Medicine, Mindfulness, and Humanity

The first book for the general public about mindfulness and medical practice, a groundbreaking,intimate exploration of how doctors think and what matters most—safe, effective, patient-centered, compassionate care—from the foremost expert in the field.

As a third-year Harvard Medical student doing a clinical rotation in surgery, Ronald Epstein watched an error unfold: an experienced surgeon failed to notice his patient’s kidney turning an ominous shade of blue. In that same rotation, Epstein was awestruck by another surgeon’s ability to avert an impending disaster, slowing down from autopilot to intentionality. The difference between these two doctors left a lasting impression on Epstein and set the stage for his life’s work—to identify the qualities and habits that distinguish masterful doctors from those who are merely competent. The secret, he learned, was mindfulness.

In Attending, his first book, Dr. Epstein builds on his world-renowned, innovative programs in mindful practice and uses gripping and deeply human clinical stories to give patients a language to describe what they value most in health care and to outline a road map for doctors and other health care professionals to refocus their approach to medicine. Drawing on his clinical experiences and current research, and exploring four foundations of mindfulness—Attention, Curiosity, Beginner’s Mind, and Presence—Dr. Epstein introduces a revolutionary concept: by looking inward, health care practitioners can grow their capacity to provide high-quality care and the resilience to be there when their patients need them.

The commodification of health care has shifted doctors’ focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers a crucial, timely book that shows us how we can restore humanity to medicine, guides us toward a better overall quality of care, and reminds us of what matters most.



2016 Oct
Shepherd HL, Barratt A, Jones A, Bateson D, Carey K, Trevena LJ, McGeechan K, Del Mar CB, Butow PN, Epstein RM, Entwistle V, Weisberg E. "Can consumers learn to ask three questions to improve shared decision making? A feasibility study of the ASK (AskShareKnow) Patient-Clinician Communication Model(®) intervention in a primary health-care setting." Health expectations : an international journal of public participation in health care and health policy. 2016 Oct; 19(5):1160-8. Epub 2015 Sep 14.

2016 Sep 9
Epstein RM, Duberstein PR, Fenton JJ, Fiscella K, Hoerger M, Tancredi DJ, Xing G, Gramling R, Mohile S, Franks P, Kaesberg P, Plumb S, Cipri CS, Street RL, Shields CG, Back AL, Butow P, Walczak A, Tattersall M, Venuti A, Sullivan P, Robinson M, Hoh B, Lewis L, Kravitz RL. "Effect of a Patient-Centered Communication Intervention on Oncologist-Patient Communication, Quality of Life, and Health Care Utilization in Advanced Cancer: The VOICE Randomized Clinical Trial." JAMA oncology. 2016 Sep 9; Epub 2016 Sep 09.

2016 Jul 14
Gramling R, Fiscella K, Xing G, Hoerger M, Duberstein P, Plumb S, Mohile S, Fenton JJ, Tancredi DJ, Kravitz RL, Epstein RM. "Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer." JAMA oncology. 2016 Jul 14; Epub 2016 Jul 14.

2016 Mar
Rodenbach RA, Rodenbach KE, Tejani MA, Epstein RM. "Relationships between personal attitudes about death and communication with terminally ill patients: How oncology clinicians grapple with mortality." Patient education and counseling. 2016 Mar; 99(3):356-63. Epub 2015 Oct 23.

2016 Feb
Fenton JJ, Kravitz RL, Jerant A, Paterniti DA, Bang H, Williams D, Epstein RM, Franks P. "Promoting Patient-Centered Counseling to Reduce Use of Low-Value Diagnostic Tests: A Randomized Clinical Trial." JAMA internal medicine. 2016 Feb; 176(2):191-7.

2015 Nov
Gramling R, Sanders M, Ladwig S, Norton SA, Epstein R, Alexander SC. "Goal Communication in Palliative Care Decision-Making Consultations." Journal of pain and symptom management. 2015 Nov; 50(5):701-6. Epub 2015 May 27.

2015 Oct 23
Rodenbach RA, Rodenbach KE, Tejani MA, Epstein RM. "Relationships between personal attitudes about death and communication with terminally ill patients: How oncology clinicians grapple with mortality." Patient education and counseling. 2015 Oct 23; Epub 2015 Oct 23.

2015 Oct
Cameron RA, Mazer BL, Deluca JM, Mohile SG, Epstein RM. "In search of compassion: a new taxonomy of compassionate physician behaviours." Health expectations : an international journal of public participation in health care and health policy. 2015 Oct; 18(5):1672-85. Epub 2013 Dec 04.

2015 Sep 14
Shepherd HL, Barratt A, Jones A, Bateson D, Carey K, Trevena LJ, McGeechan K, Del Mar CB, Butow PN, Epstein RM, Entwistle V, Weisberg E. "Can consumers learn to ask three questions to improve shared decision making? A feasibility study of the ASK (AskShareKnow) Patient-Clinician Communication Model(®) intervention in a primary health-care setting." Health expectations : an international journal of public participation in health care and health policy. 2015 Sep 14; Epub 2015 Sep 14.

2015 Sep
Epstein RM. "Making the ineffable visible." Families, systems & health : the journal of collaborative family healthcare. 2015 Sep; 33(3):280-2.

2015 Mar
Walczak A, Henselmans I, Tattersall MH, Clayton JM, Davidson PM, Young J, Bellemore FA, Epstein RM, Butow PN. "A qualitative analysis of responses to a question prompt list and prognosis and end-of-life care discussion prompts delivered in a communication support program." Psycho-oncology. 2015 Mar; 24(3):287-93. Epub 2014 Jul 30.

Fenton JJ, Kravitz RL, Jerant A, Paterniti DA, Bang H, Williams D, Epstein RM, Franks P. "Promoting Patient-Centered Counseling to Reduce Use of Low-Value Diagnostic Tests: A Randomized Clinical Trial." JAMA internal medicine. 2015 :1-7. Epub 2015 Dec 07.

2014 Nov
Elwyn G, Lloyd A, May C, van der Weijden T, Stiggelbout A, Edwards A, Frosch DL, Rapley T, Barr P, Walsh T, Grande SW, Montori V, Epstein R. "Collaborative deliberation: a model for patient care." Patient education and counseling. 2014 Nov; 97(2):158-64. Epub 2014 Aug 13.

2014 Oct
Brandes K, Butow PN, Tattersall MH, Clayton JM, Davidson PM, Young J, Epstein RM, Walczak A. "Advanced cancer patients' and caregivers' use of a Question Prompt List." Patient education and counseling. 2014 Oct; 97(1):30-7. Epub 2014 Jun 30.

2014 Aug
Hoerger M, Chapman BP, Prigerson HG, Fagerlin A, Mohile SG, Epstein RM, Lyness JM, Duberstein PR. "Personality Change Pre- to Post- Loss in Spousal Caregivers of Patients with Terminal Lung Cancer." Social psychological and personality science. 2014 Aug; 5(6):722-729.

2014 Jul
Mazer BL, Cameron RA, DeLuca JM, Mohile SG, Epstein RM. ""Speaking-for" and "speaking-as": pseudo-surrogacy in physician-patient-companion medical encounters about advanced cancer." Patient education and counseling. 2014 Jul; 96(1):36-42. Epub 2014 May 09.

Epstein RM; Fiscella K. "Principles and dimenstions of the fourth aim". Annals of Family Medicine. 2014; Epub Nov 17.

Asuero AM, Queraltó JM, Pujol-Ribera E, Berenguera A, Rodriguez-Blanco T, Epstein RM. "Effectiveness of a mindfulness education program in primary health care professionals: a pragmatic controlled trial." The Journal of continuing education in the health professions. 2014 34(1):4-12.

Elwyn G, Dehlendorf C, Epstein RM, Marrin K, White J, Frosch DL. "Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems." Annals of family medicine. 2014 12(3):270-5.

Walczak A, Butow PN, Clayton JM, Tattersall MH, Davidson PM, Young J, Epstein RM. "Discussing prognosis and end-of-life care in the final year of life: a randomised controlled trial of a nurse-led communication support programme for patients and caregivers." BMJ open. 2014 4(6):e005745. Epub 2014 Jun 26.

Epstein RM. "Realizing Engel's biopsychosocial vision: resilience, compassion, and quality of care." International journal of psychiatry in medicine. 2014 47(4):275-87.

2013 Nov 6
Kravitz RL, Franks P, Feldman MD, Tancredi DJ, Slee CA, Epstein RM, Duberstein PR, Bell RA, Jackson-Triche M, Paterniti DA, Cipri C, Iosif AM, Olson S, Kelly-Reif S, Hudnut A, Dvorak S, Turner C, Jerant A. "Patient engagement programs for recognition and initial treatment of depression in primary care: a randomized trial." JAMA. 2013 Nov 6; 310(17):1818-28.

2013 Sep
Walczak A, Mazer B, Butow PN, Tattersall MH, Clayton JM, Davidson PM, Young J, Ladwig S, Epstein RM. "A question prompt list for patients with advanced cancer in the final year of life: development and cross-cultural evaluation." Palliative medicine. 2013 Sep; 27(8):779-88. Epub 2013 Apr 29.

2013 Sep
Carroll JK, Fiscella K, Epstein RM, Sanders MR, Winters PC, Moorhead SA, van Osch L, Williams GC. "Physical activity counseling intervention at a federally qualified health center: improves autonomy-supportiveness, but not patients' perceived competence." Patient education and counseling. 2013 Sep; 92(3):432-6. Epub 2013 Aug 07.

2013 Sep
Epstein RM, Krasner MS. "In reply." Academic medicine : journal of the Association of American Medical Colleges. 2013 Sep; 88(9):1196-7.

2013 Mar
Kravitz RL, Epstein RM, Bell RA, Rochlen AB, Duberstein P, Riby CH, Caccamo AF, Slee CK, Cipri CS, Paterniti DA. "An academic-marketing collaborative to promote depression care: a tale of two cultures." Patient education and counseling. 2013 Mar; 90(3):411-9. Epub 2011 Aug 21.

2013 Mar
Walczak A, Butow PN, Davidson PM, Bellemore FA, Tattersall MH, Clayton JM, Young J, Mazer B, Ladwig S, Epstein RM. "Patient perspectives regarding communication about prognosis and end-of-life issues: how can it be optimised?" Patient education and counseling. 2013 Mar; 90(3):307-14. Epub 2011 Sep 14.

2013 Mar
Epstein RM, Krasner MS. "Physician resilience: what it means, why it matters, and how to promote it." Academic medicine : journal of the Association of American Medical Colleges. 2013 Mar; 88(3):301-3.

2013 Feb
Gramling R, Norton SA, Ladwig S, Metzger M, Deluca J, Gramling D, Schatz D, Epstein R, Quill T, Alexander S. "Direct observation of prognosis communication in palliative care: a descriptive study." Journal of pain and symptom management. 2013 Feb; 45(2):202-12. Epub 2012 May 30.

2013 Feb
Epstein RM. "Whole mind and shared mind in clinical decision-making." Patient education and counseling. 2013 Feb; 90(2):200-6. Epub 2012 Aug 11.

2013 Feb
Epstein RM, Gramling RE. "What is shared in shared decision making? Complex decisions when the evidence is unclear." Medical care research and review : MCRR. 2013 Feb; 70(1 Suppl):94S-112S. Epub 2012 Oct 02.

Shields CG, Finley MA, Elias CM, Coker CJ, Griggs JJ, Fiscella K, Epstein RM. "Pain assessment: the roles of physician certainty and curiosity." Health communication. 2013 28(7):740-6. Epub 2013 Jan 28.

Hoerger M, Epstein RM, Winters PC, Fiscella K, Duberstein PR, Gramling R, Butow PN, Mohile SG, Kaesberg PR, Tang W, Plumb S, Walczak A, Back AL, Tancredi D, Venuti A, Cipri C, Escalera G, Ferro C, Gaudion D, Hoh B, Leatherwood B, Lewis L, Robinson M, Sullivan P, Kravitz RL. "Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregivers." BMC cancer. 2013 13:188. Epub 2013 Apr 09.

Epstein RM. "The ambiguity of personhood." The American journal of bioethics : AJOB. 2013 13(8):42-4.

Beach MC, Roter D, Korthuis PT, Epstein RM, Sharp V, Ratanawongsa N, Cohn J, Eggly S, Sankar A, Moore RD, Saha S. "A multicenter study of physician mindfulness and health care quality." Annals of family medicine. 2013 11(5):421-8.

2012 Oct
Fiscella K, Whitley E, Hendren S, Raich P, Humiston S, Winters P, Jean-Pierre P, Valverde P, Thorland W, Epstein R. "Patient navigation for breast and colorectal cancer treatment: a randomized trial." Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2012 Oct; 21(10):1673-81.

2012 Oct
Hendren S, Griggs JJ, Epstein R, Humiston S, Jean-Pierre P, Winters P, Sanders M, Loader S, Fiscella K. "Randomized controlled trial of patient navigation for newly diagnosed cancer patients: effects on quality of life." Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2012 Oct; 21(10):1682-90.

2012 Aug
Hoerger M, Chapman BP, Epstein RM, Duberstein PR. "Emotional intelligence: a theoretical framework for individual differences in affective forecasting." Emotion (Washington, D.C.). 2012 Aug; 12(4):716-25. Epub 2012 Jan 16.

2012 Jun
Beckman HB, Wendland M, Mooney C, Krasner MS, Quill TE, Suchman AL, Epstein RM. "The impact of a program in mindful communication on primary care physicians." Academic medicine : journal of the Association of American Medical Colleges. 2012 Jun; 87(6):815-9.

2012 Apr
Street RL, Elwyn G, Epstein RM. "Patient preferences and healthcare outcomes: an ecological perspective." Expert review of pharmacoeconomics & outcomes research. 2012 Apr; 12(2):167-80.

2012 Feb
Makowski SK, Epstein RM. "Turning toward dissonance: lessons from art, music, and literature." Journal of pain and symptom management. 2012 Feb; 43(2):293-8.

Fernandez Y Garcia E, Duberstein P, Paterniti DA, Cipri CS, Kravitz RL, Epstein RM. "Feeling labeled, judged, lectured, and rejected by family and friends over depression: cautionary results for primary care clinicians from a multi-centered, qualitative study." BMC family practice. 2012 13:64. Epub 2012 Jun 29.

Carroll JK, Fiscella K, Epstein RM, Sanders MR, Williams GC. "A 5A's communication intervention to promote physical activity in underserved populations." BMC health services research. 2012 12:374. Epub 2012 Oct 30.

2011 Sep
Shepherd HL, Barratt A, Trevena LJ, McGeechan K, Carey K, Epstein RM, Butow PN, Del Mar CB, Entwistle V, Tattersall MH. "Three questions that patients can ask to improve the quality of information physicians give about treatment options: a cross-over trial." Patient education and counseling. 2011 Sep; 84(3):379-85. Epub 2011 Aug 09.

2011 Jul
Dyche L, Epstein RM. "Curiosity and medical education." Medical education. 2011 Jul; 45(7):663-8.

2011 May 23
Gramling R, Epstein R. "Optimism amid serious disease: clinical panacea or ethical conundrum?: comment on "Recovery expectations and long-term prognosis of patients with coronary heart disease"." Archives of internal medicine. 2011 May 23; 171(10):935-6. Epub 2011 Feb 28.

2011 Mar
Jean-Pierre P, Hendren S, Fiscella K, Loader S, Rousseau S, Schwartzbauer B, Sanders M, Carroll J, Epstein R. "Understanding the processes of patient navigation to reduce disparities in cancer care: perspectives of trained navigators from the field." Journal of cancer education : the official journal of the American Association for Cancer Education. 2011 Mar; 26(1):111-20.

2011 Mar
Yosha AM, Carroll JK, Hendren S, Salamone CM, Sanders M, Fiscella K, Epstein RM. "Patient navigation from the paired perspectives of cancer patients and navigators: a qualitative analysis." Patient education and counseling. 2011 Mar; 82(3):396-401. Epub 2011 Jan 20.

2011 Mar
Siminoff LA, Rogers HL, Waller AC, Harris-Haywood S, Esptein RM, Carrio FB, Gliva-McConvey G, Longo DR. "The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication." Patient education and counseling. 2011 Mar; 82(3):318-24.

2011 Feb
Kravitz RL, Paterniti DA, Epstein RM, Rochlen AB, Bell RA, Cipri C, Fernandez Y Garcia E, Feldman MD, Duberstein P. "Relational barriers to depression help-seeking in primary care." Patient education and counseling. 2011 Feb; 82(2):207-13. Epub 2010 Jun 08.

2011 Jan
Garrison D, Lyness JM, Frank JB, Epstein RM. "Qualitative analysis of medical student impressions of a narrative exercise in the third-year psychiatry clerkship."Academic medicine : journal of the Association of American Medical Colleges. 2011 Jan; 86(1):85-9.

Epstein,RM. "Mindful Practice: A Key to Patient Safety". Focus on Patient Safety. 2011; 14(2): 3-7.

Epstein RM, Street RL. "The values and value of patient-centered care." Annals of family medicine. 2011 9(2):100-3.

Bell RA, Franks P, Duberstein PR, Epstein RM, Feldman MD, Garcia EF, Kravitz RL. "Suffering in silence: reasons for not disclosing depression in primary care." Annals of family medicine. 2011 9(5):439-46.

Epstein RM, Street RL. "Shared mind: communication, decision making, and autonomy in serious illness." Annals of family medicine. 2011 9(5):454-61.

2010 Sep
Epstein RM, Duberstein PR, Feldman MD, Rochlen AB, Bell RA, Kravitz RL, Cipri C, Becker JD, Bamonti PM, Paterniti DA. ""I didn't know what was wrong:" how people with undiagnosed depression recognize, name and explain their distress." Journal of general internal medicine. 2010 Sep; 25(9):954-61. Epub 2010 May 15.

2010 Aug
Carroll JK, Humiston SG, Meldrum SC, Salamone CM, Jean-Pierre P, Epstein RM, Fiscella K. "Patients' experiences with navigation for cancer care." Patient education and counseling. 2010 Aug; 80(2):241-7. Epub 2009 Dec 16.

2010 Aug
Epstein RM, Fiscella K, Lesser CS, Stange KC. "Why the nation needs a policy push on patient-centered health care." Health affairs. 2010 Aug; 29(8):1489-95.

2010 Jul
Levinson W, Lesser CS, Epstein RM. "Developing physician communication skills for patient-centered care." Health affairs. 2010 Jul; 29(7):1310-8.

2010 Jun
Rochlen AB, Paterniti DA, Epstein RM, Duberstein P, Willeford L, Kravitz RL. "Barriers in diagnosing and treating men with depression: a focus group report." American journal of men's health. 2010 Jun; 4(2):167-75. Epub 2009 May 11.

2010 Feb 4
Epstein RM, Korones DN, Quill TE. "Withholding information from patients--when less is more." The New England journal of medicine. 2010 Feb 4; 362(5):380-1.

2010 Feb
Bell RA, Paterniti DA, Azari R, Duberstein PR, Epstein RM, Rochlen AB, Dwight Johnson M, Orrange SE, Slee C, Kravitz RL. "Encouraging patients with depressive symptoms to seek care: a mixed methods approach to message development." Patient education and counseling. 2010 Feb; 78(2):198-205. Epub 2009 Aug 11.

2010 Jan
Nofziger AC, Naumburg EH, Davis BJ, Mooney CJ, Epstein RM. "Impact of peer assessment on the professional development of medical students: a qualitative study."Academic medicine : journal of the Association of American Medical Colleges. 2010 Jan; 85(1):140-7.

Epstein, R.M. "Information technology and patient experience: the authors reply". Health Affairs. 2010; 29(11): 21-28. Link

Hendren S, Griggs JJ, Epstein RM, Humiston S, Rousseau S, Jean-Pierre P, Carroll JK, Yosha AM, Loader S, Fiscella K. "Study protocol: a randomized controlled trial of patient navigation-activation to reduce cancer health disparities." BMC cancer. 2010 10:551. Epub 2010 Oct 13.

2009 Nov
Zollo RA, Lurie SJ, Epstein R, Ward DS. "Patterns of communication during the preanesthesia visit." Anesthesiology. 2009 Nov; 111(5):971-8.

2009 Sep 23
Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. "Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians." JAMA. 2009 Sep 23; 302(12):1284-93.

2009 Sep
Epstein RM. "Why healing relationships matter in primary care practice." Joint Commission journal on quality and patient safety. 2009 Sep; 35(9):456, 437.

2009 Jul 8
Epstein RM, Peters E. "Beyond information: exploring patients' preferences." JAMA. 2009 Jul 8; 302(2):195-7.

2009 Apr
Bertakis KD, Franks P, Epstein RM. "Patient-centered communication in primary care: physician and patient gender and gender concordance." Journal of women's health. 2009 Apr; 18(4):539-45.

2009 Mar
Street RL, Makoul G, Arora NK, Epstein RM. "How does communication heal? Pathways linking clinician-patient communication to health outcomes." Patient education and counseling. 2009 Mar; 74(3):295-301. Epub 2009 Jan 15.

Shields CG, Coker CJ, Poulsen SS, Doyle JM, Fiscella K, Epstein RM, Griggs JJ. "Patient-centered communication and prognosis discussions with cancer patients."Patient education and counseling. 2009 77(3):437-42. Epub 2009 Oct 09.

Arora NK, Street RL, Epstein RM, Butow PN. "Facilitating patient-centered cancer communication: a road map." Patient education and counseling. 2009 77(3):319-21.

2008 Nov
Duberstein PR, Chapman BP, Epstein RM, McCollumn KR, Kravitz RL. "Physician personality characteristics and inquiry about mood symptoms in primary care."Journal of general internal medicine. 2008 Nov; 23(11):1791-5. Epub 2008 Sep 09.

2008 Nov
Epstein RM. "Reflection, perception and the acquisition of wisdom." Medical education. 2008 Nov; 42(11):1048-50.

2008 Sep 22
Fiscella K, Epstein RM. "So much to do, so little time: care for the socially disadvantaged and the 15-minute visit." Archives of internal medicine. 2008 Sep 22; 168(17):1843-52.

2008 Sep
Silberman J, Tentler A, Ramgopal R, Epstein RM. "Recall-promoting physician behaviors in primary care." Journal of general internal medicine. 2008 Sep; 23(9):1487-90. Epub 2008 Jun 12.

2008 Aug
Chapman BP, Duberstein PR, Epstein RM, Fiscella K, Kravitz RL. "Patient-centered communication during primary care visits for depressive symptoms: what is the role of physician personality?" Medical care. 2008 Aug; 46(8):806-12.

2008 Jul 14
Mauksch LB, Dugdale DC, Dodson S, Epstein R. "Relationship, communication, and efficiency in the medical encounter: creating a clinical model from a literature review." Archives of internal medicine. 2008 Jul 14; 168(13):1387-95.

2008 Jul 14
Young HN, Bell RA, Epstein RM, Feldman MD, Kravitz RL. "Physicians' shared decision-making behaviors in depression care." Archives of internal medicine. 2008 Jul 14; 168(13):1404-8.

2008 Jul
Lurie SJ, Mooney CJ, Nofziger AC, Meldrum SC, Epstein RM. "Further challenges in measuring communication skills: accounting for actor effects in standardised patient assessments." Medical education. 2008 Jul; 42(7):662-8. Epub 2008 May 23.

2008 Mar
Carroll JK, Fiscella K, Epstein RM, Jean-Pierre P, Figueroa-Moseley C, Williams GC, Mustian KM, Morrow GR. "Getting patients to exercise more: a systematic review of underserved populations." The Journal of family practice. 2008 Mar; 57(3):170-6, E1-3, 1 p following E3.

2008 Mar
Epstein RM, Mauksch L, Carroll J, Jaén CR. "Have you really addressed your patient's concerns?" Family practice management. 2008 Mar; 15(3):35-40.

2008 Jan
Tentler A, Silberman J, Paterniti DA, Kravitz RL, Epstein RM. "Factors affecting physicians' responses to patients' requests for antidepressants: focus group study."Journal of general internal medicine. 2008 Jan; 23(1):51-7. Epub 2007 Nov 07.

Carroll JK, Fiscella K, Meldrum SC, Williams GC, Sciamanna CN, Jean-Pierre P, Morrow GR, Epstein RM. "Clinician-patient communication about physical activity in an underserved population." Journal of the American Board of Family Medicine : JABFM. 2008 21(2):118-27.

Epstein RM, Siegel DJ, Silberman J. "Self-monitoring in clinical practice: a challenge for medical educators." The Journal of continuing education in the health professions. 2008 28(1):5-13.

2007 Nov
Lurie SJ, Meldrum S, Nofziger AC, Sillin LF, Mooney CJ, Epstein RM. "Changes in self-perceived abilities among male and female medical students after the first year of clinical training." Medical teacher. 2007 Nov; 29(9):921-6.

2007 Jun 25
McDaniel SH, Beckman HB, Morse DS, Silberman J, Seaburn DB, Epstein RM. "Physician self-disclosure in primary care visits: enough about you, what about me?"Archives of internal medicine. 2007 Jun 25; 167(12):1321-6.

2007 Jun
Carroll J, Epstein R, Fiscella K, Gipson T, Volpe E, Jean-Pierre P. "Caring for Somali women: implications for clinician-patient communication." Patient education and counseling. 2007 Jun; 66(3):337-45. Epub 2007 Mar 06.

2007 Apr
Carroll J, Epstein R, Fiscella K, Volpe E, Diaz K, Omar S. "Knowledge and beliefs about health promotion and preventive health care among somali women in the United States." Health care for women international. 2007 Apr; 28(4):360-80.

2007 Feb
Duberstein P, Meldrum S, Fiscella K, Shields CG, Epstein RM. "Influences on patients' ratings of physicians: Physicians demographics and personality." Patient education and counseling. 2007 Feb; 65(2):270-4. Epub 2006 Nov 27.

2007 Jan 25
Epstein RM. "Assessment in medical education." The New England journal of medicine. 2007 Jan 25; 356(4):387-96.

2007 Jan
Lurie SJ, Lambert DR, Nofziger AC, Epstein RM, Grady-Weliky TA. "Relationship between peer assessment during medical school, dean's letter rankings, and ratings by internship directors." Journal of general internal medicine. 2007 Jan; 22(1):13-6.

Epstein RM, Shields CG, Franks P, Meldrum SC, Feldman M, Kravitz RL. "Exploring and validating patient concerns: relation to prescribing for depression." Annals of family medicine. 2007 5(1):21-8.

Fiscella K, Franks P, Srinivasan M, Kravitz RL, Epstein R. "Ratings of physician communication by real and standardized patients." Annals of family medicine. 2007 5(2):151-8.

Feldman MD, Franks P, Duberstein PR, Vannoy S, Epstein R, Kravitz RL. "Let's not talk about it: suicide inquiry in primary care." Annals of family medicine. 2007 5(5):412-8.

Epstein RM, Hadee T, Carroll J, Meldrum SC, Lardner J, Shields CG. ""Could this be something serious?" Reassurance, uncertainty, and empathy in response to patients' expressions of worry." Journal of general internal medicine. 2007 22(12):1731-9. Epub 2007 Oct 31.

2006 Nov
Young HN, Bell RA, Epstein RM, Feldman MD, Kravitz RL. "Types of information physicians provide when prescribing antidepressants." Journal of general internal medicine. 2006 Nov; 21(11):1172-7.

2006 Nov
Lurie SJ, Nofziger AC, Meldrum S, Mooney C, Epstein RM. "Effects of rater selection on peer assessment among medical students." Medical education. 2006 Nov; 40(11):1088-97.

2006 Sep 9
Borrell-Carrio F, Epstein RM, Pardell Alentà H. "[Professionality and professionalism: basis, contents, praxis and teaching]." Medicina clínica. 2006 Sep 9; 127(9):337-42.

2006 Sep
Lurie SJ, Nofziger AC, Meldrum S, Mooney C, Epstein RM. "Temporal and group-related trends in peer assessment amongst medical students." Medical education. 2006 Sep; 40(9):840-7.

2006 Jun
Kravitz RL, Franks P, Feldman M, Meredith LS, Hinton L, Franz C, Duberstein P, Epstein RM. "What drives referral from primary care physicians to mental health specialists? A randomized trial using actors portraying depressive symptoms." Journal of general internal medicine. 2006 Jun; 21(6):584-9.

2006 Apr
Nofziger AC, Lurie SJ, Epstein RM. "In response to "medical students' views on peer assessment of professionalism"." Journal of general internal medicine. 2006 Apr; 21(4):398-9; author reply 399.

2006 Mar
Epstein RM. "Making communication research matter: what do patients notice, what do patients want, and what do patients need?" Patient education and counseling. 2006 Mar; 60(3):272-8. Epub 2006 Jan 19.

2006 Jan
Franks P, Jerant AF, Fiscella K, Shields CG, Tancredi DJ, Epstein RM. "Studying physician effects on patient outcomes: physician interactional style and performance on quality of care indicators." Social science & medicine. 2006 Jan; 62(2):422-32. Epub 2005 Jul 01.

Epstein RM, Shields CG, Meldrum SC, Fiscella K, Carroll J, Carney PA, Duberstein PR. "Physicians' responses to patients' medically unexplained symptoms."Psychosomatic medicine. 2006 68(2):269-76.

Franz CE, Epstein R, Miller KN, Brown A, Song J, Feldman M, Franks P, Kelly-Reif S, Kravitz RL. "Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients." Health services research. 2006 41(6):2290-302.

Srinivasan M, Franks P, Meredith LS, Fiscella K, Epstein RM, Kravitz RL. "Connoisseurs of care? Unannounced standardized patients' ratings of physicians." Medical care. 2006 44(12):1092-8.

Feldman MD, Franks P, Epstein RM, Franz CE, Kravitz RL. "Do patient requests for antidepressants enhance or hinder physicians' evaluation of depression? A randomized controlled trial." Medical care. 2006 44(12):1107-13.

2005 Oct
Epstein RM, Franks P, Fiscella K, Shields CG, Meldrum SC, Kravitz RL, Duberstein PR. "Measuring patient-centered communication in patient-physician consultations: theoretical and practical issues." Social science & medicine. 2005 Oct; 61(7):1516-28. Epub 2005 Apr 15.

2005 Jul
Dannefer EF, Henson LC, Bierer SB, Grady-Weliky TA, Meldrum S, Nofziger AC, Barclay C, Epstein RM. "Peer assessment of professional competence." Medical education. 2005 Jul; 39(7):713-22.

2005 Jun
Seaburn DB, Morse D, McDaniel SH, Beckman H, Silberman J, Epstein R. "Physician responses to ambiguous patient symptoms." Journal of general internal medicine. 2005 Jun; 20(6):525-30.

2005 May
Shields CG, Epstein RM, Franks P, Fiscella K, Duberstein P, McDaniel SH, Meldrum S. "Emotion language in primary care encounters: reliability and validity of an emotion word count coding system." Patient education and counseling. 2005 May; 57(2):232-8.

2005 Apr 27
Kravitz RL, Epstein RM, Feldman MD, Franz CE, Azari R, Wilkes MS, Hinton L, Franks P. "Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trial." JAMA. 2005 Apr 27; 293(16):1995-2002.

2005 Mar
Schirmer JM, Mauksch L, Lang F, Marvel MK, Zoppi K, Epstein RM, Brock D, Pryzbylski M. "Assessing communication competence: a review of current tools." Family medicine. 2005 Mar; 37(3):184-92.

Epstein,RM; Borrell i Carrio,F;. "The biopsychosocial model: Exploring six impossible things." Families, systems, & health. 2005; 23(4): 426-431.

Franks P, Fiscella K, Shields CG, Meldrum SC, Duberstein P, Jerant AF, Tancredi DJ, Epstein RM. "Are patients' ratings of their physicians related to health outcomes?"Annals of family medicine. 2005 3(3):229-34.

Shields CG, Epstein RM, Fiscella K, Franks P, McCann R, McCormick K, Mallinger JB. "Influence of accompanied encounters on patient-centeredness with older patients." The Journal of the American Board of Family Practice / American Board of Family Practice. 2005 18(5):344-54.

Epstein RM, Franks P, Shields CG, Meldrum SC, Miller KN, Campbell TL, Fiscella K. "Patient-centered communication and diagnostic testing." Annals of family medicine. 2005 3(5):415-21.

Shields CG, Franks P, Fiscella K, Meldrum S, Epstein RM. "Rochester Participatory Decision-Making Scale (RPAD): reliability and validity." Annals of family medicine. 2005 3(5):436-42.

2004 Nov
Fiscella K, Meldrum S, Franks P, Shields CG, Duberstein P, McDaniel SH, Epstein RM. "Patient trust: is it related to patient-centered behavior of primary care physicians?" Medical care. 2004 Nov; 42(11):1049-55.

2004 May 19
Epstein RM, Alper BS, Quill TE. "Communicating evidence for participatory decision making." JAMA. 2004 May 19; 291(19):2359-66.

Epstein,RM;. "Embedding professionalism in medical education and practice." Aten. Primaria. 2004; 34(1): 33-34.

Epstein RM, Dannefer EF, Nofziger AC, Hansen JT, Schultz SH, Jospe N, Connard LW, Meldrum SC, Henson LC. "Comprehensive assessment of professional competence: the Rochester experiment." Teaching and learning in medicine. 2004 16(2):186-96.

Borrell-Carrió F, Epstein RM. "Preventing errors in clinical practice: a call for self-awareness." Annals of family medicine. 2004 2(4):310-6.

Borrell-Carrió F, Suchman AL, Epstein RM. "The biopsychosocial model 25 years later: principles, practice, and scientific inquiry." Annals of family medicine. 2004 2(6):576-82.

2003 Nov
Epstein R, Thomas JC, Rutecki GW. "Please don't say anything: partner notification and the patient-physician relationship." The virtual mentor : VM. 2003 Nov; 5(11)Epub 2003 Nov 01.

2003 Jun 30
Clèries Costa X, Borrell Carrió F, Epstein RM, Kronfly Rubiano E, Escoda Aresté JJ, Martínez-Carretero JM. "[Aspects of communication: the challenge of competition in the medical profession]." Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria. 2003 Jun 30; 32(2):110-7.

2003 Jun
Quill TE, Dannefer E, Markakis K, Epstein R, Greenlaw J, McGrail K, Milella M. "An integrated biopsychosocial approach to palliative care training of medical students."Journal of palliative medicine. 2003 Jun; 6(3):365-80.

2003 May
Epstein RM. "Virtual physicians, health systems, and the healing relationship." Journal of general internal medicine. 2003 May; 18(5):404-6.

Epstein,RM;. "Mindful practice in action (II): Cultivating habits of mind." Families, Systems and Health. 2003; 21(1): 11-17.

Epstein,RM;. "Mindful practice in action (I): Technical competence, evidence-based medicine and relationship-centered care". Families, Systems, & Health. 2003; 21(1): 1-10.

Miller WL, Crabtree BF, Duffy MB, Epstein RM, Stange KC. "Research guidelines for assessing the impact of healing relationships in clinical medicine." Alternative therapies in health and medicine. 2003 9(3 Suppl):A80-95.

Ruiz Moral R, Rodríguez JJ, Epstein R. "[What style of consultation with my patients should I adopt? Practical reflections on the doctor-patient relationship]." Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria. 2003 32(10):594-602.

2002 Sep
Epstein RM, Borrell F, Visser A. "Hearing voices: patient-centered care with diverse populations." Patient education and counseling. 2002 Sep; 48(1):1-3.

2002 May
Zoppi K, Epstein RM. "Is communication a skill? Communication behaviors and being in relation." Family medicine. 2002 May; 34(5):319-24.

2002 Apr 3
Epstein RM. "The costs of making practice more cost-effective." JAMA. 2002 Apr 3; 287(13):1648-9; author reply 1649-50.

2002 Jan 9
Epstein RM, Hundert EM. "Defining and assessing professional competence." JAMA. 2002 Jan 9; 287(2):226-35.

2001 Oct
Epstein RM, Borrell i Carrió F. "Pudor, honor, and autoridad: the evolving patient-physician relationship in Spain." Patient education and counseling. 2001 Oct; 45(1):51-7.

2001 Apr 30
Borrell i Carrió F, Epstein R. "[The International Conference on Communication and Health of Barcelona 2000. One more step in the right direction]." Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria. 2001 Apr 30; 27(7):449-51.

2001 Apr 30
Epstein RM. "[Communication, burnout and clinical results: more questions than answers]." Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria. 2001 Apr 30; 27(7):511-3.

2001 Apr
Stein MT, Coleman WL, Epstein RM. ""We've tried everything and nothing works": family-centered pediatrics and clinical problem-solving." Journal of developmental and behavioral pediatrics : JDBP. 2001 Apr; 22(2 Suppl):S55-60.

2001 Mar
Epstein RM, Levenkron JC, Frarey L, Thompson J, Anderson K, Franks P. "Improving physicians' HIV risk-assessment skills using announced and unannounced standardized patients." Journal of general internal medicine. 2001 Mar; 16(3):176-80.

2001 Jan
Epstein RM. "Just being." The Western journal of medicine. 2001 Jan; 174(1):63-5.

Rodriguez,JJ; Epstein,RM; Ruiz,R;. "The patient-physician relationship". Atencion Primaria. 2001; 28(1): 164-171.

Zoppi K; Epstein RM. "Is communication a skill? communications behaviors and being in relation". Anales de Navarra. 2001; 24(2): 23-31.

McWhinney IR, Epstein RM, Freeman TR. "Rethinking somatization." Advances in mind-body medicine. 2001 17(4):232-9.

2000 Sep
Epstein RM. "The science of patient-centered care." The Journal of family practice. 2000 Sep; 49(9):805-7.

2000 Jul
Epstein RM. "Time, autonomy, and satisfaction." Journal of general internal medicine. 2000 Jul; 15(7):517-8.

2000 May
Marvel MK, Epstein RM, Beckman HB. "Patients, interrupted?" The Journal of family practice. 2000 May; 49(5):471.

1999 Sep 1
Epstein RM. "Mindful practice." JAMA. 1999 Sep 1; 282(9):833-9.

1999 Sep
Epstein RM, Frarey L, Beckman HB. "Talking about AIDS." AIDS patient care and STDs. 1999 Sep; 13(9):545-53.

1999 May
Novack DH, Epstein RM, Paulsen RH. "Toward creating physician-healers: fostering medical students' self-awareness, personal growth, and well-being." Academic medicine : journal of the Association of American Medical Colleges. 1999 May; 74(5):516-20.

1999 Feb 8
Epstein RM, Quill TE, McWhinney IR. "Somatization reconsidered: incorporating the patient's experience of illness." Archives of internal medicine. 1999 Feb 8; 159(3):215-22.

1999 Jan 20
Marvel MK, Epstein RM, Flowers K, Beckman HB. "Soliciting the patient's agenda: have we improved?" JAMA. 1999 Jan 20; 281(3):283-7.

1999 Jan
Dugdale DC, Epstein R, Pantilat SZ. "Time and the patient-physician relationship." Journal of general internal medicine. 1999 Jan; 14 Suppl 1:S34-40.

McDaniel,SH; Harkness,JL; Epstein,RM;. "Differentiation before death: Medical family therapy for a woman with end-stage crohns disease and her son." Sistemas Familiares. 1999; 15(2): 55-72.

1998 Mar 15
Epstein RM, Morse DS, Frankel RM, Frarey L, Anderson K, Beckman HB. "Awkward moments in patient-physician communication about HIV risk." Annals of internal medicine. 1998 Mar 15; 128(6):435-42.

Epstein, RM; Borrell, F; Freeman, T; Seaburn, D. "Communication and somatic distress: international perspectives". Patient, Education & Counseling. 1998; 34: S43-S55.

Epstein RM, Cole DR, Gawinski BA, Piotrowski-Lee S, Ruddy NB. "How students learn from community-based preceptors." Archives of family medicine. 1998 7(2):149-54.

1997 Aug 13
Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, Kaplan C. "Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient." JAMA. 1997 Aug 13; 278(6):502-9.

1997 May 1
McWhinney IR, Epstein RM, Freeman TR. "Rethinking somatization." Annals of internal medicine. 1997 May 1; 126(9):747-50.

1997 Apr
Stein MT, Coleman WL, Epstein RM. ""We've tried everything and nothing works": family-centered pediatrics and clinical problem-solving." Journal of developmental and behavioral pediatrics : JDBP. 1997 Apr; 18(2):114-9.

1997 Apr
Kaplan CB, Siegel B, Madill JM, Epstein RM. "Communication and the medical interview. Strategies for learning and teaching." Journal of general internal medicine. 1997 Apr; 12 Suppl 2:S49-55.

Novack DH; Kaplan C; Epstein RM. "Personal awareness and professional growth: a proposed curriculum". Medical Encounter. 1997; 13(1): 3-8.

1995 Jul 26
"DNR orders and medical futility." JAMA. 1995 Jul 26; 274(4):299; author reply 300.

1995 May
Epstein RM. "Communication between primary care physicians and consultants." Archives of family medicine. 1995 May; 4(5):403-9.

Epstein,RM; Seaburn,DB;. "Simulated families in clinical teaching". Annals of Behavioral Science and Medical Education. 1995; 2(2): 75-82.

1994 Aug 10
"Cocaine and HIV prevalence in an alcohol treatment center." JAMA. 1994 Aug 10; 272(6):435.

1994 Jun
Epstein RM, Beckman HB. "Health care reform and patient-physician communication." American family physician. 1994 Jun; 49(8):1718-20.

Epstein,RM;. "Taking care of". Archives of Family Medicine. 1994; 3: 9-10.

1993 Oct
Epstein RM. "Qualitative research on career choices." Family medicine. 1993 Oct; 25(9):555-6.

1993 Oct
Epstein RM, Campbell TL, Cohen-Cole SA, McWhinney IR, Smilkstein G. "Perspectives on patient-doctor communication." The Journal of family practice. 1993 Oct; 37(4):377-88.

1993 Apr
Epstein RM, Christie M, Frankel R, Rousseau S, Shields C, Suchman AL. "Understanding fear of contagion among physicians who care for HIV patients." Family medicine. 1993 Apr; 25(4):264-8.

1993 Feb
Epstein RM, Christie M, Frankel R, Rousseau S, Shields C, Williams G, Suchman AL. "Primary care of patients with human immunodeficiency virus infection. The physician's perspective." Archives of family medicine. 1993 Feb; 2(2):159-67.

Schaffer,C. R.; Epstein,R. M.; Christie,M.; Frankel,R. M.; Rousseau,S.; Shields,C. G.; Suchman,A. L.;. "Primary Care Physicians' Responses to Death and Dying in HIV Patients". Journal of the University of Rochester Medical Center. 1993; 5(2): 15-22.

Woolever,R.; Epstein,R. M.; Frankel,R. M.; Suchman,A. L.;. "Strategies for Improving Primary Care Physicians' Involvement in the Care of Patients Infected with HIV". Journal of the University of Rochester Medical Center. 1993; 5(1): 5-11.

Epstein RM. "Physician, know thy family: Looking at one's family-of-origin as a method of physician self-awareness". Medical Encounter. 1993; 8(1): 159-67.

Epstein RM. "A call for in-depth qualitative research on career choices." Family medicine. 1993 25(10):620-1.

1991 Apr
Epstein R. "Patient attitudes and knowledge about HIV infection and AIDS." The Journal of family practice. 1991 Apr; 32(4):373-7.

1989 Jun
Epstein R, Rice P, Wallace P. "Teenagers' health concerns: implications for primary health care professionals." The Journal of the Royal College of General Practitioners. 1989 Jun; 39(323):247-9.


Epstein, Ronald. "Forward". Mindful Medical Practice: Clinical Narratives and Therapeutic Insights. : Patricia Lynn Dobkin, 2015.

Epstein R. "Mindful practice". Behavioral medicine: A guide for clinical practice. MD Feldman; JF Christensen. : McGraw-Hill Education, 2014.

Epstein RM. "What will it take for physicians to practice mindfully? Promoting quality of care, quality of caring, resilience and well-being". The Wiley Blackwell Handbook of Mindfulness. : Wiley Blackwell, 2014.

Epstein, RM. "Collaborative decision making, shared mind". Encyclopedia of Health Communication. : Sage Publications, 2013.

Epstein RM; Entwistle VA. "Capacity and shared decision-making in serious illness". Palliative Care and Ethics: Common Ground and Cutting Edges. Quill TE; Miller FG. : Oxford University Press, 2013.

Molloy E, Borell Carrió F, Epstein R. "The impact of emotion in Feedback". Feedback in Higher Education. Routledge. London: Boud D and Molloy E, 2012.

Gramling, R, Carroll T, Epstein, R.. ""What is known about prognostication in advanced illness?"". Evidence-Based Practice of Palliative Medicine. Goldstein, N, Morrison, S. : Elsevier Press, 2012. 1st

Carroll, T, Epstein R, Gramling R.. ""What are strategies for estimating survival prognoses in advanced cancer?"". Evidence-Based Practice of Palliative Medicine. Goldstein, N, Morrison, S. : Elsevier Press, 2012.

Carroll, T, Epstein R, Gramling R.. ""What are strategies for eliminating survival prognoses in advanced non-cancer illness?"". Evidence-Based Practice of Palliative Medicine. Goldstein, N, Morrison, S.. : Elsevier Press, 2012.

Moulton CA, Epstein RM. "Self-monitoring in surgical practice: slowing down when you should". Surgical Education: Theorising an emerging domain. Fry H, Kneebone R. : Springer, 2011. 169-182

Quill, TE, Clark NS, Markakis K, Epstein R, Bordley D, Panzer R. "Teaching Diagnostic Clinical Reasoning". Encyclopedia of Medical Decision Making. Kattan, MW. Thousand Oaks, CA: : Sage Publications Inc, 2009. 1116-1121

Epstein, RM. "Mindful Practice". Behavioral Medicine: A guide for clinical practice. Christensen J; Feldman M. : McGraw-Hill Medical, 2008. 49-54

Street Jr., RL, Epstein, RM. "Key Interpersonal Functions and Health Outcomes: Lessons from Theory and Research on Clinician-Patient Communication". Health Behavior and Health Education: Theory, Research and Practice. Glanz, K, Rimer, BK, Viswanath, K. : Jossey-Bass, 2008. 237-263

Epstein RM, Street RL. Patient-Centered Communication in Cancer Care. Bethesda, MD: National Cancer Institute, 2007.

Epstein, RM. "Mindful Practice and the Tacit Ethics of the Moment". Lost Virtue: Professional character Development and Medical Education. Kenny N. and Shelton W. Oxford, UK: Elsevier, 2006.

Asher, BF, Epstein, RM. ""Managing the Stress of Surgical Complications"". Complications in Pediatric Otolaryngology. Josephson, GD, Whol, DL. : CRC Press, 2005. 23-28

Epstein RM, Morse DS, Williams GC, LeRoux P, Suchman AL, Quill TE. "Clinical Practice and the Biopsychosocial Approach". The Biopsychosocial Approach: Past, Present, Future. Quill TE, Frankel RM, McDaniel SH. Rochester: University of Rochester Press, 2003. 33-66

Epstein RM. "The Patient-Physician Relationship". Fundamentals of Clinical Practice. Mengel MB, Holleman WL, Fields SA. New York: Plenum, 2002. 403-430

Epstein, RM. "A Day in the Life: Philosophy and Action in Family Medicine.". Improving Family Health. Rome, Italy: Cogil V, Garcia-Shelton L, Mariotti M, 2002.

Zoppi K, Epstein RM. "Interviewing in Medical Settings.". Handbook of Interviewing. Gubrium J, Holstein J. Thousand Oaks, CA: Sage Publications, 2001. 355-383

McDaniel SH, Harkness JL, Epstein RM. "Differentiation Before Death: Medical Family Therapy for a Woeman with End-Stage Crohn's Disease and Her Son". Casebook for Integrating Family Therapy: An Ecosystemic Approach. Washington: APA Publishers, 2001. 323-336

Epstein RM, Borrell i Carrio F, Caterina M. "Communication and Mental Health in Primary Care". The New Oxford Textbook of Psychiatry. Gelder MG, Lopez-Ibor JJ, Andreasen NC. Oxford, UK: Oxford Press, 1999. 87-93

Epstein, RM. "[Family Medicine and the Medical School: The Situation in the USA and Implications for Spain]". Medicina de Familia y Universidad. Pablo Bonal Pitz. Sevilla, Spain: Secretariado de Publicaciones, 1999. 35-45

Epstein, RM. "Communication between Primary Care Physicians and Consultants". Partnerships in Health Care: Transforming Relational Process. Suchman AL, Botelho RJ, Hinton-Walker P. Rochester, NY: University of Rochester Press, 1998. 171-184

Epstein, RM. "A Biopsychosocial Approach to AIDS". Textbook of Psychosomatic Medicine. vonUexkul T, Adler R. : Munchen-Wien-Baltimore, Uraban and Schwartzenberg, 1997. 623-639

Epstein RM, Cole DR, Gawinski BA, Ruddy NB, Lee SP. "How Students Learn from Ambulatory Preceptors: Critical Incidents". Advances in Medical Education. Scherpbier AJJA, van der Vleuten CPM, Rethans JJ. Dordrecht, Netherlands: Kluwer Academic Publishers, 1997.

Epstein, RM. "The Patient-Physician Relationship". Fundamentals of Clinical Practice: A Textbook on the Patient, Doctor and Society. Mengel MB, Holleman WL. New York: Plenum, 1996.