How Doctors Think: Clinical Judgment and the Practice of Medicine
by Kathryn Montgomery
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Book Summary Information
Author: Kathryn MontgomeryEdition: Hardcover
Published: 2005-11
ISBN: 0195187121
Number of pages: 256
Publisher: Oxford University Press, USA
Book Reviews of How Doctors Think: Clinical Judgment and the Practice of Medicine
Book Review: Worth reading carefully
Summary: 5 Stars
This is an incisive, and personal, analysis of how physicians think. It analyzes the foundations and processes behind physician's decision making, and their relationship to the patient. It also looks at some of the myths that add to the illusions that physicians sometimes project, both to bolster their persona as well as to hide the uncertainty that is behind many of their decisions. The writer is not a physician, which serves to give the book greater credibility, and is illustrated by her own anxiety regarding her daughter's cancer at an unusual age. As a physician, I found myself agreeing with most of her insights. Her analysis of the seating patterns and hierarchy in medical conferences is hilarious and accurate. Although she looked at a department of medicine, I think it holds true for mos specialties.
This book is not an easy read, and it can be fairly slow going because of the academic vocabulary and the sometimes obscure references to philosophy, science and literature. But it is worth reading. If you have been a patient, you may gain insight into your physician's decisions. If you are a physician, you may end up realizing you are not who you thought you were.
Summary of How Doctors Think: Clinical Judgment and the Practice of Medicine
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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