How Doctors Think: Clinical Judgment and the Practice of Medicine / Edition 1

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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: 9780195187120
  • Publisher: Oxford University Press, USA
  • Publication date: 11/10/2005
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 256
  • Sales rank: 597,915
  • Product dimensions: 9.30 (w) x 6.40 (h) x 1.00 (d)

Table of Contents

PART I. MEDICINE AS A PRACTICE
1. Medicine and the Limits of Knowledge
2. The Misdescription of Medicine
PART II. CLINICAL JUDGMENT AND THE IDEA OF CAUSE
3. Clinical Judgment and the Interpretation of the Case
4. "What Brings You Here Today?": The Idea of Cause in Medical Practice
5. The Simplification of Clinical Cause
6. Clinical Judgment and the Problem of Particularizing
PART III. THE FORMATION OF CLINICAL JUDGMENT
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 Judgment
PART IV. CLINICAL JUDGMENT AND THE NATURE OF MEDICINE
10. The Self in Medicine: The Use and Misuse of the Science Claim
11. A Medicine of Neighbors
12. Uncertainty and the Ethics of Practice

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