How Doctors Think

Clinical judgment and the practice of medicine

AvKathryn Montgomery

Inbunden, Engelska, 2005

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Beskrivning

How Doctors Think defines the nature and importance of clinical judgement. Although physicians make use of science, this book argues that medicine is not itself a science but rather an interpretive practice that relies on clinical reasoning. A physician looks at the patient's history along with the presenting physical signs and symptoms and juxtaposes these with clinical experience and empirical studies to construct a tentative account of the illness.How Doctors Think is divided into four parts. Part One introduces the concept of medicine as a practice rather than a science; Part Two discusses the idea of causation; Part Three delves into the process of forming clinical judgement; and Part Four considers clinical judgement within the uncertain nature of medicine itself. How Doctors Think contends that there can be adverse side effects to assuming that medicine is strictly science, and suggests reducing these by recognizing the vital role of clinical judgement.

Produktinformation

Utgivningsdatum:2005-12-08
Mått:236 x 163 x 25 mm
Vikt:567 g
Format:Inbunden
Språk:Engelska
Antal sidor:256
Förlag:OUP USA
ISBN:9780195187120

Utforska kategorier

Medicinsk etik och läkaretik inom Medicin
Folkhälsa och hälsopedagogik inom Medicin
Hälso- och sjukvård inom Medicin

Recensioner i media

Montgomery's book is a significant contribution to the ongoing discussion over the nature and role of clinical judgement in medical practice and is required reading for anyone interested in it.

Innehållsförteckning

Introduction: rationality in an uncertain practice ; PART 1: MEDICINE AS A PRACTICE ; 1. Medicine and the limits of knowledge ; 2. The misdescription of medicine ; 3. Clinical judgement and the interpretation of case ; PART 2: CLINICAL JUDGEMENT AND THE IDEA OF CAUSE ; 4. "What brings you here today?": the idea of cause in medical practice ; 5. The simplification of clinical cause ; 6. Clinical judgement and the problem of particularizing ; PART 3: THE FORMATION OF CLINICAL JUDGEMENT ; 7. Aphorisms, maxims, and old saws: some rules of clinical reasoning ; 8. "Don't think zebras": a theory of clinical knowing ; 9. Knowing one's place: the evaluation of clinical judgement ; PART 4: CLINICAL JUDGEMENT AND THE NATURE OF MEDICINE ; 10. The self in medicine: the use and misuse of the science claim ; 11. A medicine of neighbours ; 12. Uncertainty and the ethics of practice