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How is medical knowledge made? New methods for research and clinical care have reshaped the practices of medical knowledge production over the last forty years. Consensus conferences, evidence-based medicine, translational medicine, and narrative medicine are among the most prominent new methods. Making Medical Knowledge explores their origins and aims, their epistemic strengths, and their epistemic weaknesses. Miriam Solomon argues that the familiar dichotomy between the art and the science of medicine is not adequate for understanding this plurality of methods. The book begins by tracing the development of medical consensus conferences, from their beginning at the United States' National Institutes of Health in 1977, to their widespread adoption in national and international contexts. It discusses consensus conferences as social epistemic institutions designed to embody democracy and achieve objectivity. Evidence-based medicine, which developed next, ranks expert consensus at the bottom of the evidence hierarchy, thus challenging the authority of consensus conferences. Evidence-based medicine has transformed both medical research and clinical medicine in many positive ways, but it has also been accused of creating an intellectual hegemony that has marginalized crucial stages of scientific research, particularly scientific discovery. Translational medicine is understood as a response to the shortfalls of both consensus conferences and evidence-based medicine. Narrative medicine is the most prominent recent development in the medical humanities. Its central claim is that attention to narrative is essential for patient care. Solomon argues that the differences between narrative medicine and the other methods have been exaggerated, and offers a pluralistic account of how the all the methods interact and sometimes conflict. The result is both practical and theoretical suggestions for how to improve medical knowledge and understand medical controversies.
Making a Medic is a comprehensive guide to everything you need to know in order to succeed at medical school, including: how to study effectively (and still have time for fun!) the latest books, websites and apps to use how to get the most out of clinical placements how to master OSCEs and written exams how to ace the Situational Judgement Test and Prescribing Safety Assessment and much, much more! Making a Medic is laid out intuitively year by year, so that readers can easily find the information most relevant to their current stage of study. Packed full of cartoons, anecdotes and practical tips, the content is easy to read and simple to put into action. Whether you're in first year or final year, this book will help you manage your workload, revise effectively for exams and secure the scores you need for the Foundation Programme jobs you want.
Firefighter, medic and author Michael Morse bares his soul with first-person accounts from a 25-year career vividly defining the first responder’s vital role as a medical professional. EMS by Fire: The Making of a Fire Medic puts the reader at the scene “where people desperately wait, frantic, impatient, lonely, dying or dead ... the public we serve is not interested in who arrives at their emergency, as long somebody comes, preferably well trained and well equipped.” “Writing for and about firefighters and EMS personnel from the ambulance officer’s seat is tricky on the good days, career suicide on the bad, and quite gratifying on the rest. “The truth is that the ratio of misery to inspiration is greatly exaggerated in my writings, with misery beating inspiration by a 20-1 margin. Yet, it is those moments of inspiration that make the misery bearable ...” Features: Gain a better understanding of the jobs of fire-based EMS personnel Improve your skills and build teamwork between firefighters and EMS True stories and real-life scenarios from a veteran of the EMS and Fire service
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
Decision making is a key activity, perhaps the most important activity, in the practice of healthcare. Although physicians acquire a great deal of knowledge and specialised skills during their training and through their practice, it is in the exercise of clinical judgement and its application to individual patients that the outstanding physician is distinguished. This has become even more relevant as patients become increasingly welcomed as partners in a shared decision making process. This book translates the research and theory from the science of decision making into clinically useful tools and principles that can be applied by clinicians in the field. It considers issues of patient goals, uncertainty, judgement, choice, development of new information, and family and social concerns in healthcare. It helps to demystify decision theory by emphasizing concepts and clinical cases over mathematics and computation.
This volume presents novel concepts to help physicians and health care providers better understand the thought processes and approaches used in clinical decision-making and how we develop those skills as we transition from being a medical student to post-graduate trainee to independent practitioner. Approaches presented range from simple rules of thumb, pattern recognition, and heuristics, to more formulaic methods such as standard operating procedures, checklists, evidence-based medicine, mathematical modeling, and statistics. Ways to recognize and manage errors and how our decision-making can be improved, are also discussed. An Introduction to Medical Decision-Making presents several innovative techniques to allow the reader to use the principles presented and integrate the ethical, humanistic and social aspects of decision-making with the pragmatic and knowledge-based aspects of clinical medicine. It also highlights how our thinking processes, emotions, and biases affect decision-making. This invaluable resource will allow students and physicians to evaluate and critically discuss their decisions objectively to become more efficient and effective, and maximize the quality of care they provide.
This text provides practical guidelines on how to make sense of and interpret the evidence that is available, with information on how to avoid straying beyond evidence into conjecture, supposition, and wishful thinking. It covers size, trial design, harm as well as benefit, and health economics and management evidence.
Drs. Groopman and Hartzband reveal a clear path for making the right medical choices. Such factors as authority figures, statistics, other patients' stories, technology, and natural healing are key factors that shape choices.
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review
Divine Healing Made Simple is a training manual for the supernatural life. It not only covers the topic of divine healing, but deliverance, raising the dead, making disciples, proclaiming the kingdom of God, dreams, fasting, words of knowledge, healing in the work place and in health care, and it takes a prophetic look at the future of healing. Isn't it time someone wrote a book that gives honest answers to the difficult questions you have about healing and the supernatural? Why are my prayers ineffective when I ask God to heal someone? Many people have prayed for my healing - so why am I still not healed? Does God want me to learn a lesson through physical suffering and sickness? I was miraculously healed through prayer - why have my symptoms returned? This book takes a bold new approach by addressing the questions about healing that many authors have avoided so far. Three chapters are devoted to the problems of why some people are not healed and why some people seem to lose their healing. The author answers these questions by sharing revelation he received through dreams from God. He also teaches from his many personal experiences and shares the observations of other healers. This is the first book on healing to harness the power of Facebook. By hosting discussion questions on Facebook, the author has collected the wisdom and experiences of hundreds of different healers. This may be the most comprehensive book on healing ever written. Praying Medic has worked as a paramedic for decades. He has prayed for many of his patients and seen them healed. You'll be encouraged and given hope for healing by the testimonies and dreams you'll read about in this book.