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Medical tests consume considerable resources and yet making
requests is often left to the most junior members of the team.
Medical schools often under prepare junior doctors for these tasks
so they tend to request large numbers of tests to make sure 'all
bases are covered' by the time a more senior colleague attends to
the patient. Beginning with naive questions such as 'what is a
medical test?' and 'why do we perform tests?', the book also covers
the evaluation of tests from a public health perspective and helps
the readers to determine whether a test should be introduced into
clinical care. By describing the basics of medical decision making
based on probability thresholds, students will learn how to avoid
unnecessary testing when results are unlikely to influence patient
relevant decisions, and the pros and cons of using metrics such as
sensitivity, specificity, and predictive values. Illustrated
throughout with real life examples from multiple medical and
surgical specialties, it concludes with a novel checklist for
doctors to consider every time they think of requesting a test.
Written by a clinician for clinicians, this book is ideal for
medical students and junior doctors. It provides everything they
need to know to become experts at requesting tests. It will support
them in requesting the most appropriate and effective tests, and
inform them on how to interpret results, improving patients'
outcomes.
This is the life story of Edith Baker. A Spiritualist medium and
healer for over sixty years. From the earliest days growing up in
Bristol, through the war years, to building her own church in
Spain. Now in her ninety first year she wants to share her
experiences with others. A truly remarkable journey.
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