
Proper Doctoring
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Person
Jerome Groopman is the Dina and Raphael Recanati Professor of Medicine at Harvard Medical School and chief of Experimental Medicine, Beth Israel Deaconess Medical Center. He has published more than 180 scientific articles, is a staff writer at The New Yorker, and most recently, the coauthor of Your Medical Mind.
Content
- Intro
- Biographical Notes
- Title page
- Copyright and More Information
- Contents
- Introduction
- Preface to the 2013 Edition
- Proper Doctoring
- Preface
- Acknowledgements
- 1. THE JOB DESCRIPTION
- The Importance of Common-sense
- Polishing Your Performance
- Craftsmanship
- Patient Handling, or Why Medicine Is Not Mechanics
- The Doctor-Patient Relationship from the Doctor's End
- Doctors and the Media
- Too Clever by Half
- The Need for Role-Playing in Medicine
- Rehearsing Your Role
- Type-cast by Nature
- Playing Your Role
- Looking the Part
- Confidentiality
- 2. TAKING THE HISTORY
- Before Calling the Patient In
- The Patient's Stance
- The Doctor's Stance
- Meeting the Patient
- Taking the History: Why and How
- The Patient's Story
- How to Ask Questions
- Getting the Answers
- How Am I Doing?
- Diagnosis
- "Difficult" Patients
- Children
- Third Parties
- Confidentiality
- Writing Up the History
- Past History, Family History and Social History
- 3. EXAMINATION OF THE PATIENT
- Preparing for the Examination: Putting the Patient at Ease
- The Doctor's Stance During the Examination
- Getting the Hang of Physical Signs
- The Actual Examination
- Evaluating the Physical Signs
- 4. IN THE WARD
- The Effect of Ward Life on the Patient
- Talking to Patients
- Decision-Making at the Bedside
- The Megaround
- Dodging the Column
- Changing the Medication
- Discharge from Hospital
- Ward Notes
- 5. INVESTIGATION
- Factors Influencing the Ordering of Tests
- Is the Test Worth While?
- Telling the Patient About Tests
- The Actual Investigation
- When Things Go Wrong
- The Patient Who Refuses to Have a Test Done
- The Interpretation of Tests
- Telling the Patient About the Results of the Tests
- Filing of Results
- 6. ON THE ART OF DIAGNOSIS
- The Logical Basis of Diagnosis
- Pattern Recognition
- The Physiological Approach
- Goodness of Fit: The Basis of Pattern Recognition
- The Importance of "Mechanisms"
- Attitude to Information
- Incommensurable Values
- Making the Diagnosis
- 7. ADVICE AND EXPLANATION
- Deciding What Advice to Give
- The Consultation
- Building Up the Doctor-Patient Relationship
- How Much to Tell the Patient
- Explanation
- Reassurance
- Helping the Patient to Adjust to the Facts
- If the Patient Rejects Your Advice
- Drugs
- Fatal Diseases and Death
- 8. ATTITUDE TO COLLEAGUES
- Hearsay
- Second Opinions
- Colleagues as Patients
- Relations with Non-medical Colleagues
- ENVOI
- The Response to Change
- Unchanging Aspects
- Subject Index
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