Medical Reasoning

Author : Erwin B. Montgomery
Publisher : Oxford University Press, USA
Page : 297 pages
File Size : 41,8 Mb
Release : 2018-11-14
Category : Medical
ISBN : 9780190912925

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Medical Reasoning by Erwin B. Montgomery Pdf

Modern medicine is one of humankind's greatest achievements.Yet today, frequent medical errors and irreproducibility in biomedical research suggest that tremendous challenges beset it. Understanding these challenges and trying to remedy them have driven considerable and thoughtful critical analyses, but the apparent intransigence of these problems suggests a different perspective is needed. Now more than ever, when we see options and opportunities for healthcare expanding while resources are diminishing, it is extremely important that healthcare professionals practice medicine wisely. In Medical Reasoning, neurologist Erwin B. Montgomery, Jr. offers a new and vital perspective. He begins with the idea that the need for certainty in medical decision-making has been the primary driving force in medical reasoning. Doctors must routinely confront countless manifestations of symptoms, diseases, or behaviors in their patients. Therefore, either there are as many different "diseases" as there are patients or some economical set of principles and facts can be combined to explain each patient's disease. The response to this epistemic conundrum has driven medicine throughout history: the challenge is to discover principles and facts and then to develop means to apply them to each unique patient in a manner that provides certainty. This book studies the nature of medical decision making systematically and rigorously in both an analytic and historical context, addressing medicine's unique need for certainty in the face of the enormous variety of diseases and in the manifestations of the same disease in different patients. The book also examines how the social, legal, and economic circumstances in which medical decision-making occurs greatly influence the nature of medical reasoning. Medical Reasoning is essential for those at the intersection of healthcare and philosophy.

Author : Erwin B. Montgomery Jr.
Publisher : Oxford University Press
Page : 384 pages
File Size : 52,5 Mb
Release : 2018-10-17
Category : Medical
ISBN : 9780190912956

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Medical Reasoning by Erwin B. Montgomery Jr. Pdf

Modern medicine is one of humankind's greatest achievements.Yet today, frequent medical errors and irreproducibility in biomedical research suggest that tremendous challenges beset it. Understanding these challenges and trying to remedy them have driven considerable and thoughtful critical analyses, but the apparent intransigence of these problems suggests a different perspective is needed. Now more than ever, when we see options and opportunities for healthcare expanding while resources are diminishing, it is extremely important that healthcare professionals practice medicine wisely. In Medical Reasoning, neurologist Erwin B. Montgomery, Jr. offers a new and vital perspective. He begins with the idea that the need for certainty in medical decision-making has been the primary driving force in medical reasoning. Doctors must routinely confront countless manifestations of symptoms, diseases, or behaviors in their patients. Therefore, either there are as many different "diseases" as there are patients or some economical set of principles and facts can be combined to explain each patient's disease. The response to this epistemic conundrum has driven medicine throughout history: the challenge is to discover principles and facts and then to develop means to apply them to each unique patient in a manner that provides certainty. This book studies the nature of medical decision making systematically and rigorously in both an analytic and historical context, addressing medicine's unique need for certainty in the face of the enormous variety of diseases and in the manifestations of the same disease in different patients. The book also examines how the social, legal, and economic circumstances in which medical decision-making occurs greatly influence the nature of medical reasoning. Medical Reasoning is essential for those at the intersection of healthcare and philosophy.

Author : George Christakos,Jin-Feng Wang,Jiaping Wu
Publisher : World Scientific
Page : 356 pages
File Size : 50,6 Mb
Release : 2014-03-19
Category : Science
ISBN : 9781908977519

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Stochastic Medical Reasoning and Environmental Health Exposure by George Christakos,Jin-Feng Wang,Jiaping Wu Pdf

The validity of certain critical reasoning steps carried out during or on the sidelines of the environmental science, public health survey, medical experiment, population risk assessment, or disease space–time mapping under conditions of in situ uncertainty and space–time heterogeneity, is often not given sufficient attention and may even be out of the investigator's line of thought. For example, the technical complexity of an environmental exposure experiment may overshadow the logical assumptions made when moving from one phase of the experiment to the next, or the study of population risk assessment may focus on analytical and computational matters, whereas methodological and cultural factors are neglected. This book helps health investigators structure their thinking so that they avoid logical mistakes and argument pitfalls, and also gain new insights about reality, improve their awareness of the environment and context within which one's thinking takes place. Contents:Medical Sciences in the Age of SynthesisReasoning Amidst UncertaintyThe Role of ProbabilitySpace–Time Medical Mapping and Causation ModelingLooking Ahead Readership: Practitioners and researchers in environmental and health sciences. Keywords:Space-Time;Environment;Health;Medicine;Stochastic Reasoning;Decision-MakingKey Features:This is the first book on space–time stochastic reasoning for environmental and health scientistsThis book helps practitioners to structure and organise their thinking and planning skills

Author : Maurice E. Cohen,Donna L. Hudson
Publisher : World Scientific
Page : 338 pages
File Size : 41,5 Mb
Release : 1995
Category : Medical
ISBN : 9810221622

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Comparative Approaches to Medical Reasoning by Maurice E. Cohen,Donna L. Hudson Pdf

This book focuses on approaches to computer-assisted medical decision-making. A unique feature of the book is that a specific problem in medical decision-making has been selected from the literature, with each contributed chapter presenting a different approach to the solution of the same problem. Theoretical foundations for each approach are provided, followed by practical application. Techniques include knowledge-based reasoning, neural network models, hybrid systems, reasoning with uncertainty, and fuzzy logic, among others. The goal is to supply the reader with a variety of theoretical techniques whose practical implementation can be clearly understood through the example. Using a single, concrete example to illustrate different theoretical approaches allows various techniques to be easily contrasted and permits the reader to determine which aspects are pertinent to specific types of applications. Although the methods are illustrated in a medical problem, they have wide applicability in numerous areas of decision-making.

Author : Arthur S. Elstein,Lee S. Shulman,Sarah A. Sprafka
Publisher : Unknown
Page : 346 pages
File Size : 44,8 Mb
Release : 2013-10
Category : Electronic
ISBN : 0674189078

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Medical Problem Solving by Arthur S. Elstein,Lee S. Shulman,Sarah A. Sprafka Pdf

Author : Milos Jenicek
Publisher : CRC Press
Page : 550 pages
File Size : 46,6 Mb
Release : 2018-08-06
Category : Business & Economics
ISBN : 9781351684026

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How to Think in Medicine by Milos Jenicek Pdf

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 sciences. It relies on effective reason, decision making, and communication shared by all health professionals, including physicians, nurses, dentists, pharmacists, and administrators. How to Think in Medicine, Reasoning, Decision Making, and Communications in Health Sciences is about these essential skills. It describes how physicians and health professionals reason, make decision, 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 and mental health. This book provides a step-by-step breakdown of the reasoning process for clinical work and clinical care. It examines both the general and medical ways of thinking, reasoning, argumentation, fact finding, and using evidence. It explores the principles of formal logic as applied to clinical problems and the use of evidence in logical reasoning. In addition to outline the fundamentals of decision making, it integrates coverage of clinical reasoning risk assessment, diagnosis, treatment, and prognosis in evidence-based medicine. Presented in four sections, this book discusses the history and position of the problem and the challenge of medical thinking; provides the philosophy interfacing topics of interest for health sciences professionals including the probabilities, uncertainties, risks, and other quantifications in health by steps of clinical work; decision making in clinical and community health care, research, and practice; Communication in clinical and community care including how to write medical articles, clinical case studies and case reporting, and oral and written communication in clinical and community practice and care.

Author : Arthur Shirle Elstein,Lee S. Shulman,Sarah A. Sprafka
Publisher : Unknown
Page : 360 pages
File Size : 55,9 Mb
Release : 1978
Category : Decision making
ISBN : UOM:39015000300221

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Medical Problem Solving by Arthur Shirle Elstein,Lee S. Shulman,Sarah A. Sprafka Pdf

Author : Milos Jenicek, MD
Publisher : CRC Press
Page : 369 pages
File Size : 46,8 Mb
Release : 2012-08-08
Category : Law
ISBN : 9781466515581

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A Primer on Clinical Experience in Medicine by Milos Jenicek, MD Pdf

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.

Author : Daniele Chiffi
Publisher : Springer Nature
Page : 168 pages
File Size : 44,9 Mb
Release : 2020
Category : Diagnosis
ISBN : 9783030590949

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Clinical Reasoning: Knowledge, Uncertainty, and Values in Health Care by Daniele Chiffi Pdf

This book offers a philosophically-based, yet clinically-oriented perspective on current medical reasoning aiming at 1) identifying important forms of uncertainty permeating current clinical reasoning and practice 2) promoting the application of an abductive methodology in the health context in order to deal with those clinical uncertainties 3) bridging the gap between biomedical knowledge, clinical practice, and research and values in both clinical and philosophical literature. With a clear philosophical emphasis, the book investigates themes lying at the border between several disciplines, such as medicine, nursing, logic, epistemology, and philosophy of science; but also ethics, epidemiology, and statistics. At the same time, it critically discusses and compares several professional approaches to clinical practice such as the one of medical doctors, nurses and other clinical practitioners, showing the need for developing a unified framework of reasoning, which merges methods and resources from many different clinical but also non-clinical disciplines. In particular, this book shows how to leverage nursing knowledge and practice, which has been considerably neglected so far, to further shape the interdisciplinary nature of clinical reasoning. Furthermore, a thorough philosophical investigation on the values involved in health care is provided, based on both the clinical and philosophical literature. The book concludes by proposing an integrative approach to health and disease going beyond the so-called "classical biomedical model of care".

Author : Nicola Cooper,John Frain
Publisher : John Wiley & Sons
Page : 84 pages
File Size : 40,9 Mb
Release : 2023-02-13
Category : Medical
ISBN : 9781119871514

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ABC of Clinical Reasoning by Nicola Cooper,John Frain Pdf

Being a good clinician is not only about knowledge — how doctors and other healthcare professionals think, reason, and make decisions is arguably their most critical skill. The second edition of the ABC of Clinical Reasoning breaks down clinical reasoning into its core components and explores each of these in more detail, including the applications for clinical practice, teaching, and learning. Informed by the latest evidence from cognitive psychology, education, and studies of expertise, this edition has been extensively re-written and updated, and covers: Key components of clinical reasoning: evidence-based history and examination, choosing and interpreting diagnostic tests, problem identification and management, and shared decision-making Key concepts in clinical reasoning, such dual process theories, and script theory Situativity and human factors Metacognition and cognitive strategies Teaching clinical reasoning From a team of expert authors, the ABC of Clinical Reasoning is essential reading for all students, clinical teachers, curriculum planners and clinicians involved in diagnosis.

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care
Publisher : National Academies Press
Page : 473 pages
File Size : 42,9 Mb
Release : 2015-12-29
Category : Medical
ISBN : 9780309377720

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Improving Diagnosis in Health Care by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care Pdf

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Author : Harold C. Sox,Michael C. Higgins,Douglas K. Owens
Publisher : John Wiley & Sons
Page : 330 pages
File Size : 53,7 Mb
Release : 2013-05-08
Category : Medical
ISBN : 9781118341568

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Medical Decision Making by Harold C. Sox,Michael C. Higgins,Douglas K. Owens Pdf

Medical Decision Making provides clinicians with a powerful framework for helping patients make decisions that increase the likelihood that they will have the outcomes that are most consistent with their preferences. This new edition provides a thorough understanding of the key decision making infrastructure of clinical practice and explains the principles of medical decision making both for individual patients and the wider health care arena. It shows how to make the best clinical decisions based on the available evidence and how to use clinical guidelines and decision support systems in electronic medical records to shape practice guidelines and policies. Medical Decision Making is a valuable resource for all experienced and learning clinicians who wish to fully understand and apply decision modelling, enhance their practice and improve patient outcomes. “There is little doubt that in the future many clinical analyses will be based on the methods described in Medical Decision Making, and the book provides a basis for a critical appraisal of such policies.” - Jerome P. Kassirer M.D., Distinguished Professor, Tufts University School of Medicine, US and Visiting Professor, Stanford Medical School, US

Author : Noortje Jacobs
Publisher : University of Chicago Press
Page : 305 pages
File Size : 42,9 Mb
Release : 2022-08-26
Category : Medical
ISBN : 9780226819327

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Ethics by Committee by Noortje Jacobs Pdf

"Ethics boards have become obligatory passage points in today's medical science, and we forget how novel they really are. The use of humans in experiments is an age-old practice that records show goes back to at least the third century BC and, since the early modern period, as a practice it has become increasingly popular. Yet, in most countries around the world, hardly any formal checks and balances existed to govern the communal oversight of experiments involving human subjects until at least the 1960s. Ethics by Committee traces the rise of ethics boards for human experimentation in the second half of the twentieth century. Using the Netherlands as a case-study, Noortje Jacobs shows how the authority of physicians to make decisions about clinical research gave way in most developed nations to formal mechanisms of communal decision-making that served to regiment the behavior of individual researchers. This historically unprecedented change in scientific governance came out of a growing international wariness of medical research in the decades after World War II. Research ethics committees were originally intended not only to make human experimentation more ethical but also to raise its epistemic quality. By examining complex negotiations over the appropriate governance of human subjects research, Ethics by Committee advances our understanding not only of the history of research ethics and the randomized controlled trial but also, more broadly, of how liberal democracies in the late twentieth century have sought to resolve public concerns over charged issues in medicine and science"--

Author : Joy Higgs,Mark A Jones,Stephen Loftus,Nicole Christensen
Publisher : Elsevier Health Sciences
Page : 520 pages
File Size : 48,6 Mb
Release : 2008-02-18
Category : Medical
ISBN : 9780702037672

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Clinical Reasoning in the Health Professions E-Book by Joy Higgs,Mark A Jones,Stephen Loftus,Nicole Christensen Pdf

Clinical reasoning is the foundation of professional clinical practice. Totally revised and updated, this book continues to provide the essential text on the theoretical basis of clinical reasoning in the health professions and examines strategies for assisting learners, scholars and clinicians develop their reasoning expertise. key chapters revised and updated nature of clinical reasoning sections have been expanded increase in emphasis on collaborative reasoning core model of clinical reasoning has been revised and updated

Author : Erwin B. Montgomery Jr.
Publisher : Oxford University Press
Page : 384 pages
File Size : 45,6 Mb
Release : 2018-10-17
Category : Medical
ISBN : 9780190912949

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Medical Reasoning by Erwin B. Montgomery Jr. Pdf

Modern medicine is one of humankind's greatest achievements.Yet today, frequent medical errors and irreproducibility in biomedical research suggest that tremendous challenges beset it. Understanding these challenges and trying to remedy them have driven considerable and thoughtful critical analyses, but the apparent intransigence of these problems suggests a different perspective is needed. Now more than ever, when we see options and opportunities for healthcare expanding while resources are diminishing, it is extremely important that healthcare professionals practice medicine wisely. In Medical Reasoning, neurologist Erwin B. Montgomery, Jr. offers a new and vital perspective. He begins with the idea that the need for certainty in medical decision-making has been the primary driving force in medical reasoning. Doctors must routinely confront countless manifestations of symptoms, diseases, or behaviors in their patients. Therefore, either there are as many different "diseases" as there are patients or some economical set of principles and facts can be combined to explain each patient's disease. The response to this epistemic conundrum has driven medicine throughout history: the challenge is to discover principles and facts and then to develop means to apply them to each unique patient in a manner that provides certainty. This book studies the nature of medical decision making systematically and rigorously in both an analytic and historical context, addressing medicine's unique need for certainty in the face of the enormous variety of diseases and in the manifestations of the same disease in different patients. The book also examines how the social, legal, and economic circumstances in which medical decision-making occurs greatly influence the nature of medical reasoning. Medical Reasoning is essential for those at the intersection of healthcare and philosophy.