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内容説明
Learning Clinical Reasoning uses a case-based approach to teach students the basics of clinical reasoning. The first section explains the chief components of the clinical reasoning process, such as generating and refining diagnostic hypotheses, using and interpreting diagnostic tests, assembling a working diagnosis, therapeutic decision-making, and examining and applying evidence, and also includes a discussion of cognitive errors. The second section contains 69 cases in which clinicians "think out loud" about diagnostic and therapeutic dilemmas, and the authors critique these clinicians' reasoning. This edition has thirty new cases from the New England Journal of Medicine and other sources and expanded discussions of evidence-based medicine, clinical practice guidelines, and cognitive errors.
Book Description
Learning Clinical Reasoning uses a case-based approach to teach students the basics of clinical reasoning. The first section explains the chief components of the clinical reasoning process, such as generating and refining diagnostic hypotheses, using and interpreting diagnostic tests, assembling a working diagnosis, therapeutic decision-making, and examining and applying evidence, and also includes a discussion of cognitive errors. The second section contains 69 cases in which clinicians "think out loud" about diagnostic and therapeutic dilemmas, and the authors critique these clinicians' reasoning. This edition has thirty new cases from the New England Journal of Medicine and other sources and expanded discussions of evidence-based medicine, clinical practice guidelines, and cognitive errors.
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カスタマーレビュー
最も参考になったカスタマーレビュー
11 人中、11人の方が、｢このレビューが参考になった｣と投票しています。
形式:ペーパーバック
NEJMの有名な月一連載であるClinical-problem solvingをはじめたJ. P. Kassirer先生らが，NEJMの連載よりも前に出していた本。前半に臨床医が医療面接をはじめた瞬間から診断に至るまでの思考過程についての分析が書かれており，後半はNEJMのCPSでおなじみのスタイルで63症例が解説されている。一部読みにくいところもあるが，そのどれもが読んで楽しく参考になる。最終症例の解説はCPCよりも何故CPSのスタイルがより教育的であるかを教えてくれる。この本を初めて読んだ時の衝撃は今でも忘れられない。この本によって「診断に至る自分の思考過程を自分で明確に意識する」ということを知り，臨床をやっていく上での考え方，レジデント達への教育スタイルをも変えさせられた，自分にとっては画期的な本である。目からウロコが落ちる，隠れた名著だと思います。
Amazon.com で最も参考になったカスタマーレビュー (beta)
Amazon.com:
4件のカスタマーレビュー
11 人中、11人の方が、｢このレビューが参考になった｣と投票しています。
a must read for those who want to become expert clinicians
2004/4/9
形式:ペーパーバック
This book has profoundly influenced my medical training. I have not encountered any other book that attempts to dissect the thought processes of an expert clinician in such a cogent, easy to read format. The first half of the book consists of didactics and background on concepts such as Bayes' theorem, while the second half consists of clinical cases, discussed in similar fashion to the clinical problem solving cases seen in the New England Journal of Medicine. These cases are discussed by a variety of clinicians, from residents to experienced clinicians, with a subsequent review by the authors of the mistakes or strengths of each discussant's diagnostic process.
After reading this book, one can have a sense for what are the strong and weak heuristics used by clinicians in diagnosing a patient.
I feel that every medical school should implement this type of book in its curriculum - as physicians we are almost never given any instruction on how to think like an expert clinician, other than watching by example. This book gives a formal instruction on the matter.
After reading this book, one can have a sense for what are the strong and weak heuristics used by clinicians in diagnosing a patient.
I feel that every medical school should implement this type of book in its curriculum - as physicians we are almost never given any instruction on how to think like an expert clinician, other than watching by example. This book gives a formal instruction on the matter.
2 人中、2人の方が、｢このレビューが参考になった｣と投票しています。
Mandatory.
2010/7/5
形式:ペーパーバック|Amazonが確認した購入
Really interesting lecture for all type of physicians. Easy to read, easy to apply, makes easy to understand complex concepts. Should be mandatory in curriculum.
8 人中、6人の方が、｢このレビューが参考になった｣と投票しています。
You can't find a better one !
1997/11/7
形式:ペーパーバック
it's a great book, it has enhaced my understanding, not just of clinical reasoning but as well my understanding of my way of thinking, my understanding of life in general & other peoples way of thinking
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