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Medical Generalism, Now! is a unique and timely consideration of generalist medical practice. With a focus on the knowledge work of clinical practice and by taking a whole healthcare system view, the book responds to a recognized need to strengthen generalist practice within modern healthcare delivery in both primary and secondary care settings. Through a series of creative provocations directed to consulting clinicians and their trainers/educators, service leaders and managers, and policy makers, readers are encouraged to challenge the orthodox view that generalism is an outdated 'jack of all trades’ sub-set of clinical medicine delivering the ‘simpler’ aspects of medicine, with more complex issues requiring onward specialist referral. Case studies are used throughout to illustrate the challenges to be faced, accompanied by a description of the principles of generalist knowledge work needed to tackle the scenarios described and discussing the implications for practice and service redesign. Essential reading for clinicians, managers and policy makers across all healthcare settings, the book concludes with a call to action, synthesizing the learning from each chapter to define and describe delivery of the key changes needed.
Australia's Rural, Remote and Indigenous Health 3e is a practical guide to the delivery of health care in rural and remote Australia. Drawing on personal experiences of rural and remote practitioners, historical accounts, literature analysis and epidemiology, this frank and engaging text examines the economic, social and political forces that shape healthcare in rural and remote Australia. With limited current resources to support studies in rural and remote healthcare, this title bridges the gap by offering valuable insights into Indigenous life and social determinants of health through the use of storytelling. It is the perfect guide for anyone working in or planning to work in rural, remote or Indigenous Australia; and for those undertaking cultural studies, or social policy. Only text covering both rural and remote health in Australia Placement preparation with StudentConsult video interviews of experienced rural and remote practitioners providing first-hand experience of rural and remote practice Pause and Think questions provide a framework to apply learned knowledge to practice Pause and think question boxes train the reader to critically assess and apply concepts to practical situations. New Chapter: Working with Indigenous Australians - Written by Shannon Springer, describes how to consult with Indigenous patients and draws on his experience in clinical practice. It offers consultation signposts and practical principles for working with Indigenous Australians. New Chapter: Remote health practice - Written by Sue Lenthall, this chapter examines the differences and commonalities between the remote communities and then applies this information to a case study on 'a day in the life of a remote area nurse'. It presents a remote client consultation model and a StudentConsult audio consultation between a nurse and a distant doctor, as well as tips for working in remote practice. The audio consultation gives a first-hand account of the experience of a remote area nurse managing an emergency case. Video and audio content - video interviews of experienced rural, remote and Indigenous health practitioners as well as students. The videos contain first-hand experience of rural and remote practice as well as tips to help prepare those new to rural or remote practice.
Australia's Rural, Remote and Indigenous Health 3e is a practical guide to the delivery of health care in rural and remote Australia. Drawing on personal experiences of rural and remote practitioners, historical accounts, literature analysis and epidemiology, this frank and engaging text examines the economic, social and political forces that shape healthcare in rural and remote Australia. With limited current resources to support studies in rural and remote healthcare, this title bridges the gap by offering valuable insights into Indigenous life and social determinants of health through the use of storytelling. It is the perfect guide for anyone working in or planning to work in rural, remote or Indeginous Australia; and for those undertaking culturual studies, or social policy. - Only text covering both rural and remote health in Australia - Placement preparation with StudentConsult video interviews of experienced rural and remote practitioners providing first-hand experience of rural and remote practice - Pause and Think questions provide a frame - Pause and think question boxes train the reader to critically assess and apply concepts to practical situations. - New Chapter: Working with Indigenous Australians – Written by Shannon Springer, describes how to consult with Indigenous patients and draws on his experience in clinical practice. It offers consultation signposts and practical principles for working with Indigenous Australians. - New Chapter: Remote health practice – Written by Sue Lenthall, this chapter examines the differences and commonalities between the remote communities and then applies this information to a case study on 'a day in the life of a remote area nurse'. It presents a remote client consultation model and a StudentConsult audio consultation between a nurse and a distant doctor, as well as tips for working in remote practice. The audio consultation gives a first-hand account of the experience of a remote area nurse managing an emergency case. - Video and audio content – video interviews of experienced rural, remote and Indigenous health practitioners as well as students. The videos contain first-hand experience of rural and remote practice as well as tips to help prepare those new to rural or remote practice.
The effective delivery of primary care requires the good working of a multi-professional team who provide that care. This accessible and concise text explores the ways in which primary care teams can collaborate well to advance the quality of clinical care and enhance collaborative working across the healthcare system as a whole. Taking a workbook approach, and including examples, narratives, case histories and further reading, Collaborative Practice in Primary and Community Care brings together theory and good practice to offer the reader viable models for achieving excellence. Addressing specific challenges to practising collaboratively throughout, it contains chapters exploring the contemporary context of primary care, collaboration with patients, collaboration between different professional groups, collaboration amongst organisations, and the respective roles of education and technology in promoting collaboration. Written by a multi-professional selection of experienced authors, practitioners and educators, this textbook is designed for a wide audience of healthcare professionals with an interest in primary care.
'After over 30 years in medical education, it has been very refreshing to read this book and realize that I still have more to learn.The authors build a bridge between educational principles and teaching in community clinical settings. An invaluable resource to community practitioners with a teaching role whether they are new to teaching or have had learners in their practice for many years.' Roger Strasser, in the Foreword As medical education evolves and becomes more evenly distributed between formal, university-based instruction and practical, work-based guidance, busy clinicians are increaslingly involved in training. Without formal teaching expertise, these clinicians often struggle with aspects of medical education, experience feelings of isolation, and are in need of teaching support. This comprehensive handbook provides a concise overview of information required to implement up-to-date educational strategies, offers direction on academic principles and teaches clinicians how to manage learners. Designed specifically with busy physicians in mind, it is organized to act as both a quick trouble-shooting resource and a reflective educational guide. Community-based medical educators will find this manual stimulating reading, as will all clinicians in medical education.
Generalism is a key approach to healthcare organisation and delivery that enables person-centred, dynamic and cost-effective patient care. With its emphasis on adaptability, generalism requires expansive, nurturing and personalised approaches to clinical education in which a generalist attends to and explores patient priorities when problem-setting and co-creating management plans. Generalism in Clinical Practice and Education outlines a generalist philosophy of practice which is brought to life through interleaved examples. Written by a range of international clinicians, patients and academics this book does not prescribe one ‘right’ way to do generalism. Rather, it seeks to inspire readers’ future engagement with generalism in practice and learning through sharing underpinning concepts, values and principles. This ‘big picture’ attention to generalism across public health, social determinants of health and clinical care is at the heart of sustainable and efficient use of resources to prioritise those in need. The book explores four key principles which in practice aim to achieve creative, inclusive and agile approaches to clinical care. The goal is to support generalism in clinical practice and education, and to produce clinical practitioners and learners that enjoy, embrace and enhance future clinical care.
The #1 New York Times bestseller that has all America talking—with a new afterword on expanding your range—as seen on CNN's Fareed Zakaria GPS, Morning Joe, CBS This Morning, and more. “The most important business—and parenting—book of the year.” —Forbes “Urgent and important. . . an essential read for bosses, parents, coaches, and anyone who cares about improving performance.” —Daniel H. Pink Shortlisted for the Financial Times/McKinsey Business Book of the Year Award Plenty of experts argue that anyone who wants to develop a skill, play an instrument, or lead their field should start early, focus intensely, and rack up as many hours of deliberate practice as possible. If you dabble or delay, you’ll never catch up to the people who got a head start. But a closer look at research on the world’s top performers, from professional athletes to Nobel laureates, shows that early specialization is the exception, not the rule. David Epstein examined the world’s most successful athletes, artists, musicians, inventors, forecasters and scientists. He discovered that in most fields—especially those that are complex and unpredictable—generalists, not specialists, are primed to excel. Generalists often find their path late, and they juggle many interests rather than focusing on one. They’re also more creative, more agile, and able to make connections their more specialized peers can’t see. Provocative, rigorous, and engrossing, Range makes a compelling case for actively cultivating inefficiency. Failing a test is the best way to learn. Frequent quitters end up with the most fulfilling careers. The most impactful inventors cross domains rather than deepening their knowledge in a single area. As experts silo themselves further while computers master more of the skills once reserved for highly focused humans, people who think broadly and embrace diverse experiences and perspectives will increasingly thrive.
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.
This comprehensive resource illuminates the past, present, and future of generalist medicine. Generalist Medicine and U.S. Health Policy contains new contributions from preeminent authorities and a selection of groundbreaking articles and reports from the past forty years. Generalist Medicine and U.S. Health Policy covers a broad range of topics that · Examines the current challenges of primary care and generalist medicine · Offers a chronological history of the growth of generalist medicine since the 1950s · Reviews the models of care on which generalist medicine is based · Analyzes the growth of three disciplines3⁄4general internists, family physicians, and pediatricians · Looks at the supply and distribution of generalist physicians · Discusses the education and training of generalist physicians · Reports on the cost and quality of the care provided by generalist versus specialists
In this final volume of his best-selling 'Inner' trilogy, Roger Neighbour explores the relationship between a doctor's professional and private selves. He suggests that the mind of every doctor retains an untrained 'ordinary human being' part - their Inner Physician - which makes an important, though often neglected, contribution to medical practice. This 'Inner Physician', which he also describes as the 'amateur within' or the 'expert minus the expertise', plays a major role in diagnosis and treatment, and is the chief source of insight, empathy and clinical acumen. Roger shows that skilled use of the Inner Physician is one thing that distinguishes the generalist from the specialist.