Goldberger Becoming a Consummate Clinician

What Every Student, House Officer and Hospital Practitioner Needs to Know
1. Auflage 2012
ISBN: 978-1-118-38071-0
Verlag: John Wiley & Sons
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 224 Seiten, E-Book

Reihe: Hospital Medicine - Current Concepts

With hospital medicine growing rapidly in both scale andcomplexity, the learning curve for students is steeper, whileexperienced physicians are often called upon to act as mentors andcaregivers in areas outside their primary fields of expertise.Becoming a Consummate Clinician, an exciting new book in theseries Hospital Medicine: Current Concepts, describes in practicalterms how clinicians and students can think more critically and actmore insightfully in this era of information expansion and timecompression. Developed for hospital-based clinicians andphysicians-in-training, the book provides a road map for navigatingkey challenges in real-life medical practice related to assessing,integrating, and presenting clinical information. Clearly formattedand easily accessible, the book:
* Fully integrates and emphasizes error avoidance andreduction
* Highlights uses and limitations of algorithmic andevidence-based medicine in medical decision-making
* Details effective strategies for looking and"re-looking" at biomedical data
* Explains essential do's and don'ts ofmedicalpractice, from patient history and exam to differentialdiagnoses
* Describes best practices and pitfalls of gathering, processing,and communicating medical information
* Presents strategies for attending physicians to develop thecritical thinking skills of their trainees
Featuring real-world clinical examples, this concise,down-to-earth text is written to help both practitioners andstudents improve their overall clinical performance, and learn tocommunicate effectively with members of the caregiving team.

Autoren/Hrsg.

Goldberger, Ary L.

Goldberger, Zachary D.

Inhaltsverzeichnis

Preface ix
Acknowledgments xi
INTRODUCTION: SURVIVING AND THRIVING IN WARD WORLD 1
PART 1 MEDICAL MUSTS AND MUST-NOTS: SIX ESSENTIALS OF WARDWORLD
1 HOW (NOT) TO PRESENT A PATIENT HISTORY 13
2 REEXAMINING THE PHYSICAL EXAM 37
3 HOW (NOT) TO ORDER AND PRESENT LAB TESTS 67
4 SEEING IS (ALMOST) BELIEVING: THE IMPORTANCE OF REVIEWING DATA81
5 "WORSTS FIRST": HOW TO FRAME A DIFFERENTIAL DIAGNOSIS 93
6 CLINICAL QUERIES: ASKING THE 3½ KEY QUESTIONS 103
PART 2 MEDICAL MASTERIES
7 E = MC3: ERROR REDUCTION EQUALS MOTIVATION TIMES COMMUNICATIONTO THE POWER OF 3 115
8 EVIDENCE-BASED MEDICINE: WHAT AND WHERE IS THE EVIDENCE?131
9 CAUTION! DANGEROUS BIOMEDICAL SEMANTICS AT WORK 145
10 SOME SECOND OPINIONS: OUTLIERS, HOOFBEATS, AND SUTTON'S(FLAWED) LAW 165
11 A SIXFOLD PATH: FROM DATA TO KNOWLEDGE TO UNDERSTANDING173
12 WHAT IS DISEASE? WHAT IS HEALTH? 181
Bibliography and Notes 195
Index 203

Über Autor(innen)

Ary L. Goldberger, MD, is Director of the Rey Laboratory and Professor of Medicine at the Harvard Medical School. He is Program Director of the Research Resource for Complex Physiologic Signals, which is funded by the National Institute of Biomedical Imaging and Bioengineering and the National Institute of General Medical Sciences of the National Institutes of Health. He is also a core faculty member of the Wyss Institute for Biologically Inspired Engineering at Harvard.
Zachary D. Goldberger, MD, MS,is an Assistant Professor in the Department of Internal Medicine in the Division of Cardiology at Harborview Medical Center/University of Washington Medical School, in Seattle, WA. He received his medical degree from Yale University School of Medicine and then completed his Internal Medicine training at the University of Washington. He completed a fellowship in cardiovascular medicine at the University of Michigan, where he was a 2010-2012 Robert Wood Johnson Foundation Clinical Scholar.