Academic validation
"The Expert Clinician: bridging the clinical
divide" is intended to bridge the divide between the traditional clerking
taught to medical students and the approach used by experienced clinicians in
the hope that it will restore the value of the consultation among trainees. In
the book I describe a new approach to the medical consultation which is very
different from the traditional "history and examination" format
taught to medical students. I knew it would be controversial, because it
challenged long-held tradition and was concerned it would not be accepted. I
was therefore delighted when an article I wrote entitled "Time to Bridge
the Clinical Divide" was published in Medical Science Educator, a
prestigious medical education journal:
The publication of this article validates the importance of
the topic and gives academic credibility to some of the ideas described in the
book.
Journal Abstract
"Unlike trainees, experienced clinicians rarely follow
the traditional history and examination format. They determine the aims of the
consultation early, and manage the consultation flexibly in response to the
context, the problem, the patient and the available information. They ensure
that the focus and format of the consultation, the questions asked and signs
sought, are relevant so that the outcome meets the aims. They link and
prioritize available information to evidence their opinion. It is time to bridge
the divide between the traditional history and examination format learned by
trainees and that used by more experienced clinicians."
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