The Old Family Doctor
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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.
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.
Author | : Jacopo Demurtas |
Publisher | : Springer Nature |
Total Pages | : 465 |
Release | : 2021-12-30 |
Genre | : Medical |
ISBN | : 3030789233 |
This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the “silver tsunami.” Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.
Author | : Thomas Freeman |
Publisher | : Oxford University Press |
Total Pages | : 537 |
Release | : 2016 |
Genre | : Medical |
ISBN | : 0199370680 |
'McWhinney's Textbook of Family Medicine' is one of the seminal texts in the field, defining the principles and practices of family medicine as a distinct field of practice. The fourth edition presents six new clinical chapters of common problems in family medicine.
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.
Author | : Ian R. McWhinney |
Publisher | : New York : Oxford University Press |
Total Pages | : 468 |
Release | : 1997 |
Genre | : Family medicine |
ISBN | : 9780195115185 |
Since the previous edition of Ian McWhinney's text was published in 1989, family medicine has assumed an increasingly important role in the modern health care system. The growth of managed care in The United States and of similar movements in other countries has made it more important than ever to define and conceptualize the discipline and to synthesize its body of knowledge and skills. The author brings to this task a lifetime's experience in family practice and academic family medicine. The first edition was widely acclaimed for its originality, depth of analysis, and elegant style. The book has now been extensively revised, while retaining its original structure. The first ten chapters are devoted, as before, to a conceptualization and description of the field, Much new material has been added on the patient-centered clinical method, illness narratives, the biological basis of family medicine, health promotion, the concept of risk, and the contribution of evidence-based medicine. Chapter 9 now includes an authoritative review of evidence-based preventive strategies. The five clinical chapters exemplify the application of basic principles in practice. These have all been updated with the results of new research. The chapters on the practice of family medicine cover such topics as home care, records and practiced management. The revisions of these reflect many changes that have occurred since the first edition. A new chapter on alternative (complementary) medicine fills the need for reliable information on this topic. The book has been designed to be read as a whole, with fundamental ideas forming a continuous thread which runs through all its sections.
Author | : Charles Rees |
Publisher | : AuthorHouse |
Total Pages | : 135 |
Release | : 2020-12-17 |
Genre | : Biography & Autobiography |
ISBN | : 1665583606 |
This book comes from my experiences as a family doctor in a small town in Dorset England for 38 years covering 1972 to 2010. During most of that time being a Family Doctor was more than being a General Practitioner. I have tried to explain the changes that occurred without trying to extol the virtues of a golden age which never existed. The process of computerisation, advances in medicine, change in the family, de-skilling of the doctor, training of GPs and the rise of the ‘portfolio’ doctor are covered hopefully without over-doing it. I hope I have explained how doctor and patient became distanced and why. All through this period the control by Government extended. The Doctor now works for the Government and not the patient. Since I retired from the Practice 10 years ago the concept of a patient having their own Doctor for decades or generations has largely gone. What I have tried to do is to explain the changes and why they happened and to do it through the people I lived along side and cared for. They were sometimes hard work, sometimes irritating, often chaotic and occasionally terribly funny. But in the end they were my patients and I was their Doctor.
Author | : United States. Congress. Senate. Committee on Labor and Public Welfare. Subcommittee on Health |
Publisher | : |
Total Pages | : 172 |
Release | : 1970 |
Genre | : Federal aid |
ISBN | : |
Author | : J. L. Buckingham |
Publisher | : Springer Science & Business Media |
Total Pages | : 2067 |
Release | : 2013-06-29 |
Genre | : Medical |
ISBN | : 1475740026 |
This Second Edition of Family Medicine: Principles and Practice presents a scien tific approach to health and illness in the context of mankind's most enduring societal unit-the family. This is a new book, building on the strengths of the First Edition. The emphasis of this book, like that of the specialty itself, is on the clinical delivery of health care; that is, how the practitioner manages common problems and recognizes uncommon entities encountered in office, hospital, home, and nursing home. In the First Edition, we were faced with the problem of how to organize a family medicine textbook that dealt with clinical topics yet represented more than a series of essays on the specialties for the generalist reader. We began by identifying specific objectives, outlined in the preface to the First Edition. From this evolved an approach which has been called the biopsycho social perspective-inclusion of behavioral, family, social, and cultural aspects of health care integrated with the traditional "manifestations-and-manage ment" textbook model. The First Edition also introduced a comprehensive classification of clinical problems in family medicine now used in curriculum planning in many family practice residency programs.
Author | : Thomas C. Jones |
Publisher | : AuthorHouse |
Total Pages | : 93 |
Release | : 2016-03-31 |
Genre | : Health & Fitness |
ISBN | : 1524631213 |
This book has tried to outline where we now stand on the issues of proper patient care. The authors have not wished simply to return to the glorious past but to identify what has happened to the old family doctor tradition and to find a way to salvage the part of that tradition that can insure that the wonderful activity of attention to patient first and foremost can be preserved. It will be a difficult task as the pressures are tremendous in the other direction. But it is possible to reverse inappropriate and possibly illegal pharmaceutical company advertising and physician payments, to find a way for government funding of education so that young doctors do not feel bound to financial gain rather than social responsibility, and to set up a structure of health care delivery that does not require fee-for service hospitals and clinics. We, as doctors, nurses, and medical educators believe it can be done. We also believe the concept of a doctor who is only interested in his or her patients well-being has not really died but has been put on hold by false advertising, short term financial gains, and technologytemporarily, we hope. Help us help your doctor to see what fun and personal fulfillment proper attention to his or her patients can bring. You can do it. Call your doctor!