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How Doctors Think: Clinical Judgment and the Practice of Medicine
 
 
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How Doctors Think: Clinical Judgment and the Practice of Medicine [Hardcover]

Kathryn Montgomery (Author)
4.3 out of 5 stars  See all reviews (9 customer reviews)

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Book Description

0195187121 978-0195187120 November 2005 1
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

Review


"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


About the Author

Kathryn Montgomery is at Northwestern University.

Product Details

  • Hardcover: 256 pages
  • Publisher: Oxford University Press, USA; 1 edition (November 2005)
  • Language: English
  • ISBN-10: 0195187121
  • ISBN-13: 978-0195187120
  • Product Dimensions: 9.4 x 6.3 x 0.9 inches
  • Shipping Weight: 1.3 pounds (View shipping rates and policies)
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (9 customer reviews)
  • Amazon Best Sellers Rank: #248,949 in Books (See Top 100 in Books)

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Customer Reviews

9 Reviews
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Average Customer Review
4.3 out of 5 stars (9 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

23 of 26 people found the following review helpful:
5.0 out of 5 stars A Masterpiece!!!!, January 3, 2007
By 
Daniel Sette Camara (east amherst, ny USA) - See all my reviews
(REAL NAME)   
This review is from: How Doctors Think: Clinical Judgment and the Practice of Medicine (Hardcover)
K Montgomery's book is the culmination of many years of working with physicians trying to dissect their way of reaching a complex diagnosis. She has an exceptional hability to put in words what takes 20 years of medical practice. Her concept of medicine not as science but a progressive growth based on experience ( memory of previous encounters with thousands of patients) and...science + new developments is simply revolutionary. Practical reasoning is the essence of how doctors think in the practice of medicine!!!!! This is one of the best books I ever read. I recommend HIGHLY
Daniel Sette Camara, MD,FACP,FACG, FASGE
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22 of 25 people found the following review helpful:
5.0 out of 5 stars Brilliant, January 18, 2007
By 
SC (Baltimore) - See all my reviews
This review is from: How Doctors Think: Clinical Judgment and the Practice of Medicine (Hardcover)
I was thrilled when I first began reading How Doctors Think, and my feelings did not change when I finally finished the last page of the book. In honest,lyrical prose, Kathryn Montgomery eloquently articulates the complicated tapestry of the clinical decision-making process physicians often encounter in the face of clinical uncertainties and probabilistic medicine. Kudos to a beautifully structured deconstruction of the culture of medicine and medical training! I highly recommend this book to those involved in medical education curricular development. For those who are already medical students, residents, fellows, and attending physicians, I would suggest this as a must-read book on your reading list.
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18 of 21 people found the following review helpful:
5.0 out of 5 stars How Doctors Think, July 2, 2006
By 
Robert T. Manning "History buff" (Georgetown, Texas United States) - See all my reviews
(REAL NAME)   
This review is from: How Doctors Think: Clinical Judgment and the Practice of Medicine (Hardcover)
The best overview of physician thought processes I have read. Well written;thorough; should help non-medical persons understand the challenges physicians face in the diagnostic process and is an excellent guide for physicians who wish to organize and improve there clinical judgment. An MD
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Inside This Book (learn more)
First Sentence:
I SET OUT to write a book about clinical judgment: how, given the uncertainty of its knowledge, medicine is taught and practiced and how its identification with science affects both patients and physicians. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
clinical knowing, belief that medicine, clinical maxims, clinical rationality, claim that medicine, clinical apprenticeship, individual causality, therapeutic imperative, clinical reasoning, disease causality, narrative rationality, clinical cause, seating choice, firm conference, uncertain practice, practical reasoners, good clinical judgment, clinical education, scientific cause, good patient care
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, West Firm, East Firm, Ivan Ilych, Cochrane Collaboration, New England Journal of Medicine, Patricia Benner, Pierre Bourdieu, George Engel, Hans-Georg Gadamer
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