How Doctors Think: Clinical judgment and the practice of medicine: Clinical Judgement and the Practice of Medicine Hardcover – 8 Dec 2005
|New from||Used from|
- Choose from over 13,000 locations across the UK
- Prime members get unlimited deliveries at no additional cost
- Find your preferred location and add it to your address book
- Dispatch to this address when you check out
Enter your mobile number below and we'll send you a link to download the free Kindle App. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required.
Getting the download link through email is temporarily not available. Please check back later.
To get the free app, enter your mobile phone number.
Montgomery's book is a significant contribution to the ongoing discussion over the nature and role of clinical judgement in medical practice and is required reading for anyone interested in it. (Theor Med Bioethics)
What Other Items Do Customers Buy After Viewing This Item?
Top Customer Reviews
Even with my limited knowledge of English I've enjoyed with the reading.
Most Helpful Customer Reviews on Amazon.com (beta)
Daniel Sette Camara, MD,FACP,FACG, FASGE
This book is not an easy read, and it can be fairly slow going because of the academic vocabulary and the sometimes obscure references to philosophy, science and literature. But it is worth reading. If you have been a patient, you may gain insight into your physician's decisions. If you are a physician, you may end up realizing you are not who you thought you were.
Her main finding, which she repeats and elaborates throughout the book, is that while medicine necessarily makes use of science and technology, medicine is NOT itself a science (an argument against doctors wearing white coats!), but rather an applied practice with humanistic aims, usually directed toward the particular needs of one patient at a time, accounting for the unique (and thus anecdotal) narrative unfolding of each patient's history. Because of variabilities among patients and general limitations in knowledge, clinical medicine is usually conducted in the midst of profound and unavoidable uncertainty, so judgment and skill based on attentive experience is necessary in order to make good decisions, and simple generalizable rules will never suffice by themselves. In this vein, because of its pragmatic case-specific orientation, the reasoning used in medicine must be a kind of interpretive practical reasoning (Aristotle's "phronesis") which is quite different from positivistic scientific reasoning.
I initially found Montgomery's writing style to be a bit verbose and her overall presentation to be too repetitive. However, as I read further, her style and approach grew on me, to the point where it became spellbinding and I was sad to see the book end. I came to realize that Montgomery's study and writing are greatly enriched by her humanities background, and that's what sets her apart. For readers expecting a more dryly straightforward presentation (eg, How Doctors Think by Jerome Groopman), Montgomery's intellectually expansive approach does take some getting used to, but the adjustment is well rewarded.
I highly recommend this book to anyone interested in understanding "how doctors think," provided they're not deterred by a fairly sophisticated treatment which is pitched at least one notch higher than the average general reader. What you learn may be quite eye opening, not to mention very practical, since we all need to work with doctors, sometimes in dire circumstances. I also recommend this book to doctors themselves, since much of what Montgomery reveals won't be obvious to many doctors, plus doctors may find it generally edifying to take some time to reflect on the fundamental nature of their profession.
Look for similar items by category
- Books > Health, Family & Lifestyle > Medical & Healthcare Practitioners
- Books > Science & Nature > Medicine > Medical Ethics & Legal Issues
- Books > Science & Nature > Medicine > Medical Sciences A-Z > Public Health & Preventive Medicine
- Books > Scientific, Technical & Medical > Medicine & Nursing > Medical Sciences A-Z > Public Health & Preventive Medicine
- Books > Society, Politics & Philosophy > Philosophy