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Principles of Clinical Practice

An Introductory Textbook

  • Book
  • © 1991

Overview

Editors:
  1. Mark B. Mengel

    1. Department of Family Medicine, Health Sciences Center, University of Oklahoma, Oklahoma City, USA

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Table of contents (15 chapters)

  1. Front Matter

    Pages i-xxiii
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  2. Purposes of Clinical Practice

    1. Front Matter

      Pages 1-1
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    2. A Historical Overview of Patient Care

      • Michael L. Parchman
      Pages 3-19

    3. Philosophical and Ethical Foundations of the Physician-Patient Relationship

      • Richard A. Wright
      Pages 21-44

  3. Processes of Clinical Practice

    1. Front Matter

      Pages 45-45
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    2. Interviewing and History Taking

      • Alvah R. Cass, L. Peter Schwiebert
      Pages 47-77

    3. The Physical Examination

      • William M. Chop Jr., Stephen J. Spann
      Pages 79-98

    4. Clinical Decision Making

      • Daniel S. Marley, Mark B. Mengel
      Pages 99-123

    5. Clinical Management

      • Mark B. Mengel
      Pages 125-153

    6. Health Maintenance

      • Gregory H. Blake
      Pages 155-181

  4. Relationships in Clinical Practice

    1. Front Matter

      Pages 183-183
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    2. The Doctor—Patient Relationship

      • Kathryn E. H. Reilly
      Pages 185-204

    3. The Family System

      • Mark B. Mengel
      Pages 205-235

    4. The Cultural World of the Patient

      • Howard F. Stein
      Pages 237-265

    5. The Health Care System

      • James W. Mold
      Pages 267-296

  5. Values in Clinical Practice

    1. Front Matter

      Pages 297-297
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    2. Medical Ethics

      • James W. Mold, Richard A. Wright
      Pages 299-316

    3. Medical Malpractice

      • Steven A. Crawford
      Pages 317-336

    4. Medical Economics

      • Garth L. Splinter
      Pages 337-359

  6. Conclusions

    1. Front Matter

      Pages 361-361
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Keywords

About this book

As we move into the 21st century it is becoming increasingly difficult to offer appropriate introductory clinical experiences for medical students. Many schools offer clinical experiences in the first year of medical school, when the learner has little background in the traditions and origins of the doctor-patient interaction. Others begin this process in the second year, after a professional language base has been established, but concise educational materials are scarce that integrate the meaning of the privileged clinical encounter with the process and content of interviewing and examining patients. In the tertiary hospitals, where most medical schools are based, the educators must provide an orienta­ tion to the clinical encounter, an intensely personal experience, in the midst of glittering technological marvels that easily distract both the novice physician and the wizened teacher. Understanding the context and historical basis for the privilege of interviewing and examining another person about intimate matters relating to health and disease is essential to this process. Considering these factors, this textbook is written to assist medical educators and medical students involved in early clinical training. As the demand for "high-tech" medicine has accelerated, so has the public concern over the loss of "high-touch" or compassionate, humane interactions with physicians. Physicians are perceived as more concerned with readouts from machines and fiberoptic views of the patient than with understanding and car­ ing about the people we have labeled as patients.

Editors and Affiliations

  • Department of Family Medicine, Health Sciences Center, University of Oklahoma, Oklahoma City, USA

    Mark B. Mengel

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