician has found that religious faith can help his patients,and he's trying to teach that to a generation of up-and-coming doctors. His 2-year-old course, Religion and Medicine, is part of a growing move to sensitize doctors to the role faith plays in their patients' lives. It gives residents at North Shore who've completed medical school but are still receiving some training a chance to learn about their patients' religious traditions....