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Get Principles of Clinical Practice: An Introductory Textbook PDF

By Michael L. Parchman (auth.), Mark B. Mengel M.D., M.P.H. (eds.)

ISBN-10: 1489916571

ISBN-13: 9781489916570

ISBN-10: 1489916598

ISBN-13: 9781489916594

As we circulate into the twenty first century it's turning into more and more tough to provide acceptable introductory medical reports for clinical scholars. many colleges supply medical reports within the first 12 months of clinical institution, whilst the learner has little history within the traditions and origins of the doctor-patient interplay. Others commence this method within the moment yr, after a certified language base has been proven, yet concise academic fabrics are scarce that combine the which means of the privileged medical stumble upon with the method and content material of interviewing and interpreting sufferers. within the tertiary hospitals, the place such a lot clinical faculties are dependent, the educators needs to offer an orienta­ tion to the medical come upon, an intensely own event, in the course of glittering technological marvels that simply distract either the beginner surgeon and the wizened instructor. realizing the context and old foundation for the privilege of interviewing and analyzing someone else approximately intimate concerns in relation to overall healthiness and disorder is key to this strategy. contemplating those components, this textbook is written to help clinical educators and clinical scholars all for early scientific education. because the call for for "high-tech" medication has speeded up, so has the general public trouble over the lack of "high-touch" or compassionate, humane interactions with physicians. Physicians are perceived as extra fascinated by readouts from machines and fiberoptic perspectives of the sufferer than with knowing and automobile­ ing in regards to the humans we now have classified as patients.

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The engineering physician's role is very focused, utilizing the disease framework of practice. The physician in this model is the ultimate technician to whom the patient goes to have his specific problem fixed; once it is fixed, there is no further need for the relationship. For example, the orthopedic surgeon "fixes" a hip fracture, or the cardiologist "fixes" an MI. As with the priestly model, the engineering model assigns the patient a role as the information giver who passively follows physician directives.

The physical exam of this patient is limited to what one item? 2. The treatment modalities used were based on what dominant medical viewpoint of the time? 17 3. What three treatments were attempted? 4. The correct diagnosis was made at the insistence of which party, the physician or the patient? Who was the dominant figure in this relationship? CASES FOR DISCUSSION Case 2 The patient whom we shall discuss today is an example of the more severe form of stomach dyspepsia. She is an Irish servant girl, forty years old.

What expectations does our current society have concerning the outcome of pregnancy? 2. How do these expectations impact on the doctor-patient relationship in this case? 3. With whom should the decision lie to both apply and remove lifesaving technology? How does one define the role of the physician, the parents, and "expected standards of care" in this decision-making process? Case 5 Mrs. " "Sure," says the mother, "Doctor, you didn't try the little glass thing that goes in the mouth? Sure, Mrs.

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Principles of Clinical Practice: An Introductory Textbook by Michael L. Parchman (auth.), Mark B. Mengel M.D., M.P.H. (eds.)


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