The ten years since the First Edition of this book have witnessed revolutionary changes in GP training: appraisal, the new MRCGP exam and competence-based assessments to name but three. Greater availability of information has also transformed the social context of General Practice as a profession. Despite this, the one-to-one relationship between trainer and trainee remains the lynchpin of GP education, and this manual's key principle - that GP trainers are the key source of expertise in this field, and that their experiences and ideas are a vital and still-underused resource - is as important as ever. This new edition, fully revised and updated to reflect the latest changes in both GP training and the profession, remains an essential, comprehensive manual of useful advice for GP trainers written by their peers. Outlining educational methods, training philosophies and reflections from practitioners experienced in the entire spectrum of GP education, it provides a tool box of resources to cover the practicalities of training, including e-portfolios, teaching consultation skills, and numerous tips and tricks. It is now augmented with an array of supporting material that includes checklists, forms and evaluation tools, accessed electronically via a code supplied with the book. This book is vital reading for GP tutors and GP trainers as well as those considering such roles, and for all those who manage and oversee the training of GP registrars. 'The next generation of GPs will face even more changes in the landscape of primary care and it has become even more imperative that we provide high-quality training. This manual will support this process.' - from the Foreword by Steve Field

Rheumatic diseases are among the most frequently encountered problems in primary care practice.? The aim of this issue is to provide primary care clinicians with the tools they need for treating these disorders in every day practice.? The issue focuses on the diagnosis and treatment of common rheumatic ailments such as osteoarthritis, fibromyalgia, rheumatoid arthritis, and systemic lupus erythematosis, emphasizing the practical, hands-on approach that primary care doctors find most useful.

Effective communication is at the heart of good management. This comprehensive book describes effective communication skills including organisational structures group dynamics overcoming barriers to good communication effective listening and counselling skills in primary care. It provides the reader with the tools needed to manage effectively including those essential for leadership interviewing teaching and supervision. In addition it looks at strategies for dealing with stress such as problem solving techniques and improving personal organisation. Communication and the Manager's Job is a concise yet comprehensive guide for GPs practice managers and all members of the primary care team with an interest in their own personal and professional development.

An invaluable resource guide for anyone working with persons suffering from Alzheimer's disease, this is the first book to present a step-by-step program to help families cope with the day-to-day problems arising from this disease. Using detailed case examples, the authors offer unique and effective strategies to help the family--and the patient--have enjoyable and more productive lives.

"Well written and eminently practical guide for families struggling with the burdens of Alzheimer's disease."
--Peter V. Rabins, M.D., John Hopkins University School of Medicine, author of "Thirty-Six Hour Day"

"An outstanding book dealing knowledgeably and sensitively with a painful disease affecting millions of American familes."
--Robert N. Butler, M.D., Brookdale Professor of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York

Health policy emphasises the role of primary and community-based services in achieving strategic change throughout the NHS. However, despite lead roles assigned to social service departments and residential and nursing home care services, difficulties remain in achieving closer working relationships. This book is a concise guide to the new initiatives in this area, including models and practical examples. It covers the recent developments encouraging partnerships between health and social care services, and is essential reading for all those involved in primary care and the social services, especially those with an interest in the care of older people. The National Primary Care Research and Development Centre series provides policy makers, commissioners, managers, primary care professionals and user organisations with up-to-date multi-disciplinary research on important issues that inform future decision-making for primary care development.

Consumer interest in diet and nutritional supplements is increasing dramatically. Patients and members of the public are seeking advice from health professionals, nutritionists and food scientists. This book is designed to meet the needs of those professionals who are called upon to advise patients and the general public. It provides also a valuable text for those who are researchers or decision makers in the food and pharmaceutical industries. The text presents a thorough account of this topical subject and enables the reader to appreciate the functions of nutrients in health and common disease states, to understand the current debates over the roles of nutrients and supplements in the diet, and to answer those questions frequently asked by patients and consumers.

'Dermatological Emergencies' aims to cover aspects of situations and their management when they present in a Dermatology setup. This includes severe drug reactions, bullous disorders, erythroderma, infections, vasculitis and systemic emergencies presenting with skin signs. This book guides the reader to recognize such emergencies, helps to approach the initial phase of management, identifies the investigations, thus leading to a holistic management of the scene. Case scenarios are used in all chapters with logical flow of text, flowcharts, algorithms and representative clinical and laboratory images for better understanding of the readers. Key Features Details all dermatological emergencies Discusses manifestation of these emergencies with unique algorithms and flowcharts Examines case scenarios for first-hand experience Consists of Do's and Don'ts for effective management of cases Uses high quality clinical images for clarity

An in-depth look at prevalent anxiety disorders in adolescents, this book is designed for parents of teens who have recently been diagnosed with or who are at risk for developing such a disorder. It is also for other adults, such as teachers and guidance counsellors, who are regularly in contact with at-risk adolescents. The book combines scientific expertise - including information about available treatments and up-to-date research findings on anxiety disorders-with the practical wisdom of parents who have raised teenagers with these illnesses. In clear and accessible language, Dr Edna B. Foa and Linda Wasmer Andrews explain in detail each of the four major anxiety disorders (social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and post-traumatic stress disorder). The book includes tips on how to go about getting a diagnosis, what a diagnosis means, when and where to get treatment, and how to navigate the health care system. There is also advice on how to handle everyday life - both at home and at school - once the teen is diagnosed. Pointers on red flags to look out for and about the dangers of doing nothing are included as well to help parents and other adults deal effectively with adolescent anxiety disorders before they become debilitating.

This issue of Primary Care covers the full gamut of women's health problems seen in a primary care practice, from amenorrhea and family planning through menopause and osteoporosis. Also included are articles on common breast problems, urinary problems, cervical cancer screening, depression, and domestic violence.

"This featherweight volume packs a heavyweight punch. It's a how-to guide to emergency general medical practice, which omits no important subject - the most practical book ever for general practitioners...the ideal book to keep by your side when on call." Update, 1997 Here is the fully revised fourth edition of this unique book that provides general practitioners with an easy-to-read, easy-to-use guide to the management of the vast majority of emergencies. The first contact a GP has with an emergency case is almost always a telephone call, and the advice given here by the doctor is of paramount importance in the subsequent management of the case. A unique feature of the book is that each topic begins with advice on how to handle the initial telephone call. Each presenting problem is then approached logically with concise notes on assessment, advice and management necessary when the patient is seen. The emphasis is on practical primary care, with discussion of differential diagnosis taken as far as is needed to decide the best immediate course of action. Tables are used liberally to summarise useful information.For each emergency, the ultimate advice and strategy is emphasised within heavy horizontal lines. Emergencies in General Practice is an indispensable book for the practising GP, whether in the practice, on call, or working for the co-op or deputising service. It is also a valuable teaching text for GP registrars.

What is it like to be sued for medical malpractice? Bad medical outcomes traumatize patients but they also traumatize physicians. The litigation that often follows is a profoundly human, rather than just a legal experience. Although every physician's case is different, this book shows how each case goes through the same judicial stages of complaint, discovery, depositions, motions, and delays that lead to trial, settlement, or being dropped. It also gives doctors an understanding of how lawyers think and work to help defendants. Written by a physician and a lawyer, the book provides unique insights - through real-life stories - into the personal experience of litigation as well as recommendations for dealing with each of the legal process. It also includes up-to-date reviews of HIPAA legislation, the controversial subject of disclosure, and recent developments in the law affecting medical practitioners. Only about thirty percent of plaintiffs win their cases against doctors, but the journey from bedside to witness stand tests both the personal character and the professional skills of those accused. This well-documented book will help doctors understand and navigate the legal system while honouring their own ideals and emerging changed but stronger from the experience.

As three young, dynamic GPs working in London we realised that there was a dearth of well written up-to-date MCQ revision guides with satisfactory explanations. Since we all achieved distinctions in the MRCGP exam we believed we could incorporate our revision notes on hot topics to develop a high-quality contemporary MCQ resource...This comprehensive revision aid covers the entire nMRCGP syllabus over four exam papers. It's the most up-to-date guide available for the new exam and, alongside its online resources, provides a wide-ranging tool for candidates. It's easy to read and comprehend, and exam topics are grouped in the index to make for easy reference and further study.

Provides the GP trainee and trainer with a practical guide to making the best use of the vocational training programme.
This new edition has been completely revised to reflect the most recent changes to GP training and assessment. It sets out a practical framework within which trainees and trainers can work to ensure that trainees are as prepared as possible, not only for their MRCGP or Summative Assessments, but also for their whole careers in general practice.

How do clinicians select appropriate treatment strategies to match their clients' needs?
"Formulation and Treatment in Clinical Health Psychology" brings together leading experts in the fields of clinical health psychology and behavioral medicine with the aim of illustrating the formulation and treatment design procedures which they employ in their specialist areas.
Each chapter covers the key biopsychosocial parameters, assessment modalities, empirically based treatment strategies and formulation procedures for specific problems. Areas covered include:
- Cognitive-behavioral case formulation in the treatment of alcohol problems;
- Psychological treatment of hypertension;
- Cognitive therapy for irritable bowel syndrome;
- Miscarriage: conceptualization and treatment of the psychological sequelae.
Case studies are employed throughout to demonstrate a link between case formulation, treatment planning and outcome.
The practical guidance provided in this volume will prove invaluable for all practicing clinicians working in the context of health-related problems.

This authoritative, highly illustrated text and color atlas provides a systematic guide to commonly performed minor surgical and dermatology procedures. Accompanied by video clips, this critical resource on skin and minor surgery is designed for all trainees and practitioners, including experienced surgeons, dermatologists, family doctors, nurses, and the supporting healthcare team. Divided into four main color-coded sections, the book covers essential background information including postoperative management and aftercare, the key knowledge required for diagnosis and management, and the skills necessary to perform procedures step by step. Comprehensive coverage-Learn to perform a whole range of procedures from small skin surgical procedures to vasectomy Step-by-step techniques-See how to perform each technique with numerous color illustrations, animations and video clips Practical advice, boxes, tables, warnings, and indications of difficulty level-Achieve success and avoid common pitfalls Authoritative yet contemporary-Gain wisdom from this long-established, trusted book brought completely up to date by today's practitioners

The results of computational model simulations allow researchers and clinicians to make predictions about what will happen in the biological systems that are being studied in response to changing conditions for a disease or disorder. With a well-developed computational model, researchers and clinicians can better understand the cause of a disease or a disorder and predict treatment results. Computational Models for Biomedical Reasoning and Problem Solving is a critical scholarly publication that provides insightful strategies to developing computational models that allow for the better understanding and treatment of various diseases and disorders. Featuring topics such as biomedicine, neuroscience, and artificial intelligence, this book is ideal for practitioners, clinicians, researchers, psychologists, and engineers.

Completely updated and revised, the third edition provides primary care physicians with practice-tested, condition-specific treatment recommendations for various childhood mental disorders. Obtain clear guidance on dosing, monitoring, and potential adverse reactions of psychotropic medications for treatment of common psychiatric disorders and mental health or behavioral problems in children and adolescents. It includes digital tools offering instant access to additional information on psychotropic medications. TOPICS INCLUDE Conceptual framework for prescribing psychotropics Newly approved medications, changes in regulations and guidelines, and updates in the professional literature are included in this new edition Medications for specific diagnoses-ADHD, anxiety, and depression Food and Drug Administration approved antipsychotics and mood stabilizers and all other medications What to do when treatment is unsuccessful

If you are reading this, it is likely that you have accepted, or may be considering responsibility for a relative or friend who has cancer. This can be a daunting situation, and this guide provides information and advice to help you deal with the most common problems faced by carers of cancer patients. It provides answers to many of the questions you may wish to ask. The author, Dr Welsey Finegan, was a consultant in palliative medicine before being diagnosed with cancer himself. This gave him a unique perspective that enabled him to write the popular "Trust Me I'm a Doctor Cancer Patient", which is packed with practical and accessible advice for patients. More recently Dr Finegan has also become a family carer, and is determined to use his expertise to provide other carers with a concise source of specialist knowledge.This guide deals with pain, physical symptoms, psychological problems, death and bereavement, and it adopts a unique approach to encourage the carer to work with the patient, doctors and nurses to achieve realistic and mutually agreed outcomes. You are encouraged to learn about day-to-day problems, ask relevant questions and take an active part in sharing the care of the patient. The book will lead you towards relevant sources of help and advice, and suggests tried and tested ideas that have helped other patients.

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.

Complexity theory is a collection of concepts ideas and perspectives developed largely in fields outside medicine. It allows us to study health care delivery using the metaphor of an ecosystem rather than a machine. This timely book explores the ways complexity theory may assist in the provision of clinical healthcare. It explains the foundations of the theory behind complexity its place in clinical medicine and in the wider scientific context using examples of its application in current and potential future medical scenarios. Drawing on insights from diverse areas including ecology evolutionary theory and computer science itit demonstrates the relevance of complexity to cardiology diabetes and mental health to consultation dynamics and decision support and to the delivery of other aspects of care through more informed use of health informatics. The increasingly complex arena of clinical medicine requires new models on which to manage uncertainty recognise and value diversity and process information. All clinicians and managers in primary and secondary care will find this book useful and engaging reading. 'The fashionable drive for a narrowly defined evidence-based practice is likely to accelerate trends which many of us fear: a retreat from clinical intuition to defensive documentation; from acumen to investigation; from values-based policy to techno-managerialism. The ideas addressed in this book written by those who are pioneering the application of complexity theory to clinical practice appear to provide a science-based and rigorous defence against the simplistic thinking which has impelled such dangerous trends. This is an important book it is timely and it is to be welcomed' Marshall Marinker in the Foreword

This unique volume teaches those in the medical fields about the scientific value of neuropsychology in assessing cognition, the 6th vital sign, as part of well integrated collaborative care. It offers physicians a comprehensive tour of the many dimensions neuropsychology can add to primary and specialized medical care across the lifespan. Noted experts examine cognitive ramifications of a wide range of medical, psychological, and neuropsychological conditions, among them brain tumors, stroke, epilepsy, pediatric and adult TBI, schizophrenia, and adult ADHD. The book's generous selection of case examples demonstrates the benefits of cognitive assessment in building accurate diagnoses, better understanding of patient needs, and more appropriate treatment and management strategies, as well as other neuropsychologist roles in consulting, referral, and forensic areas. In addition, tables, callout boxes, review questions, and other features are included throughout the text for ease in comprehension and retention. A sampling of the coverage:* The value of neuropsychological evaluation in medical practice. * A model of collaboration between primary care and neuropsychology. * Neuropsychological assessment of extremely preterm children. * Alzheimer's Disease and overview of dementia. * Deep brain stimulation for Parkinson's Disease. * Neuropsychology in the 21st century: the rise of multicultural assessment. * Neuropsychological interventions for individuals with brain injury. The Physician's Field Guide to Neuropsychology is both a rigorous and an accessible reference for clinicians in diverse disciplines including general practice, family medicine, neuropsychology, pediatrics, gerontology, and sports medicine.

A concise, practical guide to the diagnosis and treatment of liver disease. Authoritative and practical, this important new book not only spells out the advantages and limitations of the latest diagnostic tests, but also provides numerous algorithms for evaluating patients and treating the liver problems commonly encountered by primary care physicians. Here, too, the reader will find described the nuances of serological tests for the detection of viral infections and how best to use invasive and noninvasive radiological tests in specific circumstances. Common complications are fully discussed and detailed practical information is given on how to recognize the patient's immediate problems and deal with them effectively. This book's numerous diagrams, clinical "pearls," and cost comparisons will clarify the often complex and bewildering array of conditions associated with liver disease and make it a definitive and indispensable guide for primary care physicians, medical students, and residents.

'When I want to know the real rock-bottom truth about what happens all the time in this doctoring life what happens to us and to the folks who bring us their hearts and worries to be heard that's when I turn every time to the novelists the playwrights the poets the essayists who have given us the sights and sounds the feel of all that goes on minute by minute. What Tolstoy and Chekhov knew we need to know for ourselves for our own sakes as we live out our medical lives.' William Carlos Williams 'The most fundamental of all consulting skills is genuine curiosity about other people the constant urge to wonder 'Why are they as they are?' We should open our minds to the life of the imagination not just for its entertainment value but for the mindset of curiosity it engenders in us. Such books as John Salinsky describes in this and his previous volume combine powerful opportunities for our own professional growth with pleasure and recreation too.' Roger Neighbour in his Foreword 'This carefully assembled wonderfully telling book is a "companion" for sure a lasting and most helpful one for the medical travelling that awaits us.' Robert Coles in his Foreword

As public accountability has increased and resources have become scarcer, public health, like clinical medicine, has been forced to re-examine the benefits and costs of its activities. Decision and economic analysis are basic tools in carrying out that mission. These methods have become standard practice in clinical medicine and health services research. This book, now in its second edition, was written in an effort to apply and adapt that experience to public health situations.

The book was originally written to introduce Centers for Disease Control and Prevention staff to the concepts of decision and economic analysis, to provide guidance on methods to maximize comparability of studios, and to provide access to frequently used reference information. It has been adapted to meet the needs of scientists and managers in state and local health departments and managed care organizations as well as students in schools of public health and clinicians for an introductory text - a text that shows how these methods can be applied in population-based practice, to facilitate better comparability of studies, and to solidify understanding of the scientific basis for use of these tools in decision making. Decision makers will learn how these studies are conducted so they can be critical consumers, understanding the strengths and limitions, and apply findings to policy and practice.

The second edition updates and expands upon the standard methodology for condcuting prevention effectiveness analyses. Each chapter has been revised or re-written. The chapters on measuring effectiveness, decision analysis, and making information useful for decision makers as well as several appendices are entirely new.

In this valuable new book, a consultant oncologist and a family practitioner have brought together their different and complementary experience of dealing with cancer to provide primary care physicians with all the information they need to meet the demands that will be placed upon them. With input from respected specialists in oncology; surgery and palliative care, it describes each of the major types of cancer in adults and children, with each chapter following an identical format. For each type of cancer, risk factors, epidemiology and demographic data are presented, with comment on diagnostic and screening issues; options for management are then discussed, and choices of therapy reviewed together with their prognostic implications. The concise text is supported by numerous tables, charts and diagrams, with key points summarised in highlighted panels. Each section concludes with up-to-date information on current research and on-going trials, and contact details of specific support groups for patients and their families. Additional chapters cover in more detail major topics such as pain management, terminal illness and provision of palliative care, and dealing with bereavement. Throughout the book, emphasis is placed on understanding the needs of the patient, and the importance of the doctor being able to communicate effectively, and objectively, the implications of the sometimes difficult choices that have to be made. This is a highly readable book packed with useful information and it should find a place in every doctor's office. Input from respected specialists in oncology, surgery and palliative care.