Summary
Contents
Subject index
A medical student's clinical clekship is characterized among other things by long hours, insufficient sleep, daily frustrations, and emotional burdens. It will be not only a defining professional experience, but a rewarding life experience. Clinical Clerkships takes the third or fourth year student through the unstated curriculum of the clerkship to address those difficulties not often discussed by deans, educators, practitioners, professors, or lab assistants. Through practical discussion and germane vignettes, the authors not only describe the difficult issues involved in clerkship, they also provide solutions and stimulate discussion.
Communication
Communication
[The] Hippocratic school based its diagnosis and treatment on objective measurement….it decidedly did not include much of what the patient said, since that was merely opinion. Thus, Virgil called medicine “the silent art.”
The language and technology of medical communication have changed considerably in the last 30 to 40 years. Charts and medical talk are replete with a “shorthand alphabet soup of letters and numbers.” Sophisticated and valuable diagnostic tests combined with increasing use of computers have significantly eroded use of the patient narrative and atrophied our skills in physical examination. Lowenstein (1997) ventures that “the transformation of language cuts off all but the most pragmatic and immediate communication between students of medicine and their teachers or mentors … and affects ...
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