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Clinical medicine, as a thinking discipline, is concerned not only
with what clinicians do, but why. When physicians act in medicine
they have some purpose or goal in mind. What they actually do and
how they go about it is in the service of their purposes and their
goals. Such goals cover a wide range of topics centering on
patients, the doctor-patient relationship, the acts of doctoring
patients, and the goals involved in being a physician among other
physicians working within the institutions of medicine. The Nature
of Clinical Medicine takes its direction from a catalog of goals of
medicine that range from the expected diagnosis and treatment of
diseases to wider concerns for patients, for physicians, and for
medicine itself. The chapters are specific in teaching the kinds of
knowledge that clinicians require in order to be able to achieve
these goals. The central focus of the clinician and of this book is
the patient. According to Eric Cassell, everything else, including
the disease, is secondary. Using many examples from real-life
medical practice, each chapter examines the different kinds of
thought involved in caring for the patient. Cassell takes on a
variety of difficult issues, from thinking about values to
developing wisdom. The care of the dying, what thinking itself is,
and finally, why would one want to do this exciting and rewarding
but difficult work, come under discussion in this book.
Clearing the Path is a collection of clinical stories that
illustrate practical, applicable communication tools for
professionals in work with end-of-life patients and families. These
vignettes from practice demonstrate how impending death, death
itself, and the loss of a relationship affect the lives and grief
of both patients and survivors. Written 13 years after its
companion volume The Weeping Willow, the book brings even more
complex encounters and nuanced emotions from additional years of
experience in the field. The stories are woven in with the
counseling process, thought process, and dilemmas of the counselor.
Each story is then followed by "Notes to the Practitioner" with
clear, practical and professional advice on navigating various
communication issues and end with "Conclusions" which are short
summaries of each vignette's teachings. At the end of each chapter
the reader will find recent, annotated references for those who
wish to read more about the topic. Chapters provide new, in-depth
tools for dealing with death, grief, and loss from both the griever
and the counselor or medical professional's perspective. What is
unique to this book is the insight into the authentic human
emotions experienced by both counselors and clients in these
encounters with dying and grieving, making it useful for both the
caregivers and the recipients of end-of-life care. Acknowledging
that communication is individual and dependent on all the involved
parties, these stories were selected to demonstrate many ways of
communication through a range of situations, as well as the various
attitudes, harmful and helpful, revealed in responses from people
surrounding the patient or griever. Clearing the Path is not a
conventional "how- to" book and it aims instead to teach by example
from the hands-on counseling experiences of two experts who have
worked in the field of field of death and dying, grieving and loss
with responsibility and care. For professionals at all levels of
experience those looking to navigate the difficulties of
end-of-life care, this is the perfect guide.
The renewal of medical curricula generally arises from emerging
pedagogies (e.g. problem-based learning), new technologies (e.g.
high fidelity simulation), or prevailing sociocultural forces (e.g.
complexity of health care delivery and team-based care).
Approximately 15 years ago, a team of physicians and administrators
sought to take this further: by considering the very nature of
medical practice and the patient-physician relationship that is the
context and conduit of caring and care, they restructured the
composition and function of medical education. This book,
Physicianship and the Rebirth of Medical Education, is the
authoritative publication on the philosophy, design, and
implementation of this new curriculum. From first year to
graduation, this book reimagines the education of medical students
in its entire scope. It discusses the epistemology of clinical
practice and pedagogical methods and addresses pragmatic issues of
curricular implementation. The educational blueprint presented in
the book rests on a new definition of sickness, one focused on
impairments of function as the primary issue of concern for both
patients and their care givers. This perspective avoids the common
shift of medical attention from persons to diseases, and thus
provides the basis for an authentic and robust patient-centered
mindset. The title of the book refers to a "rebirth." This implies
that there was a previous "birth." Indeed, the critical ingredients
of medical education were articulated historically and many
features emanate from a time-honored apprenticeship model. This
book recognizes in William Osler and his "natural method of
teaching the subject of medicine" the foundational elements for
teaching physicianship. The practice of medicine is indelibly
relational and, in turn, medical education is an intellectual and
an emotional journey that is rooted in clinical relationships. As
this book shows, medicine must unfold in the context of patient
care; patients, not diseases, should be the center of attention.
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