How to Succeed on Primary Care and Community Placements offers practical advice on how to get the most from your time on community visits, within patient consultations, and with the practice team. It highlights the unique opportunities and challenges you will face on placement, from using clinical information systems, to home visits and long term patient relationships, and how to take advantage of new ways of learning with web-based tools, mobile devices and social networking. Key features include: Learning outcomes at the start of each chapter with links to web-based learning, case examples, and tasks to undertake whilst on placement An evidence-based, practical approach to improving learning, teaching, assessment and feedback in community settings Written by a team of experienced community-based medical education specialists, it is ideal for all medical students, whether on early clinical placements or later in training, and for tutors and preceptors looking for novel ways to engage their students.

As the profound contribution of mental illness to disability, morbidity, and mortality has gained acceptance, mental health has grown into a global priority. One in five experience mental illness in their lifetime, and those who suffer are coming forward in unprecedented numbers. As more people seek care for themselves and others, providers are increasingly unable to meet the demand through existing systems and mental health care approaches. In Managing Uncertainty in Mental Health Care, Drs. Patricia Rockman and Jose Silveira critically examine core assumptions informing the primary approaches currently used to assess mental illness in clinical settings, with an emphasis on clinician certainty. They illustrate how current diagnostic frameworks obscure clinician uncertainty while encouraging overconfidence and go on to consider potential strategies for lessening the impact of inevitable errors. Ultimately, this book makes a case for acknowledging the fallibility of clinical judgment, independent of competence and experience, and the need to modify approaches to mental health care so that they align with the irreducible uncertainty of the domain. By exploring emerging transdiagnostic approaches to mental health care in terms of their alignment with irreducible uncertainty, Rockman and Silveira make space for error and offer clinicians a novel way to advance the fundamental aim of mental health care: to reduce the harm and suffering of all.

Leistungstrager wollen leistungsgerecht gefuhrt werden Personalakquisition * Wie ermittle - und begrunde - ich den Personalbedarf? * Wie wahle ich die richtigen Mitarbeiter aus? Personalfuhrung und -entwicklung * Welcher Fuhrungsstil passt zu welchem Mitarbeiter? * Wer passt zu welchen Aufgaben am besten? * Gehaltsverhandlung * Arbeitsrecht: Arbeitszeitmodelle, Gleichstellung, Korruption ... * AErzte aus dem Ausland * OEkonomie und Ethik Gesundheitsfoerderung - physisch und psychisch * Altersgerechte Arbeitsbedingungen * Konflikt-Management * Mobbing: Pravention, Kosten ... Zukunftsfahigkeit - Veranderungen gestalten * Change-Management * Prozessverbesserung * Diversity-Management - soziale Vielfalt konstruktiv nutzen Das essentielle Know-how fur alle AErzte, die Fuhrungsverantwortung tragen - oder demnachst ubernehmen werden.

Interdisziplinare Familiendiagnostik

Therapeutin und Therapeut konnen mit dem Handbuch der Familiendiagnostik den diagnostischen Prozess Schritt fur Schritt nachvollziehen. Vom ersten Telefonkontakt uber die Durchfuhrung der Gesprache bis hin zur klinischen Dokumentation, enthalt dieses Buch alle Fakten und Informationen, die Sie fur Ihre tagliche Arbeit benotigen.

Ein ausfuhrlicher Leitfaden fur die Gesprachsfuhrung unterstutzt Sie ganz praktisch. Viele Beispiele illustrieren und erlautern den theoretischen Hintergrund.

Der interdisziplinare Ansatz gewahrleistet, dass systemische, psychoanalytische wie auch strukturelle Theorien zur Anwendung kommen. Von den Grundlagen uber Therapieverfahren bis hin zu speziellen Situationen werden alle Aspekte der Familiendiagnostik in ihrer praktischen Anwendung dargestellt.

Die 3. Auflage wurde komplett uberarbeitet und prasentiert sich in einem neuen, modernen Layout. "

How did early modern people imagine their bodies? What impact did the new disease syphilis and recurrent outbreaks of plague have on these mental landscapes? Why was the glutted belly such a potent symbol of pathology? Ranging from the Reformation through the English Civil War, Fictions of Disease in Early Modern England is a unique study of a fascinating cultural imaginary of 'disease' and its political consequences. Healy's original approach illuminates the period's disease-impregnated literature, including works by Shakespeare, Milton, Dekker, Heywood and others.

This new book for medical students contains over 60 of the most commonly encountered OSCE stations in medicine and surgery. The OSCEs are arranged according to type of skill; for example history-taking, ethics and communication, physical examination. This is an accessible book for students under pressure who are revising for a clinical OSCE. It provides simple advice, tips about preparation, and will be easily understood. It provides sample OSCE station questions and simulated patient scripts (with answers) for practice at home.

The germs of the ideas in this book became implanted in me during my experience as a resident in clinical pathology at Boston University Medical Center. At the time, I had inklings that the test results churned out by our laboratories were more than scientific facts. As a philosophically unsophisticated young physician, however, I had no language or framework to analyze what I saw as a deep philosophical problem, a problem largely unrecognized by most physicians. The test results provided by our laboratories were accurate and of great practical importance for patient care. However, most of the physicians who relied on our test results to diagnose and treat their patients either did not have the time or interest to consider the philosophical issues inherent in diagnosis, or, like me, had inadequate means to further analyze them. It was more than ten years later that I began doctoral studies in philosophy, and I was fortunate to find a faculty that was supportive of my efforts to address the problem. This book began as my doctoral dissertation in the Department of Philosophy at Georgetown University. I would like to acknowledge the assistance of my mentor, Robert Veatch, Ph. D. Our conversations during my Georgetown years led me in new and often fascinating directions. I would also like to acknowledge the help of Kenneth Schaffner, M. D. , Ph. D.

Cardiac resynchronization therapy is a new therapy for advanced heart failure patients. This therapy has been shown to improve quality of life, exercise capacity, NYHA classification, and even reverse the detrimental "reverse remodeling" that occurs in advanced heart failure - in patients already receiving optimal pharmacological therapy.

The typical patient has NYHA III/IV HF symptoms, a QRS > 120 ms, LVEDD > 55 mm, without any indication required for pacing. The therapy is available in an ICD device, too. CRT has been shown to be effective in patients with both ischemic and non-ischemic cardiomyopathy.

The implant procedure is part of a learning curve. Many physicians who already perform electrophysiology procedures, or PPM, or ICD implants are the ideal implanter - but are surprised at the challenges this implant presents. This book will help "flatten" the learning curve for new physician implanting, and will provide a "guide' for those who have already started implanting.

The success rate is about 90o after 10 years of application, we have found that there are still patients who do not get access to this great therapy because of the complexity of the patient's anatomy, or physician skills.

The book is written by three authors with a great deal of experience culminating in over 3000 cases between them.

This book is intended for cardiologists who currently implant either or both pacemakers and cardioverter defibrillators with cardiac resynchronization therapy (also called bi-ventricular pacing), or plan to implant in the future. This book will be extremely useful for the new cardiologist in training who is learning to implant devices.

The closest you can get to the Family Medicine clerkship shelf exam without actually taking it Family Medicine: PreTest Self-Assessment & Review, Fourth Edition is the perfect way to assess your knowledge of Family Medicine for the USMLE Step 2 CK and clerkship shelf exam. You'll find approximately 500 USMLE-style questions and answers that target the clerkship's core competencies, along with detailed explanations of both correct and incorrect answers. All questions have been reviewed by students who recently passed the boards and completed their clerkship to ensure they match the style and difficulty level of the exam - so you know you are studying the most relevant, high-yield material possible. *Approximately 500 USMLE-style questions - just like you will see on the exam*Detailed explanations for right and wrong answers, that zero-in on must-know information*Targets what you really need to know for exam success*Thoroughly reviewed by students who aced their clerkship

As a follow up and review book to Dr. Robert Taylor's highly successful FAMILY MEDICINE: PRINCIPALS AND PRACTICE, TAYLOR'S FAMILY MEDICINE REVIEW will become an indespensible study guide for family practice residents preparing for certification exams, practioners preparing for recertification and medical students during their family practice clerkship. Complete with over 1,200 questions drawn directly from and keyed to FAMILY MEDICINE, this question and answer book will provide an extensive review all the issues confronted by family practitioners in clinical practice.

A PRIMER OF BIOMECHANICS is the first volume of its kind to present the principles of biomechanics with a highly clinical orientation. Dr. Lucas and his colleagues (specialists in biomechanics) have assembled a practical guide utilizing case presentations to make this very technical and complicated material palatable to the orthopaedic resident and practitioner. This "user-friendly" text is further enhanced by well integrated chapters covering all the basic materials and the latest information of this rapidly evolving field from the perspective of its useful application. Each case presentation is followed by a detailed, but easily understandable explanation of the biomechanical principles involved and includes protocols for treatment. This volume is a must-have for orthopaedic residents and practitioners.

The Yearbook compiles the most recent, widespread developments of experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in their field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediattrics, intensive care and emergency medicine. (With approximately 90 contributions.)

Sepsis is a syndrome or sometimes it is a clinical condition evoked by uncontrolled endotoxin-reactions. These pathophysiological alterations can disturb the organism's homeostasis leading ultimately to a condition of severe organ dysfunction which in itself means a bad prognosis for patient survival. In the last decades researchers and clinicians have been involved in process directed to a better understanding of the basic mechanisms of sepsis and MODS. The best goal will be the achievement of preventive measures and optimization of management in patients suffering severe infections and critical conditions. This objective represents a true challenge at the dawn of the XXI century.

This volume on scientific advances in critical care testing com piles a number of clinical and laboratory studies related to criti cally ill patients that involve new technology, therapy options, application or interpretation of new tests, patient management and cost benefits. There were a total of 340 applicants for this first International Federation of Clinical Chemistry-AVL Award, and from these, National Winners were selected in 26 member countries of the IFCC. This publication presents the full papers of the ten finalists among the National Winners selected for the international final held in London in July 1996. These ten were chosen by the Inter national Awards Committee of the IFCC. In addition, the editors have decided also to include their choice of the best abstracts from the National Winners, thus giving a broad overview of cur rent research being conducted in the field of critical care medi cine among IFCC members. In keeping with the title of this volume, all major fields of in tensive care medicine are represented, including inflammation, infection, stress, hypoxia, ischaemia, cardiology, haemodynamics, blood gases, electrolytes, trace -elements, nephrology, gastroenter ology and haematology. In addition, there is also a chapter on new technology in critical care testing and on miscellaneous top ics."

Der wirtschaftliche Druck auf Arzte nimmt standig zu. Fehlentscheidungen in der Arztpraxis kosten nicht nur Gewinn, sondern gefahrden die Selbstandigkeit.

Dieses Praxis-Buch hilft Ihnen

- die Erfolgsfaktoren Ihrer Arztpraxis zu steuern
- wirtschaftliches Handeln konkret anzuwenden
- fit in Fachausdrucken zu werden
- Gesprachskompetenz bei Steuerberatern, Anwalten, Banken und Behorden zu erlangen
- Ihren Erfolg zu planen

Steigern Sie Ihren Praxis-Erfolg in wenigen Schritten Konzentrieren Sie sich auf die wirklich wichtigen Massnahmen. Senken Sie Kosten und Steuern Mit zahlreichen Checklisten."

Das 4. Heidelberger Symposium uber "Hamostase in der Anasthesiologie" hat es sich zum Ziel gesetzt, fachubergreifend die noch ungelosten Fragen in der Hamostaseologie offenzulegen und auf der Basis einer kritischen Wertung der bekannten Studien klare Handlungsanweisungen fur den praktisch tatigen Arzt zu geben. Die angesprochenen Themen sind haufig in der Klinik auftretende Probleme wie die perioperative Einstellung von Hamophilen, die Betreuung von Patienten mit Massivtransfusion, Protein Z-Mangel, Lungenembolie, Katheterthrombose und Probleme der Gerinnungsanalyse und die Sicherheit von Praparaten mit Gerinnungsfaktoren. Das vorliegende Buch hat es sich zum Ziel gesetzt, den Leser uber die neuen Entwicklungen zu informieren und Anleitungen zum praktischen klinischen Handeln zu geben.

This book focuses on the aerosol treatment of lung diseases, recent improvements in the understanding of proper dosage, and major innovations in device technology applied to clinical practice. Examines the behavior of inspired spherical particles in the respiratory tract! Featuring over 1300 references, drawings, tables, photographs, and micrographs, Drug Delivery to the Lung outlines the history of inhaled medications in the treatment of respiratory disease describes aspects of respiratory structure to inhalation therapy emphasizing developmental changes compares existing in vitro/in vivo correlations for key aerosol modalities with lung model predictions discusses particle diameter measurement, particle size statistics, and aerosol test methods reviews the clinical effects of altering the deposition site of various classes of aerosolized drugs surveys the development of novel, efficient, and convenient nebulizer systems details breath-actuated and spacer devices constructed for children analyzes dry-powder and pressurized metered dose inhalers considers the transition from CFCs to new environmentally friendly chemical propellants and more! Giving the clinician an overview of factors essential to understanding drug delivery via nebulization, Drug Delivery to the Lung is a superlative reference for pulmonologists; physiologists; pharmaceutical scientists; immunologists; allergists; analytical, organic, and medicinal chemists and biochemists; chemical, genetic, and process engineers; and medical and graduate school students in these disciplines.

Planung, Gestaltung und Steuerung von Behandlungsleistungen im Krankenhaus

Mit der Einfuhrung des G-DRG-Systems gilt fur die strategische und operative Planung und Gestaltung von Krankenhausleistungen: Der Einzelfall und nicht der tagesgleiche Pflegesatz, der Behandlungsprozess und nicht das Bett sind die neuen Planungskategorien.

Erfahren Sie in diesem Buch nachvollziehbar, was Leistungsmanagement bieten muss:

- Erkennen von Marktpotenzialen und Einflussfaktoren

- Behandlungsstufen - und Prozessgestaltung,

- Definition von Ergebnisqualitatszielen

- Sicherstellung und Messung der Ergebnisqualitat.

Das G-DRG System sowie der Katalog der ambulanten Operationen und stationsersetzenden Massnahmen fuhren zu kurzfristigen Kapazitatsanpassungen und Organisationsveranderungen im Leistungsgeschehen der Krankenhauser.

Dieses Buch zeigt Ihnen erstmals Schritt fur Schritt wie Sie vorgehen mussen, um ihr Leistungsgeschehen optimal zu planen, zu gestalten und zu steuern, um im Wettbewerb um Patienten erfolgreich zu sein."

Studying for licensure examinations is like eating a twelve course meal: if you try and do it in five minutes, it will make you sick. As you prepare, pace yourself, don't memorize but review, and, most importantly, a few days before the examina tion, try and get some rest. I don't think I've ever heard of a soul who looked forward to this examination, and I can assure you no one has ever walked out saying "What a wonderful experi ence." Think of this ordeal as a rite of passage and try to remember that most of you will make it through. I'd like to thank Dr. Ron Krug for his continued support and guidance, not only in the preparation of this text, but through the years. Additional thanks to Dr. Rita Claudet for continued suggestions and editing of this text. Good luck in your studies and remember what Winston Churchill said, "Never, never, never, give up " Jeffrey G. Hirsch, M.D."

Dear Young Doctor, You are nearing the end of your formalized test-taking after so many years of education. We want to help you pass your boards and these books were written for that end. This review of internal medicine is not an exhaustive treatise, but serves as an example of learning points considered important throughout the years. You will run into the same patients on this examination, the internal medi cine specialty boards, and the medicine sub-specialty boards should you choose to take them. Our US healthcare delivery system is undergoing major transformation, which has become frenetic since the first edition of this series was published three years ago. This creates anxiety in physicians and physicians-to-be, as we are unsure of the very foundations which have supported medicine as we knew it. The chal lenge is to carryon the duties of our noble profession while adapting to and helping to shape the marketplace. Medical information is too expansive to be mastered by the individual alone, and we must learn to rely on automated inform atics systems to access current data. Yet with all the changes, traditions of medical education are remembered, honored, and still practiced. You will see evidence of this history contained herein."

In the mid-1980s the "European Journal of Biochemistry" set out to publish review articles. The enterprise proved successful, resulting in high-level reviews written by well-known scientists appearing in the "Journal." The reviews represent emerging and rapidly growing fields of research in fundamental as well as applied areas of biochemistry, such as medicine, biotechnology, agriculture and nutrition. Novel methodological and technological approaches which stimulate biochemical research are also included. The authors of the reviews are explicitly asked to be critical, selective, evaluative and interdisciplinary oriented. The reviews should encourage young scientists to think independently and creatively, and inform active investigators about the state of the art in a given field.

Ein vertieftes pathophysiologisches Verstandnis der respiratorischen Insuffizienz und die technischen Entwicklungen der letzten Jahre haben die Beatmung, uber die reine Substitution bei Atmungsausfall durch zentrale oder periphere Atemlahmung hinaus, zu einer Therapie der respiratorischen Insuffizienz und pulmonaler Erkrankungen werden lassen. Es gibt heute ein breites Indikationsspektrum fur vielerlei Beatmungsverfahren, die von einfachen Atemhilfen bis hin zu komplexen, computergesteuerten Beatmungsmustern und zur Lungenersatztherapie reichen. Dieses Buch enthalt neben den pathophysiologischen Grundlagen eine systematische Darstellung der Verfahren und Gerate und gibt Anasthesisten und Intensivmedizinern wertvolle Hinweise fur indikationsgerechte Entscheidungen.

Drei erfahrene Experten formulieren hier ein klar verstandliches Gesamt-Konzept fur das Unternehmen Arztpraxis. Dabei betonen sie die Wechselwirkungen und das sinnvolle Zusammenspiel aller Aspekte, die einen langfristigen Erfolg ermoglichen und begrunden: Betriebswirtschaft, Kooperationsformen, Steuer-, Vertragsarzt-, Arbeits- und Haftungsrecht, Marketing, Mitarbeiterfuhrung, Praxisorganisation und Altersvorsorge. So ist zum Beispiel die enge Verbindung von Praxis- und Privatbereich von existenzieller Bedeutung fur niedergelassene Arzte. Einsteiger wie Arzte, die bereits in eigener Praxis tatig sind, werden hier optimal informiert. "