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The upheavals of the NHS reforms have caused a great deal of stress and uncertainty in primary care, and professional development and support for general practitioners needs to take account of this. This book offers a group supervision model which can be used to develop the core competencies needed for GPs to make the new primary care organisations work. The book analyses how primary care professionals have dealt with the various reforms of the past decade, and picks apart the paralysing culture of politeness, conflict avoidance and rivalry for power, to reveal how at the core of reform is the struggle for each GP to construct a new professional identity which integrates medicine, management and politics. It proposes ways GPs can benefit from these experiences to become equipped with the necessary competencies to be active members or dynamic leaders in the new primary care organisations. The doctor-patient relationship is no longer one-to-one, but located within a group matrix, in the same way that a GP is now required to work within a group framework. This book enables GPs to develop the essential group skills they now need, and on which the success of the healthcare reforms ultimately depends.
The upheavals of the NHS reforms have caused a great deal of stress and uncertainty in primary care, and professional development and support for general practitioners needs to take account of this. This book offers a group supervision model which can be used to develop the core competencies needed for GPs to make the new primary care organisations work. The book analyses how primary care professionals have dealt with the various reforms of the past decade, and picks apart the paralysing culture of politeness, conflict avoidance and rivalry for power, to reveal how at the core of reform is the struggle for each GP to construct a new professional identity which integrates medicine, management and politics. It proposes ways GPs can benefit from these experiences to become equipped with the necessary competencies to be active members or dynamic leaders in the new primary care organisations. The doctor-patient relationship is no longer one-to-one, but located within a group matrix, in the same way that a GP is now required to work within a group framework. This book enables GPs to develop the essential group skills they now need, and on which the success of the healthcare reforms ultimately depends.
In the latest Harlequin Medical Romance by Traci Douglass, a GP is unexpectedly reunited with her prince and the father of her child…but will their reunion in the Mediterranean be able to overcome the pressures of parenthood and royal life? Reunited in the Mediterranean… Bound by her revelation… Taking a locum position aboard a luxury yacht, GP Cate is stunned to come face-to-face with her ex, Prince Davian. She now has the chance to tell him her biggest secret—she had his child! When they were medical residents, Davian kept his identity hidden and, duty-bound, left without saying goodbye. As they set sail, old flames reignite and their passion takes over…but can they cope with the pressures of their new royal reality? From Harlequin Medical: Life and love in the world of modern medicine.
Orlando de Luca is the archetypal Italian—smooth, handsome and charming! His dedicated professionalism is only matched by his playboy bachelor ways…until he meets his new colleague, Eleanor Forrest. Ellie is only in Italy to find her family, not to embark on an affair. Yet the chemistry between them is undeniable. So when Ellie becomes a patient herself, she finds that the only person she wants to rely on is the dashing Dr. de Luca. Everyone thinks he’s a gorgeous bachelor—really, he’s a husband in the making!
This book takes the reader through the various aspects of a careerin general practice from the time of applying to medical schooluntil retirement. It will be a practical guide for anyone who isinterested in the profession. There have been a lot of changes to medical careers over thelast few years that are now coming to completion, making this athoroughly up to date guide for all those thinking of going intogeneral practice.
With the government trying to bring more work into primary care, the creation of the GP With a Special Interest and the newer salaried posts, doctors may feel bewildered by the sheer choice facing them. Becoming involved in academia, education, writing, secondary care work, outside agency work, wanting to be a partner, salaried or work flexible hours — how do you negotiate these many choices? This useful guide aims to help, highlighting the options available for newly qualified GPs helping them to decide which direction they want to take, and also provides ideas for those already established within primary care looking for fresh directions within the profession and beyond. This book also explains what the specialty is all about for those who are contemplating becoming part of it. Training and newly qualified general practitioners, general practitioners who are looking for a new challenge, medical students and junior doctors will all find this book valuable reading.
Good Practice: What it means to put the patient first, not politics, posturing, pretentiousness, protocols or process. This is a text book for all doctors but especially GPs, Appraisers and Registrars. It is written by a 40 year plus front line NHS doctor who for most of his career worked twice to three times the current doctors’ Working Time Directive limited week. Chris Heath has been a Paediatric Lecturer in a teaching hospital, an Anaesthetist, various junior specialists and a GP for over 30 years in 3 different practices. He has been a GP Trainer and Appraiser and has seen politics and political correctness harm patients’ interests constantly over the last half of his career. From the way the NHS selects young doctors to the way they are educated and assessed, the best interests of the patient are largely ignored. This is a text book but it also contains home truths, advice, insights and original, honest guidance on being a safe, effective doctor. As well as giving an assessment of what has gone wrong with the NHS over the last 20 years, the author explains why today’s politicians, medical schools, Royal Colleges and many doctors will resist the changes essential to put the patients’ needs first again. 1 Politics, Who we are, The CQC etc 2 Administration, Training, The Consultation and Teaching 3 Basic Biology 4 Acute Medicine in General Practice 5 Alcohol 6 Allergy 7 Analgesics 8 Anticoagulants, Clotting 9 The Breast 10 Cancer and Terminal Care 11 Cardiology 12 Useful Clinical Signs, Eponymous diseases 13 Dermatology 14 Diabetes, Metabolism 15 Diet, Vitamins and Nutrition 16 Driving 17 Odd drugs 18 Ear, Nose and Throat 19 Gastroenterology 20 Geriatrics 21 Haematology 22 Hormones 23 Immunisation and Vaccines 24 Infections, Antibiotics, Microbiota 25 Legal Issues 26 Liver 27 Miscellaneous 28 Musculoskeletal, Orthopaedics, Sports, NSAIDs 29 Neurology 30 Ophthalmology 31 Paediatrics 32 Pathology 33 Pregnancy, Obstetrics and Gynaecology, Contraception 34 Psychiatry and Controlled Drugs 35 Respiratory 36 Sex and STDs 37 Sleep 38 Travel 39 Urology 40 Work References
This is a text book for all doctors but especially GPs, appraisers and registrars. It is written by a 40 year plus front line NHS doctor who for most of his career worked twice to three times the current doctors’ Working Time Directive limited week. Chris Heath has been a Paediatric Lecturer in a teaching hospital, an Anaesthetist, various junior specialists and a GP over 30 years in 3 different practices. He has been a GP Trainer and Appraiser and has seen politics and political correctness harm patients’ interests constantly over the last half of his career. From the way it selects young doctors to the way they are educated and assessed, the best interests of the patient are largely ignored. This is a text book but it also contains home truths, insights and a warts and all appraisal of how to be a good doctor as well as an unbiased assessment of what is wrong with today’s NHS. It also explains why today’s politicians, medical schools and doctors will resist the changes that are needed to put the patients’ needs first again.
A woman worth waiting for… If there’s anything recently reunited colleagues Victoria and Connor agree on it’s that they disagree—and that they’re hiding the sizzling chemistry between them! But work together they must, and, though sparks fly professionally and personally, each is impressed with the other’s talent. And while Victoria should hate Connor, for spurning her all those years ago, annoyingly she’s just as drawn to him as ever! Connor knows he let Victoria down in the past. And now he’s realising what he missed—a gentle beauty, a talented doctor, and a woman worth loving. He won’t let her slip through his fingers again…
This book introduces readers to an evolutionary learning approach, specifically genetic programming (GP), for production scheduling. The book is divided into six parts. In Part I, it provides an introduction to production scheduling, existing solution methods, and the GP approach to production scheduling. Characteristics of production environments, problem formulations, an abstract GP framework for production scheduling, and evaluation criteria are also presented. Part II shows various ways that GP can be employed to solve static production scheduling problems and their connections with conventional operation research methods. In turn, Part III shows how to design GP algorithms for dynamic production scheduling problems and describes advanced techniques for enhancing GP’s performance, including feature selection, surrogate modeling, and specialized genetic operators. In Part IV, the book addresses how to use heuristics to deal with multiple, potentially conflicting objectives in production scheduling problems, and presents an advanced multi-objective approach with cooperative coevolution techniques or multi-tree representations. Part V demonstrates how to use multitask learning techniques in the hyper-heuristics space for production scheduling. It also shows how surrogate techniques and assisted task selection strategies can benefit multitask learning with GP for learning heuristics in the context of production scheduling. Part VI rounds out the text with an outlook on the future. Given its scope, the book benefits scientists, engineers, researchers, practitioners, postgraduates, and undergraduates in the areas of machine learning, artificial intelligence, evolutionary computation, operations research, and industrial engineering.