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Heirs of General Practice is a frieze of glimpses of young doctors with patients of every age—about a dozen physicians in all, who belong to the new medical specialty called family practice. They are people who have addressed themselves to a need for a unifying generalism in a world that has become greatly subdivided by specialization, physicians who work with the "unquantifiable idea that a doctor who treats your grandmother, your father, your niece, and your daughter will be more adroit in treating you." These young men and women are seen in their examining rooms in various rural communities in Maine, but Maine is only the example. Their medical objectives, their successes, the professional obstacles they do and do not overcome are representative of any place family practitioners are working. While essential medical background is provided, McPhee's masterful approach to a trend significant to all of us is replete with affecting, and often amusing, stories about both doctors and their charges.
Awarded First Prize, in the Primary health care category, at the 2013 BMA Medical Book Awards. Following the familiar, easy-to-use at a Glance format, this brand new title provides a highly illustrated introduction to the full range of essential primary care presentations, grouped by system, so you’ll know exactly where to find the information you need, and be perfectly equipped to make the most of your GP attachment. General Practice at a Glance: Is comprehensively illustrated throughout with over 60 full-page colour illustrations Takes a symptoms-based approach which mirrors the general practice curriculum Offers ‘one-stop’ coverage of musculoskeletal, circulatory, respiratory, nervous, reproductive, urinary, endocrine and digestive presentations Highlights the interrelations between primary and secondary care Includes sample questions to ask during history taking and examination Features ‘red flags’ to highlight symptoms or signs which must not be missed This accessible introduction and revision aid will help all medical students and junior doctors develop an understanding of the nature and structure of primary care, and hit the ground running on the general practice attachment.
This handbook covers practical issues, such as how to deal with confidentiality, compliance, complaints, and referral letters as well as clinical medicine. It also raises issues such as dealing with stress and entering the profession.
At Sector General, anything can happen-and frequently does. In this vast hospital in the depths of space, the thousands of staff, human and alien both, have a single mission: to care for all patients, of all species. For decades, these dramas of humanity and humor have commanded a following among science fiction readers. Now, in a single omnibus, the seventh and eighth volumes of the series-Code Blue: Emergency and The Genocidal Healer-return to print, along with an introduction by John Clute. At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.
From a leading figure in Australian medicine comes this edition of thi s immmensely user-friendly reference that employs a symptom-based appr oach to clinical practice. For the full range of conditions met in pri mary practice, you'll review approach to the patient, the physical exa m, probable causes, differential diagnosis, and treatment strategies. Throughout, Dr. Murtagh adds his own clinical pearls that are both ins ightful and a delight to read. Superb illustrations demonstrate examin ation technqiue and abundant use of tables and charts makes diagnosis quick and easy. Most importantly, the clinical insights of internation ally recognized authority Dr. John Murtagh make this a unique and usef ul resource for the physician, nurse practitioner or physician assista nt.
The new edition of this best-selling title from the popular 100 cases series explores common scenarios that will be encountered by the medical student and junior doctor when working in the community setting, and which are likely to feature in qualifying examinations. The book covers a comprehensive range of presentations from tiredness to tremor. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur in general practice at all levels.
A comprehensive medical textbook taking a holistic approach to contemporary general practice Ideal for General Practitioners and medical students alike, this'medical textbook takes an integrative approach to the diagnosis, investigation and management of health issues in the general practice environment. General Practice: The integrative approach covers the philosophy underpinning modern-day general practice, including primary and secondary prevention as well as acute and chronic disease management. This thorough'textbook informs doctors of potential treatment and prevention options, as well as possible pitfalls, according to the growing integrative medicine evidence base. The first section of General Practice: The integrative approach lays the foundations of integrative medicine while the second examines important medical conditions in a systems-based approach. Each chapter in this valuable health resource outlines required medical and consulting knowledge, while discussing physiology and pharmacological management plans of systems-based conditions. An evidence-based discussion of the available therapeutic options for the treatment of associated factors follows. This helps medical practitioners adapt their approach for individual patient needs. General Practice: The integrative approach features contributions from experts in Chinese medicine, herbal medicine, nutritional medicine, naturopathy, and exercise therapy - all of whom incorporate their expertise into management plans that utilise multiple therapeutic modalities to achieve the best clinical outcome.
Everything you need in the format you want! With new content, improved navigation, and a full-color presentation, the fourth edition of this seminal work in general practice is the essential resource for practitioners as well as students. Readers will find over 100 full-color clinical photos, six new chapters, and thorough updating throughout.
Named a 2013 Doody's Core Title! "This is a wonderful book for both novice and experienced physician assistants and nurse practitioners. This latest edition will see frequent use in your daily practice."Score: 100, 5 stars--Doody's Medical Reviews "This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA's reference library. I highly recommend this wonderful textbook." Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC President, National ARNP Services, Inc. "Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive information in an easy format that is particularly useful for quick reference. This text is useful for general practice settings as well as specialty care." Anne Moore, APN; WHNP/ANP-BC; FAANP Vanderbilt University The second edition of Family Practice Guidelines is a comprehensive resource for clinicians, presenting current national standard of care guidelines for practice, in addition to select 2011 guidelines. This clinical reference features detailed physical examination and diagnostic testing, information on health promotion, guidelines of care, dietary information, national resources for patient use, and patient education handouts all in one resource. This revised edition features guidelines for 246 disorders, each containing clearly outlined considerations for pediatric, pregnant, and geriatric patients. It also presents 18 procedures commonly performed in the clinical setting, including bedside cystometry, hernia reduction, neurological examination, and more. Patient Teaching Guides are also provided, and are designed to be given directly to patients as take home teaching supplements. Additionally, the book contains four appendices with guidelines on normal lab values, procedures, sexual maturity stages, and teeth. New to this Edition: Select 2011 guidelines Over 17 new protocols including: ADD/ADHD, Menopause, Migraine, Chronic Kidney Disease in Adults, Obesity/Gastric Bypass, and more Completely updated Patient Teaching Guides, including a new entry on Anticoagulation Therapy for Patients with AFib, to tear out and send home with patients Addition of consultation and referral recommendations New chapter presenting Pain Management Guidelines for acute and chronic pain Completely updated national treatment guidelines
With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.