Book Review: The Education of Doctor Montefiore

The Education of Doctor Montefiore. Emmet Hirsch, MD. Published by Emmet Hirsch, October 17, 2016, Trade Paperback and Kindle editions, 282 pages.

Reviewed by Ed Sarna.

The Education of Doctor Montefiore, the debut novel of Emmet Hirsch, MD, is a poignant and humorous book about the path to becoming a doctor, and it draws back the curtain on the darker aspects of that road traveled. We get a glimpse into the fear and heartbreak, life and death situations, and constant sacrifices inherent in the medical profession. The story takes place during the four-year residency of Robert Montefiore, an affable, sincere, and hardworking medical student persevering through the overwhelming task of ob-gyn residency. Robert, though overflowing with positive traits, is as clueless in romantic relationships as an adolescent on his first date.

Doctor Hirsch is a practicing obstetrician-gynecologist at NorthShore University HealthSystem in Evanston, Illinois, and a professor of obstetrics and gynecology in the Pritzker School of Medicine at the University of Chicago. His background gives credibility to the story so that even in the most outlandish situations, there is every reason to believe this happened exactly as written.

The book is separated into four sections, one for each year of residency. While navigating the inhumane workload and the gross inequalities of the system, Robert forges friendships, makes enemies, and falls in love. The scenes of his attempts at romance were simultaneously cringe-inducing and made me laugh out loud. I’ll never again look at a bagel shop in quite the same way.

The characters populating this story, from the lovable to the despicable, are sharply drawn. While some border on stock characters straight out of central casting, they are so endearing you happily go along for the ride. And quite a ride it is. Betty, for example, is the Chairman’s overly competent secretary who not only has her fingers on the pulse of the hospital, but also is able to use those same fingers to yank the tenuous strings of the high and mighty doctors who mistakenly believe they are in control.

Robert is at times exasperating, at other times, endearing, but always true to his character. Early on, he questions not only his own abilities, but also his right to even be in medical school. As is often the case in life, just as he starts feeling in control, he is knocked to the ground. His ability to keep going despite hard times is a testament to his character and speaks to every doctor’s invaluable hard work and perseverance.

The dialogue is crisp and witty, as when Robert’s friend Larry states, “Women! Can’t live with ‘em, can’t be a gynecologist without ‘em.’” The humor, while maybe not quite as dark as Catch-22 or M*A*S*H, occupies the same space. There’s even a touch of Cyrano de Bergerac thrown into the mix. I enthusiastically recommend The Education of Doctor Montefiore to anyone looking for a smart read, a good laugh, or insights into the minds of those who spend their lives caring for us.      

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