The Chief Concern of Medicine: The Integration of the by Ronald Schleifer

By Ronald Schleifer

Unlike any current reports of the clinical humanities, The leader drawback of Medicine brings to the exam of scientific practices a thorough---and truly articulated---exposition of the character of narrative. The booklet builds at the paintings of linguistics, semiotics, narratology, and discourse conception and examines a variety of literary works and narrative "vignettes" of clinical difficulties, occasions, and encounters. all through, the booklet provides usable expositions of the methods storytelling organizes itself to permit physicians and different healthcare employees (and even sufferers themselves) to be extra aware of and self-conscious concerning the information---the "narrative knowledge"---of the patient's story.

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Throughout The Chief Concern of Medicine, we argue that narrative knowledge is teachable and that some fairly simple behaviors—­if habituated—­can aid in its more efficient use. As we mentioned, these behaviors are concisely delineated in appendixes 2 and 3, presented as checklists and heuristic compilations, but they are abstracted from the larger arguments of the book as a whole (particularly Parts 2 and 3). We anticipate that discerning and experienced clinicians will recognize in these appendixes actions that they have habituated through experience and have come to see as enormously helpful in the care of patients.

With the term narrative medicine, she emphasizes what we asserted in the introduction: that much of what is done in the practice of medicine is narrative in nature and that a physician can practice better medicine by becoming narratively competent.

They not only offer the possibility of verification but also instill a kind of discipline of higher performance” (2010: loc. 515). In his book, he is chiefly concerned with developing checklists that take into account more or less technical procedures in medicine, air flight, construction, even restaurants, just as Clinical Evidence Concise provides pharmaceutical and, sometimes, physical treatments of hundreds of diseases and conditions. Still, one significant difference between Gawande’s checklists and the evidence-­based treatments of Clinical Evidence Concise—­and, to a lesser extent, between checklists and evidence-­based guidelines—­is that checklists have built into them a sense of teamwork and cooperation (most notable in Gawande’s “communication” checklists).

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