By Kathryn Montgomery
How medical professionals imagine defines the character and value of medical judgment. even supposing physicians utilize technology, this booklet argues that medication isn't really itself a technology yet really an interpretive perform that is determined by scientific reasoning. a doctor appears on the patient's historical past besides the offering actual signs and juxtaposes those with medical adventure and empirical experiences to build a tentative account of the illness.
How medical professionals imagine is split into 4 components. half one introduces the idea that of medication as a convention instead of a technology; half discusses the assumption of causation; half 3 delves into the method of forming medical judgment; and half 4 considers scientific judgment in the doubtful nature of drugs itself. In How medical professionals imagine, Montgomery contends that assuming medication is precisely a technological know-how may have adversarial uncomfortable side effects, and indicates lowering those by way of spotting the very important position of medical judgment.
"This is a ebook that may be learn with excitement via an individual attracted to how drugs is completed and it's a booklet that are meant to be required studying for all scholars beginning their medical training."--Journal of the Royal Society of Medicine
"Montgomery has definitely written a section that might stimulate humans to imagine extra deeply approximately scientific and wider medical professional perform. it's a textual content i'll suggest to scholars and colleagues."--PsycCRITIQUES
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Additional resources for How doctors think. Clinical judgment and the practice of medicine
It is neither an art nor a science. Or, it seems, if it is one of them, it must also be the other. The terms themselves are slippery and almost entirely unexamined. ” 4 On ritual occasions, “the art of medicine” may refer to behavioral attributes such as bedside manner or the display of professional etiquette. Or it may designate moral values or virtues manifested in demeanor or habits of communication. It can be any or all of those aspects of physicianhood that seemed squishy and inessential during medical school.
CHAPTER THREE : Clinical Judgment and the Interpretation of the Case “Well, you know, Standish, every dose you take is an experiment, you know—an experiment . ” —george eliot In a hand-written chart my daughter, her husband, and the oncologist laid out her treatment options and what was known about the side effects of each. But about her particular experience or her fate the chart had nothing to say.
Split around it? Four choices, and all that was known statistically about their consequences for longevity, fertility, and side effects (including subsequent, iatrogenic cancers) were laid out for her and her husband by a young oncologist who not only tolerated their need to understand what they were embarked upon but also encouraged it. Together they made a chart of the options: the standard, Cytoxan-Methotrexate-5Flourouracil (CMF) every three weeks for six months, the newer, more caustic alternative, Adriamycin-Cytoxan (AC) every three weeks for three months, and two longer, experimental protocols, whose effects, under study, were not known.