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How Doctors Think: Clinical Judgment and the Practice of Medicine
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Binding: Hardcover
Dewey Decimal Number: 610
EAN: 9780195187120
Edition: 1
ISBN: 0195187121
Label: Oxford University Press, USA
Manufacturer: Oxford University Press, USA
Number Of Items: 1
Number Of Pages: 256
Publication Date: 2005-11
Publisher: Oxford University Press, USA
Studio: Oxford University Press, USA
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Editorial Review:
How Doctors Think defines the nature and importance of clinical judgment. Although physicians make use of science, this book argues that medicine is not itself a science but rather an interpretive practice that relies on clinical reasoning. A physician looks at the patient's history along with the presenting physical signs and symptoms and juxtaposes these with clinical experience and empirical studies to construct a tentative account of the illness.
How Doctors Think is divided into four parts. Part one introduces the concept of medicine as a practice rather than a science; part two discusses the idea of causation; part three delves into the process of forming clinical judgment; and part four considers clinical judgment within the uncertain nature of medicine itself. In How Doctors Think, Montgomery contends that assuming medicine is strictly a science can have adverse side effects, and suggests reducing these by recognizing the vital role of clinical judgment.
Customer Reviews
Average Rating: 
Rating:  - Worth reading carefully
This is an incisive, and personal, analysis of how physicians think. It analyzes the foundations and processes behind physician's decision making, and their relationship to the patient. It also looks at some of the myths that add to the illusions that physicians sometimes project, both to bolster their persona as well as to hide the uncertainty that is behind many of their decisions. The writer is not a physician, which serves to give the book greater credibility, and is illustrated by her own anxiety ... Read More
Rating:  - Mystery remains veiled
After reading with disappointment Dr. Groopman's identically titled work, I wanted Dr. Montgomery's account to work, to ring true. Alas it does not. It would be more accurately titled "How Medical School Faulty Say They Think about Medicine, as Recounted to an English Literature Critic."
Dr. Montgomery has no experience working in clinical medicine. So far as her book shows, she has been unable to make effective, sustained contact with anyone who does. That is the fundamental limitation of ... Read More
Rating: - An extraordinary book, and right on time
There are two books with this same title, "How Doctors Think," that have arrived at more or less the same time. Dr Groopman's book will sell more copies, and is a useful book for building competence for managing both sides of the doctor-patient interaction. This book is something different. It is a historic milestone that offers extraordinary help to those who are committed to guiding the medical professions in shifting their orientations and competences for the challenges facing them. It arrives at the ... Read More
Rating: - Fantastic and challenging
This is a fantastic book -- it is much more advanced than Groopman's book, and is probably aimed at a different audience. Groopman addresses the layperson, while Montogomery addresses issues and ideas that the average reader would have trouble with. She is a great writer, though, and this is well worth your time.
Rating: - Brilliant
I was thrilled when I first began reading How Doctors Think, and my feelings did not change when I finally finished the last page of the book. In honest,lyrical prose, Kathryn Montgomery eloquently articulates the complicated tapestry of the clinical decision-making process physicians often encounter in the face of clinical uncertainties and probabilistic medicine. Kudos to a beautifully structured deconstruction of the culture of medicine and medical training! I highly recommend this book to those involved ... Read More
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