THEIR LIFE'S WORK
The Art of Medicine
Thomas Caprio '96 concentrates his medical practice on person-centered care.
by Joanie Eppinga
Many physicians focus on science, research, or technology. For Thomas Caprio 鈥�96, M.D., it鈥檚 the people who are compelling.
Caprio, medical director鈥搗isiting nurse service and associate professor of medicine/geriatrics at the University of Rochester Medical Center, says listening to patients and shaping treatment plans that meet their needs is at the heart of his practice. 鈥淭here鈥檚 a lot of technology out there,鈥� he says, 鈥渁nd a lot of medications, but the key is to come up with the right plan for that particular 辫补迟颈别苍迟.鈥�
Patient-centeredness is a new focus of medicine in general, according to Caprio, who majored in biochemistry and completed the courses for a pre-med minor. However, he notes that the field of geriatrics has had that emphasis for more than a decade 鈥� a main reason he chose the specialty.
Additionally, Caprio says he鈥檚 always had an interest in older adults, thanks to experiences with relatives facing Alzheimer鈥檚 and other age-related conditions. Watching his parents act as caregivers for those family members made an impression on Caprio.
That impression deepened when he began working with older adults and listening to their life stories. At the same time, he was working in the medical field with mentors he admired. When one of the physicians said, 鈥淵ou should think about geriatrics鈥攜ou鈥檇 be good at this,鈥� Caprio realized the doctor had identified interests even he wasn鈥檛 aware he had.
鈥淭hat was a pivotal moment for me,鈥� Caprio says. 鈥淲ithin three days, I鈥檇 signed up for the geriatrics program at Rochester. I knew I would find a kinship with people in that field.鈥�
In his current work in geriatrics and palliative care, Caprio sees patients and teaches students. Asked what he most wants his students to learn, Caprio answers, 鈥淭o focus on a patient鈥檚 level of function. The main questions are, what has changed for that patient and what can we improve?鈥�
Answering those questions with every patient is rewarding, says Caprio. Patients and their families express deep appreciation for the time, attention, and thoughtfulness they receive, which 鈥渇ulfills me in what I鈥檓 doing,鈥� he notes.
Caprio is not alone in his passion. He recalls that he and his twin brother Anthony Caprio 鈥�96 shared the desire to be a doctor since they were very young. 鈥淲e took a path that was parallel鈥攂oth attending Nazareth, the same medical school and residency training, and both ending up in geriatrics,鈥� he says. The brothers鈥� paths diverged when Tony moved to North Carolina, but they stay in touch, meet at medical conferences, and share resources.听Caprio notes, 鈥淚t鈥檚 a lot of fun having a colleague, friend, and twin brother all in one person!鈥�
Caprio also finds enjoyment in the variety of his practice. 鈥淣o two days are the same,鈥� he says. 鈥淥ne day I鈥檒l be traveling between a nursing home and a classroom; another, I鈥檒l be conducting research.鈥�
No matter what Caprio鈥檚 schedule holds, though, the focus on the person remains paramount. 鈥淚t鈥檚 important to be good at the science of medicine,鈥� he says. 鈥淏ut treating the person taps into the art of the practice.鈥�
Joanie Eppinga is a writer and editor in Spokane, Washington.
