... process helps the physician develop an
appreciation ofthe patient's perception ofthe illness, the patient's expectations of
the physician and the health care sys
tem, and the financial ...
–Harrison's Principles of Internal Medicine, 1950
The practiceofmedicine has changed in significant ways since the first
edition of this book appeared in 1950. The advent of molecula
r biology ... for the biological sciences (the sequencing ofthe human
Clinical Skills
History-Taking
The written history of an illness should include all the facts of medical
significance in the life of...
... precision, they often
gain an aura of authority regardless ofthe fallibility ofthe tests themselves, the
instruments used in the tests, and the individuals performing or interpreting them.
Physicians ...
significance in the context ofthe patient's condition and other test results.
The development of technically improved imaging studies with greater
sensitivity and specificity is one ofthe most ... rate, often provide a major clue to the presence of a pathologic
process. On the other hand, the physician must learn to evaluate occasional
history, should be recorded at the time they are...
... Evidence-based medicine has become an increasingly important part of
the routine practiceofmedicine and has led to the publication of a number of
practice guidelines.
Practice Guidelines
Professional ... Chapter 001. ThePracticeofMedicine
(Part 3)
Principles of Patient Care
Evidence-Based Medicine
Evidence-based medicine refers to the concept that clinical decisions ... charges of malpractice and society from the excessive costs
associated with the overuse of medical resources. There are, however, caveats
associated with clinical practice guidelines since they...
... understanding ofthe mechanisms of gender differences in the course
and outcome of certain diseases. For a more complete discussion of women's
health, see Chap. 6.
Care ofthe Elderly
The relative ... of hospitalized patients, and the incidence increases with use
of a large number of drugs. No matter what the clinical situation, it is the
responsibility ofthe physician to use powerful therapeutic ... proportion of elderly individuals in the populations of
developed nations has been growing considerably over the past few decades and
will continue to grow. In this regard, thepracticeof medicine...
... by the interplay of genetic and environmental factors. Indeed,
we have just begun to scratch the surface of possibilities that the era of genomics
will provide to thepracticeof medicine.
The ... complete discussion of global issues, see Chap. 2.
Medicine on the Internet
On the whole, the Internet has had a very positive effect on thepracticeof
medicine; a wide range of information is ... travel may be offset by the quality of care at these distant locations. As much as
any other factor influencing global aspects of medicine, the Internet has
transformed the transfer of medical...
... 001. ThePracticeof Medicine
(Part 8)
Medical Ethics and New Technologies
The rapid pace of technological advances has profound implications for
medical applications far beyond their ... learning is an integral part of being a physician and
must be given the highest priority.
Research, Teaching, and thePracticeofMedicine
The title doctor is derived from the Latin docere
, "to ...
life span. Because of their unique training, physicians have a responsibility to help
shape the debate concerning the appropriate uses of, and limits that should be
placed on, these new techniques....
... than they were when the first edition of this book was
written.
Despite all these additions and changes, however, the structure of The
Practiceof English Language Teaching remains essentially the ... language because they are attracted to the
culture of one ofthe TLCs (see (c) above). They learn the language because
they want to know more about the people who speak it, the places where it
is ... as will other members of the
student's community.
Another factor affecting the attitude of students is their previous
experiences as language learners. If they were successful then they may...
... suicide of an Argentinean
veteran in the Falklands war; Born on the Fourth of July
(1989) by Oliver Stone, on the consequences of the
Vietnam war. Reviews ofthe suffering of veterans or
victims of ... dignity when patients reach the terminal
stage, through the relief of unpleasant symptoms, the
company of their dear ones and respect for the
patient’s will. The words ofthe philosopher López
Aranguren ... workers.
Acknowledgements
The Editors would like to thank the transla-
tion team ofthe Languages Service ofthe University
of Salamanca for their collaboration in the English
version of this Journal.
References
1...
... ofpractice are based upon the principles of ethical practice
embodied in the NBCC Code of Ethics. Therefore, these standards should be used in conjunction
with the most recent version ofthe ... light of delivery systems existing at the moment rather than at the time the standards were
adopted.
In addition to following the NBCCđ Code of Ethics pertaining to thepracticeof professional ... the responses ofthe counselor and the client. Asynchronous interaction
occurs with a gap in time between the responses ofthe counselor and the client.
The selection of a specific form of...
... for the History of Medicine, the University of Michi-
gan, the University of Pittsburgh, the Cleveland Clinic, the New York
Consortium for the History ofMedicine at the New York Academy of
Medicine, ... Library of Scotland; the Wellcome Institute for the History
of Medicine; McGill University; the College of Physicians of Philadel-
phia; and the National Library of Medicine. Manuscript and other ... actual social practiceofthe physician as a professional in
the intellectual and moral senses ofthe term, i.e., as the fiduciary ofthe
patient.
As patients, we have become so used to the expectation...