OXFORD AMERICAN HANDBOOK OF CLINICAL MEDICINE Second Edition The Hippocratic Oath is a pledge by all physicians to practice medicine
ethically and honestly. As part of that oath, our beliefs hold a promise
“to teach (our students) this art, if they desire to learn it, without fee or
covenant; to give a share of precepts and oral instruction and all the other
learning to … pupils who have signed the covenant and have taken an oath
according to the medical law…”. Clearly, as we were embarking on writing
and editing this medical text, we were not dwelling on the magnitude of
this late 5th-century Greek work. We were, nonetheless, thinking about
and motivated by the long-standing tradition in medicine of sharing medi-
cal knowledge with colleagues, especially with our students of medicine. In
contrast to the early days of medicine, this sharing of medical knowledge is
distributed to all cultures and all countries and is incredibly more open to
all who “desire to learn it.”
The Oxford American Handbook of Clinical Medicine is particularly writ-
ten for physicians-in-training; students in medical school and physicians in
their residency. The tradition of teaching and sharing medical information
had its beginnings at our hospital more than 120 years ago. It is here that
Sir William Osler wrote and published, in 1892, The Principles and Practice
of Medicine. This book was heralded as the most current work of clinical
management of patients based on known scientific principles. In addition
to his review of the science of medicine, Osler’s text provided sage advice
on the art of compassionate patient care. Unlike in the days of Osler, we
now have access to current medical information at the speed of electrons
with our various hand-held devices, search engines, and electronic medical

As a result, now more than ever, our trainees must assiduously
balance the science of medicine with the art of medicine. Although this
handbook is replete with medical information, as authors and editors we
also worked diligently to balance the art and compassionate delivery of
medicine with the facts of clinical decisions. We are acutely aware of new
health care policies, both local and national, of clinical cost containment,
of the importance of quality medical outcomes with high efficiency, and
with goals of professionalism.

In this new edition, we have attempted to
incorporate these aspects into medical decision-making processes and rec-
ommendations for accurate diagnosis and treatment.


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