How Doctors Think: Clinical Judgment and the Practice of Medicine [NOOK Book]

Overview

How Doctors Think defines the nature and importance of clinical judgment. 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 ...
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How Doctors Think: Clinical Judgment and the Practice of Medicine

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Overview

How Doctors Think defines the nature and importance of clinical judgment. 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 judgment; and part four considers clinical judgment within the uncertain nature of medicine itself. In How Doctors Think, Montgomery contends that assuming medicine is strictly a science can have adverse side effects, and suggests reducing these by recognizing the vital role of clinical judgment.
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Editorial Reviews

From the Publisher
"This is a book that will be read with pleasure by anyone interested in how medicine is done and it is a book that should be required reading for all students starting their clinical training."—Journal of the Royal Society of Medicine

"Montgomery has certainly written a piece that will stimulate people to think more deeply about medical and wider health professional practice. It is a text I will recommend to students and colleagues."—PsycCRITIQUES

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Product Details

  • ISBN-13: 9780199884834
  • Publisher: Oxford University Press
  • Publication date: 10/27/2005
  • Sold by: Barnes & Noble
  • Format: eBook
  • Sales rank: 873,991
  • File size: 3 MB

Table of Contents

Introduction : rationality in an uncertain practice 3
1 Medicine and the limits of knowledge 13
2 The misdescription of medicine 29
3 Clinical judgment and the interpretation of the case 42
4 "What brings you here today?" : the idea of cause in medical practice 57
5 The simplification of clinical cause 70
6 Clinical judgment and the problem of particularizing 84
7 Aphorisms, maxims, and old saws : some rules of clinical reasoning 103
8 "Don't think zebras" : a theory of clinical knowing 121
9 Knowing one's place : the evaluation of clinical judgment 138
10 The self in medicine : the use and misuse of the science claim 157
11 A medicine of neighbors 176
12 Uncertainty and the ethics of practice 189
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