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How Doctors Think: Clinical Judgment and the Practice of Medicine
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How Doctors Think: Clinical Judgment and the Practice of Medicine

3.73  ·  Rating Details ·  45 Ratings  ·  7 Reviews
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 ex ...more
Hardcover, 246 pages
Published November 10th 2005 by Oxford University Press, USA (first published October 27th 2005)
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Jul 18, 2014 Madhusree rated it really liked it
Fascinating read- approaches the medical world & its balancing act of constant trade offs, just as all of us will, one day. The writing is readable, occasionally even lyrical and I found reading a practice in self reflection. Would recommend it to anyone with an interest in diagnosis in medicine.
Samuel Brown
Dec 31, 2015 Samuel Brown rated it liked it
Her fundamental argument is that the "art vs. science" of medicine construct is deeply confused and misleading. Medicine's relationship to science is complex, and most clinical medicine is probably best understood as _phronesis_, the practical reasoning and problem solving described by Aristotle. I find that argument quite persuasive and well elaborated.

She does a fair bit of work with postmodern philosophers, and I find myself more interested in cognitive psychological models of clinical phrone
Tsung Wei
Mar 24, 2011 Tsung Wei rated it really liked it
Insightful book. Although it doesn't fully get into the mind of the physician. Interesting observations and concepts. Tackles from a epistemological and philosophical perspective. Argues that the axioms "Medicine is a science" and "Medicine is an art" are bandied about but not properly defined. Proposes that medicine is a practice and clinical judgement lies at the crossroads of "science" and "art". The themes are repeated ad nauseum throughout the book. I think partly because the chapters were ...more
Razan Aldawod
Apr 17, 2015 Razan Aldawod rated it did not like it
I'd expected better of this book for some points,
some of the chapters eg the taking history part and clinical judgment were obviously logical regardless of their descriptions. Second, is looking at the number of the pages compared to the useful content is overrated.
Dec 10, 2008 Rebecca rated it it was amazing
An interesting insight into doctor's. Medicine is not very straighforward at all and doctor's need to think creatively and keep an open mind.
Chris Friend
Aug 30, 2010 Chris Friend rated it really liked it
Interesting, informative, and very well-told. What all nonfiction should be.

It gets a bit repetitive at times, but not fatally so.
Jun 05, 2011 Jeremy rated it it was ok
The book has the occasional insightful comments but it is largely filled with constructivist nonesense.
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“Medicine is not a science; physicians must act. They must do the best they can, even when it is inadequate, even when they don’t know all there is to know, even when there is nothing to do. So must we all.” 0 likes
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