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Books > Medicine > Clinical & internal medicine > Medical diagnosis > Examination of patients
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Clinical Medicine: A Clerking Companion (Paperback)
Loot Price: R1,539
Discovery Miles 15 390
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Clinical Medicine: A Clerking Companion (Paperback)
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Students starting on the wards are often bewildered at their role
and unable to make the most of the learning opportunities presented
to them. The hardest thing is to adapt to a new way of learning,
where books and lectures take a back seat and the subjects for
study are the patients whose beds line the wards. Rather than being
asked to go to the library and write an essay on the physiology of
the kidneys, you are told to go and clerk the patient in bed 3 with
acute renal failure. The problem lies in knowing where on earth to
begin.
Clinical Medicine: A Clerking Companion is written for
inexperienced clinical students, and helps them to use their
patients to learn medicine. It aims to transform students who know
a bit about the medical sciences into young doctors who can draw
knowledge and experience together to diagnose and treat real
patients.
At heart, it is a workbook that provides students with a framework
for approaching patients with a range of common conditions. It is a
'friend over the shoulder' - guiding students through interviewing
and examining a patient, and then evaluating the patient's current
condition and their future management. A list of questions then
helps students explore the topic in more detail - sending them back
to their textbooks to read about what they have seen and understand
the science underlying it.
It is also a self-directed learning portfolio, helping students to
assess their progress by seeing where they are lacking clinical
exposure, and by recording key cases they have seen to function as
a revision aid.
Clinical Medicine: A Clerking Companion falls into three main
sections.
The introduction explains briefly how to use the book to make the
most of time spent on the wards - how to interview and examine
patients, how to use the book in recording findings, and then how
to present patients to doctors. It emphasises the importance of
anonymising patient information and ensuring patient consent before
interviewing and examining them.
The section on presentations covers over 30 undiagnosed presenting
complaints such as 'chest pain' or 'acute confusion', suitable for
use in A+E or in outpatient. Proformas for each presentation take
students through the dynamic process of diagnosis and initial
management.
The largest section, conditions, covers around 100 common medical
and surgical problems, grouped according to speciality. Each
chapter (for instance 'cardiology') begins with an introductory
section offering basic approaches to the symptoms, signs and
investigations encountered in that specialty - for instance, how to
recognise common murmurs or a simple guide to reading an ECG. The
subsequent clerking proformas are similar to those for the clinical
'presentations', allowing students to interview and examine ward
patients who already have an established diagnosis, reviewing their
investigation results, and then evaluating the severity, aetiology
and management of the condition.
The book aims to:
DT Transform patients into useful learning resources: helping
students to use patients to develop skills and build
knowledge.
DT Be a 'near patient resource': something to be carried onto the
ward and used when seeing patients.
DT Enable students to be pro-active: Lots of time can be wasted as
a medical student waiting for doctors to be free to teach you. This
allows even very junior students to get on with clerking and
evaluating patients.
DT Build student confidence: Presenting patients you have clerked
to senior doctors can be daunting. With this book students can do
so more confidently knowing that they have at least covered all the
more important points.
DT Train students to think clinically: So much of medical education
involves teaching a mindset - actively resuscitating a patient
whilst also trying to diagnose them, or weighing the relative
importance of various pieces of information. Other books present
information - this book teaches students to use it.
A completely new concept, with a unique focus on the learning needs
of inexperienced students, Clinical Medicine: A Clerking Companion
is the one friend you won't want to be without as you begin your
journey onto the wards.
Online Resource Centre
The Online Resource Centre to accompany Clinical Medicine: A
Clerking Companion features:
DT Dynamic, annotated figures - enlarged, fully annotated copies of
key images from the book, including ECGs and X-rays.
DT PDFs of the proformas in the book, avalible to download
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