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The Rational Clinical Examination: Evidence-Based Clinical Diagnosis [Paperback]

David Simel , Drummond Rennie
5.0 out of 5 stars  See all reviews (1 customer review)
List Price: CDN$ 83.95
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Book Description

Sept. 15 2008 0071590307 978-0071590303 1
The ultimate guide to the evidence-based clinical encounter

CFMS (CANADIAN FEDERATION OF MEDICAL STUDENTS) ENDORSED!

"This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine

"There is a great deal to like about this book. It is focused on common clinical dilemmas and is well organized, and most chapters are a quick read....The evidence-based examination techniques put forth by Rational Clinical Examination the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings

5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data.

"This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth.

"This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service
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In the tradition of the famous Users' Guides to the Medical Literature, The JAMA series “The Rational Clinical Examination” was created to bring the principles of evidence-based medicine to the diagnostic process. Featuring specific clinical questions, numerous case examples, and precise summaries of available evidence, the RCE series was an instant hit.

Now for the very first time in book form, completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again.

Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without.

FEATURES
  • All the expert perspectives on the application of evidence-based medicine principles-with all the authority of the pioneering JAMA series, The Rational Clinical Examination Packed with updated, new, and previously unpublished information from the original JAMA articles
  • Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line
  • Completely updated with all-new literature searches and appraisals supplementing each chapter
  • Full-color format with dynamic clinical illustrations and images
  • Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine
  • More than 50 complete chapters on common and challenging clinical questions and patient presentations
  • Not-to-be-missed coverage of the principles of evidence-based medicine and physical diagnosis, with the concepts of specificity and sensitivity applied to the patient encounter

    Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine

  • Frequently Bought Together

    The Rational Clinical Examination: Evidence-Based Clinical Diagnosis + Approach to Internal Medicine: A Resource Book for Clinical Practice + Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine
    Price For All Three: CDN$ 186.15


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    Review

    "The work is truly noble, to get past the ghosts of dogma and look at the evidence objectively. The authors and contributors are veritable experts with a cold eye for objectivity. They have produced an important work....This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth....This extraordinary, one-of-a-kind book is a valuable addition to every medical library. 5 Stars!"--Doody's Review Service (Doody's)

    About the Author

    David Simel, MD, MHS,
    Chief, Medicine Service
    Durham Veterans Affairs Medical Center
    Professor of Medicine
    Duke University School of Medicine
    Durham, NC

    Drummond Rennie, MD
    JAMA
    Chicago, IL
    Philip R. Lee Institute for Health Policy Studies
    University of California, San Francisco
    San Francisco, CA


    Inside This Book (Learn More)
    Browse Sample Pages
    Front Cover | Copyright | Table of Contents | Excerpt | Index
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    Customer Reviews

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    Most helpful customer reviews
    1 of 1 people found the following review helpful
    Format:Paperback
    It contains all the JAMA articles on the rational clinical examination which have since been reviewed and updated, with some modifications in the bottom line. Very well explained statistics analysis section. Highly recommended for medicine residents and clinicians.
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    Most Helpful Customer Reviews on Amazon.com (beta)
    Amazon.com: 4.5 out of 5 stars  8 reviews
    1 of 1 people found the following review helpful
    3.0 out of 5 stars it could be better March 29 2013
    By Ben - Published on Amazon.com
    Format:Paperback|Verified Purchase
    It is a great reference. quantifiable numbers for diseases that are revealed by physical exam, but I prefer a diagnostic manual or symptoms to diagnosis manual. to reiterate, this book is sensitivity and specificity of certain physical exam findings,
    1 of 1 people found the following review helpful
    5.0 out of 5 stars good Feb. 27 2013
    By Christopher K. - Published on Amazon.com
    Format:Paperback|Verified Purchase
    This gives study results about what exam findings actually represent disease and which are a waste of time. Great for a documentation review as well.
    1 of 1 people found the following review helpful
    5.0 out of 5 stars Will make you look fancy! May 1 2012
    By Ontario M2 - Published on Amazon.com
    Format:Paperback
    I recently was given a copy of this book. I think it will make a great resource for clerkship. It contains evidence-based info on examining for common conditions like appendicitis, ascites, COPD, PE, knee injury etc. One of my friends who is a resident told me it would make me look like an all-star. Looks to be especially useful for internal/CTU rotations.
    5.0 out of 5 stars Every article has one good tip Dec 30 2013
    By S. Nickels - Published on Amazon.com
    Format:Paperback|Verified Purchase
    It's not dense material but they are good articles. You pretty much get one tip from every article. I could probably condense what I learned it two pages but they give all of the evidence behind it.
    5.0 out of 5 stars Great book Jan. 1 2012
    By Jonathan Lofgren - Published on Amazon.com
    Format:Paperback|Verified Purchase
    This book is quite useful - it's as described. It gives the evidence for diagnosing based on physical exam. You don't waste your time on things that don't actually tell you anything, but you do know what's useful.
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