The third edition of difficult decisions in thoracic surgery an evidence based approach devotes itself to looking at questions and decisions in general thoracic surgery that are difficult or controversial focused topics are explored and readers will find pithy analyses and recommendations which are carefully given in accordance with the . This is the third edition of a book on difficult and controversial topics in general thoracic surgery that presents practical and evidence based advice it is written for practitioners and trainees in the area of general thoracic surgery. Why do thoracic surgeons need training in decision making many of us who have weathered harrowing residencies in surgery feel that after such experiences decision making is a natural extension of our selves while this is no doubt true correct de sion making is something that many of us have yet to master the impetus to develop a text on evidence based decision making in thoracic surgery . On evidence based decision making in thoracic surgery was stimulated by a conference for cardiothoracic surgical trainees developed in 2004 and sponsored by the american college of chest physicians during that conference it became clear that we as thoracic surgeons are operating from a very limited fund of true evidence based information. The purpose is to explain the process of decision making in a physician patient relationship and to present recommendations about management of specific clinical scenarios in thoracic surgery using the best available evidence the book achieves its objective of providing the best evidence surrounding common problems in general thoracic surgery
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