An MP questioning clinical judgement

Treatment bias and clinical judgement.

Problems for clinical judgement: 3. Thinking clearly in an emergency.

The resuscitation of a patient in extremis is frequently characterized by chaos and disorganization, and is one of the most stressful situations in medicine. We reviewed selected studies from the fields of anesthesia, emergency medicine and critical care that address the process of responding to a critically ill patient. Individual clinicians can improve their performance by increased exposure ...

Appendicitis : Clinical judgement and operative findings

Introduction Appendicitis is the most common intraabdominal disorder that requires emergency surgery, with a 6% lifetime risk. At the end of 20th Century, appendicitis still remains a clinical entity and an ongoing diagnostic dilemma as the presentation may be atypical. Recent literature reports rates of normal appendix removal ranging from 9% to 40%. These results are not different from earlie...

Clinical judgement and the medical profession

OBJECTIVES Clinical judgment is a central element of the medical profession, essential for the performance of the doctor, and potentially generating information also for other clinicians and for scientists and health care managers. The recently renewed interest in clinical judgement is primarily engaged with its role in communication, diagnosis and decision making. Beyond this issue, the presen...

Clinical judgement, expertise and skilled coping.

Medicine involves specific practical expertise as well as more general context-independent medical knowledge. This raises the question, what is the nature of the expertise involved? Is there a model of clinical judgement or understanding that can accommodate both elements? This paper begins with a summary of a published account of the kinds of situation-specific skill found in anaesthesia. It a...