Physician & Patient, Neurology, Diagnosis

The Effective Clinical Neurologist

Name: The Effective Clinical Neurologist
Author: Louis R. Caplan
ISBN: 9781607951001

by Louis R. Caplan

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Synopsis

The Effective Clinical Neurologist presents the most systematic guide available for the doctor or medical student learning the art of the neurological examination and treatment. The patient-centered method is presented in logical steps, walking the reader through the process in a clear and detailed, yet personal style. The authors begin by placing neurological medicine in its current cultural and economic environment and progress to presenting the specific process of interacting with the patient.This book is the only guide to the art of achieving optimal doctor-patient interaction and communication, which are essential to the practicing neurologist. The third edition of this classic reference is fully updated to include the impact of electronic communication and to incorporate the many technological advances that can be applied to the neurological evaluation. Other changes in the environment in which the clinician practices include the changes in procedure brought about by managed care.

This edition is organized into four parts, beginning with a section on the clinician-neurologist and the scope, methods, and uniqueness of this area of medicine. Part II focuses on the patient encounter - the taking of a history, systemic and neurological examination, interpretation of tests, giving the patient information, and conducting the "dismissal interview."

Case examples illustrate the methods discussed. Part III presents the various types of encounters that occur, including those that involve inpatient care, outpatient care, consultations, and the inclusion of medical students and other trainees. Medico-legal aspects of neurological care are also presented. Part IV concludes with a summing up of the approach to patient care that is presented in the book and offers 10 Commandments of Doctoring.

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Editorials

From The Critics

Reviewer: Terri E Kiernan, MSN, FNP-BC, CCRN, CNRN(Mayo Clinic Arizona)
Description: Using clinical cases and with a sense of humor, the authors stress the importance of providing excellent neurological care at a time when there are many barriers in healthcare. Previous editions of this book were published in 1990 and 2002.
Purpose: The purpose is to fill the gaps in trainees' education. The book dissects the necessary fundamentals for neurologists or other healthcare providers who encounter patients with neurological complaints.
Audience: The intended audience includes postgraduate students and medical school students planning careers in medicine, but I would encourage anyone in medicine to read this book. Much of what it teaches would benefit both students and physicians in the field. It discusses many issues that can help refocus your practice in medicine.
Features: The book has two main focuses. The first is the interaction with the patient, which involves techniques in acquiring a history, the neurological examination, diagnosis and differentials, investigations, treatments, etc. The second is on the elements of outpatient and in-hospital care and consultations. The book also delves into problem areas such as medicolegal issues. The clinical case examples throughout the book illustrate and clarify the concepts.
Assessment: This is an informative and enjoyable book. The authors do not sidestep important areas, such as medicolegal issues or the time allocated for office visits, but tackle them head-on, illustrating possible ways to deal with them. The third edition also addresses the influence of technological advances, including the impact of the electronic medical record.

From The Critics

Reviewer: Terri E Kiernan, MSN, FNP-BC, CCRN, CNRN(Mayo Clinic Hospital)
Description: Using clinical cases and with a sense of humor, the authors stress the importance of providing excellent neurological care at a time when there are many barriers in healthcare. Previous editions of this book were published in 1990 and 2002.
Purpose: The purpose is to fill the gaps in trainees' education. The book dissects the necessary fundamentals for neurologists or other healthcare providers who encounter patients with neurological complaints.
Audience: The intended audience includes postgraduate students and medical school students planning careers in medicine, but I would encourage anyone in medicine to read this book. Much of what it teaches would benefit both students and physicians in the field. It discusses many issues that can help refocus your practice in medicine.
Features: The book has two main focuses. The first is the interaction with the patient, which involves techniques in acquiring a history, the neurological examination, diagnosis and differentials, investigations, treatments, etc. The second is on the elements of outpatient and in-hospital care and consultations. The book also delves into problem areas such as medicolegal issues. The clinical case examples throughout the book illustrate and clarify the concepts.
Assessment: This is an informative and enjoyable book. The authors do not sidestep important areas, such as medicolegal issues or the time allocated for office visits, but tackle them head-on, illustrating possible ways to deal with them. The third edition also addresses the influence of technological advances, including the impact of the electronic medical record.