Writing prescriptions and novels

As medical trainees get ready to hit the books this semester, a professor and surgeon says not to forget the importance of art and creativity.

9:01 AM

Author | Haley Otman

typerwriter books pills arts paint brush floating around in blues and yellow
Justine Ross, Michigan Medicine

"When I was growing up everyone told me I was a science guy. Nobody ever said that I was a writer," said Gene Rontal, M.D. "What no one really knew was that I had an imagination."

It was the 1960's and Rontal, a Detroit native and an Ann Arbor student, was taking a full course load to prepare for medical school at the University of Michigan. He was on a track that had little time for music appreciation, art history, or the great books.

After three years of college, four years of medical school, and five years of residency, he became a head and neck surgeon with a private practice and a teaching position in the Department of Otolaryngology-Head and Neck Surgery at Michigan. He said it was liberating when he realized that he finally was on his own and had the free time to explore other interests.

These interests included writing scientific articles, reading books he never had time for and listening to the stories of patients that came to his office. What he didn't realize was his growing awareness of the personal side of medicine.  It wasn't until he was telling a colleague about an incident at the hospital that the listener said Rontal should write a book.  He said at that moment it was as if someone had unlocked a door he never thought to walk through.

Rontal decided to write a book to entertain and educate readers through a medical story. Still a physician and an adjunct clinical professor of otolaryngology at U-M, the U-M Medical School graduate and alum has published five books.  Rontal said he knew when he started that it would be a daunting task to put thoughts and feelings on a piece of paper. What he didn't realize was that by tapping into his creative side, he was able to relate better to the anxiety and uncertainty of his patients. 

His latest novel, "A Pre-existing Condition," features a physician protagonist, Ben Dailey, who uncovers a criminal plot to access personal medical records.

Rontal shares reflections from his own career, and tips for students just starting their medical educations, with Michigan Health Lab.

How have you made creativity part of your life?

Rontal: All doctors are creative. They must be to adjust to the myriad of problems they confront, both scientific and emotional. Personally, I've always had an imagination that was stimulated by reading. I just never knew how to use it. The more I read, the more I appreciated how the written word can affect people. Being able to express your thoughts on paper is a satisfying feeling. That creativity carries to over to your patients and the ability to communicate with them.

What did you learn about yourself when you leaned into writing?

Rontal: Since I never had any structural lessons on writing fiction, I had to teach myself the components that go into writing a murder mystery. Luckily, I already knew how to conduct research.

In my latest book, "A Pre-existing Condition," the detective and doctor, Benjamin Dailey, continues to use his medical expertise to stop a criminal attempt to use patient records for financial gain. The fictional character, ex-football player Dailey, was the result of my medical school senior elective where I worked with the orthopedic staff for the U-M football team.

What I learned from my writing experience is that expressing yourself is a great way to discuss your career, talk about people and their problems, and inform the public about the nuances of medicine.
Gene Rontal, M.D.

What I learned from my writing experience is that expressing yourself is a great way to discuss your career, talk about people and their problems, and inform the public about the nuances of medicine.

How does this mindset help you become a better doctor?

Rontal: The more I practiced medicine, the more I realized that solving a patient's problem hinged on the ability to talk to people. You don't have to write a book to do that.  But understanding a patient's problems can be a challenge. When you write, you deal with the complicated emotions that all people have. In the process, it gives you the background to discuss illnesses from a patient's point of view.

As a career, I don't think there is anything better than the ability to help somebody. But outside of the clinic or operating room, your hobbies and passions will also help fulfill your life.My advice to doctors: if you have "outside-of-medicine talents." don't give them up. That will make you a better doctor.


More Articles About:

Med-U Future Think Medical School Postdoctoral Health Care Quality Education
Health Lab word mark overlaying blue cells

Health Lab

Explore thousands of health news & research stories by visiting the Health Lab homepage for more.

Media Contact

University Hospital at U-M Health in the spring with flowering trees in foreground and Survival Flight helicopter visible

Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe

Featured News & Stories

UMich Med Mosaic on blue background with colorful geometric shapes
UMich Med Mosaic

Beyond the White Coat: Disability, Neurodiversity and Advocacy in Medical School

In this episode of UMich Med Mosaic, host Mackenzie Kay sits down with medical students Jill Maudlin, Sarah Renberg and Bella Johnson to discuss their experiences as disabled and neurodivergent trainees at the University of Michigan Medical School. They reflect on the personal journeys that led them to medicine, the challenges and strengths that accompany living with disabilities and chronic health conditions and the importance of representation within the medical profession. The conversation explores how disability shapes their approaches to patient care, advocacy and teamwork, as well as the role of the Medical Students for Disability Health Advocacy (MSDHA) organization in creating community and advancing accessibility initiatives. They also discuss Michigan’s accommodations in medical education, efforts to improve disability-related curriculum content and the importance of building a culture where disabled and neurodivergent students can thrive.
Minding Memory with a microphone and a shadow of a microphone on a blue background
Minding Memory

Antipsychotic Use in Nursing Homes: Balancing Medication Safety, Policy, and Dementia Care

In this episode, Lauren Gerlach and Matt Davis speak with Theresa Shireman, PhD, Director of the Center for Gerontology and Healthcare Research and a Professor of Health Services, Policy and Practice and Epidemiology at the Brown University School of Public Health. Dr. Shireman’s research focuses on pharmaceutical policy, pharmacoepidemiology, health services research, and medication use among vulnerable populations. Dr. Shireman discusses her recent study, "Impact of Federal Antipsychotic Use Policy in Nursing Homes on New Diagnoses for Approved Indications in Dementia Residents," published in the Journal of the American Geriatrics Society. The study examines whether federal policies designed to reduce antipsychotic use in nursing homes were associated with increases in new diagnoses of conditions, such as schizophrenia, that exclude residents from publicly report antipsychotic quality measures. Using an interrupted time-series design, the researchers examined changes following the 2012 National Partnership to Improve Dementia Care and the 2015 addition of antipsychotic use to the Nursing home Five-Star Quality Rating System. They found that neither policy was associated with an increase in new exclusionary diagnossees, challenging concerns that nursing homes were increasingly assigning these diagnoses to circumvent restrictions on antipsychotic use. The conversation also explores the benefits and risks of antipsychotic medications for people living with dementia, including the potential for serious adverse effects such as sedation, falls, stroke, and increased mortality. Dr. Shireman discusses how public reporting and financial incentives can influence prescribing practices,the limitations of using a single quality measure to evaluate nursing home care, and the importance of balancing medication safety and residents’ individual needs. The discussion highlights the need for shared decision-making among clinicians, nursing home staff, residents, and families, as well as greater investment in staffing, resources, and nonpharmacological approaches to improve quality of life for people living with dementia. The transcript for this episode can be found here.
Well-Being at Michigan Medicine with Dr. Elizabeth Harry
Well-Being at Michigan Medicine

Learning Together: Making Space for Growth at Work

What if well-being starts with how we learn together? On this episode of Well-Being at Michigan Medicine, Elizabeth Harry, M.D., is joined by Rajesh Mangrulkar, M.D., FNAP, Executive Director of U-M’s Center for Interprofessional Practice and Education (IPE), Executive Director of Michigan Medicine RISE (Research. Innovation. Scholarship. Education), and primary care physician of internal medicine whose work focuses on organizational leadership and innovation, and Johnny McGraw, M.A., Marketing & Communications Specialist for both RISE and IPE, about building teams through human connection, psychological safety and learning. They discuss a meeting practice, why leaders shape culture and how investments in collaboration can help health care teams work without asking people to carry everything alone.
cell phone upclose in hands
Health Lab

Emergency room intervention pairs smartphone, telehealth counseling to reduce risky firearm behavior

Among U.S. teens and young adults, firearm violence accounts for about 65,000 emergency department visits annually, and 60% of all firearm deaths in this age group are the result of interpersonal violence.
Two people in medical scrubs are in a blurred hospital setting. In the foreground, hands are holding a digital tablet.
Health Lab

Digital alerts support timely treatment decisions of critically ill cardiac patients

Well-designed alerts for critically ill cardiac patients can change what happens at the bedside, according to new Michigan Medicine research.
Minding memory above a microphone on a blue background
Minding Memory

Is the United States Lagging Behind Europe in Memory Improvement?

In this episode, Lauren & Matt speak with Neil Mehta, PhD who is the associate dean for research and a professor in the Department of Epidemiology at the University of Texas Medical Branch in Galveston. Dr. Mehta’s research focuses on US life expectancy trends, the effects of obesity on disability and mortality, the sources of socioeconomic status disparities in mortality, and patterns of health in the United States and Europe. Dr. Mehta talks about a recent manuscript from the NIA-funded TRENDS study called “Trends in Memory Function and Memory Impairment Among Older Adults in the United States and Europe, 1996 to 2018.”, which looks at data from several sources to compare trends in memory function across 13 different countries.