Of all the skills first- and second-year medical students are expected to cultivate during their training, the one that may not receive the attention it deserves is how to establish effective physician-patient relationship. These techniques often lie outside the traditional diagnostic, treatment and technical realms but are invaluable to physicians, regardless of the specialty they practice. As it becomes more and more evident that good interactions with patients facilitate the healing process, physicians need a guide to developing these crucial bonds. This updated text leads the physician-in-training through the world of patients' concerns, with three main sections: The Patient, The Doctor, and Society. The contributions, from nationally respected practitioners, delve into the many aspects of doctors' interactions with the world around them, and include discussions on: -Becoming a physician, with attention paid to the effects of the demanding educational/training process of the individual student; -Basic clinical skills such as interviewing, physical examination, laboratory testing, diagnosis, and accurate record keeping; -New approaches to improve decision making, patient education and negotiation, chronic illness management, counseling for behavior change, and functional status assessment; and -The cultural world of the patient, including the varied issues that make each patient a unique case. Case studies are also included which vividly bring to life these concepts, and recommendations for further reading are offered. Fundamentals of Clinical Practice, Second Edition presents medical students with a comprehensive guide to the social ramifications of a physician's work, and more experienced practitioners with the tools to augment their own patient-centered techniques.
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"Fundamentals of Clinical Practice fills a most important niche in medical education. At a time when the quality of physician skills are in question, this text provides a solid foundation in all aspects of excellent clinical practice. If every medical student used this textbook, the quality of the physician-patient relationship would improve greatly. Every medical school should use this resource for early clinical education." (Joseph E. Scherger, MD, MPH, Dean, College of Medicine, Florida State University) "Fundamentals of Clinical Practice (second edition) aims to provide an introduction to patient care, and clinical thinking, for the novice clinician. Each chapter is structured around a consistent format that lays out educational objectives, basic principles, and specific examples of the application of those principles through patient stories. The format makes it easy for the browser to flip through chapters of interest; the stories draw the browser in for a closer look. The book is a nice balance of the theoretical and the applied. It achieves its goal for beginning clinicians, and offers a satisfying refresher for more experienced clinicians." (Richard G. Roberts, MD, JD, Professor of Family Medicine, University of Wisconsin Medical School)
I: The Patient. 1. Human Health and Disease; R.A. Rosenblatt. 2. Individual and Family Life Cycle; E.C. Korin, et al. II: The Doctor. Section A: The Physician. 3. Becoming a Physician; C.P. McKegney. 4. Being a Physician; J.L. Coulehan. 5. The Physician in Literature; W. Monroe. Section B: Key Skills. 6. Interviewing as a Clinical Conversation; K.A. Zoppi. 7. Taking a History; E. Steiner. 8. Physical Examination; D.L. Elliot, L. Goldberg. 9. Appropriate Use of Laboratory Tests; V.S. Kaprielian. 10. Making a Diagnosis; J.P. Langlois. 11. Instituting Treatment; J. Susman. 12. Record Keeping and Presentation; W.M. Chop, Jr. Section C: Advanced Skills. 13. The Difficult Clinical Conversation; K.A. Zoppi, C.P. McKegney. 14. Managing Chronic Illness; J.S. Rolland. 15. Counseling and Behavioral Change; L.B. Mauksch. 16. Functional Assessment; K.R. Farrell. 17. Health Promotion and Disease Prevention; L.L. Dickey. 18. Keeping up to Date; W.P. Newton. III: Society. Section A: Relationships. 19. The Patient Physician Relationship; R.M. Epstein. 20. The Family System; T.L. Campbell, et al. 21. The Community; L.B. Frankenstein. 22. The Workplace; A.M. David, M.R. Cullen. 23. Public Health and the Environment; J.N. Hyde. 24. The Cultural Role of the Patient; H.F. Stein. 25. The Health Care System; J.W. Mold. Section B: Values. 26. Medical Ethics; W.L. Holleman. 27. Health Policy and Economics; C.J. Mansfield, A.C. Jobe. 28. The Law and Medicine; C.M. Jewell. 29. Spirituality and Medicine; D.E. King. Section C: Special Problems. 30. The Tobacco Pandemic; A.M. Blum, E.J. Solberg. 31. Alcohol and Drug Abuse; K.L. Barry. 32. Violence; L.K. Hamberger, B. Ambuel. 33. Mental Illness; F.V. deGruy, III. 34. Sexually Transmitted Diseases; P.B. Smith. 35. Maternal and Child Health; L. Culpepper, et al.
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