This book provides an important contribution to the new and growing field of 'narrative-based medicine'. It specifically addresses the largest area of medical activity, primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations, family work, clinical supervision and teamwork, and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples, it shows how professionals in primary care can help clarify patients' existing stories, and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on, and describes, an established evaluated training method, and is of immediate and significant practical use to readers. It is essential reading for general practitioners, practice nurses and others in the primary care team, psychologists, family therapists, counsellors and other professionals attached to primary care. GP trainers, tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists, dentists and optometrists, and academics in medical sociology and medical anthropology will also find it very useful.

Narrative-Based Practice in Health and Social Care outlines a vision of how witnessing narratives, paying attention to them, and developing an ability to question them creatively, can make the person's emerging story the central focus of health and social care, and of healing. This text gives an account of the practical application of ideas and skills from contemporary narrative studies to health and social care. Promoting narrative-based practice in everyday encounters with patients and clients, and in supervision, teaching, teamwork and management, it presents "Conversations Inviting Change," an established narrative-based model of interactional skills. Underpinned by an account of theory from narrative studies and related fields, including communication theory and systems thinking, it is written for students and practitioners across a broad range of professions in primary and secondary health care and social care. More information about "Conversations Inviting Change" is available at www.conversationsinvitingchange.com. This website includes podcasts, presentations and further teaching material as well as details of forthcoming courses, and is continually updated with information about the approach described in this book.

This unique book presents in a single collection around 50 essays by Dr Launer on reflective practice in medicine, including examples specific to medical education and multiprofessional healthcare. Based on existing contributions to the literature by Dr Launer, the book brings them together in updated form for the first time as a themed collection with an introduction linking the different topics addressed. Coverage includes communication skills, supervision, teamwork and organisational health. In a time of unprecedented demand on healthcare services, educators and practitioners, Dr Launer offers invaluable guidance to a broad audience including community-based GPs, practice nurses and nurse practitioners, pharmacists, physician assistants and paramedics, secondary care staff including consultants and registrars across all specialties, communications skills educators, counsellors and mental health professionals, and health service managers and administrators.

The essential book on how not to be a doctor - and how to be a better one. Drawn from his popular medical columns over the years, John Launer shares fifty of his best-loved essays, covering topics from essentials skills they don't teach you in medical school to his poignant account of being a patient himself as he received treatment for a life-threatening illness. Taken together, the stories make the case that being a doctor should mean drawing on every aspect of yourself, your interests and your experiences no matter how remote they seem from the medical task at hand. How Not to Be a Doctor combines humour, candour and the human touch to inform and entertain readers on both ends of the stethoscope. ***PRAISE FOR HOW NOT TO BE A DOCTOR*** 'An essential read... It is a gem.' Dr. Fiona Moss, CBE, Dean of the Royal Society of Medicine 'This collection is warm, wise, generous, thoughtful and thought-provoking... imbued with a moving humanity which offers inspiration and reassurance in equal measure.' Dr. Deborah Bowman, MBE, BBC Broadcaster and Professor of Medical Ethics and Law 'Witty and wise. Shows how important it is that doctors are allowed to be human.' Kit Wharton, author of Emergency Admissions: Memoirs of an Ambulance Driver 'An all-round excellent book, which would appeal to a wide range of healthcare professionals and students... a light-hearted way of looking at serious subjects.' BMA Panel of Judges 'I raced through this book, laughing, nodding, highlighting and then read some favourite bits again. Every chapter has a gem of wisdom as well as being so very elegantly written and entertaining.' Jenny Rogers, Co-Author of Coaching for Health 'Bursting with wonder and wisdom, this seductively readable book imparts courage and joy in equal measure.' Dr. Iona Heath, CBE. Former President, Royal College of General Practitioners and author of The Mystery of General Practice 'Gets to the heart and soul of current medical practice. Written by a doctor, but incorporates life experience and wisdom, making it an easy, thought provoking read.' Professor Jane Dacre, President of the Royal College of Physicians

This is a book about primary care clinicians and the "clinical uncertainty" endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences.

This book is also about "addressing" uncertainty in primary care practice and "engaging" it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient s problem. It also requires carefully managed communication, facilitating dialogue with the patient and encouraging shared problem-solving.

Most importantly, this book is about "collaborative engagement with case-based uncertainty in the setting of small groups of clinicians. "Sommers and Launer contend that the medical profession s tradition of working independently should be augmented with an explicitly shared, collegial one of jointly creating wisdom through practice-based learning.

An international panel of expert clinicians and educators provides: Perspectives on clinical uncertainty in the medical literatureA taxonomy of clinical uncertainty with patient examplesAnalysis of the educator role to support clinicians in engaginguncertainty A compendium of small group methods for collaborative engagement with clinical scenariosAnalysis of the special challenges ofcollaborative engagement

A mind-opening manifesto, "Clinical Uncertainty in Primary Care" will equip primary care clinicians, educators, public health and behavioral health professionals with resources for infusing practice with meaning through collegial collaboration.

From the Foreword: Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which, and the extent to which it is intrinsic to medicine and they present a cogent case for itsspecial relationship to primary care practice Clinical Uncertainty in Primary Care not only presents amodel of collegialcollaboration and support, it also implicitly legitimatesit. Renee Fox. "

This unique book presents in a single collection around 50 essays by Dr Launer on reflective practice in medicine, including examples specific to medical education and multiprofessional healthcare. Based on existing contributions to the literature by Dr Launer, the book brings them together in updated form for the first time as a themed collection with an introduction linking the different topics addressed. Coverage includes communication skills, supervision, teamwork and organisational health. In a time of unprecedented demand on healthcare services, educators and practitioners, Dr Launer offers invaluable guidance to a broad audience including community-based GPs, practice nurses and nurse practitioners, pharmacists, physician assistants and paramedics, secondary care staff including consultants and registrars across all specialties, communications skills educators, counsellors and mental health professionals, and health service managers and administrators.

This is a book about primary care clinicians and the "clinical uncertainty" endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences.

This book is also about "addressing" uncertainty in primary care practice and "engaging" it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient s problem. It also requires carefully managed communication, facilitating dialogue with the patient and encouraging shared problem-solving.

Most importantly, this book is about "collaborative engagement with case-based uncertainty in the setting of small groups of clinicians. "Sommers and Launer contend that the medical profession s tradition of working independently should be augmented with an explicitly shared, collegial one of jointly creating wisdom through practice-based learning.

An international panel of expert clinicians and educators provides: Perspectives on clinical uncertainty in the medical literatureA taxonomy of clinical uncertainty with patient examplesAnalysis of the educator role to support clinicians in engaginguncertainty A compendium of small group methods for collaborative engagement with clinical scenariosAnalysis of the special challenges ofcollaborative engagement

A mind-opening manifesto, "Clinical Uncertainty in Primary Care" will equip primary care clinicians, educators, public health and behavioral health professionals with resources for infusing practice with meaning through collegial collaboration.

From the Foreword: Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which, and the extent to which it is intrinsic to medicine and they present a cogent case for itsspecial relationship to primary care practice Clinical Uncertainty in Primary Care not only presents amodel of collegialcollaboration and support, it also implicitly legitimatesit. Renee Fox. "

Narrative-Based Practice in Health and Social Care outlines a vision of how witnessing narratives, paying attention to them, and developing an ability to question them creatively, can make the person's emerging story the central focus of health and social care, and of healing. This text gives an account of the practical application of ideas and skills from contemporary narrative studies to health and social care. Promoting narrative-based practice in everyday encounters with patients and clients, and in supervision, teaching, teamwork and management, it presents "Conversations Inviting Change," an established narrative-based model of interactional skills. Underpinned by an account of theory from narrative studies and related fields, including communication theory and systems thinking, it is written for students and practitioners across a broad range of professions in primary and secondary health care and social care. More information about "Conversations Inviting Change" is available at www.conversationsinvitingchange.com. This website includes podcasts, presentations and further teaching material as well as details of forthcoming courses, and is continually updated with information about the approach described in this book.

This unique and practical book provides a clear introduction to clinical supervision and support in primary care. Supervision and Support in Primary Care provides practical information and guidance on the nature and purpose of clinical supervision. It uses examples and perspectives from the world of mental health, Balint groups and self-directed learning, and examines the benefits and challenges of supervision within the primary care setting. Numerous case studies are used throughout to describe the wide range of current approaches to supervision for general practitioners, illustrating how this can contribute towards more effective clinical work and training. All those working within primary care will find this book valuable reading.