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Mapping Uncertainty in Medicne

Author: Avril Danczak

Publisher: Royal College of General Practitioners

Published: 2016-02-28

Total Pages: 342

ISBN-13: 0850844185

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Mapping Uncertainty in Medicine

Author: Avril Danczak

Publisher:

Published: 2016-02-28

Total Pages: 0

ISBN-13: 9780850844054

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Uncertainty is the norm in medical practice, yet often gives rise to distress in clinicians, who fear they will make shameful or guilt inducing errors. This book offers a succinct method to clinicians for classifying uncertainty and finding the right skills to manage different types of uncertainty successfully. Every clinician experiences moments when 'they don't know what to do'. Modern medicine is increasingly complex and training has also become more complicated. The days of 'see one, do one, teach one' are over. Yet, both younger clinicians and senior practitioners describe uncertainty as one of the most challenging and stressful aspects of clinical work. If uncertainty is uncomfortable or threatening to individual practitioners, it also provides complex educational challenges. How can we learn to cope with uncertainty effectively ourselves? How can we teach others to understand and manage uncertainty? In this ground breaking book, the authors propose ways to cut through uncertainty, which is explored as an inevitable (and even desirable) component of clinical practice. A Map of Uncertainty in Medicine (MUM) is used to classify uncertainty and to define the skills that will help find a way though practical difficulties. It is always good to have your MUM with you in a tricky situation! Selling points If you experience uncertainty in clinical practice this book: - will help you understand it, help you manage it effectively and improve your stress levels and resilience as a result - help you share and manage uncertainty with patients and colleagues - provides effective teaching approaches. Audience Clinicians in training in all specialties and experienced clinicians looking to expand their skills or teach and train others to deal with uncertainty. Training Programme Directors. Secondary audiences: Nurse Practitioners/Clinical Nurse Specialists working in Primary Care or Accident and Emergency GPs and family doctors overseas. Needs met: personal and professional development.

Uncertainty in Medicine

Author: Paul K. J. Han

Publisher: Oxford University Press

Published: 2021

Total Pages: 193

ISBN-13: 0190270586

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Introduction : The Challenge of Uncertainty in Medicine -- The Nature and Etiology of Uncertainty -- The Anatomy of Uncertainty -- The Natural History of Uncertainty -- The Management of Uncertainty -- A Way Forward : Systematizing Uncertainty Tolerance.

Risky Medicine

Author: Robert Aronowitz

Publisher: University of Chicago Press

Published: 2015-09-16

Total Pages: 285

ISBN-13: 022604971X

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"Will ever-more sensitive screening tests for cancer lead to longer, better lives? Will anticipating and trying to prevent the future complications of chronic disease lead to better health? Not always, says Robert Aronowitz. In fact, it often is hurting us... Drawing on such controversial examples as HPV vaccines, cancer screening programs, and the cancer survivorship movement, Aronowitz demonstrates that patients and their doctors have come to believe, perilously, that far too many medical interventions are worthwhile because they promise to control our fears and reduce uncertainty." -- Taken from book flyleaf.

Improving Diagnosis in Health Care

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2015-12-29

Total Pages: 473

ISBN-13: 0309377722

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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Family Medicine in the Undergraduate Curriculum

Author: Val Wass

Publisher: CRC Press

Published: 2023-10-06

Total Pages: 300

ISBN-13: 1000953548

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It has been recognised by governments and healthcare organisations worldwide that for Universal Healthcare in pursuit of Health for All under the Sustainable Development Goals to be achieved, effective primary care that is integrated, accessible, and affordable for everyone is essential. This practical guide is the first designed specifically to support those planning and conducting family medicine/primary care education within medical schools around the world. It offers medical educators a collection of concise easy to follow chapters, guiding the reader through the curriculum requirements with key references for further detail. Plain English and practical, deliverable advice, adaptable to different contexts, ensures the content is accessible to those educating medical students in any country, while the structure within sections ensures that family medicine doctors and educators can dip into chapters relevant to their roles, for example curriculum design for academic educators or teaching methods for those educating in clinical practice. Key Features ■ The first “how-to” guide dedicated to effective integration of family medicine teaching into medical school curricula ■ Offers a strong evidence-based framework for integrating family medicine into medical schools ■ Wide in scope, for academics and educationalists at all levels and in all geographies, reflecting and embracing the experience and variation in family medicine across the globe to produce pragmatic and effective information on which medical schools can base change ■ Step-by-step introduction to the processes of literature review (establishing the existing knowledge base), choosing a topic, research questions, and methodology, conducting research, and disseminating results ■ Supported by the WONCA Working Party on Education The book is edited and authored by members of the World Organization of Family Doctors (WONCA) Working Party on Education, which is ideally placed to offer a strong platform for medical schools to integrate family medicine whatever the local context, enabling all future doctors, whatever their career aspiration, to understand the importance of family medicine to health systems and holistic medicine and encourage family medicine doctors to inspire students to consider a career in the field.

What Doctors Cannot Tell You

Author: Kevin B. Jones

Publisher: Tallow Book LLC

Published: 2012

Total Pages: 0

ISBN-13: 9780985245474

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Almost 20 billion times each year, a person walks into a doctor's office. The person becomes a patient. Everyone becomes this patient at some point. How will you talk to your physicians? What will you tell them? What will they tell you in return? They can't tell you what they don't know. They can tell you when they don't know. Will they? What Doctors Cannot Tell You explores the uncertainty that pervades medicine. It breaks the code of silence within which too many physician-patient conversations take place. The patients' stories in its pages will empower you to ask questions of your physicians, with a firm belief that healing and hope begin from honesty in those critical conversations. This book marries surgically precise medical narrative to thinking and perspective that will throw the curtains wide on what medicine knows, what it doesn't know, and how it tries to tell the difference between the two. This book is Outliers meets Patch Adams, only with an added how-to twist beyond the instructive and powerfully human narratives. At every chapter's end, the reader will find a list of principles, one for each vignette, and questions to ask his or her physician. A few books in the last decade have focused on human errors and complications in medicine. Each has suggested ways to improve medicine by the application of checklists and protocols. This book adds a unique and important angle to these considerations: How firmly do we know what should go on the checklist or protocol in the first place? How clear has medicine been with its patients about what it cannot know or does not yet know?

What Doctors Cannot Tell You

Author: Kevin B. Jones

Publisher:

Published: 2012

Total Pages: 272

ISBN-13: 9780985245436

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What Doctors Cannot Tell You explores the uncertainty that pervades medicine. It breaks the code of silence within which too many physician-patient conversations take place. The patients' stories in its pages will empower you to ask questions of your physicians, with a firm belief that healing and hope begin from honesty in those critical conversations. This book marries surgically precise medical narrative to thinking and perspective that will throw the curtains wide on what medicine knows, what it doesn't know, and how it tries to tell the difference between the two.

Clinical Uncertainty in Primary Care

Author: Lucia Siegel Sommers

Publisher: Springer Science & Business Media

Published: 2013-07-05

Total Pages: 311

ISBN-13: 1461468124

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The Power of Colleagues What happens when primary care clinicians meet together on set aside time in their practice settings to talk about their own patients? .....Complimenting quality metrics or performance measures through discussing the actual stories of individual patients and their clinician-patient relationships In these settings, how can clinicians pool their collective experience and apply that to ‘the evidence’ for an individual patient? .....Especially for patients who do not fit the standard protocols and have vague and worrisome symptoms, poor response to treatment, unpredictable disease courses, and/or compromised abilities for shared decision making What follows when discussion about individual patients reveals system-wide service gaps and coordination limitations? .....Particularly for patients with complex clinical problems that fall outside performance monitors and quality screens How can collaborative engagement of case-based uncertainties with one’s colleagues help combat the loneliness and helplessness that PCPs can experience, no matter what model or setting in which they practice? .....And where they are expected to practice coordinated, evidence-based, EMR-directed care These questions inspired Lucia Sommers and John Launer and their international contributors to explore the power of colleagues in “Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement” and offer antidotes to sub-optimal care that can result when clinicians go it alone. From the Foreword: “Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine...and they present a cogent case for its special relationship to primary care practice...‘Clinical Uncertainty in Primary Care’ not only presents a model of collegial collaboration and support, it also implicitly legitimates it.’’ Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.

Bodies in Flux

Author: Christa Teston

Publisher: University of Chicago Press

Published: 2017-05-05

Total Pages: 254

ISBN-13: 022645066X

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Medical professionals, scientists, and patients have long grappled with the dubious nature of medical certainty regarding diagnosis, treatment, and prognosis of disease states. Modern Western medicine strives for certainty by monitoring symptoms, modeling risk, and controlling knowledge. In the 1990s, evidence-based medicine became coin of the realm for managing uncertainty. This turn toward evidence-based medicine has proved highly contentious, however. Considerable scholarship has emerged exploring the complex nature of evidence-based medical decision making. Many scholars have sought to account for affect, logic, intuition, persuasion, and experiential knowledge in medicine. But what of the pre-deliberative practices that render the grounds upon which decisions are made? What of the agentic capacity of evidence itself? Inspired by these questions, in Bodies in Flux: Scientific Methods for Negotiating Uncertainty, technical communication scholar Christa Teston explores the discursive and material methods by which medical evidence is designed and the pre-deliberative, rhetorical design work that affords grounds upon which uncertainty is identified and managed when medical decisions are made. She explores specific sites (pathology laboratories and FDA drug hearings) and methodological practices (statistical analysis and genetic sequencing) of medical decision making to reveal the real-time assemblages of people, bodies, practices, and objects that create evidences that are later used to make decisions about treatment. In doing so she reveals the complexity of this work and demonstrates ways in which medical evidence is not definitively objective. Rather than viewing construction of certainty as an exclusively human enterprise, she demonstrates how humans and nonhuman agents co-construct certainty in real-world medical settings where life-and-death decisions must be made.