How Doctors Think Clinical Judgment and the Practice of Medicine 1st Edition by Kathryn Montgomery ISBN 978-0199884834 0199884834
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Product details:
ISBN 10: 0199884834
ISBN 13: 978-0199884834
Author: Kathryn Montgomery
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.
Table of contents:
I. Medicine as a Practice
I Medicine and the Limits of Knowledge
2 The Misdescription of Medicine
3 Clinical Judgment and the Interpretation of the Case
II. Clinical Judgment 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 Judgment and the Problem of Particularizing
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
IV. Clinical Judgment and the Nature of Medicine
TO The Selfin 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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