基本説明
Offers hospital-based physicians an organizing framework for coping with daily challenges both in patient care and in teaching.
Full Description
With hospital medicine growing rapidly in both scale and complexity, the learning curve for students is steeper, while experienced physicians are often called upon to act as mentors and caregivers in areas outside their primary fields of expertise. Becoming a Consummate Clinician, an exciting new book in the series Hospital Medicine: Current Concepts, describes in practical terms how clinicians and students can think more critically and act more insightfully in this era of information expansion and time compression. Developed for hospital-based clinicians and physicians-in-training, the book provides a road map for navigating key challenges in real-life medical practice related to assessing, integrating, and presenting clinical information. Clearly formatted and easily accessible, the book:
Fully integrates and emphasizes error avoidance and reduction
Highlights uses and limitations of algorithmic and evidence-based medicine in medical decision-making
Details effective strategies for looking and "re-looking" at biomedical data
Explains essential do's and don'ts of medicalpractice, from patient history and exam to differential diagnoses
Describes best practices and pitfalls of gathering, processing, and communicating medical information
Presents strategies for attending physicians to develop the critical thinking skills of their trainees
Featuring real-world clinical examples, this concise, down-to-earth text is written to help both practitioners and students improve their overall clinical performance, and learn to communicate effectively with members of the caregiving team.
Contents
Preface ix
Acknowledgments xi
INTRODUCTION: SURVIVING AND THRIVING IN WARD WORLD 1
PART 1 MEDICAL MUSTS AND MUST-NOTS: SIX ESSENTIALS OF WARD WORLD
1 HOW (NOT) TO PRESENT A PATIENT HISTORY 13
2 REEXAMINING THE PHYSICAL EXAM 37
3 HOW (NOT) TO ORDER AND PRESENT LAB TESTS 67
4 SEEING IS (ALMOST) BELIEVING: THE IMPORTANCE OF REVIEWING DATA 81
5 "WORSTS FIRST": HOW TO FRAME A DIFFERENTIAL DIAGNOSIS 93
6 CLINICAL QUERIES: ASKING THE 3½ KEY QUESTIONS 103
PART 2 MEDICAL MASTERIES
7 E = MC3: ERROR REDUCTION EQUALS MOTIVATION TIMES COMMUNICATION TO THE POWER OF 3 115
8 EVIDENCE-BASED MEDICINE: WHAT AND WHERE IS THE EVIDENCE? 131
9 CAUTION! DANGEROUS BIOMEDICAL SEMANTICS AT WORK 145
10 SOME SECOND OPINIONS: OUTLIERS, HOOFBEATS, AND SUTTON'S (FLAWED) LAW 165
11 A SIXFOLD PATH: FROM DATA TO KNOWLEDGE TO UNDERSTANDING 173
12 WHAT IS DISEASE? WHAT IS HEALTH? 181
Bibliography and Notes 195
Index 203
