Clinical Uncertainty in Primary Care

Author: Lucia Siegel Sommers
Publisher: Springer Science & Business Media
ISBN: 1461468124
Format: PDF
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The Power of Colleagues What happens when primary care clinicians meet together on set aside time in their practice settings to talk about their own patients? .....Complimenting quality metrics or performance measures through discussing the actual stories of individual patients and their clinician-patient relationships In these settings, how can clinicians pool their collective experience and apply that to ‘the evidence’ for an individual patient? .....Especially for patients who do not fit the standard protocols and have vague and worrisome symptoms, poor response to treatment, unpredictable disease courses, and/or compromised abilities for shared decision making What follows when discussion about individual patients reveals system-wide service gaps and coordination limitations? .....Particularly for patients with complex clinical problems that fall outside performance monitors and quality screens How can collaborative engagement of case-based uncertainties with one’s colleagues help combat the loneliness and helplessness that PCPs can experience, no matter what model or setting in which they practice? .....And where they are expected to practice coordinated, evidence-based, EMR-directed care These questions inspired Lucia Sommers and John Launer and their international contributors to explore the power of colleagues in “Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement” and offer antidotes to sub-optimal care that can result when clinicians go it alone. From the Foreword: “Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine...and they present a cogent case for its special relationship to primary care practice...‘Clinical Uncertainty in Primary Care’ not only presents a model of collegial collaboration and support, it also implicitly legitimates it.’’ Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.

Handbook of Primary Care Ethics

Author: Andrew Papanikitas
Publisher: CRC Press
ISBN: 1351651536
Format: PDF
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This enterprising collection spans the breadth of primary care in multiple ways. Contributions from general practitioners, philosophers, nurses, physiotherapists, dentists, health economists, educationalists, patients and others reflect the rich variety that makes up primary care. Authors embrace the uncertainty inherent in the day-to-day reality of primary care, and practical advice sits alongside heartfelt accounts of issues that challenge practitioners. There is something here for everyone, whether the reader is looking for guidance on duties in primary care, a framework for analysing a difficult consultation, insights into the voice of the patient, or an understanding of the economics of primary care. Wendy Rogers, Professor of Clinical Ethics, Macquarie University With chapters revolving around practical issues and real-world contexts, this Handbook offers much-needed insights?into the ethics of primary healthcare. An international set of contributors from a broad range of areas in ethics and practice address a challenging array of?topics. These range from the issues arising in primary care interactions, to working with different sources of vulnerability among patients,?from?contexts?connected with?teaching and learning, to issues in relation to justice and resources. The book is both interdisciplinary and inter-professional, including not just ‘standard’ philosophical clinical ethics but also approaches using the humanities, clinical empirical research, management theory and much else besides. This practical handbook will be an invaluable resource for anyone who is seeking a better appreciation and understanding of the ethics ‘in’, ‘of’ and ‘for’ primary healthcare. That includes clinicians and commissioners, but also policymakers and academics concerned with primary care ethics. Readers are encouraged to explore and critique the ideas discussed in the 44 chapters; whether or not readers agree with all the authors’ views, this volume aims to?inform, educate and, in many cases, inspire.

Mapping Uncertainty in Medicne

Author: Avril Danczak
Publisher: Royal College of General Practitioners
ISBN: 0850844185
Format: PDF, ePub, Mobi
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Uncertainty is the norm in medical practice, yet often gives rise to distress in clinicians, who fear they will make shameful or guilt inducing errors. This book offers a succinct method to clinicians for classifying uncertainty and finding the right skills to manage different types of uncertainty successfully. Every clinician experiences moments when 'they don't know what to do'. Modern medicine is increasingly complex and training has also become more complicated. The days of 'see one, do one, teach one' are over. Yet, both younger clinicians and senior practitioners describe uncertainty as one of the most challenging and stressful aspects of clinical work. If uncertainty is uncomfortable or threatening to individual practitioners, it also provides complex educational challenges. How can we learn to cope with uncertainty effectively ourselves? How can we teach others to understand and manage uncertainty? In this ground breaking book, the authors propose ways to cut through uncertainty, which is explored as an inevitable (and even desirable) component of clinical practice. A Map of Uncertainty in Medicine (MUM) is used to classify uncertainty and to define the skills that will help find a way though practical difficulties. It is always good to have your MUM with you in a tricky situation!

Narrative Based Practice in Health and Social Care

Author: John Launer
Publisher: Routledge
ISBN: 1351864114
Format: PDF, ePub, Mobi
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Narrative-Based Practice in Health and Social Care outlines a vision of how witnessing narratives, paying attention to them, and developing an ability to question them creatively, can make the person’s emerging story the central focus of health and social care, and of healing. This text gives an account of the practical application of ideas and skills from contemporary narrative studies to health and social care. Promoting narrative-based practice in everyday encounters with patients and clients, and in supervision, teaching, teamwork and management, it presents "Conversations Inviting Change," an established narrative-based model of interactional skills. Underpinned by an account of theory from narrative studies and related fields, including communication theory and systems thinking, it is written for students and practitioners across a broad range of professions in primary and secondary health care and social care. More information about "Conversations Inviting Change" is available at www.conversationsinvitingchange.com. This website includes podcasts, presentations and further teaching material as well as details of forthcoming courses, and is continually updated with information about the approach described in this book.

The Wiley Blackwell Handbook of the Psychology of Training Development and Performance Improvement

Author: Kurt Kraiger
Publisher: John Wiley & Sons
ISBN: 1118737016
Format: PDF, Mobi
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The latest Wiley Blackwell Handbook of Organizational Psychology uses a psychological perspective, and a uniquely global focus, to review the latest literature and research in the interconnected fields of training, development, and performance appraisal. Maintains a truly global focus on the field with top international contributors exploring research and practice from around the world Offers researchers and professionals essential information for building a talented organization, a critical and challenging task for organizational success in the 21st century Covers a diverse range of topics, including needs analysis, job design, active learning, self–regulation, simulation approaches, 360–degree feedback, and virtual learning environments

Biopsychosocial Approaches in Primary Care

Author: Hoyle Leigh
Publisher: Springer Science & Business Media
ISBN: 146155957X
Format: PDF, ePub
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ST MEDICINE IN A CHANGING UNIVERSE AT THE THRESHOLD OF THE 21 CENTURY Hoyle Leigh, M. D. I Professor ofPsychiatry San Francisco, University ofCalifornia, and Fresno VAMedical Center INTRODUCTION During my lifetime, the universe has changed beyond recognition. The universe into 111 which I was born, in the first halfofthe 20 century, was still infinite, permanent, orderly, and tranquil --- a universe that worked like a masterfully constructed clock. Matter and energy followed Newton's lawsofconservation. Shortly after my birth, Hiroshima proved, with a big bang, that matter was no longer permanent, everything was relative. Einstein had also shown thateverything that happened was local, that is, there was an event horizon beyond which no information could reach as nothing can travel faster than light. When I was growing up, the moon was for lovers, and going there was an impossible dream. Cosmologically, the Big Bang theory that postulates that the universe was born out ofan explosion some 10-15 billion years ago from a primordial point won over steady state. Ithas been expanding ever since, although the ultimate fateofthe universe is still unknown whetherit will keep on expanding resulting in aperpetual stateofheat death, or will at some point startcontracting, resulting in a big crunch ofgravitational collapse ending in a single black hole out ofspace, time, and existence. Quantum theory has defeated even Einstein's genius and proven that God indeed plays dice.

Zwischen den Meeren

Author: Sarah Moss
Publisher: mareverlag
ISBN: 3866483287
Format: PDF, Docs
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Nur wenige Wochen nach der Hochzeit muss ein junges Paar sich wieder trennen – für ein ganzes halbes Jahr. Tom Cavendish fährt nach Japan, um Leuchttürme zu bauen; Ally, seine Frau, bleibt in Cornwall, wo sie ihren lang gehegten Traum erfüllt und ihre erste Stelle als Ärztin antritt. Der neue Status beschert ihr ungekannte Freiheit, doch während sie sich immer tiefer in die Arbeit stürzt und Tom versucht, sich an die fremde Kultur Japans zu gewöhnen, wird die Entfernung zwischen beiden immer größer und das Fundament ihrer jungen Ehe brüchig. Mit ihrer unvergleichlichen Mischung aus psychologischer Einfühlung und intellektueller Tiefe spannt Sarah Moss einen Bogen von Cornwall bis Japan und zeigt zwei Menschen voller beruflicher Entschlossenheit und innerer Einsamkeit, verbunden durch dieselbe Sehnsucht, die Sehnsucht nach dem jeweils anderen.