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Reconstructing Medical Practice - Engagement, Professionalism and Critical Relationships in Health Care (Paperback, New Ed)
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Reconstructing Medical Practice - Engagement, Professionalism and Critical Relationships in Health Care (Paperback, New Ed)
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Reconstructing Medical Practice examines how doctors see health
care and their place in it, why they remain in medicine and why
they are limited in their ability to lead change in the current
system. Doctors are beset by doubts and feel rejected by systems
where they should be leaders - some see their role as 'flog[ging] a
derelict system to get the last breath of workability out ... for
their patients'. Others simply turn away. Rigorous studies carried
out at large public teaching hospitals in Australia found that
doctors were reluctant to increase safety in the wider health
system, despite making every effort for their 'own' patients.
Doctors' self-esteem was found to be delicate due to the uncertain
nature of their work; colleagues provide the support doctors need
to deliver good care. However, these essential relationships and
their cherished connections with patients have disadvantages:
reducing doctors' ability to admit to error. On top of this, senior
doctors predict a future bereft of professional values - one where
medicine is 'just a job'. While the loss of professional identity
introduces new risks for patients and doctors, the repercussions of
the more self-serving attitudes of younger doctors are unknown.
Reconstructing Medical Practice concludes that regulation, despite
its recent proliferation, is a clumsy and limited approach to
ensuring good care. It presents original and much-needed ideas for
ways to rebuild the critical relationship between doctors and the
system. By better valuing communicative interactions and workplace
relationships, safe and satisfying medical practice can be
reconstructed.
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