Searching for the Family Doctor

Searching for the Family Doctor
Author: Timothy J. Hoff
Publisher: JHU Press
Total Pages: 287
Release: 2022-03-01
Genre: Medical
ISBN: 1421443015

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.

Primary Care

Primary Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 411
Release: 1996-09-05
Genre: Medical
ISBN: 0309175690

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

Is There a Doctor in the House?

Is There a Doctor in the House?
Author: Richard M. Scheffler
Publisher: Stanford University Press
Total Pages: 257
Release: 2008
Genre: Medical
ISBN: 080470032X

This data-driven book analyzes factors that will improve the efficiency and quality of the American health care delivery system through the lens of physician supply in an era of managed care. Presenting policy recommendations and a broad range of perspectives from conversations with experts in health economics, medical education, and health policy, Scheffler's work makes accessible a critical and complex area of health care.

House Calls

House Calls
Author: Thomas L. Stern
Publisher:
Total Pages: 0
Release: 2000
Genre: Family medicine
ISBN: 9781581510331

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.

Heirs of General Practice

Heirs of General Practice
Author: John McPhee
Publisher: Farrar, Straus and Giroux
Total Pages: 130
Release: 2011-04-01
Genre: Biography & Autobiography
ISBN: 0374708525

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.

How to Be a Patient

How to Be a Patient
Author: Sana Goldberg
Publisher: HarperCollins
Total Pages: 431
Release: 2019-03-19
Genre: Medical
ISBN: 0062797344

From registered nurse and public health advocate Sana Goldberg, RN, a timely, accessible, and comprehensive handbook to navigating common medical situations. From the routine to the unexpected, How to Be a Patient is your ultimate guide to better healthcare. Did you know that patients have statistically better outcomes when their surgeon is female? That you can mark-up an informed consent sheet before you sign it, or get second opinions on CTs and MRIs? That there’s a blue book for healthcare procedures, or an algorithm to decide between ER, Urgent Care, and waiting-until-Monday? In How to Be a Patient, nurse and public health advocate Sana Goldberg walks readers through the complicated and uncertain medical landscape, illuminating a path to better care. Warm and disarmingly honest, Goldberg’s advice is as expert as it is accessible. In the face of an epidemic of brusque, impersonal care she empowers readers with the information and tools to come to good decisions with their providers and sidestep the challenging realities of modern medicine. With sections like When All is Well, When It’s An Emergency, When It’s Your Person, and When You Have to Stand Up to the Industry, along with appendices to help track family history, avoid pointless medical tests, and choose when and where to undergo a procedure, How to Be a Patient is an invaluable and essential guide for a new generation of patients.

How Doctors Think

How Doctors Think
Author: Jerome Groopman
Publisher: HarperCollins
Total Pages: 325
Release: 2008-03-12
Genre: Medical
ISBN: 0547348630

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

The White House Doctor

The White House Doctor
Author: Connie Mariano
Publisher: Macmillan
Total Pages: 317
Release: 2010-06-22
Genre: Biography & Autobiography
ISBN: 1429958529

A riveting look into the personal lives of our presidents through the eyes of their White House doctor "An interesting, behind-the-scenes glimpse of life at the White House." - Kirkus Reviews Dr. Connie Mariano served 9 years at the White House under Presidents George H.W. Bush, William J. Clinton, and George W. Bush. She participated in world headline-making news events and traveled all over the world. She cared for visiting dignitaries and was charged with caring for all the members of the First Family. From flirting with King Juan Carlos of Spain to spending the night on the Queen of England's yacht, Dr. Mariano glimpsed a glittering and powerful celebrity that few ever see. White House Doctor is a fascinating look into what goes on behind closed doors at 1600 Pennsylvania Avenue.

The Medical Science of House, M.D.

The Medical Science of House, M.D.
Author: Andrew Holtz
Publisher: Penguin
Total Pages: 276
Release: 2006-10-03
Genre: Social Science
ISBN: 9780425212301

How can a teenager adopted at birth nearly die because his real mother didn’t get a measles shot? How can a husband’s faith in his wife’s fidelity determine whether radical treatment will cure her or kill her? How can a missed eye doctor appointment reveal a genetic disease? How can doctors choose the right course for a pregnant woman when one may kill her and the other would abort her fetus? Answers to these questions and more are pursued every week on House, M.D. Premiering in November 2004, the darkly quirky medical drama introduced a compelling new character to prime-time television: the sarcastic, abrasive—and brilliant—Dr. Gregory House. Week after week, House has held viewers’ attention with brilliant cast performances and intriguing diagnostic mysteries often solved with daring treatments. But how much of the medical detail is real and how much is fabricated? In The Medical Science of House, M.D., Andrew Holtz, a well-known medical journalist, reveals how medical detectives work—how they follow symptoms to their source. He examines each case in detail—and provides answers for every viewer who has ever wondered about the authenticity of their favorite show.