How Doctors Think
Clinical judgment and the practice of medicine
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31 531 Ft
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Product details:
- Publisher OUP USA
- Date of Publication 8 December 2005
- ISBN 9780195187120
- Binding Hardback
- No. of pages256 pages
- Size 163x236x25 mm
- Weight 567 g
- Language English
- Illustrations 4 line illustrations 0
Categories
Short description:
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.
Long description:
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.
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.
Table of Contents:
Introduction: rationality in an uncertain practice
Part 1: Medicine as a practice
Medicine and the limits of knowledge
The misdescription of medicine
Clinical judgement and the interpretation of case
Part 2: Clinical judgement and the idea of cause
"What brings you here today?": the idea of cause in medical practice
The simplification of clinical cause
Clinical judgement and the problem of particularizing
Part 3: The formation of clinical judgement
Aphorisms, maxims, and old saws: some rules of clinical reasoning
"Don't think zebras": a theory of clinical knowing
Knowing one's place: the evaluation of clinical judgement
Part 4: Clinical judgement and the nature of medicine
The self in medicine: the use and misuse of the science claim
A medicine of neighbours
Uncertainty and the ethics of practice
