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Mapping Uncertainty in Medicne

Mapping Uncertainty in Medicne

Avril Danczak | Alison Lea | Geraldine Murphy

(2016)

Abstract

Uncertainty is the norm in medical practice, yet often gives rise to distress in clinicians, who fear they will make shameful or guilt inducing errors. This book offers a succinct method to clinicians for classifying uncertainty and finding the right skills to manage different types of uncertainty successfully. Every clinician experiences moments when 'they don't know what to do'. Modern medicine is increasingly complex and training has also become more complicated. The days of 'see one, do one, teach one' are over. Yet, both younger clinicians and senior practitioners describe uncertainty as one of the most challenging and stressful aspects of clinical work. If uncertainty is uncomfortable or threatening to individual practitioners, it also provides complex educational challenges. How can we learn to cope with uncertainty effectively ourselves? How can we teach others to understand and manage uncertainty? In this ground breaking book, the authors propose ways to cut through uncertainty, which is explored as an inevitable (and even desirable) component of clinical practice. A Map of Uncertainty in Medicine (MUM) is used to classify uncertainty and to define the skills that will help find a way though practical difficulties. It is always good to have your MUM with you in a tricky situation!
Certainty in medicine is an illusion, just as it is in everyday life. Keep this book by you - it will make sense of your uncertainties. Amanda Howe, foreword.

Table of Contents

Section Title Page Action Price
Contents v
Foreword vii
Preface ix
About the authors xiii
Acknowledgements xv
Part I: Uncertainty in medicine 1
1: Thinking about uncertainty in medical practice 5
2: How to use this book 11
Part II: Mapping uncertainty in medicine 21
The Analysing Quadrant 25
3: Introduction to uncertainty in the Analysing Quadrant 27
4: Functional ways through uncertainty in the Analysing Quadrant 41
5: The clinical setting, assessment and teaching methods for uncertainty in the Analysing Quadrant 63
The Networking Quadrant 69
6: Introduction to uncertainty in the Networking Quadrant 71
7: Functional ways through uncertainty in the Networking Quadrant 77
8: The clinical setting, assessment and teaching methods for uncertainty in the Networking Quadrant 95
The Negotiating Quadrant 99
9: Introduction to uncertainty in the Negotiating Quadrant 101
10: Functional ways through uncertainty in the Negotiating Quadrant 105
11: The clinical setting, assessment and teaching methods for uncertainty in the Negotiating Quadrant 131
The Team-working Quadrant 135
12: Introduction to uncertainty in the Team-working Quadrant 137
13: Functional ways through uncertainty in the Team-working Quadrant 143
14: The clinical setting, assessment and teaching methods for uncertainty in the Team-working Quadrant 165
Part III: Mapping the psychology of uncertainty 171
15: The psychological themes that underpin clinicians’ responses to uncertainty 175
16: Mapping the psychology of uncertainty against the Analysing, Networking, Negotiating and Team-working Quadrants 187
Part IV: Mapping uncertainty in medical training 207
17: Training clinicians to deal with uncertainty 211
18: Assessment using the Map of Uncertainty in Medicine 219
19: Educational methods for training for uncertainty 227
20: Educational skills for uncertainty in training 237
21: Learning about uncertainty 249
Part V: Exploring uncertainty from the patient’s perspective 261
22: The impact of uncertainty on patients 265
23: Mapping uncertainty from the patient’s perspective 277
24: Conclusion 299
Index 307