Clinical Judgement: Evidence in Practice

Paperback | April 1, 2000

byRobin Downie, Jane Macnaughton

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There is a widespread view that modern medicine is primarily a scientific enterprise and that the decisions of clinicians follow from evidence-based science. In terms of this view the need for clinical judgement is minimal. The aims of this book are to make a case for the centrality andirreplaceability of clinical judgement, to identify the elements of good clinical judgement, and to suggest how these might be developed by using the humanities in medical undergraduate and postgraduate education. The authors argue that good clinical judgement requires both technical evidence and ahumane attitude. But technical evidence is not always quantifiable or even scientific; it can be like that of the detective or the literary scholar. A humane attitude involves ethical sensitivity, but also a broad educated perspective which can be derived from the arts. The authors illustrate theirargument by examining decisions made by doctors in clinical situations, in public health, and (in a chapter contributed by a hospital consultant) in resource management. About the authors: Robert S. Downie is Professor of Moral Philosophy at Glasgow University since 1969. He is a member of the BMAEthics Committee and co-editor of the Journal of Medical Ethics. He has published extensively in the field of medical ethics. Jane MacNaughton has recently taken the position of Director of Centre for Arts, Humanities, Health and Medicine at the University of Durham. Previously she was ClinicalLecturer in General Practice at Glasgow University and a part-time GP.

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From the Publisher

There is a widespread view that modern medicine is primarily a scientific enterprise and that the decisions of clinicians follow from evidence-based science. In terms of this view the need for clinical judgement is minimal. The aims of this book are to make a case for the centrality andirreplaceability of clinical judgement, to identif...

Robin Downie is at The University of Glasgow. Jane MacNaughton is at The University of Glasgow.

other books by Robin Downie

Format:PaperbackPublished:April 1, 2000Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0192632167

ISBN - 13:9780192632166

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Table of Contents

Chapter 1: Judgement and ScienceChapter 2: Judgement in the clinicChapter 3: Humane JudgementChapter 4: Judgement in public healthChapter 5: Judgement and resource managementChapter6: Educating judgement: the humanitiesConclusion: Clinical JudgementReferences

Editorial Reviews

The book stimulates intellectual curiosity by weaving lessons in history, philosophy, ethics, the arts and humanities into hypothesis to be dissected and challenged in a lively classroom. Education for Health