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How Doctors Think defines the nature and importance of clinical
judgment. Although physicians make use of science, this book argues
that medicine is not itself a science but rather an interpretive
practice that relies on clinical reasoning. A physician looks at
the patient's history along with the presenting physical signs and
symptoms and juxtaposes these with clinical experience and
empirical studies to construct a tentative account of the illness.
How Doctors Think is divided into four parts. Part one introduces
the concept of medicine as a practice rather than a science; part
two discusses the idea of causation; part three delves into the
process of forming clinical judgment; and part four considers
clinical judgment within the uncertain nature of medicine itself.
In How Doctors Think, Montgomery contends that assuming medicine is
strictly a science can have adverse side effects, and suggests
reducing these by recognizing the vital role of clinical judgment.
A patient's job is to tell the physician what hurts, and the
physician's job is to fix it. But how does the physician know what
is wrong? What becomes of the patient's story when the patient
becomes a case? Addressing readers on both sides of the
patient-physician encounter, Kathryn Hunter looks at medicine as an
art that relies heavily on telling and interpreting a story--the
patient's story of illness and its symptoms.
In . . . And Communications for All, 16 leading communications
policy scholars present a comprehensive telecommunications policy
agenda for the new federal administration. This agenda emphasizes
the potential of information technologies to improve democratic
discourse, social responsibility, and the quality of life along
with the means by which it can be made available to all Americans.
Schejter has assembled an analysis of the reasons for the failure
of the Telecommunications Act of 1996, and offers an international
benchmark for the future of telecommunications. Addressing a range
of topics, including network neutrality, rural connectivity, media
ownership, minority ownership, spectrum policy, universal broadband
policy, and media for children, it articulates a comprehensive
vision for the United States as a twenty-first-century information
society that is both internally inclusive and globally competitive.
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