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Author Montgomery, Kathryn, 1939-
Title How doctors think : clinical judgment and the practice of medicine / Kathryn Montgomery.
Imprint Oxford ; New York : Oxford University Press, 2006.

Subject Medicine -- Decision making.
Medicine -- Philosophy.
Clinical medicine -- Practice.
Decision Making.
Clinical Medicine.
Description 1 online resource (viii, 246 pages) : illustrations
Bibliography Note Includes bibliographical references (pages 209-238) and index.
Note Print version record.
Summary "How Doctors Think" defines the nature and importance of clinical judgement. 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 judgement; and Part Four considers clinical judgement within the uncertain nature of medicine itself. "How Doctors Think" contends that there can be adverse side effects to assuming that medicine is strictly science, and suggests reducing these by recognizing the vital role of clinical judgement.
Contents ""Contents""; ""Introduction: Rationality in an Uncertain Practice""; ""I. Medicine as a Practice""; ""1 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""; ""10 The Self in Medicine: The Use and Misuse of the Science Claim""; ""11 A Medicine of Neighbors""; ""12 Uncertainty and the Ethics of Practice""; ""Notes""; ""Index""; ""A""; ""B""; ""C""; ""D""; ""E""; ""F""; ""G""; ""H""; ""I""; ""J""; ""K""; ""L""; ""M""; ""N""; ""O""; ""P""; ""R""; ""S""; ""T""; ""U""; ""V""; ""W""; ""Z""
ISBN 9780199748228 (electronic bk.)
0199748225 (electronic bk.)
0195187121 (cloth)
OCLC # 71794361
Additional Format Print version: Montgomery, Kathryn, 1939- How doctors think. Oxford ; New York : Oxford University Press, 2006 0195187121 (DLC) 2005040591 (OCoLC)58452493.