Mastery of quality health care and patient safety begins as soon as
we open the hospital doors for the first time and start acquiring
practical experience. The acquisition of such experience includes
much more than the development of sensorimotor skills and basic
knowledge of the sciences. It relies on effective reasoning,
decision making, and communication shared by all health
professionals, including physicians, nurses, dentists, pharmacists,
physiotherapists, and administrators. A Primer on Clinical
Experience in Medicine: Reasoning, Decision Making, and
Communication in Health Sciences is about these essential skills.
It describes how physicians and health professionals reason, make
decisions, and practice medicine. Covering the basic considerations
related to clinical and caregiver reasoning, it lays out a roadmap
to help those new to health care as well as seasoned veterans
overcome the complexities of working for the well-being of those
who trust us with their physical, mental, and spiritual health. The
book provides a step-by-step breakdown of the reasoning process for
clinical work and clinical care. It examines both general and
medical ways of thinking, reasoning, argumentation, fact finding,
and using evidence. Outlining the fundamentals of decision making,
it integrates coverage of clinical reasoning, risk assessment,
diagnosis, treatment, and prognosis in evidence-based medicine. It
also: Describes how to evaluate the success (effectiveness and
cure) and failure (error and harm) of clinical and community
actions Considers communication with patients and outlines
strategies, successes, failures, and possible remedies-including
offices, bedside, intervention, and care settings Examines
strategies, successes, failures, and possible remedies for
communication with peers-including interpersonal communication,
morning reports, rounds, and research gatherings The book describes
vehicles, opportunities, and environments for enhanced professional
communication, including patient interviews, clinical case reports,
and morning reports. It includes numerous examples that demonstrate
the importance of sound reasoning, decision making, and
communication and also considers future implications for research,
management, planning, and evaluation.
General
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