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Books > Medicine > General issues > Health systems & services > General practice
General Practice has never been an easy occupation. In the past there were some clear structures and routes for new GPs to take. You could expect to join a practice and progress through the ranks, growing in seniority and confidence. You might have been informally mentored by one of the older colleagues; learning management and business skills gradually. It is no longer like this. The market has changed, the range of options is wider, and the way through the labyrinth is far from clear. You might find yourself confused and overwhelmed by all the new opportunities, possibilities and prospects. This book helps to clarify uncertainties and guide you towards the right path. It offers ways to formulate strategies when planning your career and maps out the landscape of general practice, enabling you to make, confident and informed decisions about your professional future. Supporting the initiative of First5(R), The New GP's Handbook is highly recommended for newly qualified GPs who will find it answers so many of their questions and helps make the first five years (and beyond) in general practice more understandable, productive and enjoyable. Experienced GPs too, will find the guide invaluable as a current, general overview. General practice is an exciting and rewarding career which provides a host of opportunities for new GPs entering the profession today. Finding the right job, achieving a good work-life balance and developing a culture of lifelong learning are vital not only for the fulfilment of new GPs themselves but for the future of the profession. This book will help you achieve these objectives. Clare J Taylor, in the Foreword
Master the skills needed for medical coding today with Green's best-selling 3-2-1 CODE IT!, 2022 EDITION. Updated each year to reflect the most recent code and guideline changes, this easy-to-use medical coding guide is ideal if you are just beginning medical coding. Updates incorporate the latest changes to ICD-10-CM, ICD-10-PCS, CPT (R) and HCPCS Level II coding sets and guide you in using the CDC's ICD-10-CM search tool website. This well-organized, intuitive approach begins with diagnosis coding before guiding you through coding procedures and services. Separate chapters differentiate inpatient and outpatient coding as well as general and specific coding guidelines. Memorable examples, clearly defined terms and hundreds of updated printed and digital practice activities help you master concepts. You also work with computer-assisted coding cases and professional tools as you prepare for professional coding credentials. MindTap digital resources further equip you for coding success.
An essential guide to general practice and being a general practitioner, A Textbook of General Practice is written specifically with the medical student and foundation doctor in mind. Reflecting current practice, the book does not seek to reiterate the content of a general medical textbook, but instead teaches the fundamental principles of general practice. The coverage is comprehensive, with everything the undergraduate student or foundation doctor will encounter in a general practice module or rotation. The skills and knowledge presented can usefully be applied to all areas of clinical practice. With practical exercises throughout the book, readers are encouraged to learn through doing. Quotes from students and tutors offer insights into personal experience, while thinking and discussion points encourage reflection. New features in this edition include improved organization, "red flag" pointers to serious illnesses, and SBA-style self assessment questions. With content entirely updated to reflect the latest recommendations from Tomorrow's Doctors, the third edition of A Textbook of General Practice is the number one choice for undergraduates seeking a narrative introduction to this important discipline.
An integrated, collaborative model for more comprehensive patient care Creating Effective Mental and Primary Health Care Teams provides the practical information, skills, and clinical approaches needed to implement an integrated collaborative care program and support the members of the care team as they learn this new, evidence-based, legislatively mandated care delivery system. Unique in presenting information specifically designed to be used in an integrated, collaborative care workflow, this book provides specific guidance for each member of the team. Care managers, consulting psychiatrists, primary care providers, and administrators alike can finally get on the same page in regard to patient care by referring to the same resource and employing a common framework. Written by recognized experts with broad research, clinical, implementation, and training experience, this book provides a complete solution to the problem of fragmented care. Escalating costs and federal legislation expanding access to healthcare are forcing the industry to transition to a new model of health care delivery. This book provides guidance on navigating the changes as a team to provide the best possible patient care. * Integrate physical and behavioral care * Use evidence-based treatments for both * Exploit leading-edge technology for patient management * Support each member of the collaborative care team Strong evidence has demonstrated the efficacy of a collaborative care approach for delivering mental health care to patients in a primary care setting. The field is rapidly growing, but few resources are available and working models are limited. This book provides a roadmap for transitioning from traditional methods of health care to the new integrated model. Providers ready to move to the next level of care will find Creating Effective Mental and Primary Health Care Teams an invaluable resource.
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.
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.
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.
Refer to the Red Book." That's been the watchword for generations of healthcare professionals seeking trustworthy guidance on pediatric infectious disease prevention, management, and control. Now the 32nd edition continues this tradition of excellence with the latest clinical guidance on manifestations, etiology, epidemiology, diagnosis and treatment of more than 200 childhood infectious diseases. The 32nd edition provides evidence-based guidance on pediatric infections and vaccinations based on the recommendations of the committee as well as the combined expertise of the CDC, the FDA and hundreds of contributors. Red Book is an indispensable reference for pediatricians and pediatric infectious disease specialists and is useful for family medicine and emergency medicine physicians, as well. Public health and school health professionals, medical residents, and students also will find it a high-yield source of pediatric infectious disease and vaccine information. New in the 2021 Red Book: All chapters were assessed for relevance in the dynamic environment that is the practice of medicine today, and every chapter has been modified. Two chapters have been added to the 2021 edition: Pseudomonas aeruginosa Infections and a new "System-Based Treatment" table designed to aid in initial antibiotic selections by clinical conditions. Standardized approaches to disease prevention through immunizations, antimicrobial prophylaxis, and infection-control practices have been updated throughout the Red Book References to evidence-based policy recommendations have been updated throughout the Red Book. Appropriate chapters throughout the Red Book have been updated to be consistent with 2021 AAP and CDC vaccine recommendations for immunization of health care personnel, and drug recommendations from 2021 Nelson's Pediatric Antimicrobial Therapy.
"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.
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.
This latest edition has been comprehensively updated to include new information on the latest clinical evidence, national guidelines, and from the recent medical literature: all existing cases have been revised new cases have been added to cover pre-diabetes and premature ejaculation psoriasis, sore throat, thyroid disease and the PSA test are covered in even more detail The first three editions have helped thousands of candidates through the CSA exam. The original approach has therefore been retained so the book continues to offer readers a concise 'need-to-know' guide to passing the CSA, with the emphasis on successfully completing a case in the allotted ten minutes using a structured consultation framework that works. The aim of the book is to leave exam candidates with more time to concentrate on passing the CSA exam itself.
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.
This innovative and timely book draws on pioneering precedents, basic principles, current examples and international experience to capture the narratives, examples and ideas that underlie and demonstrate the exceptional potential of general practice: "If health care is not at is best where it is needed most, health inequalities will widen." "The unworried unwell are not hard to reach but they are easy to ignore and are often ignored." "With patient contact, population coverage, continuity, coordination, flexibility, long term relationships and trust, general practices are the natural hubs of local health systems." "... practitioners ... are not only scientists but also responsible citizens and if they did not raise their voice who else should?" Written for family doctors looking to strengthen local collaboration, it brings together the traditional strengths of consultations, caring, continuity, coordination and coverage with the current and future challenges of building capacity, community, creativity, consistency, collegiality and campaigning. It highlights the critical importance of working with patients, maximising the use of serial encounters, integrating care, joint working between practices, social prescribing, community development and advocacy based on patient and practitioner experience. Drawing on the highly-regarded work of Deep End GPs serving the poorest communities in Scotland www.gla.ac.uk/deepend the book is an invaluable handbook for all primary care doctors, irrespective of health care system or country, seeking to provide unconditional continuity of personalised care for all patients, whatever problem or combination of problems a patient may have.
This unique book is the first to bring together primary care experiences from around the world, with emphasis on non-Western regions. Utilising published articles that profile different countries' primary health care, accompanied by expert commentaries, the book consolidates global primary health care information over the past decade. Profiling the different countries' primary health care systems and their implementation of primary health care policy, as promoted by WHO and WONCA, the guide provides evidence of how countries and regions can introduce primary health care and family practice to improve their health care infrastructure and delivery. The book is essential reading for policy makers, health educators and academic leaders in primary care and students of global health and provides useful background for those entering or established in clinical family practice around the world.
How do clinicians select appropriate treatment strategies to match
their clients' needs?
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.
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
'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
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.
Evaluating Treatment Environments describes how to assess the quality of psychiatric and substance abuse programs and how to use that information to monitor and improve these programs. Its aim is to identify environments that promote opportunities for personal growth, simultaneously enhancing both physical and psychological well-being. Although treatment programs are diverse, Moos asserts that a common conceptual framework can be used to evaluate them, and more emphasis should be placed on the process of matching personal and program factors and on the connections between such matches and patients' outcomes. The book is divided into three main parts. Part I focuses on hospital programs, using a sample of 160 programs throughout the United States. Part II evaluates community programs. Moos describes how to monitor and improve these programs, and assesses program implementation. Part III considers treatment environments, examining factors that shape the treatment environment, patients' satisfaction with and participation in program activities, patients' adaptation and community living skills, and patient-program congruence and the influence of treatment environments on patients with different levels of impairment. It also highlights the importance of the health care workplace and its impact on staff and the treatment environment. Treatment programs vary substantially in their policies and services, especially in what they expect of clients, rules about clients' daily life choices, and to what extent clients must be governed by the program, and whether or not the programs provide health and treatment services. Comparison studies are becoming more important as clients move more quickly from acute in-patient to community residential care. Moos stresses the need to pay special attention to how programs and services affect clients when conducting evaluations. Evaluating Treatment Environments will be a necessary addition to the libraries of mental health service professionals, as well as sociologists, psychiatrists, psychologists, and social workers.
Housing is an important determinant of health. This book provides a concise overview of the impact of housing policy and the effect of housing on health. It covers the issues of homelessness and health, collaboration between organizations in delivering housing needs, and focusses on the role of primary care teams as part of the Primary Care Trusts. It should be of interest to all members of primary care organisations, especially those concerned with health and social policy, including clinicians, nurses, psychologists, managers, statutory and voluntary housing organizations, policy makers, shapers and influencers.
With the introduction of yearly appraisals and revalidation every general practitioner needs to be armed with a good Personal Development Plan. This book provides the information needed to create just that. Guiding the reader through the consultation looking for Patient's Unmet Needs (PUNs) and the Doctor's Educational Needs (DENs), it focuses on those learning needs that help to provide competent care for patients. All general practitioners will find this book a straightforward, no nonsense, practical approach to help them incorporate their learning needs into the realities of everyday practice.
This inspirational text will appeal to those both starting research projects and those wanting to understand how research can be used in everyday working practice. It brings together expertise from a wide range of areas and makes research easy and accessible. The practical workbook style is easy to use and shows the whole process from design to dissemination and application. Those working in primary healthcare teams and the new organisations supporting them will find it essential reading. Primary Care Research series is aimed at developing the knowledge, expertise and skills of all practitioners in primary care. Each book is based on contributions from experts in their field and is supported by practical facts, personal insight, support and advice. They enable all primary care practitioners to realise the potential of exploring information used in everyday working practice. Other books in the Primary Care Research series: Wilson: Research Approaches in Primary Care Mathers: Statistical Analysis in Primary Care |
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