A Textbook of General Practice 3E by Patrick White, Ann Wylie, Anne Stephenson PDF

By Patrick White, Ann Wylie, Anne Stephenson

An crucial consultant to basic perform and being a health care professional, A Textbook of common Practice is written particularly with the clinical scholar and starting place physician in brain.

Reflecting present perform, the booklet doesn't search to reiterate the content material of a basic clinical textbook, yet as an alternative teaches the basic rules of basic perform. The insurance is finished, with every little thing the undergraduate scholar or origin health care professional will stumble upon in a common perform module or rotation. the talents and information offered can usefully be utilized to all parts of medical perform.

With sensible routines through the booklet, readers are inspired to profit via doing. prices from scholars and tutors provide insights into own event, whereas pondering and dialogue issues motivate mirrored image. New positive factors during this version comprise enhanced association, "red flag" tips that could critical health problems, and SBA-style self review questions.

With content material totally up-to-date to mirror the most recent innovations from Tomorrow's Doctors, the 3rd variation of A Textbook of common Practice is the number 1 selection for undergraduates looking a story creation to this crucial discipline.

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Additional resources for A Textbook of General Practice 3E

Example text

Honestly it was so awkward. Then she said, ‘I am not laughing’, and then she became very serious because she realized there was something going on and there was a breakdown. He looked at me so all I could do was take over. I talked to him and I didn’t know how I was going to take things forward and then, again, he saved us. He said, ‘I am sorry young lady but I had to tell you. Somebody has to tell you. You can’t laugh at patients. ’ Then he carried on talking to her for a while and they had a conversation.

This is an important difference from, for example, the hospital-based consultation, in which patient contact is, in the UK, generally initiated by referral from another doctor. Patients in primary care thus come with their own agenda, often unknown by their GPs until presentation. Effective communication between GP and patient is the key to accurate identification and discussion of the pertinent 01/11/2011 14:54 20 THE GENERAL PRACTICE CONSULTATION issues. The idea of the patient-centred consultation, in which the practitioner works with the person rather than the illness or the presenting issue, is explored further later in this chapter.

Practitioners usually see their major responsibility as being ‘their’ patients and, in theory at least, aim to empower patients as much as possible. They are mainly accountable to their patients and to their peers. The practice, on the other hand, is mainly responsible for the practice population and may need to have ‘power over’ the decisions of a few to benefit the whole. Accountability for the practice is to the practice population and, in Britain, nationally to the Secretary of State for Health for General Medical Services (GMS) practices and locally to the Primary Healthcare Trusts for Personal Medical Services (PMS) practices.

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