PDF-(EBOOK)-Doctoring: The Nature of Primary Care Medicine

American medicine attracts some of the brightest and most motivated people the country has to offer and it boasts the most advanced medical technology in the world a wondrous parade of machines and techniques such as PET scans MRI angioplasty endoscopy bypasses organ transplants and much more besides And yet writes Dr Eric Cassell what started out early in the century as the exciting conquest of disease has evolved into an overly expensive over technologized uncaring medicine poorly suited to the health care needs of a society marked by an aging population and a predominance of chronic diseases In Doctoring The Nature of Primary Care Medicine Dr Cassell shows convincingly how much better fitted advanced concepts of primary care medicine are to Americas health care needs He offers valuable insights into how primary care physicians can be better trained to meet the needs of their patients both well and sick and to keep these patients as the focus of their practice Modern medical training arose at a time when medical science was in ascendancy Cassell notes Thus the ideals of scienceobjectivity rationalitybecame the ideals of medicine and diseasethe target of most medical researchbecame the logical focus of medical practice When clinicians treat a patient with pneumonia they are apt to be thinking about pneumonia in generalwhich is how they learn about the diseaserather than this persons pneumonia This objective rational approach has its value but when it dominates a physicians approach to medicine it can create problems For instance treating chronic diseasesuch as rheumatoid arthritis diabetes stroke emphysema and congestive heart failureis not simply a matter of medical knowledge for it demands a great deal of effort by the patients themselves they have to keep their doctor appointments take their medication do their exercises stop smoking The patient thus has a profound effect on the course of the disease and so for a physician to succeed he or she must also be familiar with the patients motivations values concerns and relationship with the doctor Many doctors eventually figure out how to put the patient at the center of their practice but they should learn to do this at the training level not haphazardly over time To that end the training of primary care physicians must recognize a distinction between doctoring itself and the medical science on which it is based and should try to produce doctors who rely on both their scientific and subjective assessments of their patients overall needs There must be a return to careful observational and physical examination skills and finely tuned history taking and communication skills Cassell also advocates the need to teach the behavior of both sick and well persons evaluation of data from clinical epidemiology decision making skills and preventive medicine as well as actively teaching how to make technology the servant rather than the master and offers practical tips for instruction both in the classroom and in practice Most important Doctoring argues convincingly that primary care medicine should become a central focus of Americas health care system not merely a costsaving measure as envisioned by managed care organizations Indeed Cassell shows that the primary care physician can fulfill a unique role in the medical community and a vital role in society in general He shows that primary care medicine is not a retreat from scientific medicine but the natural next step for medicine to take in the coming century. Teaching Clinical Reasoning In The Apprenticeship Model . Nothing. My Thanks. Dennis Baker. Greg Turner. Lynn Romrell. Goals. Stimulate discussion of clinical reasoning in the context of curriculum redesign. Our Moment in History. John Saultz, MD. Professor and Chairman. OHSU Family Medicine. To share the story of how our discipline’s new strategic plan, . Family Medicine for America’s . Health. , came about. Paige Hatcher, MD. - Diplomate. , ABFM. - Preventive Medicine Resident, OHSU. - MPH Candidate, PSU. - Health Policy Fellow, OHA. Capacity. Average panel size as the population ages is estimated to increase to 2300 per PCP. reaching our potential. Tony O’Sullivan. GP, Irishtown, Dublin. We are all surgeons aren’t we?. MB, . ChB. , BAO. ICGP skills courses since 1992. Cryotherapy for warts. Growing elderly pop. Hospital waiting times. Bruce . Leff. , MD. Professor of Medicine. Co-Director, Elder House Call Program. Johns Hopkins University School of Medicine. Campaign for Better Care Webinar. June 30, 2010. Let’s Start with Leo. Victoria Maizes, M.D., Victor Sierpina, M.D., John Woytowicz, M.D., Selma Sroka, M.D., Sally Dodds, Ph.D., & Patricia Lebensohn, M.D.. Presentation Objectives. The objectives of this presentation are. System . Global . T. rend and . in . K.S.A. . . OBJECTIVES:. By . the end of this session the . Students . should be able t. o. :. Discuss the global trend in health care system. History of health Care system in the Kingdom. La gamme de thé MORPHEE vise toute générations recherchant le sommeil paisible tant désiré et non procuré par tout types de médicaments. Essentiellement composé de feuille de morphine, ce thé vous assurera d’un rétablissement digne d’un voyage sur . . . . drug, potion. medicine. . pharmakon. . poison. magic charm. scapegoat. . . Hippocratic pharmacology. • no pharmacological writings. • mixture of dietary and pharmacological prescriptions. March 28, 2019. Dawn Prentice, LCSW. Director of Integrated Care and Health Psychology. St. Louis Behavioral Medicine Institute. Ronald B. Margolis, PhD. Founder and CEO of Saint Louis Behavioral Medicine Institute. James . Hotz. , IM Lead Mentor for Students. Mitch Goldman, IM Residency Program Director,. Careers and Training in Internal Medicine and Internal Medicine Subspecialties. Topics for Discussion. What an internist does. primary care . setting. . Evidence based medicine has had an increasing impact on primary care over the last few years. . In . the . UK it . has influenced the development of . :. Guidelines. Quality . 7-time Wall Street Journal and Audible Top-10 best selling author. National bestseller Medicine Men follows the beloved #1 bestselling Heart in the Right Place. This is a collection of the most memorable moments from more than a dozen rural physicians who each practiced medicine for more than 50 years in the Southern Appalachian Mountains from 1930-2012. Hilarious, heroic, true stories of miracle cures, ghost dogs, and much madcap medical mayhem. Unimaginably funny and touching situations where men with nerves of steel and hearts of gold get stuck between a rock and a hard place in the Smoky Mountains. These men are saints who walk among us and Jourdan\'s father is one of them. Jourdan\'s work is often compared to James Herriot and Bill Bryson. This story collection is like All Creatures Great and Small but with people instead of animals or vingnettes from country doctors who took A Walk in the Woods.Jourdan\'s first book is on hundreds of lists of best books of the year, best book club books, and funniest books. Heart in the Right Place was chosen as Family Circle magazine\'s first ever Book of the Month, won the Elle magazine Reader\'s Prize, named a Wall Street Journal Nonfiction Bestseller and ranked #1 on Amazon in Biography, Memoir, Science, and Medicine. Improving Primary Care: Building Blocks for Success and Opportunities for State Collaboration. Presented by the NESCSO Primary Care Workgroup. . October 18-19,2018.