Developing the Wise Doctor: A Resource For Trainers and Trainees in MMC / Edition 1

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Overview

Developing the Wise Doctor shows very clearly why the practice of medicine, like the practice of teaching, must be seen as an art as well as a science. 'Wise' doctors know that while the 'facts' of a case may be a necessary and useful starting point, they are seldom the be-all and end-all of medical encounters. The facts may in some limited sense 'speak for themselves', but what they 'say' is often less important than what they don't say. 'Wise' doctors know that much of importance remains unspoken, perhaps even unconscious: that many patients are silently seeking from their encounter with doctors something nebulous - care and healing - as well as something measurable - treatments and cures.

This book provides not only the language for 'wise' doctoring but also the practical exercises to master it. As when learning any new language, the authors stress the importance of practice through all four communication modes - speaking, listening, reading and writing. The second part of the book shows in detail how new doctors can best acquire the language of professional wisdom in the hospital context.

The book as a while makes a strong case for the total re-visioning of the postgraduate medical curriculum. In every chapter there is much for teacher educators, as well as for teachers engaged in their own continuing professional development, to reflect upon.

Developing the Wise Doctor offers a fresh and original approach to professional education and will be of enormous benefit for teaching and supervision. Essential reading for anyone engaged in postgraduate medicine as learner, teacher or manager.

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Editorial Reviews

From the Publisher
I thought reading this book would make my blood boil. I expected a book praising Modernising Medical Careers (MMC) and telling me how the competency assessments for foundation doctors would produce the best doctors the United Kingdom has ever seen. I was pleased to find I was wrong.(...)Fish and de Cossart are trying to make the best of MMC. They are aware that it leaves gaping holes in the education of doctors, and in response they have developed an "enrichment curriculum." This aims to help learners and teachers fulfil the MMC criteria to be competent doctors, but also to go one step further offering the depth of education needed to benefit patients and doctors.(...)We are yet to discover the fate of MMC and doctors training in the UK, but if the Department of Health and Postgraduate Medical Education and Training Board are involved, someone should send them a copy of this book.
Amy Davis, BMJ editorial registrar, BMJ, London

This book offers a fresh and original approach to professional education which has a resonance well beyond the medical practitioners for whom it has been written and considerable relevance for teacher development.
(...)The authors criticise the over-reliance in post-graduate medical education on the one-way transmission of factual knowledge, and in this book they offer several alternative approaches for more exciting teaching and for more active, deeper learning. The book as a whole makes a strong case for the total re-visioning of the postgraduate medical curriculum. (...) For practitioners who want to be wise and whose vocation is to do good work on behalf of their clients, the importance of self-knowledge and of tacit knowledge is well-established, in theory if not yet always in everyday practice. But I know of no other work in which these concepts have been so fully expounded, or so convincingly illustrated and illuminated with rich and detailed examples of how they can be taught to new practitioners.
Allen Parrott
Consultant Education Adviser, KSS Deanery (Kent, Sussex and Surrey), Teacher Development

This book will be of enormous benefit for teaching and supervision and should be essential reading for anyone engaged in postgraduate medicine as learner, teacher or manager.
Annals of The Royal College of Surgeons, Autumn 2009

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Product Details

  • ISBN-13: 9781853156182
  • Publisher: Taylor & Francis
  • Publication date: 7/20/2007
  • Edition number: 1
  • Pages: 240
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.40 (d)

Meet the Author

Della Fish
Professor (postgraduate studies), School of Health Science, University of Wales, Swansea

Linda de Cossart
Consultant Vascular and General Surgeon, Countess of Chester NHS Foundation Trust and Council Member, The Royal College of Surgeons of England

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Table of Contents

Figures, tables and resources
Glossary
Acknowledgements
Foreword by Professor Ian Gilmore, President, Royal College of Physicians
Introduction
PART ONE: Postgraduate medicine and medical education: Current disease and possible cure
1. Learning in clinical practice: Two visions for the future
2. Wise practice for better patient care: Introducing ‘the invisibles’ and the heuristics
3. Principles for using learning resources: Teaching strategies, and the importance of talking and writing
PART TWO: Attending to the core of medicine: Key resources for exploring the invisibles
Introduction to Part Two
4. Being alert to the context of the patient case: Prompted by Heuristic 1
5. Exploring the doctor’s professionalism: Prompted by Heuristic 2
6. Understanding the forms of knowledge the doctor uses: Prompted by Heuristic 3
7. Illustrating the quality of the doctor’s clinical thinking: Prompted by Heuristic 4
8. Demonstrating the quality of the doctor’s professional judgements: Prompted by Heuristic 5
9. The therapeutic relationship of wise doctor and valued patient: Bringing the core together
10. Seeing the clinical setting anew: Broadening the vision, deepening the insight
Appendix: Enriching the postgraduate medical curriculum
References
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