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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.
He couldn't believe what he was asked. At his medical school interview, Dr. Robert Jackson, Jr. remembers being asked his feelings about abortion, which being pro-life meant he was against. Little did he know he would journey a pro-life pilgrimage as a Christian doctor not only caring for patients' medical needs, but in speaking the truth in love against abortion. His medical testimony and patient stories embody his new book, The Family Doctor Speaks - The Truth About Life, where he describes becoming a Christian doctor in Manning, South Carolina during the early Roe vs. Wade generation. Over the years, he continued to strengthen his pro-life stance and became a doctor counseling patients with Christian principles of child-raising. Abortion statistics and its contrast to scriptural truths the book presents, but the stories of lives touched by Robert's pro-life guidance in love are most impactful in the battle of pro-life vs. abortion.
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.
Small-town doctor Thomas Stern built a practice filled with memorable characters in rural Oregon. Then he moved to Southern California to work as technical advisor on the beloved TV series, "Marcus Welby, M.D". His life story is filled with episodes that are thought-provoking, heart-warming, and even rib-tickling.
The former U.S. Surgeon General offers a compelling and candid account of his life in a stunning portrait of growing up in early 20th-century America, a rare glimpse of a great surgeon in the making, an honest and sometimes shocking tale of how Washington politics can undermine the public's health (Timothy Johnson, M.D., Medical Editor, ABC News). Photographs.
Every Doctor is about thriving in medicine at a time of massive advances and changes in global health systems and medical services. The book is a must-read for doctors of all specialties at all stages of their careers wherever they practise in the world, because exemplary care of patients, peers, profession and self is a lifelong journey.
The Last Family Doctor is the story of William Stepansky, a remakable family doctor who touched thousands of lives. Beginning in 1953, he provided all the scientific medicine had to offer to the small rural communities he served in eastern Pennsylvania. And he did so with an embracing humanity, an ability to contain the pain, suffering, and anxious concern of others that is integral to the all but lost art of medicine.
This edition aims to provide a question and answer guide to all kinds of commonly experienced symptoms. The book is written by doctors and has been extensively tested with patients in order to provide detailed, easy-to-follow practical advice. The author has also written Complete Family Guide to Health Living.
Family medicine encompasses everything about a person. Through multiple personal experiences and clinical vignettes, Dr. Bruce Rowe shares the special moments that define the life of a family physician. Health care professionals will identify with Dr. Rowe's journey and the many hats he wears in clinical practice: obstetrician, psychiatrist, geriatrician, internist, pediatrician. Midwesterners and small-town residents will appreciate Dr. Rowe's rural Iowa upbringing and how it impacts his values and bedside approach to patients. Anyone who enjoys a good read about interesting people, entertaining case histories and how medicine can positively affect families and communities will be enriched by reading this book.