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Books > Medicine > General issues > Health systems & services > General practice
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.
Interprofessional education (IPE) and collaborative practice (IPCP) are the keys to improving health, safety, satisfaction and cost in the modern healthcare system. This IPE Toolkit provides healthcare educators, administrators, and clinicians with a practical, evidence-based manual for leading change. With these keys, we invite you to unlock meaningful collaboration for the next generation of health professionals, supported by an interprofessional collaboration of authors with more than 50 years of combined experience in education, practice, and scholarship in medicine, nursing, pharmacy, physical therapy, speech-language pathology, instructional design, simulation and online education. Following a step-by-step approach with supporting resources and examples, this guide offers a structured method for successful interprofessional program design, implementation, and assessment. Readers will explore IPE through the context of accreditation standards, administrative leadership, stakeholder buy-in, faculty and professional development, scholarship, teaching and learning, and curriculum development. Ten toolkits give professionals and educators the resources they need to quickly start new IPE learning experiences. This book is the go-to manual to fully explore, successfully launch, and advance quality IPE that creates results. Key Features: * Presents active learning strategies including team-based learning, case-based learning, simulation, and dilemma discussions. * Highlights best practices for virtual and online IPE that help educators overcome major IPE barriers, especially accessibility, scalability and cost. * Offers an abstract, key definitions, and concepts at the beginning of each chapter to set the reader's expectations. * Utilizes illustrations and tables to help clarify and expand on key concepts, enabling readers to more easily understand and apply material. * Includes comprehensive appendices on available resources for IPE and IPCP. * Provides step-by-step checklists, tables and figures on how to build IPE using didactic, simulation, online, and experiential learning andragogies. * Explores techniques to identify and reduce interdisciplinary biases, stereotypes, and prejudices, all barriers to dual professional identity and successful teaming.
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.
The previous edition of this book for the Membership of the Royal College of General Practitioners examination proved to be hugely popular since publication in 2005. But now the MRCGP exam and Summative Assessment have merged to become the compulsory nMRCGP, and with this has come a change in the format of the written exam. Rather than Paper 1 and Paper 2 there is now a single Applied Knowledge Test consisting of one three hour exam. This new edition reflects all these changes. In addition, updates include revised guidelines and questions on relatively new topics such as practice based commissioning. This book will continue to familiarise you with the types of questions found in the new exam and also covers good exam technique to optimise your results with the knowledge you have. The questions have been divided into papers, so you can practice exam timing, and you can also use the book to test yourself on specific subjects by referring to the topic-based question index. Compared with the limited alternative preparation material for this examination, this book gives far better explanations of answers, and the information is presented more accessibly. It is essential for all examination candidates.
"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.
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 volume addresses gaps in the existing literature of global mental health by focusing on the ethical considerations that are implicit in discussions of health policy. In line with trends in clinical education around the world today, this text is explicitly designed to draw out the principles and values by which programs can be designed and policy decisions enacted. It presents an ethical lens for understanding right and wrong in conditions of scarcity and crisis, and the common controversies that lead to conflict. Additionally, a focus on the mental health response in "post-conflict" settings, provides guidance for real-world matters facing clinicians and humanitarian workers today. Global Mental Health Ethics fills a crucial gap for students in psychiatry, psychology, addictions, public health, geriatric medicine, social work, nursing, humanitarian response, and other disciplines.
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.
Gastroesophageal Reflux and the Lung provides a comprehensive review of current knowledge concerning normal deglutition and foregut digestive processes and examines how abnormalities of swallowing or excessive/abnormal GER can lead to respiratory tract dysfunction and lung disease. In-depth Chapters deliver a concise review of the prevalence of GER in patients with lung disease and synthesize the current evidence regarding its diagnosis and management. Each chapter includes key points and a summary. In addition to outlining the current state of knowledge, each chapter provides a summary of ongoing research in the field and identifies the need for future research. Written by an international group of authors who are experts in their respective fields, Gastroesophageal Reflux and the Lung is a valuable resource for practicing clinicians, internists, pulmonologists and primary care personnel.
This book introduces a new theory on the substantial comorbidity that exists between many illnesses and disorders and concurrent symptoms such as pain, impaired sleep and fatigue. The specific illnesses and disorders discussed include obesity, diabetes mellitus type-II, medical illnesses including cardiovascular disease and sleep-disordered breathing, insomnia, disordered eating such as binge-eating disorder and night-eating syndrome, affective distress (anxiety and depression), and comorbidities that are linked to eating disorders such as anorexia nervosa and bulimia nervosa. The book posits that the comorbidities are the result of a complex bio-psycho-behavioral mechanism that includes circadian rhythm dysfunction. It examines the statistical and methodological (e.g. measurement) problems that can complicate the understanding of comorbidity and explores a broad range of novel, existing, and repurposed therapy approaches that could have utility in treating comorbid disorders. This book will be of great value to academics as well as practitioners working in the field of psychiatry, health psychology and medicine more broadly.
Practical Procedures in General Practice 2e is an updated guide for any GP looking to establish a minor surgery service, covering: setting up a minor surgery clinic accreditation - new patient selection and assessment basic operative procedures diagnosis and management of skin lesions - new joint injections long-term contraception, including LARCs - new specialist procedures such as carpal tunnel decompression and non-scalpel vasectomy which may be undertaken by GPs with extended roles If you are one of the many GPs looking to reduce referrals and provide a better service to your patients by developing a minor surgery DES, then Practical Procedures in General Practice will help. Note from the publisher: This book will help you to understand what is possible and to remind you how to do the procedures correctly. It is not a substitute for gaining relevant practical experience through expert supervision or at a specialist training course, such as one of those run by the RCGP.
Compact, hand-carried ultrasound devices are revolutionizing how healthcare providers practice medicine in nearly every specialty. The 2nd Edition of this award-winning text features all-new chapters, a greatly expanded video library, and new review questions to keep you fully up to date with the latest technology and its applications. Access to this product, which may be at the discretion of your institution, is up to 3 years of online and perpetual offline access. Elsevier reserves the right to restrict or remove access due to changes in product portfolio or other market conditions. Provides comprehensive guidance for any specialty on the latest point-of-care ultrasound applications for physicians and other health care providers. Helps you interpret findings with a peer-reviewed, online video library with more than 1,000 ultrasound videos of normal and pathologic findings. These videos are complemented by anatomical illustrations and text descriptions to maximize learning. Offers new online resources, including over 120 clinical cases and 350 review questions in every chapter. Features fully updated content throughout, plus all-new chapters on hemodynamics, transesophageal echocardiography, transcranial Doppler ultrasound, pediatrics, neonatology, and 2nd/3rd trimester pregnancy. Shares the knowledge and expertise of expert contributors who are internationally recognized faculty from more than 60 institutions. Recipient of British Medical Association's President's Choice Award and Highly Commended in Internal Medicine at the BMA Medical Book Awards 2015 (first edition). Enhanced eBook version included with purchase gives you access to all the text, figures, videos, cases, review questions, and references while on the go.
This book covers several areas, such as immunology, infectious diseases, physiology, general nursing, and medicine as well as measurement accuracy and the history of our understanding of fever. This book employs an interdisciplinary approach to exploring our concept of body temperature and specifically fever. The present volume revolves around thermometry, taking the reader on a journey from the past to the present. Yet while the emphasis is on the clinical importance of obtaining accurate, quantitative measurements of body temperature, the reader is also introduced to the most recent clinical work on the subject. This book represents a truly cross-disciplinary collaboration, using evidence-based practice to integrate physiological and immunological knowledge. The authors' intention with this volume is to help readers gain better insight into the importance of using knowledge from different disciplines to develop an appreciation of the different aspects of body temperature. In addition, the reader will come to understand the concept of fever in a broader perspective than is traditionally adopted.
This book provides an easy to use, practical, yet comprehensive resource for family practitioners to use in the daily struggle against infectious diseases. It discusses vaccines and preventive measures as well as information on how to reduce the incidence of antimicrobial-resistant organisms by judiciously prescribing antibiotics and informing patients about the appropriate use of these agents. This up-to-date overview is a one stop source for evidence-based guidelines.
The #1 choice for more than 35 years for those involved in the care of adolescents and young adults, Neinstein's Adolescent and Young Adult Health: A Practical Guide, 7th Edition is your go-to resource for practical, authoritative guidance. The fully updated seventh edition, edited by Drs. Debra K. Katzman, Catherine M. Gordon, S. Todd Callahan, Richard J. Chung, Alain Joffe, Susan L. Rosenthal, and Maria E. Trent, offers a comprehensive view of the interdisciplinary nature of the field and is inclusive of the wide variety of health professionals who care for adolescents and young adults. This award-winning text features a full-color design, several new chapters, numerous algorithms, bulleted text throughout for quick reference at the point of care, and fresh perspectives from new editors-making it ideal for daily practice or certification examination preparation. Features significant revisions and new content on opioid use, vaping, gun violence, survivors of childhood cancer and other chronic illnesses, COVID, and more. Includes new chapters on Palliative Care and End of Life, Quality Improvement, Research, and Healthcare for Minoritized, Disenfranchised, and Marginalized Adolescents and Young Adults. Includes key topics such as technology use, the care of transgender adolescents and young adults, reproductive health, sports medicine, college health, and more Features a globally diverse editorial team and authors who are experts in their respective areas and who reflect the demographics of this wide-ranging field Offers comprehensive, evidence-based content from cover to cover, as well as numerous resources and websites on nearly every topic, where professionals, adolescents and young adults, and parents can find up-to-date information Continues to be a highly useful resource for pediatricians, family practitioners, gynecologists, internists, nurse practitioners, physician assistants, residents, medical students, and fellows practicing in traditional primary care and specialty settings serving adolescents and young adults, as well as in school-based and college health centers, juvenile detention centers, emergency departments, urgent care centers and any other facility that provides care to this population." Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.
This book focuses on a formative period in the development of modern general practice. The foundations of present-day health care in Britain were created in the century before the National Health Service of 1948, when medicine was transformed in its structure, professional status, economic organization, and therapeutic power. In the first full-length study of general practice for these years, Anne Digby deploys an impressive range of hitherto unused archival material and oral testimony to probe the character of general practitioners careers and practices, and to assess their relationships with local communities, a wider society, and the state. An evolutionary approach is adopted to explain the origins and nature of the many changes in medical practice, and the lives of ordinary doctors. The study also explores the gendered nature of medical practice as reflected in the experience of a golden band of women GPs, and examines the hidden role of the doctors wife in the practice.
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.
Schizophrenia is a disease that afflicts some 2.2 million persons of all ages. It has a wide-ranging impact on the lives of not just the people who have it, but also the people who love them. In an era of de-institutionalization and managed care, parents and other adults, such as teachers and coaches, will become the first line of defense against this serious disease that attacks people in their the late teens or early twenties. If Your Adolescent Has Schizophrenia is an informative guide, written specifically to help adults spot the warning signs and seek appropriate treatment for the young people in their lives. Parents will find a clear definition of the disease, including early indicators of the disease as well as information on how to arrange for the proper diagnosis and treatment. Using the experiences of parents with children who have the illness themselves, this book will provide an insiders survival guide for those now facing this illness in their own children. While enormous strides have been made toward identifying likely causes and effective remedies of schizophrenia in recent decades, no one therapeutic regimen works perfectly in all cases. If Your Adolescent Has Schizophrenia will offer readers trusted information and support that will enable them to confront this disorder head on and get their children meaningful medical and psychosocial help in order to mitigate its effects.
Selected as a Doody's Core Title for 2022! Essential for ob/gyn physicians, primary care physicians, and any health care provider working with pregnant or postpartum women, Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 12th Edition, puts must-know information at your fingertips in seconds. An easy A-to-Z format lists more than 1,400 of the most commonly prescribed drugs taken during pregnancy and lactation, with detailed monographs designed to provide the most essential information on possible effects on the mother, embryo, fetus, and nursing infant. Each templated monograph includes: Generic US name (trade names in index) Risk factors Pharmacologic class Pregnancy and breastfeeding recommendations Pregnancy, fetal risk, and breastfeeding summaries Updated references NEW in the 12th Edition: 100 new drugs, with thorough updates of all existing drugs Subheadings with each review for faster reference List of cross-referenced combination drugs List of drugs contraindicated in breastfeeding women List of drugs contraindicated in pregnancy List of drugs that affect human development Quarterly updates, available online, to keep you at the forefront of the field Greatly improved eBook searchability Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.
Medical practitioners receive little, if any, formal training in the prevention, assessment and management of pressure ulcers and other chronic wounds. Pressure Ulcers in the Aging Population: A Guide for Clinicians is a resource primarily aimed at physicians interested in the fundamentals of wound care. This book is written for geriatricians, internists, general practitioners, residents and fellows who treat older patients and unlike other texts on the market addresses the specific issues of wound prevention and managment in older individuals. Pressure Ulcers in the Aging Population: A Guide for Clinicians emphasizes prevention, proper documentation and the team care process which are often overlooked in standard texts. Chapters are written by experts in their fields and include such evolving topics as deep tissue injury and the newer support surface technologies.
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