Evidence in Practice
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Clinical Judgement by Robin Downie
Book DescriptionThere is a widespread view that modern medicine is primarily a scientific enterprise and that the decisions of clinicians follow from evidence-based science. In terms of this view the need for clinical judgement is minimal. The aims of this book are to make a case for the centrality and irreplaceability of clinical judgement, to identify the elements of good clinical judgement, and to suggest how these might be developed by using the humanities in medical undergraduate and postgraduate education. The authors argue that good clinical judgement requires both technical evidence and a humane attitude. But technical evidence is not always quantifiable or even scientific; it can be like that of the detective or the literary scholar. A humane attitude involves ethical sensitivity, but also a broad educated perspective which can be derived from the arts. The authors illustrate their argument by examining decisions made by doctors in clinical situations, in public health, and (in a chapter contributed by a hospital consultant) in resource management. About the authors: Robert S. Downie is Professor of Moral Philosophy at Glasgow University since 1969. He is a member of the BMA Ethics Committee and co-editor of the Journal of Medical Ethics. He has published extensively in the field of medical ethics. Jane MacNaughton has recently taken the position of Director of Centre for Arts, Humanities, Health and Medicine at the University of Durham. Previously she was Clinical Lecturer in General Practice at Glasgow University and a part-time GP.
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Book DetailsISBN: 9780192632166
(216mm x 138mm x 13mm)
Imprint: Oxford University Press
Publisher: Oxford University Press
Publish Date: 23-Mar-2000
Country of Publication: United Kingdom
Books By Author Robin Downie
End of Life Choices, Paperback (October 2009)
Developments are taking place in palliative care in which 'patient choice' has become a central idea, and patients have an enlarged idea of their best interests. This book creates debate among all those involved in care of the terminally ill, including specialists, policy makers, researchers and ethicists.
Bioethics and the Humanities, Paperback (January 2007)
Illustrating some humanistic ways of understanding patients, this volume explores the connections between medical ethics, healthcare and subjects, such as philosophy and literature, and how they can affect the attitudes of doctors towards patients and the perceptions of medicine, health and disease which have become part of contemporary culture.
Healing Arts, Paperback (April 2000)
A delightful and eclectic selection of poetry, prose, art, and music relating to medicine, now available in paperback.
Palliative Care Ethics, Paperback (June 1999)» View all books by Robin Downie
A book for nurses, doctors and all who provide end of life care, this essential volume guides readers through the ethical complexities of such care, including current policy initiatives, and encourages debate and discussion on their controversial aspects.
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