How Doctors Think: Clinical Judgment and the Practice of Medicine by Kathryn MontgomeryHow Doctors Think: Clinical Judgment and the Practice of Medicine by Kathryn Montgomery

How Doctors Think: Clinical Judgment and the Practice of Medicine

byKathryn Montgomery

Hardcover | January 25, 2006

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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 alongwith 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 uncertainnature 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.
Kathryn Montgomery is at Northwestern University.
Title:How Doctors Think: Clinical Judgment and the Practice of MedicineFormat:HardcoverDimensions:256 pages, 6.42 × 9.29 × 0.98 inPublished:January 25, 2006Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195187121

ISBN - 13:9780195187120


Table of Contents

PART I. MEDICINE AS A PRACTICE1. Medicine and the Limits of Knowledge2. The Misdescription of MedicinePART II. CLINICAL JUDGMENT AND THE IDEA OF CAUSE3. Clinical Judgment and the Interpretation of the Case4. "What Brings You Here Today?": The Idea of Cause in Medical Practice5. The Simplification of Clinical Cause6. Clinical Judgment and the Problem of ParticularizingPART III. THE FORMATION OF CLINICAL JUDGMENT7. Aphorisms, Maxims, and Old Saws: Some Rules of Clinical Reasoning8. "Don't Think Zebras": A Theory of Clinical Knowing9. Knowing One's Place: The Evaluation of Clinical JudgmentPART IV. CLINICAL JUDGMENT AND THE NATURE OF MEDICINE10. The Self in Medicine: The Use and Misuse of the Science Claim11. A Medicine of Neighbors12. Uncertainty and the Ethics of Practice

Editorial Reviews

"The author writes nicely about clinical judgment and rightly states that attempts to mimic the judgments of experienced clinicians algorithmically mostly fail."--British Medical Journal