Main description:

The second edition of this concise, easy-to-read title is designed for clinical teachers looking to refine their approach to teaching professional attitudes and basic skills to medical students. The core sections on communication skills, physical examination, and clinical reasoning have been fully updated; and the book has been expanded to cover such topics as the role of the social and behavioral sciences in clinical care, quality assurance of patient care, and the rationing of medical resources in clinical practice. On all topics, the renowned author clearly and adroitly offers keen insights gleaned from his long career, explaining the importance of these topics and how students form their own opinions about them. For example, writes the author, the primary goal of teaching the social and behavioral sciences is to raise awareness that age, low socioeconomic status, recent life events, drug dependence, mental illness, high body mass index, and belonging to an ethnic minority are risk indicators for morbidity. Second, the author address second opinions, outlining how not getting a second opinion is a cause of health care disparities. In addition, the author discusses how unexpected study results should not be ignored, nor should they be considered definitive evidence, but rather hypotheses that should be tested by further studies. Teaching Professional Attitudes and Basic Clinical Skills to Medical Students: A Practical Guide, 2nd Edition will be of great assistance to teachers who must provide an approach not only to teaching patient interviewing and the physical examination but to teaching key, clinically relevant topics of the behavioral and social sciences that are so vital to developing an effective, well-rounded physician.

Contents:

0. Preface

1. Paradigmatic shifts in the theory, practice and teaching of medicine

2. Communicating with patients

- Learning and teaching difficulties

- Overcoming difficulties in learning and teaching patient interviewing

- Barriers to doctor-patient communication leading to unintended patient discrimination

- Shared decision making

- Patient counselling

- Adherence to doctors' advice

- Managing difficult conversations and delivering bad news

3. The physical examination

- Barriers to teaching and learning physical examination skills

- Overcoming barriers to students' learning the physical examination

- Diagnostic utility of the physical examination and ancillary tests

4. Clinical reasoning

- Recording the clinical database

- Teaching clinical reasoning

- Complementary medicine

5. The behavioural and social sciences in Medicine

- Psychosocial determinants of disease

- Barriers to teaching and learning the behavioural and social sciences in Medicine

6. Quality assurance of patient care

- Medical error

- Incapacitated doctors

7. Paradigmatic shifts in medical professionalism

- Managed care

- Doctors' prestige

- Medicine and the media

- Rationing of medical care

8. Implications for medical education