The Nature of Clinical Medicine: The Return of the Clinician

Hardcover | October 29, 2014

byEric J. Cassell

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Clinical medicine, as a thinking discipline, is concerned not only with what clinicians do, but why. When physicians act in medicine they have some purpose or goal in mind. What they actually do and how they go about it is in the service of their purposes and their goals. Such goals cover awide range of topics centering on patients, the doctor-patient relationship, the acts of doctoring patients, and the goals involved in being a physician among other physicians working within the institutions of medicine.The Nature of Clinical Medicine takes its direction from a catalog of goals of medicine that range from the expected diagnosis and treatment of diseases to wider concerns for patients, for physicians, and for medicine itself. The chapters are specific in teaching the kinds of knowledge thatclinicians require in order to be able to achieve these goals. The central focus of the clinician and of this book is the patient. According to Eric Cassell, everything else, including the disease, is secondary.Using many examples from real-life medical practice, each chapter examines the different kinds of thought involved in caring for the patient. Cassell takes on a variety of difficult issues, from thinking about values to developing wisdom. The care of the dying, what thinking itself is, and finally,why would one want to do this exciting and rewarding but difficult work, come under discussion in this book.

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Clinical medicine, as a thinking discipline, is concerned not only with what clinicians do, but why. When physicians act in medicine they have some purpose or goal in mind. What they actually do and how they go about it is in the service of their purposes and their goals. Such goals cover awide range of topics centering on patients, th...

Eric J. Cassell is an attending physician at New York Presbyterian Hospital, as well as Emeritus Professor of Public Health at Weill Cornell Medical College and Adjunct Professor of Medicine at McGill University. He retired from the active practice of internal medicine in 1998 after thirty-seven years. Cassell is the author of The Heal...

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Format:HardcoverDimensions:352 pages, 9.29 × 6.5 × 1.18 inPublished:October 29, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199974861

ISBN - 13:9780199974863

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Table of Contents

AcknowledgmentsIntroduction1. The Goals of Medicine2. A Story about a Patient with Aortic Stenosis3. What are Facts in Medicine?4. Clarify the Chain of Events that Led to the Present State: The Case as a Narrative5. The Case of Myra Manner6. Examine Your Presuppositions and Preconceptions7. Separate and Examine the Values at Issue8. A Question of Judgment9. The Patient, the Doctor, And the Relationship10. Observation, Prognosis, and Prognosticating11. Thinking in Medicine12. Accepting the Challenge