becoming a consummate clinician (what every student, house officer, and hospital practitioner needs to know) introduction surviving and thriving in ward world精品.pdfVIP

INTRODUCTION SURVIVING AND THRIVING IN WARD WORLD Plutarch, a fi rst-century Greek moralist. Becoming a Consummate Clinician: What Every Student, House Offi cer, and Hospital Practitioner Needs to Know, First Edition. Ary L. Goldberger and Zachary D. Goldberger. © 2012 Wiley-Blackwell. Published 2012 by John Wiley Sons, Inc. 1 2 SURVIVING AND THRIVING IN WARD WORLD The mind is not a vessel to be fi lled but a fi re to be kindled. — Plutarch (ca. a .d . 46 – 120) The most important failure was one of imagination. — The 9/11 Commission Report : The National Commission on Terrorist Attacks on the United States; General Findings, Section 509 This book addresses a number of audiences. For clinical clerks and house offi cers, it is intended as a springboard or launching pad to help them hit the ground running on the wards. We hope to provide some immediately applicable tips and to guide trainees in avoiding common pitfalls and pratfalls of gathering, processing, and commu- nicating medical information. For more experienced hospital - based practitioners, hopefully it will provide an organizing framework for coping with some of the daily challenges in both patient care and mentoring that somehow escape mention in lengthier texts. For trainees, who readily and understandably feel lost in their early rotations, this is also intended as a kind of clinical GPS—a way of helping you locate and track your clinical coordinates and keep your bearings in the face of major new challenges and the inherent uncertainties of clinical medicine. What/how should I be thinking upon hearing the following chief complaints? What does an experienced, active clinical l