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Clinical Thinking: Evidence, Communication and Decision-Making



Clinical Thinking: Evidence, Communication and Decision-Making

Chris Del Mar, Jenny Doust, Paul P. Glasziou

ISBN: 978-0-727-91741-6 May 2006 BMJ Books 138 Pages


Clinicians are taught masses of facts, but not how to use them in the messy reality of patient care. This book provides a missing link between evidence and the clinical coalface. Though there are plenty of guides to evidence-based medicine, few explain how to build the information into patient oriented decision-making. Clinical Thinking allows you to think both logically and laterally about daily clinical issues and look at problems from different angles.

  • Uses realistic scenarios, frameworks and models
  • Takes you through the whole decision-making process, from observation and narrative to evaluating the best evidence for the individual situation
  • Illustrations and flow charts help clarify this new approach
  • These methods have been tried and tested by the authors, internationally respected general practitioners and teachers in primary care – all leaders in the evidence-based medicine movement

This book takes clinical medicine a big step forward in the direction of patient-focused practice!

Preface: What this book is about.

1 Principles of clinical problem solving.

2 Communication in clinical care.

3 Models of disease.

4 Diagnosis.

5 Fine art of prognostication.

6 Making clinical management decisions.

7 Monitoring in chronic disease.

8 Screening for disease, health promotion and disease prevention.

9 Endpiece.



Refreshing new text shows how to use evidence in aspects of patient management

* Uses frameworks and models to help in patient management

* How to evaluate the efficiency, safety and effectiveness of any treatment

* Provides useful examples from a range of clinical settings