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The development of specialty skills in medical and surgical practice in the late 19th and in the 20th century transformed medical practice. For the first time, a patient could visit a doctor with the expectation of an accurate diagnosis and effective treatment. Disease prevention became a realistic proposition. Traditional practice methods became obsolescent, but a yearning for generalist medical wisdom and respect continued until the 2nd World War disrupted progress. In the 19th century, the London Hospital was remarkably open to new ideas, and the Chairman of the Board, Viscount Knutsford, was a master fundraiser. Investment in novel facilities and staff, including the establishment of special departments, and consequent changes in clinical practice led to a growing national and international reputation in clinical practice and education. Specialty skills defined innovations, both in hospital and family practice. More recently, merging St Bartholomew’s, the Royal London Hospital and other hospitals has reactivated the advance of specialism.
"Drawing on a comparative study of hospital records, Charity and the London Hospitals investigates how and why Victorians contributed in order to show that benevolence was rarely amenable to a single form or reason. Whilst charity remained central to the hospitals' raison d'etre, philanthropy's contribution was modified at a financial and administrative level as hospitals shifted from being philanthropic to medical institutions. Why this process occurred and the impact of professionalisation and scientific medicine are assessed."--BOOK JACKET.
This book reveals the ever-present challenges of patient care at the forefront of medical knowledge. Syphilis and gonorrhoea played upon the public imagination in Victorian and Edwardian England, inspiring fascination and fear. Seemingly inextricable from the other great 'social evil', prostitution, these diseases represented contamination, both physical and moral. They infiltrated respectable homes and brought terrible suffering and stigma to those afflicted. Medicine, Knowledge and Venereal Diseases takes us back to an age before penicillin and the NHS, when developments in pathology, symptomology and aetiology were transforming clinical practice. This is the first book to examine systematically how doctors, nurses and midwives grappled with new ideas and laboratory-based technologies in their fight against venereal diseases in voluntary hospitals, general practice and Poor Law institutions. It opens up new perspectives on what made competent and safe medical professionals; how these standards changed over time; and how changing attitudes and expectations affected the medical authority and autonomy of different professional groups.
Examines one of the most significant and characteristic features of modern medicine - specialization - in historical and comparative context. This title traces the origins of modern medical specialization to 1830s Paris and examines its spread to Germany, Britain, and the US.
The neurologists describes how Victorian physicians located in a medical culture that privileged general knowledge over narrow specialism came to be transformed into the specialised physicians we now call neurologists. Relying entirely upon hitherto unseen primary sources drawn from archives across Britain, Europe and North America, this book analyses the emergence of neurology in the context of the development of modern medicine in Britain. The neurologists thus surveys the patterns of change and modernisation that influenced British medical culture throughout the nineteenth and twentieth centuries. In so doing, it ultimately seeks an account of how neurological knowledge acquired such an expansive view of human nature as to become concerned in the last decades of the twentieth century with the human sciences, philosophy, art and literature.
This fascinating new book describes the evolution of the medical profession and how the role of the doctor and expectations of that role have changed over time. It critically examines developments in the light of both external influences such as the ageing population, patient attitudes and knowledge and government regulation, and internal changes such as the increasing knowledge base, advances in technology and changes in recruitment. Challenges in management, working environment, education and training are considered and practical recommendations for both practising and student doctors are offered. The holistic approach is supported with contributions from both primary and secondary care practitioners together with academics and educationalists. It is highly recommended for doctors and medical students seeking new strategies for understanding and managing change. Sociologists and policy makers, too, will find the wide-ranging perspectives enlightening.
The pace and sophistication of advances in medicine in the past two decades have been truly breathtaking. This has necessitated a growing need for comprehensive references that highlight the current issues in specific sectors of medicine. Keeping this in mind, each volume in the Current Issues in Medicine series is a stand‐alone text that provides a broad survey of various critical topics in a focused area of medicine—all accomplished in a user-friendly yet interconnected format. However, unlike other series on medicine or medical texts, this series focuses on current trends, perspectives, and issues in medicine that are central to healthcare delivery in the 21st century. Medical practitioners today continue to improve upon techniques and technologies to provide procedures for patients that are safer, faster, less invasive, and more accurate —a direct consequence of advances in technological breakthroughs from a variety of medical and engineering fields. In order to render modern patient care, it is imperative that surgeons and medical practitioners stay current with these latest advances in their respective specialties. Given this backdrop, the specific topics covered in this volume and the expertise of the contributing authors accurately reflect the rapidly evolving areas within surgical and medical specialties. While recognising how expansive and multifaceted medicine is, Advances in Surgical and Medical Specialties addresses crucial recent advances in surgical and medical specialties, intergrating the knowledge and experience of experts from academia and practicing surgeons. The multidisciplinary approach reflected here makes this volume a valuable reference resource for medical practictioners, medical students, nurses, fellows, residents, undergraduate and graduate students, educators, venture capitalists, policymakers, and biomedical researchers. A wide audience will benefit from having this volume on their bookshelf: health care systems, the pharmaceutical industry, academia, and government.
An introduction to the development of medical and hospital services in Britain before 1939.
This electronic version has been made available under a Creative Commons (BY) open access license. This book is available as an open access ebook under a CC-BY-NC-ND licence. Through its study of diabetes care in twentieth-century Britain, Managing diabetes, managing medicine offers the first historical monograph to explore how the decision-making and labour of medical professionals became subject to bureaucratic regulation and managerial oversight. Where much existing literature has cast health care management as either a political imposition or an assertion of medical control, this work positions managerial medicine as a co-constructed venture. Although driven by different motives, doctors, nurses, professional bodies, government agencies and international organisations were all integral to the creation of managerial systems, working within a context of considerable professional, political, technological, economic and cultural change.
Getting into Academic Medicine provides a comprehensive yet accessible guide for all doctors who are training to gain postgraduate qualifications and further their academic career. It explains what an academic career involves from diploma and masters courses through to completing a PhD and holding professional positions.How to prepare the ideal suc