Abraham Verghese, M.D.
Dr. Abraham Verghese is a bestselling author and prominent voice in medicine with a uniquely humanistic view of the future of healthcare. He received the National Humanities Medal from President Obama "for reminding us that the patient is the center of the medical enterprise."
Outside of healthcare, he is best known as a phenomenally successful author. His first novel Cutting for Stone topped the New York Times bestseller list for over two years, was translated into more than twenty languages, and it is being adapted for film by Anonymous Content. Amazon named it one of its 100 Books to Read in a Lifetime. In 2023, he published his long-awaited second novel, The Covenant of Water, which debuted as a New York Times bestseller, remained on the list for several weeks, and was the 101st pick for Oprah's Book Club. Oprah Winfrey, who named the book among the top three she's read in her life, was so taken by the story that she developed a six-part podcast series diving into the themes of book through intimate conversations with Verghese. His memoirs include the award-winning My Own Country and The Tennis Partner.
Trained in infectious diseases and pulmonary medicine, he has long been a top thinker in healthcare. His TED talk "A Doctor’s Touch" has been viewed almost two million times, and is as meaningful now as the day he delivered it. During the COVID pandemic, his messages of appreciation, understanding and compassion for all in healthcare and inspiration on how we go forward were widely appreciated. He also speaks about the future of healthcare. He is co-host with Dr. Eric Topol of the Medicine and the Machine podcast, and he has long been a top thinker on how we marry cutting-edge technology to advance medicine with a focus on the physical patient. This dual-pronged approach, incorporating both an appreciation of technological developments and a profound commitment to the sacred relationship between doctor/caregiver and patient, makes Abraham a leading voice in the discussion about what quality care means now and in the future. Dr. Verghese leads PRESENCE, a multidisciplinary center that studies the human experience of patients, physicians and caregivers. His warmth and vision as well as his world-class gifts as a storyteller make him a powerful speaker both to healthcare professionals and the patient in all of us.
The Caring in Health Care: Challenges and Opportunities in a Technological Era
Artificial intelligence (AI) holds the promise of liberating providers from their clerical and documentation burdens; it might also ease the epidemic of provider burnout and allow for more meaningful patient interactions. Historically, technological advances implemented without sufficient forethought, oversight, and user input, have caused unintended human consequences. A century ago, Peabody famously said "the secret of the care of the patient is in caring for the patient." Healthcare systems need fiscal soundness and inspired leadership; the delivery of care needs people, presence and empathy. The upcoming AI revolution must be matched by a revolutionary rethinking of humanistic healthcare.
What This Computer Needs is a Physician: Artificial Intelligence, Humanism and Diagnosis
The advent of artificial intelligence has revolutionized bank lending, bail decisions, shopping and many other aspects of society and it will revolutionize the diagnosis and treatment of disease, as well as reshape patient interactions with the healthcare system. The decade long experience with the implementation of electronic medical record systems (EMR) has provided some potent lessons: when new technology is widely implemented in a heavy-handed fashion and without consideration for the principal users, there is a human capital cost of burnout, attrition, poor morale and patient dissatisfaction. The EMR experience makes it important to set in place sound use and practice parameters for AI applications, to rate them on an “HI” (Human Intelligence) index that looks at the effect on users and on important work and life rituals. Whether AI is used in diagnosis, or in complex analyses of data, at the end of the day, the result is at best a recommendation that still requires a human to judge its appropriateness and then to implement it or not. Fears about “deskilling” and loss of jobs in medicine are exaggerated; indeed, AI could relieve us of drudgery and allow more time for meaningful interaction with patients and colleagues. For the moment, it will still take HI to apply AI soundly. The ability to generate new thoughts, to make creative associations and think of new avenues of exploration is thus far a unique attribute of the human brain.
The Story after the Story: Humanism and Medicine Post COVID
All of us, especially those working in healthcare, are living through the story of our lives. Just prior to the COVID vaccine being administered, approximately 1000 people working in healthcare at every level had perished in America. As with the general population, people of color experienced excessive mortality. For each of us the story has played out at many levels: it is the story of our cells, our individual immune systems and vulnerabilities; it is the story of our families, our livelihood; the story has involved our towns, our cities, and our country, and it has played out on a backdrop of wildfires, floods, climate change and the great societal awakening to longstanding issues of racial equity. The story of Covid echoes the classic “monster” stories throughout history. It is instructive to consider the archetypal structure of such stories, especially the endings: we rarely ever return to things the way they were. Instead, we arrive at a new order, a new way of being. In this talk, Dr. Verghese explores the nature of courage, resilience and heroism. COVID has made heroes of all of us as we live through this extraordinary time. We are called to adventure whether we like to or not, forced to find armor, to find allies and special weapons, and to dig deep to find new resources within ourselves.
The Pen and the Stethoscope: Connections Between Literature and Medicine
Every patient comes with a story. In fact, every physician begins by taking a history and that word has the root "story" within it. Even in a technological era, narrative remains important particularly to the patient. Understanding the narrative is critical to patient satisfaction. In this presentation, Abraham relates Aristotelian story structure to medicine; connects elements of story — epiphany and metaphor — to medicine; and reflects on the nature of epiphanies in medicine. He draws on his love of literature, on his experience at the Iowa writers workshop where he obtained a master's degree, and on his lessons learned while writing four bestsellers: two nonfiction books (My Own Country, The Tennis Partner) and two novels—Cutting for Stone, which remained on the bestseller list for over 100 weeks, and his latest release, The Covenant of Water, which debuted on the New York Times bestseller list.
The Pathology Within: Burnout, Wellness, and the Search for Meaning in a Professional Life
Medicine and medical institutions are increasingly challenged with the problem of physician burnout and attrition. In just the three years between 2011 and 2014, physician burnout increased from 45% to 54%, according to one national survey. Physicians who score high on a burnout index have a 25% risk of leaving their institution in the two years that follow; few institutions can afford that kind of loss after a great investment cost. Dr. Abraham Verghese has pioneered the cause of physician wellness before the term existed. His book, “The Tennis Partner” looked at the causes and symptoms of physician dysphoria through the lens of a personal memoir and the loss of a colleague from suicide. In his academic work, he is at the forefront of those challenging the electronic medical record (EMR) in its present form and pointing out its pernicious effects on the patient-physician relationship and physician wellness. In a seminal New England of Medicine article, he coined the term ‘iPatient’—the virtual construct of the patient in the computer—and made the point that the iPatient gets wonderful care all across America while the real patient in the bed can feel neglected, not getting both the information and the attention they hope for. In his presentation, Dr. Verghese, through anecdote, data and historical vignettes, tells the story of of physician burnout, of the incremental process that brought us here. He outlines the causes and challenges institutions to reverse the trend by addressing the roots causes and inefficiencies. For the individual physician in a changing and challenging time, he talks about faith, calling and the need for personal resilience and self-compassion while being advocates for change. Physician health and well-being has been taken for granted, but it more than ever critical for patients’ health outcomes, for the success of teams and institutions. To paraphrase the famous Peabody quote, the secret of good care resides in truly caring for the patient . . . and the physician.
Finding Meaning, Purpose and Courage in Pandemic Times
All of us are living through the story of our lives. For each of us the story has played out at many levels: it is the story of our cells, our individual immune systems and vulnerabilities; it is the story of our families, our livelihood; the story has involved our towns, our cities, and our country, and it has played out on a backdrop of wildfires, floods, climate change and the great societal awakening to longstanding issues of racial equity. The story of COVID echoes the classic “monster” stories throughout history. It is instructive to consider the archetypal structure of such stories, especially the endings: we rarely ever return to things the way they were. Instead, we arrive at a new order, a new way of being. In this talk, Dr. Verghese explores the nature of courage, resilience and heroism. COVID has made heroes of all of us as we live through this extraordinary time. We are called to adventure whether we like to or not, forced to find armor, to find allies and special weapons, and to dig deep to find new resources within ourselves.
A Doctor's Touch
Modern medicine is in danger of losing a powerful, old-fashioned tool: human touch. Technological advances in medicine have equipped us with powerful tests and data, but these can become a crutch; we neglect the complex person in front of us and instead treat the “iPatient" on the screen. In this talk, Dr. Verghese argues that it’s time to refocus on the doctor-patient relationship and its foundation in the physical exam. A careful physical reveals as much as a battery of expensive tests at a fraction of the cost while also building trust between the caregiver and the patient. It puts the patient at the center of care and allows the doctor to use their most powerful diagnostic tool: the human hand. It’s the ritual that grounds Dr. Verghese’s vision of humanistic medicine in the modern age: care grounded in caring and the sanctity of the doctor-patient relationship.
What a WONDERFUL presentation with Dr. Verghese this morning. Everything went beautifully and his presentation was incre
He did an excellent job and was very easy to work with. … I highly recommend. His message is very powerful.
Dear Abraham — We are aglow here in [city] from your visit. What a true pleasure and privilege it was to spend time with