Valerie P. Weil, MD
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Weil V.; Becoming a Clinician: A Primer for Students. Ann Intern Med. 1999;130:460. doi: 10.7326/0003-4819-130-5-199903020-00026
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Published: Ann Intern Med. 1999;130(5):460.
Neitch SM, Mufson MA; eds. 360 pages. New York: McGraw-Hill; 1998. $29.95. ISBN 0070465150. Order phone 800-262-4729.
Field of medicine: Primary care.
Format: Softcover book.
Audience: Medical students embarking on early clinical rotations.
Purpose: To introduce first- and second-year medical students to common clinical situations and teach them how to formulate differential diagnoses by using historical data and physical findings.
Content: The first section focuses on the ethics of medicine and lays the groundwork for the more practical chapters that follow. The second section provides guidelines for interviewing and examining patients and a chapter on evaluation of medical student performance. The third section, which forms the bulk of the book, describes common clinical scenarios that a primary caregiver might encounter, including the “well-baby” examination, examination of adolescent patients, and general examination of the healthy adult. Frequently encountered symptoms, such as chest and abdominal pain and acute low back pain, and disease, such as diabetes and hypertension, are presented along with suggested questions, physical examination findings, and laboratory studies that help narrow the differential diagnoses. Chapters on difficult clinical encounters, such as those involving alcohol abuse and domestic violence, are included. Each chapter starts with a case presentation and contains a section of useful definitions, mechanisms of disease, history and pertinent physical findings, and case resolution. Study questions and suggested reading conclude each chapter.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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