By Ary L. Goldberger, Zachary D. Goldberger
With sanatorium drugs starting to be speedily in either scale and complexity, the training curve for college kids is steeper, whereas skilled physicians are usually referred to as upon to behave as mentors and caregivers in components outdoors their fundamental fields of craftsmanship. Becoming a Consummate Clinician, a thrilling new e-book within the sequence medical institution medication: present suggestions, describes in useful phrases how clinicians and scholars can imagine extra severely and act extra insightfully during this period of data growth and time compression. constructed for hospital-based clinicians and physicians-in-training, the e-book presents a street map for navigating key demanding situations in real-life clinical perform with regards to assessing, integrating, and offering medical info. basically formatted and simply obtainable, the book:
- Fully integrates and emphasizes blunders avoidance and relief
- Highlights makes use of and obstacles of algorithmic and evidence-based medication in clinical decision-making
- Details powerful suggestions for taking a look and “re-looking” at biomedical info
- Explains crucial do’s and don’ts of medicalpractice, from sufferer historical past and examination to differential diagnoses
- Describes top practices and pitfalls of accumulating, processing, and speaking scientific info
- Presents suggestions for attending physicians to improve the serious considering abilities in their trainees
Featuring real-world scientific examples, this concise, down-to-earth textual content is written to aid either practitioners and scholars enhance their total scientific functionality, and discover ways to converse successfully with individuals of the caregiving team.
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Additional resources for Becoming a Consummate Clinician: What Every Student, House Officer and Hospital Practitioner Needs to Know
Example text
To help reduce, and to the extent possible, eradicate medical errors. Asking some relatively simple questions as a routine part of self-examination during rounds can literally transform an entire hospital’s systems for the better. Learning and practicing critical thinking skills that often resist conventional wisdom, actively looking for anomalous findings (making “outlier” rounds), and harnessing the energies of imagination are essential components of clinical medicine and powerful antidotes to cognitive errors (Chapter 7).
Three Important Rx Rules: Never reflexively put patients on the same medications they report taking without critically reviewing each prescription and the dosage/formulation with the patient or responsible caretaker. Always look for potential drug interactions between current and newly prescribed medications, as well as appropriate adjustments for age and other factors that may affect volume of distribution and clearance. Always question the indication for a given drug and critically assess the published evidence for efficacy in patients with characteristics similar to those in the patient who you are treating.
History of a tonsillectomy 70 years ago in an 80-year-old patient admitted with pneumonia). Presenting a jumbled list of medications rather than a concise summary of current and previous drug therapies. Presenting an unbalanced physical exam: excessive negatives and missing data. Providing a zigzag summary of laboratory tests. 1). If any of this information is not available or not applicable, you should indicate this fact. —obviously, they are both). Should sexual risk assessment be part of the past medical history or listed separately?