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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.
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
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.
Results are presented of a study of nursing and nursing education that focused on the need for continued federal support of nursing education, ways to attract nurses to medically underserved areas, and approaches to encourage nurses to stay in the profession. Findings are presented on whether the aggregate supply of generalist nurses will be sufficient to meet future demand, and how changes that could occur in the health care system might affect demand. Attention is also directed to: how the current and future supply of nurses may be influenced by the costs of nursing education and the sources of education financing; and education for generalist positions in nursing. In addition, the supply and demand situation for nurses educationally prepared for advanced professional positions in nursing is examined. The influence of employer policies and practices in utilization of nursing resources on demand and supply is also addressed. Finally, areas in which further data and studies are needed to better monitor nursing supply and demand are identified. In addition to 21 recommendations, appendices include information on Nursing Training Act appropriations, state reports on nursing issues, certificates for specialist registered nurses, projections of registered nurse supply and requirements, and doctoral programs in nursing. (SW)
Twelve contributors highlight the various aspects of the school's development and the unique opportunities it offers. The first new medical school in Canada in over thirty years, the Northern Ontario School of Medicine provides a blueprint for those interested in an innovative approach to medical education. This collection provides a fascinating and detailed account of the challenges and rewards faced by those who insisted on creating a patient-centered, community-based, and culturally sensitive learning environment for the physicians of tomorrow.
Highly regarded in the field of medical education, A Practical Guide for Medical Teachers provides accessible, highly readable, and practical information for those involved in basic science and clinical medicine teaching. The fully updated 6th Edition offers valuable insights into today's medical education. Input from global contributors who offer an international perspective and multi-professional approach to topics of interest to all healthcare teachers. With an emphasis on the importance of developing educational skills in the delivery of enthusiastic and effective teaching, it is an essential guide to maximizing teaching performance. - Offers comprehensive, succinct coverage of curriculum planning and development, assessment, student engagement, and more. - Includes 10 new chapters that discuss the international dimension to medical education, clinical reasoning, the roles of teachers, mentoring, burnout and stress, the patient as educator, professional identity, curriculum and teacher evaluation, how students learn, and diversity, equality and individuality. - Delivers the knowledge and expertise of more than 40 international contributors. - Features helpful boxes highlighting practical tips, quotes, and trends in today's medical education.
This innovative and timely book draws on pioneering precedents, basic principles, current examples and international experience to capture the narratives, examples and ideas that underlie and demonstrate the exceptional potential of general practice: "If health care is not at is best where it is needed most, health inequalities will widen." "The unworried unwell are not hard to reach but they are easy to ignore and are often ignored." "With patient contact, population coverage, continuity, coordination, flexibility, long term relationships and trust, general practices are the natural hubs of local health systems." "... practitioners ... are not only scientists but also responsible citizens and if they did not raise their voice who else should?" Written for family doctors looking to strengthen local collaboration, it brings together the traditional strengths of consultations, caring, continuity, coordination and coverage with the current and future challenges of building capacity, community, creativity, consistency, collegiality and campaigning. It highlights the critical importance of working with patients, maximising the use of serial encounters, integrating care, joint working between practices, social prescribing, community development and advocacy based on patient and practitioner experience. Drawing on the highly-regarded work of Deep End GPs serving the poorest communities in Scotland ̶ www.gla.ac.uk/deepend ̶ the book is an invaluable handbook for all primary care doctors, irrespective of health care system or country, seeking to provide unconditional continuity of personalised care for all patients, whatever problem or combination of problems a patient may have.