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Medical Wisdom and Doctoring The Art of 21st Century Practice

:	Robert Taylor
:	Robert B. Taylor
:	Medical Wisdom and Doctoring The Art of 21st Century Practice
:	Springer-Verlag
:	9781441955210
:	1
:	CHF 86.10
:

:	Allgemeines
:	English

:	366
:	Wasserzeichen
:	PC/MAC/eReader/Tablet
:	PDF

Medica Wisdom and Doctoring aims to fill a need in the current medical literature for a resource that presents some of the classic wisdom of medicine, presented in a manner that can help today's physicians achieve their full potential. This book details the lessons every physician should have learned in medical school but often didn't, as well as classic insights and examples from current clinical literature, medical history, and anecdotes from the author's long and distinguished career in medicine.Medical Wisdom and Doctoring: the Art of 21st Century Practice presents lessons a physician may otherwise need to learn from experience or error, and is sure to become a must-have for medical students, residents and young practitioners.

	Anchor 1	5
	Anchor 2	8
	Anchor 3	10
	Anchor 4	14
	1	15
	Medical Wisdom in the Twenty-First Century	15
	TODAY’S MEDICAL WISDOM, OUR METHODS OF DOCTORING, AND WISE PHYSICIANS	15
	Great Doctors	16
	Top Doctors	18
	Medical Wisdom and the Wise Physician	19
	ABOUT DOCTORING, THE ART OF MEDICINE AND SERVICE TO HUMANITY	23
	ABOUT MEDICAL WISDOM EXPRESSED AS APHORISMS AND PRECEPTS	25
	ABOUT MEDICAL PARADIGMATIC CHANGE IN TWENTY-FIRST CENTURY PRACTICE	27
	The Democratization of Medicine	29
	The Collectivization of Medicine	30
	The Commercialization of Medicine	30
	The Computerization of Medicine	32
	The Feminization of Medicine	33
	The Politicization of Medicine	34
	WISE WORDS ABOUT MEDICAL WISDOM IN THE TWENTY-FIRST CENTURY	35
	REFERENCES	36
	2	38
	Caring for the Patient	38
	FIRST, BE A HEALER	39
	BE SURE TO CARE FOR THE PATIENT AS WELL AS THE DISEASE	40
	RECOGNIZE THE DIFFERENCE BETWEEN DISEASE AND ILLNESS	41
	TRY TO “FEEL” THE PATIENT’S EXPERIENCE OF THE ILLNESS	42
	THINK ABOUT THE IMPACT OF ILLNESS ON THE PATIENT	43
	CONSIDER HOW THE INDIVIDUAL PATIENT’S ILLNESS AFFECTS THE FAMILY	45
	SOMETIMES, THE KEY TO UNDERSTANDING THE CLINICAL PROBLEM LIES IN THE MEANING OF THE SYMPTOM TO THE PATIENT	46
	PART OF CARING FOR THE PATIENT IS “LAYING HANDS” ON THE PATIENT	47
	PROCEED CAUTIOUSLY WHEN A PATIENT CRITICIZES HIS OR HER LAST PHYSICIAN	47
	DIFFICULT PATIENTS EXIST	SO DO “DIFFICULT DOCTORS”
	SOME PATIENTS WILL ALSO BE YOUR FRIENDS	50
	SOME OF YOUR MOST IMPORTANT LESSONS WILL BE LEARNED FROM PATIENTS	52
	DON’T DISMISS LIGHTLY A PATIENT’S RESEARCH ON THE INTERNET AND IN MAGAZINES AND NEWSPAPERS	53
	GIVE THE PATIENT THE BEST DIAGNOSIS POSSIBLE AT THE TIME	54
	SOMETIMES IT’S APPROPRIATE TO USE HUMOR IN THE EXAM ROOM	54
	DURING THE MEDICAL ENCOUNTER, ASK THE PATIENT TO TELL ABOUT SOMETHING NONMEDICAL	56
	OCCASIONALLY SHARE A LITTLE ABOUT YOURSELF	56
	AVOID LETTING THE PATIENT BELIEVE THAT YOU ARE INFALLIBLE	57
	SOMETIMES COMFORT IS ALL YOU HAVE TO OFFER	58
	ACCEPT HOW PATIENTS WILL JUDGE YOU	58
	BEWARE THE POTENTIAL FOR CARING GONE WRONG	59
	BE THERE FOR THE PATIENT	60
	WISE WORDS ABOUT CARING FOR THE PATIENT	61
	REFERENCES	63
	3	65
	Clinical Dialogue and Communication	65
	ALWAYS GREET THE PATIENT BY NAME	67
	SIT WHEN TAKING A MEDICAL HISTORY	68
	BE SURE THE PATIENT KNOWS YOUR NAME AND YOUR ROLE IN HIS OR HER CARE	68
	MAKE EYE CONTACT APPROPRIATE FOR THE CLINICAL SITUATION	69
	RECOGNIZE THE POWER IMPLICATIONS OF RELATIVE EYE LEVELS	70
	DECIDE UPON YOUR DEFAULT OPENING QUESTION THAT BEGINS THE CLINICAL INTERVIEW	70
	OPEN-ENDED QUESTIONS YIELD THE BEST INFORMATION	71
	INJECT A LITTLE IMPROVISATION INTO THE MEDICAL INTERVIEW	71
	THE MOST EXPERIENCED CLINICIANS WILL MAKE NO CLEAR DISTINCTION BETWEEN TAKING A HISTORY AND PERFORMING A PHYSICAL EXAMINATION	72
	IF THE PRESENTING COMPLAINT SEEMS A LITTLE VAGUE, CONSIDER IF IT MIGHT BE A “TICKET OF ADMISSION”	72
	LEARN THE SKILL OF ACTIVE LISTENING	73
	PAY ATTENTION TO THE PATIENT	HE OR SHE IS TELLING YOU THE DIAGNOSIS
	LISTEN MORE THAN YOU TALK	74
	WHEN DISCUSSING EVENTS IN THE PATIENT’S LIFE, HOW YOU FRAME THE QUESTION DETERMINES THE QUALITY OF THE RESPONSE	75
	ASSUME THAT THE PATIENT IS TELLING THE TRUTH	76
	MEDICAL WORDS CAN HAVE DIFFERENT MEANINGS FOR PATIENTS AND PHYSICIANS	77
	TRY NEVER TO EXPRESS SURPRISE AT SOMETHING A PATIENT TELLS YOU	78
	SOMETIMES DOCTOR AND PATIENT ARE SEPARATED BY VALUES, LANGUAGE AND CULTURE	78
	DON’T BE AFRAID TO SAY, “I DON’T KNOW”	80
	AVOID THE USE OF MEDICAL SLANG	80
	BE SURE THE PATIENT HAS HAD A CHANCE TO SAY WHAT NEEDED TO BE SAID	81
	LEARN HOW TO PRESENT A PATIENT TO A COLLEAGUE	81
	WISE WORDS ABOUT CLINICAL DIALOGUE AND COMMUNICATION	82
	REFERENCES	83
	4	85
	The Art of Clinical Diagnosis	85
	THE PROCESS OF DIAGNOSIS BEGINS WITH THE PATIENT’S DECISION TO SEEK MEDICAL HELP	86
	THE CIRCUMSTANCES OF THE PATIENT’S PRESENCE IN YOUR OFFICE CAN OFFER DIAGNOSTIC CLUES	87
	THE ASTUTE DIAGNOSTICIAN MAKES CASUAL OBSERVATION PART OF THE PHYSICAL EXAMINATION	88
	GREET YOUR PATIENT WITH A HANDSHAKE	88
	THINK ABOUT WHAT MIGHT BE THE TRUE PURPOSE OF THE MEDICAL ENCOUNTER	89
	THE WISE PHYSICIAN DOES NOT READILY ACCEPT THE DIAGNOSIS OF ANOTHER	90
	PAY ATTENTION TO VITAL SIGNS	91
	ALWAYS EXAMINE THE AREA THAT HURTS	92
	USE THE PRACTICAL METHODS THAT CAN ENHANCE YOUR PHYSICAL DIAGNOSIS	92
	EXPERIENCED PHYSICIANS HAVE A “STRING” OF DIAGNOSTIC PEARLS THAT HELP THEM FROM TIME TO TIME	94
	BEWARE OF “PLASTIC PEARLS” THAT LINGER AS PERSISTENT CLINICAL YARNS	98
	KNOW THE PATHOGNOMONIC CLINICAL MANIFESTATIONS YOU MAY ENCOUNTER	99
	RECOGNIZE THE CLINICAL RED FLAGS THAT SUGGEST SEVERE DISEASE	101
	BE WARY OF OVER-ANALYZING A PROBLEM	102
	TRUST YOUR OWN CLINIC	102