Highly Commended in the 2005 BMA Medical Book Competition The first edition of The Inner Apprentice proved to be a landmark publication. Now in its second edition, it includes an additional chapter in which questions the assumptions about the relevance of awareness-based teaching in the overcrowded curriculum of contemporary vocational training - and suggests that the curiosity they engender is more important than ever. This book offers many new ideas, techniques and educational tools, and will be of interest to general practice trainers and trainees, and anyone involved in an individual teaching relationship.

"Many counsellors who work in primary care find it difficult to explain to colleagues in the primary care team what they actually do with clients behind the closed door of their room. In this book the author brings to life in a gripping way what really does go on when a counsellor sees a patient in the primary healthcare setting. It's good to read for once a book that describes so realistically and movingly the minute-by-minute account of what actually happens, not a book describing clever therapists getting it right all the time. The book should be required reading for newly appointed non-clinical managers of counselling services and for primary healthcare staff about to start working with a counsellor as a member of their team." - Graham Curtis Jenkins in his Foreword

Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here

How can a doctor best understand the emotions and behaviour of his or her patients? An effective and deeply satisfying route is through an appreciation of literature and the profound understanding its authors have of the human predicament. In this extraordinary and enlightening volume general practitioner John Salinsky guides the reader through some of the world's finest works. In each chapter he describes a classic novel short story play or poem revealing them to be easily accessible and enjoyable. He shows how parallels can be drawn between characters in literature and in the consulting room. Developed from his long-running column in the journal Education for Primary Care (formerly Education in General Practice) Dr Salinsky's book gives doctors a new perspective on the doctor-patient relationship and provides unique support to communication skills.

Patient and public involvement in health and social care has become a key element of government policy, and the need to listen and act on the views of patients and the public is an increasingly integral part of the planning and delivery of healthcare. This new edition has been completely revised and updated, providing practical information on the new responsibilities under clinical governance and Health Improvement Programmes, including useful website links and contact details. It offers clear and straightforward practical advice and provides an introduction to the new structures and processes being set up to enable patients and the public to be more influential in designing and delivering healthcare services. This book is essential reading for all healthcare professionals including doctors, nurses and therapists, and those with management responsibilities, as well as policy shapers and patient organisations.

What 'kind' of community is demanded by a problem like dementia? As aspects of care continue to transition from institutional to community and home settings, this book considers the implications for people living with dementia and their carers. Drawing on extensive fieldwork and case studies from Canada, this book analyses the intersections of formal dementia strategies and the experiences of families and others on the frontlines of care. Considering the strains placed on care systems by the COVID-19 pandemic, this book looks afresh at what makes home-based care possible or impossible and how these considerations can help establish a deeper understanding necessary for good policy and practice.

Contents:
1. Why Do We Use Satins? 2. How Do We Assess Dyslipidaemia? 3. What Are the Statins and How Do They Work? 4. Who Should Receive Statin Therapy? 5. What About Statin Use in the Elderly? 6. What Does the Future Hold? 7. Glossary of Terms

Information is vital for healthcare professionals striving to keep their practice current and based on the best available evidence. The Internet is playing an increasingly crucial role in life long learning of health professionals and is becoming the most practical way to access publications on clinical guidelines systematic reviews and for updating users about the key aspects of health policy. This book covers the diversity and variable value of material available on the Internet and takes a fresh approach to coping with information overload. It illustrates how simple techniques such as making and using smart maps concept maps and mind maps can help clinicians keep up-to-date and how these methods can be applied to particular areas of healthcare. It provides numerous case studies in key areas including mental health child health primary care and care of the elderly. Mapping Health on the Internet is essential reading for all healthcare professionals and will assist in their learning and continuing professional development.

Guidelines are powerful instruments of assistance to clinicians capable of extending the clinical roles of nurses and pharmacists. Purchasers and managers perceive them as technological tools guaranteeing treatment quality. Guidelines also offer mechanisms by which doctors and other health care professionals can be made more accountable to their patients. But how can clinicians tell whether a guideline has authority and whether or not it should be followed? Does the law protect doctors who comply with guidelines? Are guideline developers liable for faulty advice? This timely book provides a comprehensive and accessible analysis of the many medical and legal issues arising from the current explosion of clinical guidelines. Featuring clear summaries of relevant UK US and Commonwealth case law it is vital reading for all doctors health care workers managers purchasers patients and lawyers.

"Many of the problems that are encountered in the everyday consultation are diffuse, with important psychosocial components, and are the products of the social contexts in which patients are located. All of these figure prominently in this book, as does the ever growing problem of chronic illness. Measuring the performance of general practitioners figures prominently in some of the activities of the primary care trusts, but not all that can be counted counts, and this is why this book is both interesting and important. Listening to patients and engaging with their affective and social problems remains central to the work on the general practitioner." Carl May, in the Epilogue "At a time when GPs are concentrating as never before on bio-medical aspects of their work, this book is a very timely reminder of the importance of inter-personal aspects of the care that we provide for patients. Simon Cocksedge argues that listening is work, and he describes the choices that we have during consultations to allow the patient to express their problems, the importance of listening to the development of long term relationships with patients and the importance of 'being with' patients during important life experiences." Martin Roland, in the Foreword 'This book has arisen from reflections on patients' everyday stories in my work as a general practitioner. Over several years I have reflected on the mandate that general practitioners are given by society to listen and be available if required. The field of study is the everyday business of being a family doctor and the inter- and intra-personal phenomena that arise as a result.' Combining analysis of detailed accounts by general practitioners of their everyday work with theoretical argument, this book is an invaluable read for medical professionals in primary care, students of medicine and nursing, GP tutors and all healthcare professionals directly involved with patients.

When faced with a challenging dermatologic problem, physicians are often required to perform a time-consuming search through large dermatologic texts in order to find information that will assist in the necessary differential diagnosis. This comprehensive and concise handbook is designed to simplify this process dramatically, permitting rapid identification of the correct diagnosis. Hundreds of dermatologic diagnoses, morphologic features, drug-induced disorders, extracutaneous manifestations, histologic findings, and random other findings are listed in alphabetical order and in a homogeneous, reader-friendly structure. The differential diagnoses are shown under each main diagnosis, sorted according to similarity with that diagnosis. Since the first edition, approaching 50 new diagnoses have been added, and many new images included. This easily portable book will be of great value for dermatologists and all who deal with dermatologic diseases.

This book takes the reader through the various aspects of a career in general practice from the time of applying to medical school until retirement. It will be a practical guide for anyone who is interested in the profession.

There have been a lot of changes to medical careers over the last few years that are now coming to completion, making this a thoroughly up to date guide for all those thinking of going into general practice.

This book provides primary care clinicians, researchers, and educators with a guide that helps facilitate comprehensive, evidenced-based healthcare of women and gender diverse populations. Many primary care training programs in the United States lack formalized training in women's health, or if they do, the allotted time for teaching is sparse. This book addresses this learning gap with a solid framework for any program or individual interested in learning about or teaching women's health. It can serve as a quick in-the-clinic reference between patients, or be used to steer curricular efforts in medical training programs, particularly tailored to internal medicine, family medicine, gynecology, nursing, and advanced practice provider programs. Organized to cover essential topics in women's health and gender based care, this text is divided into eight sections: Foundations of Women's Health and Gender Based Medicine, Gynecologic Health and Disease, Breast Health and Disease, Common Medical Conditions, Chronic Pain Disorders, Mental Health and Trauma, Care of Selected Populations (care of female veterans and gender diverse patients), and Obstetric Medicine. Using the Maintenance of Certification (MOC) and American Board of Internal Medicine blueprints for examination development, authors provide evidence-based reviews with several challenge questions and annotated answers at the end of each chapter. The epidemiology, pathophysiology, evaluation, diagnosis, treatment, and prognosis of all disease processes are detailed in each chapter. Learning objectives, summary points, certain exam techniques, clinical pearls, diagrams, and images are added to enhance reader's engagement and understanding of the material. Written by experts in the field, Sex and Gender-Based Women's Health is designed to guide all providers, regardless of training discipline or seniority, through comprehensive outpatient women's health and gender diverse care.

Fran is a widely-published cartoonist with a special interest in medicine and healthcare. His cartoons regularly appear in Private Eye and GP Magazine, amongst others. This collection of his witty and acerbic cartoons poke fun at the absurdities of General Practice, from the endless form-filling and shifting targets driven by a top-down bureaucracy that doesn't really understand family medicine, through the ever-increasing demands of patients who have self-diagnosed online, to the confusions caused by patient-doctor misunderstandings. Its humorous, sideways glance at the world of the 10-minute consultation is a welcome antidote to the stresses and strains of modern General Practice. The cartoons will entertain and raise the spirits of the overburdened GP, and may even show patients how their behaviour impacts on the treatment they receive.

The upheavals of the NHS reforms have caused a great deal of stress and uncertainty in primary care, and professional development and support for general practitioners needs to take account of this. This book offers a group supervision model which can be used to develop the core competencies needed for GPs to make the new primary care organisations work. The book analyses how primary care professionals have dealt with the various reforms of the past decade, and picks apart the paralysing culture of politeness, conflict avoidance and rivalry for power, to reveal how at the core of reform is the struggle for each GP to construct a new professional identity which integrates medicine, management and politics. It proposes ways GPs can benefit from these experiences to become equipped with the necessary competencies to be active members or dynamic leaders in the new primary care organisations. The doctor-patient relationship is no longer one-to-one, but located within a group matrix, in the same way that a GP is now required to work within a group framework. This book enables GPs to develop the essential group skills they now need, and on which the success of the healthcare reforms ultimately depends.

Medical partnerships are highly complex legal and financial entities. This book navigates the reader through the key issues and deals with the less tangible aspects such as partnership dynamics and organisational behaviour. Examples illustrate common difficulties and offer possible choices. It is clear, practical and readable and essential for all GPs entering a partnership. It is also relevant for GPs currently in partnerships, practices considering their partnership deed, Senior House Officers and GP registrars.

This book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners.

While the healthcare system continues to shift towards more emphasis on quality metrics, there remains a substantial gap between the expectations of healthcare policies and standards of hospital administrations vs. the realistic care provided by the average healthcare provider. This book offers the perspective of the healthcare provider and aims to fulfill the unmet need to educate other healthcare providers on recognizing quality measures and understanding how to achieve them to meet standards of quality care. This book covers the historical perspective of quality measures, the context of their existence, their utility, and the contemporary issues related to their use. Simultaneously, it critically addresses the quality of these quality metrics and presents the evidence available to date on the efficacy and the limitations of these quality measures. This text is all-inclusive and is organized into chapters that include the evolution of quality metrics in healthcare, the practical role of hospitals, as well as the practical role of individual healthcare providers in addressing quality metrics. The chapters also include assessment of quality metrics that uniquely pertain to medical and surgical practices, as well as non-clinical quality metrics that specifically target undergraduate and graduate medical training. Finally, the book reflects on the use of contemporary quality metrics and their impact on outcomes, patient care, and public health and policy making. In these chapters, tables and illustrations, including algorithms, will be used to provide systematic approaches to common issues related to quality metrics. In addition, historical anecdotes and case presentations will be used to address pearls in contemporary practice of quality metrics. Quality Measures is the definitive reference on quality metrics in healthcare and is a valuable resource for healthcare providers, trainees, administrators and public health agencies.

A collection of life experiences, anecdotes and suggestions from an experienced GP and GP trainer focusing on the emotional intelligence required to be a great GP. The Art of General Practice is a short text written by an experienced GP and GP trainer. It is a book which will help focus the mind of the reader (GPs of all descriptions: young GPs, returners to general practice and even jaded GPs) on what it means to be a GP. Too often general practice focuses on guidelines, ever-changing targets, incentives or the academic side of medicine and the art and craft of being a GP is forgotten. The book aims to redress the balance; it helps the reader refocus on the emotional intelligence needed to be a great GP. The book consists of a number of short chapters so the busy GP can dip in and out of it as time allows - each chapter helps the reader re-centre on the core skills and techniques needed to be a great GP, and the benefits these skills will bring to both GPs and patients alike. There is almost no medicine in this book; it is a book of life experiences, anecdotes and suggestions - all aimed to help you survive the increasing pressures of general practice and make your life as a GP more interesting and less stressful.

This book provides an overview of the US laws that affect clinical practice for healthcare professionals with no legal background. Divided into thirteen sections, each chapter starts with a summary of the chapter's content and relevant legal concepts in bullet points before discussing the topics in detail. An application section is provided in many chapters to clarify essential issues by reflecting on clinically relevant case law or clinical vignette(s). Filling a crucial gap in the literature, this comprehensive guide gives healthcare professionals an understanding or a starting point to legal aspects of healthcare.

The business side of running a medical practice may be unappealing but it's crucial "How to Manage Your GP Practice" is written for GPs and other health professionals running their own practices.It tells you in simple, engaging style what the pitfalls are and how to avoid them.It illustrates the good and bad ways of negotiating through management issues, using case examples and lightening the messages with witty cartoons.

Written by a GP with over 10 years' experience editing a leading GP magazine, and an accountant whose firm advises over 2500 GPs, the information here is sound, relevant and up to date. It provides reliable and reassuring information for doctors starting out in their careers as well as those looking to refresh their management skills.

The only textbook for PA students by PA educators that covers everything you need to know for your clinical medicine courses.This groundbreaking clinical textbook designed specifically for physician assistant students was developed by PA educators to ensure that you have the exact information you need to succeed in your challenging clinical medicine courses. Designed with the unique PA curriculum in mind, Clinical Medicine for Physician Assistants addresses current ARC-PA standards, providing you with a single go-to resource for all the topics you'll need to master. Organized by body system, this text provides the in-depth, head-to-toe foundation you'll need as you prepare to move into clinical practice. Not only does it cover hundreds of clinical conditions, but it also provides important insights on how to manage the most common chief complaints, system by system, with useful algorithms to guide you through patient visits. Chapters include a digestible and methodical review of conditions, including pathophysiology, etiology, history, signs and symptoms, physical exam, and diagnosis details for each. Also included are treatment options, patient education, and special considerations for various patient populations. Additionally, you'll find key points at the end of each chapter, along with knowledge checks to help you synthesize and apply what you learned. Key Features: The first clinical medicine textbook developed for PAs by PAs specifically for the PA curriculum Designed to reflect current ARC-PA competencies and standards for clinical medicine courses Covers all the clinical topics on the current NCCPA PANCE blueprint and more Includes chapters on surgery, abuse, care of the LGBTQ+ patient population, and preventive medicine More than 300 four-color illustrations, dozens of algorithms, and 600 useful tables and boxes to facilitate learning Key points and knowledge checks to reinforce learning Useful guidance for navigating common chief complaints Robust instructor resources, including an instructor manual, PowerPoint lectures, case studies, an image bank, and a test bank with more than 1,000 questions

This classic book has been providing help for candidates of the MRCGP exam for over 20 years. Now fully updated for UK trained doctors wishing to obtain a Certificate of Completion of Training in General Practice, this new edition covers all three required components of the integrated assessment programme. It provides sample questions for the Applied Knowledge Test (AKT), practice cases for Clinical Skill Assessment (CSA) and a guide to Workplace Based Assessment (WPBA).

The chapters follow the 16 sections of the RCGP curriculum and include summaries of the current evidence base with clinical guidelines, examination tips, revision tactics, and advice on where to get support - but not just at the crucial time of exams - it includes invaluable information for GPs starting their first year in practice and helps provide the "life skills" needed to be a GP, including topics relevant for the rest of a GP's career and their "continuing professional development" - appraisal, revalidation, managing change, teamwork, burnout, and other areas of self care.

The student workbook is design to help you retain key chapter content. Included within this resource are chapter objective questions; key-term definition queries; and multiple choice, fill-in-the-blank, and true-or-false problems.