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General Practice--Demanding Work

Author : John Waller

Publisher : CRC Press

Page : 163 pages

File Size : 46,94 MB

Release : 2018-08-07

Category : Medical

ISBN : 1315348144

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Book Description

General practitioners are moving into a more central and accountable role in managing NHS resources. To achieve this they need to monitor, understand and plan the everyday services they offer. This book shows the reader how. It provides insights and practical suggestions on how demand can be met effectively and efficiently. It shows how to improve service provision and guidance is given on how to reduce the stressful working conditions of GPs, nurses and other practice staff. Illustrated with charts and graphs and tips, it provides new and relevant data in an easy to understand and accessible format. All members of the practice team, especially GPs, GP registrars and NHS managers, and those undertaking research in or about primary care, will find it essential reading.



Taking Action Against Clinician Burnout

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 335 pages

File Size : 35,63 MB

Release : 2020-01-02

Category : Medical

ISBN : 0309495474

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Book Description

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.



From General Practice to Primary Care

Author : Steve Iliffe

Publisher : OUP Oxford

Page : 244 pages

File Size : 12,61 MB

Release : 2008-02-14

Category : Medical

ISBN : 0191550388

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Book Description

Anxiety about medicine becoming impersonal and mechanised permeates the NHS. In addition, the popular media is full of stories about the health service and its unhappy staff, focusing on the belief that professionals and patients are being turned into assembly-line workers and objects. This is particularly prevalent in general practice, as plans for massive policlinics are revealed and payment systems shift seemingly inexorably towards incentives and targets. The ethos of family medicine, which places so much stress on continuity of care, psychosocial understanding of illness, and the careful management of doubt, is challenged by guidelines, governance, quality frameworks, and patient satisfaction surveys. General practice is being industrialized into primary care, or so it can seem. This book explores the many dimensions of industrialization as it has occurred to others in the past, and analyses the origins of the current wave of reform in general practice. It analyses why industrialization is being pursued as a government strategy, and explores its benefits and dangers. It concludes that the medical profession has reasons for being perturbed by industrialization, but that it has advantages as well as disadvantages for the NHS and the public. Its conclusions may not please either policy makers or practitioners, but they offer ways for professionals working in the community to customise current changes in potentially beneficial ways.



Essays in Good Practice: Lecture notes in contemporary General Practice

Author : Chris Heath FRCP MRCGP

Publisher : Paragon Publishing

Page : 1200 pages

File Size : 34,37 MB

Release :

Category : Medical

ISBN :

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Book Description

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



Essays in Good Practice: Lecture notes in contemporary General Practice - Second Edition

Author : Chris Heath

Publisher : Paragon Publishing

Page : 1200 pages

File Size : 49,20 MB

Release : 2023-07-24

Category : Medical

ISBN : 178222971X

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Book Description

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.



General Practice Cases at a Glance

Author : Carol Cooper

Publisher : John Wiley & Sons

Page : 131 pages

File Size : 45,38 MB

Release : 2016-07-12

Category : Medical

ISBN : 1119043786

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Book Description

General Practice Cases at a Glance is a workbook of clinical scenarios, ideal for those working in general practice, on their GP rotations, or looking to improve their history-taking, diagnostic and management planning skills. Written by practising teaching GPs, it provides an accessible overview of the richness and complexity of general practice. With 50 engaging consultations, covering all age ranges and a broad spread of clinical areas, each symptom-based chapter begins with the clinical presentation of a patient, before going on to uncover the full history and examination. As you work through each true-to-life case, there are red flag symptoms, useful charts and tables, and further resources to deepen your knowledge. General Practice Cases at a Glance: Is suitable for clinical students, Foundation doctors, and those preparing for the MRCGP's CSA Includes 50 case scenarios from across the medical spectrum, from mental health and paediatrics to musculoskeletal and ENT medicine Is comprehensively illustrated Features current clinical guidelines, and charts and tables to accompany each case Is the companion volume to General Practice at a Glance, ISBN 978-0-470-65551-1, (Awarded First Prize in the Primary health care category at the 2013 BMA Medical Book Awards) but is also a stand-alone resource



Clinical Supervision In The Medical Profession: Structured Reflective Practice

Author : Owen, David

Publisher : McGraw-Hill Education (UK)

Page : 195 pages

File Size : 33,5 MB

Release : 2012-10-01

Category : Psychology

ISBN : 0335242928

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Book Description

"Doctors reading this book will not only be convinced of the need for medical supervison (for all doctors - even pathologists and coroners); they will also be given a handy smorgasbord of different types of medical supervision from which to choose ... There may not be many ways of rekindling the spark of compassion and loving kindness that made us want to become health professionals at the start of our careers, but Owen and Shohet have demonstrated that empathic supervision, whether this is from fellow professionals or from peers, is certainly one way of achieving this." Brian Kaplan, MD With a foreword by Iona Heath, President of the Royal College of General Practitioners. This book helps trainee and practicing doctors to develop a broader understanding of supervision. Written by doctors and other medical specialists experienced in clinical supervision it gives the reader the means to enable, structure and develop their reflective practice. It provides practical tools to engage positively with regulatory challenges, increase satisfaction at work and improve quality of care. Clinical Supervision in the Medical Profession considers the reasons for clinical supervision and how it can support doctors and even transform how they engage with challenging issues. The authors outline a range of ways that they have put clinical supervision into practice and how it has benefitted their work. Contributors Christine Dunkley, Helen Halpern, Anita Houghton, Sue Morrison, David Owen, Patricia Ridsdale, Paul Sackin, John Salinsky, Robin Shohet, Maggie Stanton, Guy Undrill and Sonya Wallbank.



The Exceptional Potential of General Practice

Author : Graham Watt

Publisher : CRC Press

Page : 292 pages

File Size : 30,55 MB

Release : 2018-12-07

Category : Medical

ISBN : 0429764596

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Book Description

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.



Social Work in General Practice

Author : E. Matilda Goldberg

Publisher : Routledge

Page : 155 pages

File Size : 12,99 MB

Release : 2021-11-07

Category : Social Science

ISBN : 1000438503

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Book Description

In the early 1970s general practitioners were well aware that they were being asked to deal not only with physical illness in their patients but also with the stresses relating to social and emotional problems. Increasingly often they were working together with health visitors and social workers in attempting to respond more effectively to these demands. Originally published in 1972, this study describes the attachment of a social worker to a group general medical practice in London, indicating why, for all social groups, the general practice is an appropriate point at which psychosocial problems may be identified and treated. The authors describe the nature and range of patients’ problems that come to light in the consulting room; how patients present their problems to the social worker; and the kind of help the social worker is able to offer. They explore the extent to which the general practice setting provides opportunities for preventive therapy and further describe how social work in general practice can most effectively be related to existing social services in the community, particularly to the reorganised personal social services. Their findings are supported throughout by illuminating case studies. The book also discusses the integration of the social worker into the general practice team, the problems that have to be solved and the mutual enlightenment that results. This emerges as an extremely encouraging and instructive experiment, which will immediately interest social service departments and social workers, doctors and nurses, both students and those in practice. The wide spectrum of social problems encountered and dealt with by the social worker in a general practice make it a particularly stimulating account.