Free PDF Learning Clinical Reasoning, by Jerome P. Kassirer MD, John B. Wong MD, Richard I. Kopelman MD
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Learning Clinical Reasoning, by Jerome P. Kassirer MD, John B. Wong MD, Richard I. Kopelman MD
Free PDF Learning Clinical Reasoning, by Jerome P. Kassirer MD, John B. Wong MD, Richard I. Kopelman MD
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Learning Clinical Reasoning uses a case-based approach to teach students the basics of clinical reasoning. The first section explains the chief components of the clinical reasoning process, such as generating and refining diagnostic hypotheses, using and interpreting diagnostic tests, assembling a working diagnosis, therapeutic decision-making, and examining and applying evidence, and also includes a discussion of cognitive errors. The second section contains 69 cases in which clinicians "think out loud" about diagnostic and therapeutic dilemmas, and the authors critique these clinicians' reasoning. This edition has thirty new cases from the New England Journal of Medicine and other sources and expanded discussions of evidence-based medicine, clinical practice guidelines, and cognitive errors.
- Sales Rank: #366060 in Books
- Published on: 2009-09-11
- Original language: English
- Number of items: 1
- Dimensions: 9.80" h x .50" w x 6.90" l, 1.20 pounds
- Binding: Paperback
- 352 pages
Most helpful customer reviews
0 of 0 people found the following review helpful.
Five Stars
By Ivana Milojevic
Simply astonishing!
20 of 20 people found the following review helpful.
a must read for those who want to become expert clinicians
By Rahul K Patel
This book has profoundly influenced my medical training. I have not encountered any other book that attempts to dissect the thought processes of an expert clinician in such a cogent, easy to read format. The first half of the book consists of didactics and background on concepts such as Bayes' theorem, while the second half consists of clinical cases, discussed in similar fashion to the clinical problem solving cases seen in the New England Journal of Medicine. These cases are discussed by a variety of clinicians, from residents to experienced clinicians, with a subsequent review by the authors of the mistakes or strengths of each discussant's diagnostic process.
After reading this book, one can have a sense for what are the strong and weak heuristics used by clinicians in diagnosing a patient.
I feel that every medical school should implement this type of book in its curriculum - as physicians we are almost never given any instruction on how to think like an expert clinician, other than watching by example. This book gives a formal instruction on the matter.
6 of 6 people found the following review helpful.
Very informative and insightful study of clinical reasoning
By E. Jaksetic
This book takes a methodical, in-depth look at how doctors diagnosis illness and make treatment decisions. The book analyzes how clinical reasoning occurs, identifies various ways that clinical reasoning can succeed or go astray, and proposes how to effectively teach clinical reasoning.
The book consists of two sections (each containing 11 chapters), a glossary, and an extensive bibliography of published source materials.
The first section (entitled "The Processes of Clinical Reasoning") covers the following subjects: (a) clinical reasoning in general; (b) generating diagnostic hypotheses; (c) refining diagnostic hypotheses; (d) using & interpreting diagnostic tests; (e) using causal reasoning in the making of diagnoses; (f) verifying diagnoses; (g) making therapeutic decisions; (h) looking for, evaluating, and applying evidence in diagnosis and treatment; (i) a discussion of cognitive errors; (j) an introduction to some concepts of cognitive science; and (k) a proposed method to improve clinical learning. Each chapter in the first section (which totals 49 pages) is brief.
The second section (entitled "Cognition at the Bedside: A Set of Examples) provides 69 case studies that are organized in chapters that parallel, and correspond to, the eleven chapters in the first section of the book. The case studies are presented to illustrate and support the theories, concepts, analysis, and arguments set forth in the first section of the book.
The primary audience for this book is physicians and medical students. However, other professionals could find this book worthwhile reading, including the following: nurses; cognitive scientists; professionals studying decision-making; professionals interested in the philosophy of medicine; and lawyers and paralegals dealing with cases involving medical diagnosis and treatment decisions. In order to benefit from reading this book, any non-medical professional should have some prior knowledge of, or experience with, medical terminology and practice.
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