Search results for 'Clinical medicine' (try it on Scholar)

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  1.  26
    Kathryn Montgomery (2006). How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford University Press.
    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. (...)
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  2.  4
    Stephen G. Henry (2010). Polanyi's Tacit Knowing and the Relevance of Epistemology to Clinical Medicine. Journal of Evaluation in Clinical Practice 16 (2):292-297.
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  3.  4
    William J. Ellos (1990). Ethical Practice in Clinical Medicine. Routledge.
    This textbook develops the issue of ethics to a philosophical level complex enough to be applicable to students of philosophy and applied ethics courses. It is the first book to address clinical problems from a classical perspective. This title available in eBook format. Click here for more information . Visit our eBookstore at: www.ebookstore.tandf.co.uk.
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  4.  2
    Mark R. Tonelli (2011). Not a Philosophy of Clinical Medicine: A Commentary on 'The Philosophy of Evidence‐Based Medicine' Howick, J. Ed. (2001). Journal of Evaluation in Clinical Practice 17 (5):1013-1017.
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  5. Jurrit Bergsma & David C. Thomasma (2000). Autonomy and Clinical Medicine Renewing the Health Professional Relation with the Patient.
     
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  6.  99
    Hillel D. Braude (2009). Clinical Intuition Versus Statistics: Different Modes of Tacit Knowledge in Clinical Epidemiology and Evidence-Based Medicine. Theoretical Medicine and Bioethics 30 (3):181-198.
    Despite its phenomenal success since its inception in the early nineteen-nineties, the evidence-based medicine movement has not succeeded in shaking off an epistemological critique derived from the experiential or tacit dimensions of clinical reasoning about particular individuals. This critique claims that the evidence-based medicine model does not take account of tacit knowing as developed by the philosopher Michael Polanyi. However, the epistemology of evidence-based medicine is premised on the elimination of the tacit dimension from clinical (...)
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  7.  14
    Hillel D. Braude (2012). Intuition in Medicine: A Philosophical Defense of Clinical Reasoning. The University of Chicago Press.
    Intuition in medical and moral reasoning -- Moral intuitionism -- The place of Aristotelian phronesis in clinical reasoning -- Aristotle's practical syllogism: accounting for the individual through a theory of action and cognition -- Individual and statistical physiognomy: the art and science of making the invisible visible -- Clinical intuition versus statistical reasoning -- Contingency and correlation: the significance of modeling clinical reasoning on statistics -- Abduction: the intuitive support of clinical induction -- Conclusion: medical ethics (...)
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  8.  22
    Malcolm Parker (2002). Whither Our Art? Clinical Wisdom and Evidence-Based Medicine. Medicine, Health Care and Philosophy 5 (3):273-280.
    The relationship between evidence-based medicine (EBM) and clinical judgement is the subject of conceptual and practical dispute. For example, EBM and clinical guidelines are seen to increasingly dominate medical decision-making at the expense of other, human elements, and to threaten the art of medicine. Clinical wisdom always remains open to question. We want to know why particular beliefs are held, and the epistemological status of claims based in wisdom or experience. The paper critically appraises a (...)
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  9.  20
    Norbert Paul (1998). Incurable Suffering From the “Hiatus Theoreticus”? Some Epistemological Problems in Modern Medicine and the Clinical Relevance of Philosophy of Medicine. Theoretical Medicine and Bioethics 19 (3):229-251.
    Up to now neither the question, whether all theoretical medical knowledge can at least be described as scientific, nor the one how exactly access to the existing scientific and theoretical medical knowledge during clinical problem-solving is made, has been sufficiently answered. Scientific theories play an important role in controlling clinical practice and improving the quality of clinical care in modern medicine on the one hand, and making it vindicable on the other. Therefore, the vagueness of unexplicit (...)
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  10.  9
    Andrew Miles, Michael Loughlin & Andreas Polychronis (2008). Evidence‐Based Healthcare, Clinical Knowledge and the Rise of Personalised Medicine. Journal of Evaluation in Clinical Practice 14 (5):621-649.
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  11.  6
    Andrew Miles, Michael Loughlin & Andreas Polychronis (2007). Medicine and Evidence: Knowledge and Action in Clinical Practice. Journal of Evaluation in Clinical Practice 13 (4):481-503.
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  12.  86
    Edmund D. Pellegrino (2001). The Internal Morality of Clinical Medicine: A Paradigm for the Ethics of the Helping and Healing Professions. Journal of Medicine and Philosophy 26 (6):559 – 579.
    The moral authority for professional ethics in medicine customarily rests in some source external to medicine, i.e., a pre-existing philosophical system of ethics or some form of social construction, like consensus or dialogue. Rather, internal morality is grounded in the phenomena of medicine, i.e., in the nature of the clinical encounter between physician and patient. From this, a philosophy of medicine is derived which gives moral force to the duties, virtues and obligations of physicians qua (...)
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  13.  13
    Earl E. Shelp (1983). Courage and Tragedy in Clinical Medicine. Journal of Medicine and Philosophy 8 (4):417-429.
    The relationship between medical clinicians and patients is described as potentially tragic in nature and a context in which courage can be a relevant virtue. Danger, risk, uncertainty, and choice are presented as features of clinical relationships that also function as necessary conditions for courage. The clinician is seen as a ‘sustaining presence’ who has duties of ‘encouragement’ with respect to patients. The patient is seen to have a duty to learn the condition of human existence which can be (...)
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  14.  2
    Tom Marshall (1997). Scientific Knowledge in Medicine: A New Clinical Epistemology? Journal of Evaluation in Clinical Practice 3 (2):133-138.
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  15.  7
    Nikola Biller-Andorno (2004). The Use of the Placebo Effect in Clinical Medicine — Ethical Blunder or Ethical Imperative? Science and Engineering Ethics 10 (1):43-50.
    The current debate in medical ethics on placebos focuses mainly on their use in health research. Whereas this is certainly an important topic the discussion tends to overlook another longstanding but nevertheless highly relevant question, namely if and how the placebo effect should be employed in clinical practice. This paper describes the way the placebo effect is perceived in modern medicine and offers some historical reflections on how these perceptions have developed; discusses elements of a definition of the (...)
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  16.  4
    Lee A. Forstrom (1977). The Scientific Autonomy of Clinical Medicine. Journal of Medicine and Philosophy 2 (1):8-19.
    SummaryIt has been argued that clinical medicine should be regarded as a relatively autonomous science. While it draws upon other sciences which variously contribute to medical knowledge, it is not just an “application” of any of these, alone or in combination. Its contributions to medical knowledge are made within the context of patient care (the term “clinical medicine” is used here to emphasize this matter). It is distinct from other sciences in its domain of inquiry and (...)
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  17.  5
    Tadeusz S. Tołłoczko (2006). The Mentor and the Trainee in Academic Clinical Medicine. Science and Engineering Ethics 12 (1):95-102.
    Medicine is a scientific discipline, but it is sometimes difficult to separate what is scientific and what is a clinical, practical activity. Man is the object, but he is always the subject of medical research and therefore these two elements become closely bound together by a thread of moral interdependencies. Every mentor of a young academic and all institutions dealing with the teaching of and research into medicine must understand multidimensional, multifaceted, and multilevel aspects of their activity (...)
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  18.  4
    Paulo José Fortes Villas Boas, Regina Stella Spagnuolo, Amélia Kamegasawa, Leandro Gobbo Braz, Adriana Polachini do Valle, Eliane Chaves Jorge, Hugo Hyung Bok Yoo, Antônio José Maria Cataneo, Ione Corrêa, Fernanda Bono Fukushima, Paulo do Nascimento, Norma Sueli Pinheiro Módolo, Marise Silva Teixeira, Edison Iglesias de Oliveira Vidal, Solange Ramires Daher & Regina El Dib (2013). Systematic Reviews Showed Insufficient Evidence for Clinical Practice in 2004: What About in 2011? The Next Appeal for the Evidence‐Based Medicine Age. [REVIEW] Journal of Evaluation in Clinical Practice 19 (4):633-637.
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  19.  19
    John Nessa (1996). About Signs and Symptoms: Can Semiotics Expand the View of Clinical Medicine? Theoretical Medicine and Bioethics 17 (4).
    Semiotics, the theory of sign and meaning, may help physicians complement the project of interpreting signs and symptoms into diagnoses. A sign stands for something. We communicate indirectly through signs, and make sense of our world by interpreting signs into meaning. Thus, through association and inference, we transform flowers into love, Othello into jealousy, and chest pain into heart attack. Medical semiotics is part of general semiotics, which means the study of life of signs within society. With special reference to (...)
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  20.  6
    Allan B. Chinen (1988). Modes of Understanding and Mindfulness in Clinical Medicine. Theoretical Medicine and Bioethics 9 (1).
    Beginning with a case vignette, this paper uses a semiotic approach to analyze several different kinds of understanding used in clinical medicine. By outlining semiotic structures, four distinct modes of understanding can be defined: (1) the representational mode, corresponding to scientific medicine; (2) the pragmatic mode, constituting the basic standpoint of medicine; (3) the hermeneutic mode, underlying the empathic, humanistic spirit of medicine; and (4) the ontologic mode, associated with both the ethical and ritual aspects (...)
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  21.  5
    Andrew Miles (2009). On a Medicine of the Whole Person: Away From Scientistic Reductionism and Towards the Embrace of the Complex in Clinical Practice. Journal of Evaluation in Clinical Practice 15 (6):941-949.
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  22.  4
    Jason Adam Wasserman (2014). On Art and Science: An Epistemic Framework for Integrating Social Science and Clinical Medicine. Journal of Medicine and Philosophy 39 (3):279-303.
    Calls for incorporating social science into patient care typically have accounted for neither the logistic constraints of medical training nor the methodological fallacies of utilizing aggregate “social facts” in clinical practice. By elucidating the different epistemic approaches of artistic and scientific practices, this paper illustrates an integrative artistic pedagogy that allows clinical practitioners to generate social scientific insights from actual patient encounters. Although there is no shortage of calls to bring social science into medicine, the more fundamental (...)
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  23.  14
    Cecilia Nardini, Marco Annoni & Giuseppe Schiavone (2012). Mechanistic Understanding in Clinical Practice: Complementing Evidence‐Based Medicine with Personalized Medicine. Journal of Evaluation in Clinical Practice 18 (5):1000-1005.
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  24. Daniel A. Albert, Ronald Munson & Michael D. Resnik (1988). Reasoning in Medicine an Introduction to Clinical Inference. Monograph Collection (Matt - Pseudo).
     
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  25.  7
    N. G. Albert (2005). From Myth to Pathology: Perversions of Gender-Types in Late 19th-Century Literature and Clinical Medicine. Diogenes 52 (4):114-126.
    Contrary to accepted ideas, questions of gender started to be raised around the end of the 19th century. The characters of problematic sex and sexuality who abounded in literature at that time had the function of emblems of the fears aroused by the erasure and divorce between the sexes in a civilization in disarray. The figure of the androgyne was used to name and depict those condemned to indecision. But its closeness to the invert led to the decline of the (...)
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  26.  2
    Andrew Miles (2007). Science: A Limited Source of Knowledge and Authority in the Care of Patients*. A Review and Analysis Of: 'How Doctors Think. Clinical Judgement and the Practice of Medicine.'Montgomery, K. [REVIEW] Journal of Evaluation in Clinical Practice 13 (4):545-563.
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  27.  2
    Mark R. Tonelli (2010). The Challenge of Evidence in Clinical Medicine. Journal of Evaluation in Clinical Practice 16 (2):384-389.
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  28.  1
    M. Cameron Hay, Thomas S. Weisner, Saskia Subramanian, Naihua Duan, Edmund J. Niedzinski & Richard L. Kravitz (2008). Harnessing Experience: Exploring the Gap Between Evidence‐Based Medicine and Clinical Practice. Journal of Evaluation in Clinical Practice 14 (5):707-713.
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  29.  1
    James A. Marcum (2011). The Role of Prudent Love in the Practice of Clinical Medicine. Journal of Evaluation in Clinical Practice 17 (5):877-882.
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  30.  53
    Nikola Biller-Andorno (2004). The Use of the Placebo Effect in Clinical Medicine — Ethical Blunder or Ethical Imperative? Science and Engineering Ethics 10 (1):43-50.
    The current debate in medical ethics on placebos focuses mainly on their use in health research. Whereas this is certainly an important topic the discussion tends to overlook another longstanding but nevertheless highly relevant question, namely if and how the placebo effect should be employed in clinical practice. This paper describes the way the placebo effect is perceived in modern medicine and offers some historical reflections on how these perceptions have developed; discusses elements of a definition of the (...)
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  31.  2
    Philip D. Welsby (1999). Reductionism in Medicine: Some Thoughts on Medical Education From the Clinical Front Line. Journal of Evaluation in Clinical Practice 5 (2):125-131.
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  32.  3
    J. R. Hampton (1997). Evidence‐Based Medicine, Practice Variations and Clinical Freedom. Journal of Evaluation in Clinical Practice 3 (2):123-131.
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  33.  2
    T. Allen Merritt, Marjorie Gold & Jodi Holland (1999). A Critical Evaluation of Clinical Practice Guidelines in Neonatal Medicine: Does Their Use Improve Quality and Lower Costs? Journal of Evaluation in Clinical Practice 5 (2):169-177.
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  34.  3
    Ross E. G. Upshur (2013). A Short Note on Probability in Clinical Medicine. Journal of Evaluation in Clinical Practice 19 (3):463-466.
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  35.  3
    Suzana A. Silva & Peter C. Wyer (2009). Where is the Wisdom? II – Evidence‐Based Medicine and the Epistemological Crisis in Clinical Medicine. Exposition and Commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158–168. [REVIEW] Journal of Evaluation in Clinical Practice 15 (6):899-906.
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  36.  5
    Mona Gupta & Ross Upshur (2012). Critical Thinking in Clinical Medicine: What is It? Journal of Evaluation in Clinical Practice 18 (5):938-944.
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  37.  4
    Michael Loughlin (2010). Epistemology, Biology and Mysticism: Comments on 'Polanyi's Tacit Knowledge and the Relevance of Epistemology to Clinical Medicine'. Journal of Evaluation in Clinical Practice 16 (2):298-300.
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  38.  1
    Kenneth W. Goodman (2010). Comment on M.R. Tonelli, 'the Challenge of Evidence in Clinical Medicine'. Journal of Evaluation in Clinical Practice 16 (2):390-391.
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  39.  33
    Allan Adelman (1977). Explorations Toward a Logic of Empirical Discovery: A Case Study in Clinical Medicine. Journal of Medicine and Philosophy 2 (1):54-70.
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  40.  42
    Drew Leder (1990). Clinical Interpretation: The Hermeneutics of Medicine. Theoretical Medicine and Bioethics 11 (1).
    I argue that clinical medicine can best be understood not as a purified science but as a hermeneutical enterprise: that is, as involved with the interpretation of texts. The literary critic reading a novel, the judge asked to apply a law, must arrive at a coherent reading of their respective texts. Similarly, the physician interprets the text of the ill person: clinical signs and symptoms are read to ferret out their meaning, the underlying disease. However, I suggest (...)
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  41.  47
    J. Saunders (2000). The Practice of Clinical Medicine as an Art and as a Science. Medical Humanities 26 (1):18-22.
    Next SectionThe practice of modern medicine is the application of science, the ideal of which has the objective of value-neutral truth. The reality is different: practice varies widely between and within national medical communities. Neither evidence from randomised controlled trials nor observational methods can dictate action in particular circumstances. Their conclusions are applied by value judgments that may be impossible to specify in “focal particulars”. Herein lies the art which is integral to the practice of medicine as applied (...)
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  42.  44
    F. Daniel Davis (1997). Phronesis, Clinical Reasoning, and Pellegrino's Philosophy of Medicine. Theoretical Medicine and Bioethics 18 (1-2).
    In terms of Aristotle's intellectual virtues, the process of clinical reasoning and the discipline of clinical medicine are often construed as techne (art), as episteme (science), or as an amalgam or composite of techne and episteme. Although dimensions of process and discipline are appropriately described in these terms, I argue that phronesis (practical reasoning) provides the most compelling paradigm, particularly of the rationality of the physician's knowing and doing in the clinical encounter with the patient. I (...)
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  43.  2
    Hillel D. Braude (2015). Eric J Cassell: The Nature of Clinical Medicine: The Return of the Clinician. Theoretical Medicine and Bioethics 36 (4):291-293.
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  44.  5
    Walter J. Daly & D. Craig Brater (2000). Medieval Contributions to the Search for Truth in Clinical Medicine. Perspectives in Biology and Medicine 43 (4):530-540.
  45.  16
    K. Danner Clouser (1977). Clinical Medicine as Science: Editorial. Journal of Medicine and Philosophy 2 (1):1-7.
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  46.  3
    Benjamin Djulbegovic, Iztok Hozo & Sander Greenland (2011). Uncertainly in Clinical Medicine. In Fred Gifford (ed.), Philosophy of Medicine. Elsevier 16--299.
  47.  11
    Nelly Tsouyopoulos (1984). German Philosophy and the Rise of Modern Clinical Medicine. Theoretical Medicine and Bioethics 5 (3):345-357.
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  48.  3
    Rosa Lynn Pinkus (1986). Superman Meets Don Quixote: Stereotypes in Clinical Medicine. [REVIEW] Journal of Medical Humanities and Bioethics 7 (1):17-32.
    Long-established stereotypes tend to dominate the perceptions physicians have of the philosophers and other humanists who serve as medical ethicists. They also alter the views humanists have of physicians, and those that the public have of both. These stereotypes are a formidable barrier to effective working relationships between the two groups of professionals, as well as to public understanding of medical ethics issues. To achieve a better working relationships and to foster more realistic understanding, it is important that the humanists (...)
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  49.  2
    A. Warsop (2002). Art, Science, and the Existential Focus of Clinical Medicine. Medical Humanities 28 (2):74-77.
    The continuing debate over the status of medicine as an art or a science remains far from resolved. The aim of this paper is to clarify what is meant by the art of medicine. In the following interpretation I contrast two current perspectives of the medical art. I argue that the art of medicine is best understood in terms of the Aristotelian notion of techne. It consists of listening skills directed to the lived experience of the patient (...)
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  50. William J. Ellos S. J. (1991). Ethical Practice in Clinical Medicine. Routledge.
    Increasingly, medical students are required to face up to ethical issues in their training and practice. At the same time, there is growing interest in philosophy courses in the ethical issues raised by medical practice. This textbook, designed primarily for students of medicine, develops the issues to a philosophical level complex enough to be satisfying to students of philosophy as well as MA students on applied ethics courses. The author advocates an approach to medical ethics which breaks out of (...)
     
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