Medical study and revision guides Books

Book SynopsisThis practical work has clinical guidelines, and advice on controlling symptoms, as well as showing doctors and carers how to provide physical and psychological comfort. It helps the clinician to develop a scientific approach to managing symptoms.Trade Review"'This is an excellent book for physicians at all stages of their careers. From practicing in clinical and community health settings to addressing the numerous problems with our healthcare system in academia, government, and private arenas, physicians are increasingly called upon to lead in greater circles of influence. Physicians as Leaders will guide novice leaders to develop the skills to succeed, and will help experienced leaders become truly excellent at mentoring the generation of physician leaders to follow. The book is filled with practical advice and insights from other physician leaders and presents the reader with practical tools for reflection and improvement.' Daniel J Van Durme, Professor and Chair, Department of Family Medicine and Rural Health, Florida State University College of Medicine"Table of ContentsExploring physician leadership. Good news: physicians can be well-suited to lead. Overcoming special challenges often faced by physician leaders. Leadership concepts and competencies. Our research findings about physician leadership. Physician leadership pathways and outcomes. Physicians as experts: leading clinical excellence. Physicians as executives: leading organizational excellence. Physicians as pioneers: leading innovations in healthcare. Physicians in congress: leading healthcare reform. Leading physicians in unique settings. Stepping stones for successful physician leadership. Credibility through competence and character. Clarity of vision and communication. Collaboration through commitment and teamwork. Coordination of decisions and actions. Change enabling resilience and renewal. Becoming a compelling physician leader. Being a leader: reflection, self-awareness, focus and goals. Learning about leading: self-study, training workshops and formal education. Learning by leading: on- job experience and volunteer leadership roles. Learning from leaders: relationships, mentors and teams. Launching other leaders: coaching, teaching, publishing and speaking.

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Book SynopsisPUBLISHED IN ASSOCIATION WITH THE NUFFIELD TRUST Quality is an issue of central importance in the NHS and yet, despite a considerable number of initiatives, programmes and organisation that have focussed on improving quality in the NHS over recent years, there's no comprehensive, reliable balance and rigorous account of the strengths and weaknesses in healthcare delivery. This book provides an authoritative and accessible account of the state of quality in the NHS. Unless information on quality is properly gathered, organised, analysed and used, the health service will continue to lack a foundation on which sustained and systemic improvement can be based. The Quest for Quality in the NHS: a chartbook on quality of care in the UK is a comprehensive, rigorous and robust account of healthcare quality and will inform the public, managers, researchers and policymakers about gaps between what is possible, and what is delivered by the healthcare system.Trade ReviewThe Quest for Quality in the NHS: a chartbook on quality care in the UK is a rigorous and robust foundation and will inform the public, managers, researchers and policy makers about gaps between what is possible and what is delivered in the health care system." John Wyn Owen, in the ForewordTable of ContentsIntroduction. Guide to the charts. Effectiveness. Access. Capacity. Safety. Patient-centredness. Disparities. Summary of charts. Technical appendix. Search strategy. Statistical glossary. Acronyms.

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Book SynopsisIncreasing concern about clinical negligence demands the provision of more detailed patient information about the complications and risks of treatment, and the agreement of patients to any intervention, from a simple physical examination to the most complex surgical procedure. This concise, practical guide provides doctors and nurses with the appropriate information needed to ensure that the patients have the knowledge to give informed consent. It identifies ways in which accusations of negligence can be minimised and includes explanations of the new NHS consent procedures that have recently being implemented. All healthcare professionals will find this book valuable reading.Table of ContentsThe ethical concepts behind consent. Consent to investigation and treatment: who is competent to give consent? Consent to investigation and treatment: the need for information. Consent to investigation and treatment: the views of the government and professional organisations. Consent to investigation: the role of information in consent processes. Consent to investigation: an empirical study of information and consent processes in gastroscopy. Conclusions and recommendations.

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Book SynopsisThis fascinating and illuminating study brings together a wealth of information gained from individuals who reveal how music has had an effect on their lives. It unveils how music plays an important part in counselling and therapy and links the disciplines of the philosophy of music to neuroscience, developmental psychology and psychoanalysis. Psychotherapists, counsellors and therapists will find this book thought-provoking and invaluable reading; as well as doctors, nurses and those working with the elderly and people with developmental difficulties. All those with an interest in music and how it can affect their lives will also find this book interesting reading.Trade Review"'What a fantastic subject for a book! We have had so many books on the meaning of life and the meaning of love but few have attempted to unravel the meaning of music. Music, of course, like life and love, means many different things to many different people. Along with countless millions, my life has been immensely enriched by music and I can't imagine existing without it. By drawing attention to the immense power of music to literally transform people's lives, Music and Meaning could not have arrived with better timing' Julian Lloyd-Webber, in the Foreword"Table of ContentsPart One: What is music? Part Two: Interview with Maeve. Part Three: Commonalities and differences.

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Book SynopsisLearning is most powerful when it is both hard work and fun. This usually means that it is interactive and based on experience challenging but at the same time possible. This book presents a wide variety of games activities and techniques that any teacher tutor or team leader can use to help others learn. Each of the chapters has a short introduction followed by several exercises that are interactive fun and will reinforce learning in knowledge skills and attitudes. The tools provided describe not only how to do an exercise but also when with whom what will make it work well what can go wrong and give insights into the impact it might make. The authors are experienced in leading teams planning and providing education and the tools are tried and tested in real teaching and learning situations. The ideas can be used in and across all disciplines and settings.Trade Review"'A truly patient centred - and concordant - medical practice needs to start from a genuine professional awareness and understanding of the patient perspective. In particular, it should acknowledge the central importance of attending to the patient's experience of illness as an arbitrary and capricious manifestation of misfortune, rather than an occasion for the attribution of blame and personal irresponsibility. Only then will there be a chance for the reorientation of the professional preoccupation with non-compliance as a technical problem of defective patient behaviour towards an acceptance of the radical shift in underlying philosophy and culture that is required for the development of a genuinely concordant medical practice.' Kristian Pollock"Table of ContentsThe medical construction of compliance. Evidence based medicine. The lay perspective. The doctor-patient relationship. The medical consultation. Patient participation and shared decision making in the consultation. The informed and expert patient. Satisfaction. Conclusion.

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Book SynopsisThis book provides an important contribution to the new and growing field of 'narrative-based medicine'. It specifically addresses the largest area of medical activity primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations family work clinical supervision and teamwork and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples it shows how professionals in primary care can help clarify patients' existing stories and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on and describes an established evaluated training method and is of immediate and significant practical use to readers. It is essential reading for general practitioners practice nurses and others in the primary care team psychologists family therapists counsellors and other professionals attached to primary care. GP trainers tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists dentists and optometrists and academics in medical sociology and medical anthropology will also find it very useful.Table of ContentsIntroduction: the three kinds of consultation. What are we talking about? The key to complexity: systems consultation. What seems to be the trouble? Why healthcare is complicated, and will get worse. Theory to practice: principles, guidelines and some rules. Consultation with working groups and organisations. Consultation as teaching and training. Consultation in assessing and managing clinical problems. Consultation as self-management: consulting with oneself. Consulting the client: the patient as specialist. Medicine as art, art as medicine: the humanities in healthcare. Systems consultation and the other side of common sense.

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Book SynopsisWhat Makes a Good Health Care System? examines the various assumptions that underpin the different views of what makes a good health care system. The national systems in the UK, Australia and Canada are thoroughly examined. Each country has a different view of what a good health care system is trying to achieve, and the book elucidates these by highlighting key policy documents and comments from key stakeholders. Case studies emphasise the diverse needs and expectations of individuals, examining and comparing concepts of health needs, quality as a measure of 'good-ness' and the various ideas on Gold Standards. This book will be valuable reading for all healthcare managers and clinicians with management responsibilities, as well as policy makers and shapers and all those with a general interest in health.Table of ContentsPatients are a virtue. Watch your language. Physician heal thyself. Managing your practice. Minimizing risk. Quiz. Reading to keep up-to-date. How to avoid alienating patients. The future of medical publishing. How to respond to an angry complaint.

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Book SynopsisThe growth in chemotherapy has led to a great need for all those involved to be familiar with safe procedures based on best evidence-based practice. Practical Chemotherapy: a multidisciplinary guide is a comprehensive and straightforward guide describing over 70 widely used chemotherapy regimens helping to make their prescription and administration safer and less problematic. Checklists throughout the book are specifically tailored for the needs of each professional group involved in treatment and are intended to help prevent potentially serious mistakes that can occur. This book is unique in its practical emphasis and will be invaluable for doctors pharmacists and nurses working in oncology and haematology.Table of ContentsBeing invited to speak. Choosing your medium. Researching your presentation. Outlining your presentation. Presentation structure: the body of the talk. Presentation structure: classy conclusion. Scripting your presentation. Choosing and using words. Learn from professional orators. Slides - basic principles. Slides – titles. Slides – text. Slides – tables. Sides - general hints for graphs and charts. Slides - Line graphs and scatter plots. Slides - bar charts. Slides - pie charts. Using flipcharts, whiteboards and blackboards effectively. Using the overhead projector. Using video effectively. Rehearsing your presentation. Keeping track. Arriving well prepared. Last-minute checks. Delivering your presentation: your voice. Delivering your presentation: body language. Keeping up appearances. Handling presentation nerves. Dealing with disaster. Answering questions. Handling difficult people in seminar groups.

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Book SynopsisDavid Widgery was a socialist GP who worked in the East End of London. For him medicine was as much about the social causes of illness as it was biological. He believed that if wealth were more evenly distributed, society and its members would be healthier. Working in and fighting for the NHS symbolised his wider view of the world. This book tackles the difficult issues surrounding doctors’ roles, including whether they should ignore or embrace the social causes of illness. It uses the unique perspective of David Widgery’s life to explore these issues, and also considers why medicine at times can be disheartening. General practitioners, other doctors, and those who shape and make health policy will all find this book stimulating and enlightening reading.Table of ContentsIntroduction. Some characters. Behind every book. A biographical sketch. Medical reasoning. Changing reality. Written words prescribed. Wider than Widgery. Dissecting Widgery. Concluding a radical life.

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Book SynopsisSir Donald Irvine asks what further changes have to be made to the culture and regulation of medicine to make it as trustworthy as the public today expects. As President of the General Medical Council between 1995 and 2002, Sir Donald helped shape the changes that followed disasters like the deaths of babies at Bristol and the murders of Dr Harold Shipman. In this frenetic period a new ethos of professionalism emerged, embodying the concept of the autonomous patient and more robust, transparent professional regulation founded on a partnership between the public and doctors. Sir Donald discusses candidly the struggles in the profession and with successive Governments over the key issues. He provides perspectives that are both startling and enlightening. He criticises the British Medical Association for its past resistance to accept the need for change, and explains why its role in the future must be radically different. He calls for specific fundamental changes to the National Health Service, and for Government to be separated from managing the provision of healthcare. And he outlines the qualities that the bodies regulating doctors in the future must have to succeed. In part a personal testimony, in part a clarion call for doctors to secure the new culture and re-establish public confidence, The Doctors' Tale is gripping and essential reading for everyone who cares about health.Table of ContentsWhat, why, who and how. Life in medicine. The medical tribe. Regulating the tribe, 1858-1970. Lost opportunities 1970-1980. Some spirits were willing but...1980-1990. Taking the initiative but losing the plot. Making progress, making waves. Leading from the front. Bristol. Achieving the change - the real story. Regular checks for doctors - revalidation is born. Revalidation - the first debates. The Shipman impact. A profession divided. Resolution. The doctor's tale: the next chapter.

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Book SynopsisSeries Editors: Moira Stewart, Judith Belle Brown and Thomas R Freeman The application of the patient-centered clinical method has received international recognition. This book introduces and fully examines the patient-centered clinical method and illustrates how it can be applied in primary care. It presents case examples of the many problems encountered in patient-doctor interactions and provides ideas for dealing with these more effectively. It covers a wide range of topics and issues including palliative care, abuse, dying patients, ethical challenges and the role of self-awareness. Many narratives originate from patients' and family members' experiences, providing perspectives of great power and value. The Patient-Centered Care series is of great value to all health professionals, teachers and students in primary care. Table of ContentsIntroduction. Understanding both the patient's disease and illness experience. Understanding the whole person. Finding common ground. Incorporating prevention and health promotion. Enhancing the patient-doctor relationship. Being realistic.

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Book SynopsisJewish patients customarily have particular ways of approaching health and healthcare. This book outlines the Jewish practices and customs of direct relevance to health professionals, illustrated throughout with case histories. Information is provided to facilitate day to day communication, discussing etiquette and interpersonal relationships between the health professionals and their patients, describing in detail the dietary laws, customs and festivals. This book will offer practical advice about Jews, Judaism and the Jewish community helping to educate and enable all healthcare professionals in hospitals and in the community to provide care in a culturally appropriate manner.Trade Review'Easy to read - for anyone seeking an appreciation of Jewish belief and practice in a healthcare context (bearing in mind the wide spectrum of Jewish religious observance and practice referred to earlier), this book will be of value.' Inclusion NewsTable of ContentsPart One: Jews and Judaism. Jewish history - in a nutshell. World and British jewry. The traditional way of life. God the healer. Jewish medical ethics - in a nutshell. Healthcare values. Part Two: The Jewish Patient. Judaism and medical treatment. Caring for the jewish patient on the shabbos and festivals. The dietary laws. Women's health - marriage, sex and related topics. Caring for Jewish patients and at the end of life. Jewish genetic diseases. Jews as patients.

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Book SynopsisThis is a wonderful collection of stories about doctors and patients, including many by world-famous authors who were also physicians, such as Oliver Sacks, Anton Chekhov and Arthur Conan Doyle. Always moving, entertaining and informative, and sometimes troubling, these remarkable stories will appeal to anyone with an interest in health, illness and medical care. They also provide essential core material for those studying doctor-patient communication, the literature of medicine and medical humanities. The stories, some written from the doctor's viewpoint, some from that of the patient, illuminate the warmth and compassion - but also the many problems - in relationships between doctors and patients, both in the past and today. Doctors and Patients: an anthology is enjoyable, fascinating and enlightening - for oneself, and for friends and partners, whether healthcare professionals or interested general readers.Table of ContentsIntroduction. Mikhail Bulgakov - 'Baptism by Rotation'. Franz Kafka - 'A Country Doctor'. Arthur Conan Doyle - 'A Medical Document'. Rachel Naomi Remen - 'In the Gray Zone'. Renate Rubinstein - 'Telling the Truth'. Ruth Picardie - 'Observer Life'. Rachel Clark - 'Inside and Out and Upside Down'. Clive Sinclair - 'My Life as a Pig'. W Somerset Maugham - 'Sanatorium'. O'Henry - 'Let Me Feel Your Pulse'. Oliver Sacks - 'Rebecca'. Cecil Helman - 'The Other Half of Eddie Barnett. William Carlos Williams - 'The Use of Force'. A J Cronin - 'The Case of David Murray'. Anton Chekhov - 'A Doctor's Visit'. Moacyr Scliar - 'The King of Xingu'.

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Book SynopsisThe work draws together a rich tapestry of material across many different disciplines, covering the crucial relationship between medicine and law from the early apothecaries to the modern-day general practitioner. It presents an invaluable overview of the subject and offers vital background reading to anyone interested in medico-legal medicine, as well as providing a springboard for students of medicine and law interested in researching the field through its remarkable diversity of reference resources.Table of ContentsPreface. About the editor. Acknowledgements. Permissions. Introduction. Prince Metternich. Medicine and Law's Relationship. Medical Curriculum. Overview of History. Self-Regulation. Primary Legislation. Secondary Legislation. Common Law. Sir William Garrow. Apothecaries Act 1815. Development of Legal Boundaries. Professional Membership. Quacks. Materiae Philosophicae. Rousseau. The Social Contract. Rights of Man. Convention of Human Rights. The Human Rights Act. American Constitution. Consent. Standards of Care. Confidentiality - Freedom. Society. General Will . Autonomy. Kant. Free Will. A J Cronin. Bevan. Medicine, Law and Society. George Crabbe - Relationship between Medicine, Law and Society. 'Medico-legal'. Hemingway. Medico-Legal Boundaries. Advances in Medical Science. European Law. Illich. Medicine as a Nemesis. Professional Monopoly. Deprofessionalisation of Healthcare - Nature of Professions. Being Professional. Professional Society. The Victorian Mandate. Litigation. Ethical Codes. Disciplinary Codes. GMC. NCAS. The Ancients' Perspective of Medicine: Doctors and the Law From 400 BCE to 1700 CE. Hippocrates. Hippocratic Oath. Aristotle - Galen. Roman Law. Religious Texts. Ancient Persia. Code of Hammurabi. Dark Ages. Tudor Law. Henry V. Henry VIII. Role Of the Church. Royal College of Physicians. Apothecaries. Barber Surgeons. 16th and 17th Century Case Law. Restrictive Practice. Doctor Bonham. Doctor Tenant. Doctor Trigg. The Evolution and Legal Recognition of the General Medical Practitioner. Jean Paul Sartre. Quacks. Licences to Practice. Archbishop of Canterbury . Peter's Pence Act. 18th Century Punishment for Unlicensed Practise. College of Physicians v Rose. Society of Apothecaries. Apothecaries Act 1815 - Four Principles. Autonomy. Justice. Benevolence. Non-malevolence. Charter of James I. Poor Law Unions. General Practitioners. Pharmacy Bill 1851. Medical Act 1858. The Impact of the Common Law on the Practise of Medicine. Alexander Pope. Nature of Common Law. Doctrine of Precedent. Reasonable Man. House of Lords. Legal Perspective on Moral Issues - Re MB. Re T. Lord Donaldson. Lord Denning. Re W -Roe v Minister of Health - Hatcher v Black. Bolam. Bolam Test - Bolitho. Chester v Afshar. Informed Consent. 'But For' Test. Clinical Negligence. Sidaway. Gregg v Scott. Contraception for Minors - Gillick. Gillick Competence. Fraser Rules. B (a child) - Mohr v Williams. Brishett v Cowan. Tort of Battery. Burke v GMC. Airedale Trust v Bland. Withdrawal of Life-sustaining Treatment . The Impact of Statute Law on the Practise of Medicine. Rudy Giuliani - Statutes. Statutory Instruments. Department of Health Circulars. GMC Codes of Practice. International Declarations and Conventions. NHS Act 2006. Mental Health Act 2007. Human Fertilisation and Embryology Act 2008. Health and Social Care Act 2008. Lunacy Acts. Sanitary Acts. Copyright Acts. Contagious Diseases Acts. Vaccinations Acts. Poor Law Acts. Will Act. Apothecaries Act 1815. Relationship between Case Law and Statute Law. Medical Treatment (Prevention of Euthanasia) Bill. Homicide Act 1957. John Bodkin Adams. Leonard Arthur. Thomas Lodwig. Harold Shipman. Mental Capacity Act 2005. Abortion Act 1967. Compensation Act 2006. Human Tissue Act 2004. Bristol Royal Infirmary Inquiry. Royal Liverpool Children's Hospital Inquiry. Mental Health Act 1983. Therapeutic State. Licensing. Revalidation. Statutory Self-Regulation. Police and Criminal Evidence Act 1984. Terrorism Act 2000. Prevention of Terrorism Act 2005. Patient Confidentiality. Human Rights Act . The 21st Century Perspective. WB Yeats. Harry Day - Professional Regulation - Regulatory Reform. Revalidation. Re-certification. GP Commissioning. Reform of the GMC. Good Doctors, Safer Patients. Trust Assurance and Safety. Burden of Proof. Sliding Scale of Evidence - Human Rights Act 1998. Conclusion. Bibliography. Books. Course texts. Cases (England and Wales). Cases (Commonwealth and Other Jurisdictions). Summary of Informed Consent Cases - Jan 2000-Sept 2010. Legislation (England and Wales). European Legislation. Legislation (Commonwealth and Other Jurisdictions). Journal Articles. Reports and Documents. Internet Articles. Newspapers and Magazine Articles. Miscellaneous Papers, Personal Correspondence and LLM Assignments . Index.

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Book SynopsisPrepare, prepare, prepare! Surgical Interviews: The Survival Guide is a highly detailed handbook of what to expect during surgical interviews, including applications and CV preparation, clinical scenarios, portfolios, communication, possible questions, suggested solutions, potential pitfalls and a multitude of invaluable tips to enhance the overall assessment. Written by trainees who have recently (and successfully) been through the interview process, this is the only comprehensive guide available for future surgeons. It is wide-ranging, authoritative and down to earth - designed specifically to test knowledge, develop fluency in responses and foster confidence.Table of ContentsContributors. Introduction. Core surgical training. General and vascular surgery. Urology. Otolaryngology. Trauma and orthopaedic surgery. Plastic surgery. Cardiothoracic surgery. Neurosurgery. Oral and maxillofacial surgery. Paediatric surgery. Essential knowledge and hot topics. Clinical governance. Surgical education. Regulation, revalidation and the GMC. Informed consent. Research, Statistics and evidence-based medicine. Beauty in the eye of the beholder - a guide to improving your curriculum vitae.

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Book SynopsisThis new addition to the popular Essentials series provides a broad, general introduction to the topic of simulation within clinical education.Table of ContentsContributors vii Foreword x Glossary and abbreviations xii Features contained within your textbook xvi 1 Essential simulation in clinical education 1 Judy McKimm and Kirsty Forrest 2 Medical simulation: the journey so far 11 Aidan Byrne 3 The evidence: what works, why and how? 26 Doris Østergaard and Jacob Rosenberg 4 Pedagogy in simulation-based training in healthcare 43 Peter Dieckmann and Charlotte Ringsted 5 Assessment 59 Thomas Gale and Martin Roberts 6 The roles of faculty and simulated patients in simulation 87 Bryn Baxendale, Frank Coffey and Andrew Buttery 7 Surgical technical skills 111 Rajesh Aggarwal and Amit Mishra 8 The non-technical skills 131 Nikki Maran, Simon Edgar and Alistair May 9 Teamwork 146 Jennifer M. Weller 10 Designing effective simulation activities 168 Joanne Barrott, Ann B. Sunderland, Jane P. Nicklin and Michelle McKenzie Smith 11 Distributed simulation 196 Jessica Janice Tang, Jimmy Kyaw Tun, Roger L Kneebone and Fernando Bello 12 Providing effective simulation activities 213 Walter J. Eppich, Lanty O’Connor and Mark Adler 13 Simulation in practice 235 Jean Ker Simulation for learning cardiology 236 Ross J. Scalese Assessing leadership skills in medical undergraduates 238 Helen O’Sullivan, Arpan Guha and Michael Moneypenny Simulation for interprofessional learning 240 Stuart Marshall Use of in situ simulations to identify barriers to patient care for multidisciplinary teams in developing countries 242 Nicole Shilkofski Clinical skills assessment for paediatric postgraduate physicians 244 Joseph O. Lopreiato The challenge of doctors in difficulty: using simulated healthcare contexts to develop a national assessment programme 246 Kevin Stirling, Jean Ker and Fiona Anderson Simulation for remote and rural practice 250 Jerry Morse, Jean Ker and Sarah Race The use of incognito standardized patients in general practice 252 Jan-Joost Rethans Integration of simulation-based training for the trauma team in a university hospital 253 Anne-Mette Helsø and Doris Østergaard Conclusion 254 14 The future for simulation 258 Horizon scanning: the impact of technological change 259 Iliana Harrysson, Rajesh Aggarwal and Ara Darzi Guiding the role of simulation through paradigm shifts in medical education 267 Viren N. Naik and Stanley J. Hamstra The future of training in simulation 273 Ronnie Glavin Index 283

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Book SynopsisThis book will be of interest to administrators of teaching hospitals as well as professionals in health policy and management.Trade ReviewFor anyone involved or interested in medical education, Governance of Teaching Hospitals provides a deeper understanding of how teaching hospitals function and why people leading hospitals and universities do what they do, and it will help guide those who lead teaching hospitals to analyze more successfully the problems confronting their institutions. The Gazette Shows the resilience of these large institutions and their ability to absorb and recover from crises. -- Donald C. Harrison Medical Writings Kastor has provided us with great gossip, complete with comprehensive and detailed accounts of fascinating events, and with an important reminder of what can happen when an academic medical center confronts the challenges of the contemporary health care delivery system. -- Robert Michels, M.D. New England Journal of Medicine 2004 John A. Kastor offers a peek through the curtains in his book, Governance of Teaching Hospitals: Turmoil at Penn and Hopkins. -- James H. Bready Baltimore Sun [A] readable, carefully constructed, and useful analysis... [with] a wealth of detail and a cast of hundreds... Details of the power struggles will prove to be the book's strongest feature. This book should be of interest and value not only to those who are directly involved in leadership roles at academic medical centers but also to anyone interested in the success of such institutions. -- John T. Potts Journal of Clinical Investigation 2004 A rich and often fascinating 'insider' view... This book warrants close attention and wide readership, not only by those interested in academic medicine, but also by managers of all health care institutions. -- Peter W. Van Etten Health Affairs This book deserves close attention among a select readership, especially those interested in academic medicine... Above all, the volume contains a wealth of information relating to two important American medical schools undergoing significant structural change. -- Jonathan Reinarz Medical History 2005Table of ContentsUniversity of Pennsylvania; Before Kelley; Kelley the builder; Kelley in trouble; After Kelley; Johns Hopkins University and Hospital; Separate governance; Unified governance; Conclusions.

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Book SynopsisLantos uses these literary examples to further illustrate the ambiguities, misunderstandings, responsibilities, and evasions that plague our decisions regarding life and death, medical care and medical education, and ultimately the cost and value of preserving the lives of the most vulnerable among us.Trade ReviewThis book is a good read for anyone working in modern health care and involved or interested in any way with the difficult and frustratingly ambiguous decisions that must be made daily while caring for the critically ill. -- Jonathan M. Whitfield, M.D. Baylor University Medical Center Proceedings This outstanding book is one of the most important on medical ethics in the past ten years... It is authored by a physician who views issues of the day firsthand in a thoughtful, realistic, and consistent style. The result is elegant and highly readable. Lantos examines ethical problems of neonatal intensive care through his depositional testimony regarding a child who unaccountably survived after treatment was stopped; the result was severe neurological deficit. This device allows Lantos to make cogent but never doctrinaire comments on our judicial system and the progress of technology at the expense of humanity... A must read for physicians, health authorities, and all who in desiring justice imbued with moral acceptance recognize that medical certitude is beyond our powers. Choice Lantos presents an eye-opening and thought-provoking discussion in a unique style... Lantos is honest and voices some of the questions that many, if not all, physicians and medical ethicists have probably thought about... A must-read for all physicians, [and] especially important for those interested in pediatrics, neonatology, geriatrics, or any aspect of medicine that involves life-vs.-death decisions. New Physician The Lazarus Case is recommended for anyone who is involved in patient care and clinical decision making, and will be an effective resource for teaching bioethics to undergraduate, nursing, and medical students. National Catholic Bioethics Quarterly 2005 The very readable text offers a compelling perspective, both personal and professional, on a tragic situation that illuminates how difficult it is to determine whether any treatment decision is right or wrong, despite the law's best efforts to render such verdicts. -- Felicia G. Cohn Religious Studies Review 2003 Compelling. Lantos's narrative style makes for pleasurable reading; once you start a given chapter it is difficult to put his book down. He is at his best when sharing his personal experiences in the clinical realm and insights from relevant nonmedical literature. I am confident it will generate important discussions within our group that will benefit each of us and the infants and families we care for. Journal of the American Medical Association Lantos has taken an important practical problem and applied our understanding of moral and ethical theory to the issue of the appropriateness of care. An important message here is that in the context of this particular case, there are no right or wrong answers to questions posed. New England Journal of Medicine A literate, thoughtful, and provocative work... An excellent way for experts and novices in bioethics, health professionals, and the lay public to be exposed to the complexities of ethical dilemmas in medicine. Medical Humanities Review Many books have been written about the ethical dilemmas surrounding premature births, but this title, written in a style that should appeal to general readers, stands out as a solid introduction to these issues. Recommended for public and academic libraries. Library JournalTable of ContentsContents: The Lazarus Case: Life and Death Issues in Neonatal Intensive Care Chapter 1 Somebody Will Pay Chapter 2 Passing Out In The NICU Chapter 3 Learning about Death and Dying Chapter 4 Standards of Care Chapter 5 Prognostication and Futility Chapter 6 Consent, Communication, Shared Decision Making Chapter 7 Getting Paid Chapter 8 Home Births Chapter 9 Mistakes in Context Chapter 10 Closing Argument

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Book SynopsisNow in its fifth edition, Caring for Patients from Different Cultures provides healthcare workers with a frame of reference for understanding cultural difference and sound alternatives for providing the best possible care to multicultural communities.Trade Review"A must-read book for any healthcare professional. . . . It should be in every hospital library." * Caregiver Journal *"Large urban hospitals are chaotic places, and cultural misunderstandings do not enhance the care given in them. Galanti not only reports these cases but offers insightful ways of handling the problems they illustrate." * American Anthropologist *"An excellent book to hand to medical colleagues who understand little of cultural sensitivity (and claim they have little time to learn), and it would be an important addition to any hospital library or reading room." * Disabilities Studies Quarterly *

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Book SynopsisA high-yield, concise-yet-comprehensive handbook, Essential Facts in Cardiovascular Medicine provides key facts in cardiovascular medicine in a user-friendly bulleted format. Get the information you need to pass your boards or review core concepts, in this pocket-sized reference that is perfect for trainees and experts alike. Table of ContentsAbbreviations vii Preface xi Acknowledgments xiii 1 Statistics 1 2 General Cardiology 3 3 Physical Exam 20 4 EKG 25 5 Congenital Heart Disease 29 6 Valvular Heart Disease 40 7 Heart Failure/Transplant 53 8 Acute Coronary Syndromes 63 9 Pericardial Disease 71 10 Electrophysiology 77 11 Pharmacology 89 12 Pregnancy 97 13 Pulmonary Hypertension 100 14 Peripheral Vascular Disease 105 15 Echocardiography 117 16 Interventional Cardiology 122 17 Cardiac Tumors 135 18 Formulas 138 References 141 Index 151

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Book SynopsisAbout to start a paediatrics rotation? Working with children for the first time? Thinking about a career in paediatrics? This is a practical guide for medical students encountering paediatrics for the first time, junior doctors thinking about working with children, and new paediatric trainees.Table of ContentsPreface xi Acknowledgements xii About the Companion Website xiii 1 Getting started 1 Who’s who? 1 Breastfeeding advisor 1 Child protection nurse 1 Clinical support worker 1 Dietitian 1 Health visitor 2 Healthcare assistant 2 Midwife 2 Nursery assistant 2 Nursery nurse 3 Occupational therapist 3 Orthoptist 3 Pharmacist 3 Pharmacy technician 3 Physician assistant 3 Physiotherapist 4 Play specialist 4 Psychologist 4 School teacher 4 Specialist nurse 5 Social worker 5 Speech and language therapist 5 Staff nurse 5 Ward clerk 6 Ward sister 6 What happens where? 6 Playroom 6 Teenage room 6 Treatment room 6 School room 7 Parents’ room 7 Sensory room 7 Day care unit 7 Milk room 7 Postnatal ward 7 Paediatric emergency department 7 Be prepared 8 Jargon buster 9 2 Child development 19 What can a child of this age normally do? 19 Six weeks 20 Six to eight months 21 Twelve months 21 Eighteen months 21 Two years 22 Three years 22 School 22 Developmental delay and children with disabilities 22 Support for children with disabilities and their families 25 Growth 26 Obesity 28 Immunisations 29 The UK vaccination schedule 31 3 Communication with children and their parents 37 How to communicate with a baby or toddler 39 How to communicate with an infant school child (4–6 years) 40 How to communicate with a school-age child (7–12 years) 40 How to communicate with a teenager 41 How to communicate with a child using alternative communication 45 How to communicate with anxious parents 46 How to communicate with an expert parent or patient 47 Breaking bad news 49 Cultural sensitivity 54 Illiteracy 56 Consent 56 Parental responsibility 57 At what age can children consent for themselves? 57 4 Child protection and safeguarding 60 Different forms of abuse 60 Physical abuse 60 Fabricated or induced illness (FII) 62 Emotional abuse 64 Neglect 66 Sexual abuse 66 Maternal substance abuse in pregnancy 69 Female genital mutilation 70 Forced marriage and honour violence 70 Which children are most vulnerable to abuse? 72 What to do if you suspect child abuse 73 What should I say to the parents? 75 What to do if you suspect sexual abuse 75 Child protection medicals 77 Working with social care, education and the police 77 Social care 78 Police 78 I’ve made a referral to social services; what happens next? 83 What if you are worried about the immediate safety of the child? 83 What is a section 17 investigation? 84 Who is a child in need? 84 Who is a looked-after child? 84 What happens after it is decided that a child is in need? 84 What is a strategy discussion? 84 What is a section 47 enquiry? 85 What is a child protection conference? 85 What is a child protection plan? 85 What is a child protection review conference? 85 What is the child protection register? 85 What stops us from considering the possibility of abuse? 85 5 Common paediatric emergencies 88 Basic Life Support 88 Danger 88 Response 88 Shout for help 88 Airway 90 Breathing 91 Circulation 91 Choking child 92 History 93 Symptoms 93 Signs 93 Immediate management 93 Advanced Life Support 95 Airway management 97 Breathing management 97 Circulation management 99 Emergency drugs 99 ABCDE approach 101 A – Airway 101 B – Breathing 105 c – Circulation 108 d – Disability 110 E – Exposure 112 Reassess 113 Take a brief history 113 Anaphylaxis 113 History 113 Symptoms 114 Signs 114 Immediate management 114 Further management 115 Long-term management 115 Acute asthma 115 History 116 Symptoms 116 Signs 116 Immediate management 116 Further management 118 Long-term management 118 Drowning 119 History 119 Signs 119 Immediate management 119 Further management 120 Sepsis 121 History 121 Symptoms and signs 121 Immediate management 122 Further management 122 Meningococcal septicaemia 123 History 123 Symptoms 123 Signs 123 Initial management 124 Burns and scalds 124 History 124 Symptoms 124 Signs 125 Immediate management 125 Further management 126 Ongoing management 126 Seizures 128 History 128 Immediate management 128 Further management 130 Poisoning 131 History 131 Symptoms and signs 131 Immediate management 131 Further management 132 Diabetic ketoacidosis 135 History 135 Symptoms 135 Signs 135 Immediate management 135 Further management 136 Trauma 138 Catastrophic external haemorrhage 138 Airway and cervical spine control 138 Breathing 139 Circulation with haemorrhage control 140 Disability and assessment of head injury 141 Critical care transfer services 141 North West England 141 North East England 142 West Midlands 142 East Midlands 142 South East England and London 142 South Central and South West England 142 North Wales 142 East Scotland 143 West Scotland 143 Northern Ireland 143 6 Practical procedures 144 Setting up 144 Cannulation 145 Taking blood (including heel prick sampling) 148 Heel prick sampling 148 Venepuncture in babies 151 Capillary blood gas 152 How to measure a spun bilirubin (SBR) 153 How to measure packed cell volume 154 Intraosseous access 154 Nasogastric tube 158 Lumbar puncture 161 Urinary catheter insertion 166 Suprapubic urine sample 169 Mantoux test 171 Injecting tuberculin 171 ‘Reading’ the Mantoux test results 173 Peak flow 173 Hand-held spirometry 174 Setting up a nebuliser 175 Inhaler technique and using a spacer 175 Intramuscular injections (for immunisations) 176 How to use an Epipen/Anapen 177 Changing a nappy 177 7 Prescribing in children 179 General principles 179 Getting children to actually take what you prescribe 181 Fluids 181 Maintenance fluids 182 Replacement therapy 182 Analgesia 186 Step 1 – mild pain 187 Step 2 – moderate pain 187 Step 3 – severe pain 188 Controlled drugs 188 Blood products 188 When to give CMV-negative products 188 When to give gamma-irradiated products 189 Packed red cells 189 Platelets 189 Fresh frozen plasma (FFP) 190 Drug level monitoring 190 8 Teenagers 192 Taking a history from a teenager 192 Mental health problems 193 Deliberate self-harm and suicide 193 Eating disorders 196 Substance abuse 197 Sexual health 198 9 Neonates 200 Neonatal life support at birth 200 Stimulate and airway manoeuvre 204 Reassess 204 Give five inflation breaths 205 Reassess 205 Consider oxygen saturation monitoring 205 Further inflation breaths or regular breaths 205 Calculating Apgar scores 206 Newborn baby checks 207 Newborn examination 210 Prematurity 210 Resuscitation at birth for premature babies 211 Extreme prematurity and resuscitation decisions 213 The law in the United Kingdom 214 Best interests 214 Parental responsibility 214 Euthanasia is illegal 214 Intending relief of distress is normally legal 214 Withdrawing or withholding treatment is the same in the eyes of the law 215 Some useful ethical frameworks and guidance 215 Intravenous fluids in infants 215 Neonatal nurses 216 10 Looking after yourself 218 Dealing with upsetting situations 218 Short-term coping mechanisms 218 Long-term coping mechanisms 221 Bullying and harassment 223 Practising paediatrics when you have your own children 224 Emotional impact 224 Not enough hours in the day 224 Feeling isolated 225 Nobody’s perfect: dealing with mistakes 226 Avoiding making mistakes 227 Pitfall 1: Communication 227 Pitfall 2: Being distracted at a critical moment 229 Pitfall 3: Failure to follow protocol 230 Pitfall 4: Acting beyond your competence 230 Organisation 231 Night shifts 232 11 Developing your career 234 Specialist training structure for paediatrics 234 Opportunities for research 237 Academic training programme 237 Out-of-programme research (OOPR) 237 Completing research projects alongside regular training 237 College exams 238 Written papers 238 Clinical exam 239 How to boost your CV 240 CV building for medical students 241 CV building for Foundation trainees 243 CV building for specialist trainees 245 Clinical governance – more than just audit 246 Service improvement projects 246 Patient safety 249 Less than full-time training 250 Teaching and training 252 Work-based assessments and e-portfolios 254 Index 257

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Book SynopsisTHE 'GOLDEN JUBILEE' EDITION OF A CLASSIC TEXTBOOK, FIRST PUBLISHED IN 1965 General Surgery Lecture Notes continues to be an invaluable, appealing and approachable resource for thousands of medical students and surgical trainees throughout the world.Table of ContentsPreface iv Acknowledgements v Abbreviations vi The anytime anywhere textbook viii About the companion website x 1 Surgical strategy 1 2 Fluid and nutrition management 5 3 Preoperative assessment 11 4 Postoperative complications 16 5 Acute infections 27 6 Tumours 32 7 Shock 38 8 Burns 43 9 The skin and its adnexae 49 10 The chest and lungs 61 11 The heart and thoracic aorta 70 12 Arterial disease 79 13 Venous disorders of the lower limb 97 14 The brain and meninges 104 15 Head injury 113 16 The spine 126 17 Peripheral nerve injuries 137 18 The oral cavity 143 19 The salivary glands 153 20 The oesophagus 157 21 The stomach and duodenum 166 22 Mechanical intestinal obstruction 183 23 Paralytic ileus 193 24 The small intestine 196 25 Acute appendicitis 201 26 The colon 206 27 The rectum and anal canal 220 28 Peritonitis 233 29 Hernia 239 30 The liver 250 31 The gallbladder and bile ducts 266 32 The pancreas 276 33 The spleen 289 34 The lymph nodes and lymphatics 292 35 The breast 295 36 The neck 310 37 The thyroid 313 38 The parathyroids 325 39 The thymus 330 40 The adrenal glands 332 41 The kidney and ureter 339 42 The bladder 356 43 The prostate 361 44 The male urethra 370 45 The penis 373 46 The testis and scrotum 377 47 Transplantation surgery 387 Index 394

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Book SynopsisMedical students encounter many challenges on their path to success, from managing their time, applying theory to practice, and passing exams. The Medical Student Survival Skills series helps medical students navigate core subjects of the curriculum, providing accessible, short reference guides for OSCE preparation and hospital placements. These guides are the perfect tool for achieving clinical success. Medical Student Survival Skills: ECG is an indispensable resource for students new to ECG interpretation and cardiac arrhythmia recognition and treatment. Integrating essential clinical knowledge with practical OSCE advice, this portable guide provides concise and user-friendly coverage of all aspects of ECG monitoring, including atrial and ventricular fibrillation, myocardial infarction, and 12 lead ECG interpretation. Easy-to-find information, plentiful illustrations, OSCE checklists and expert discussions of actual ECG trace examples help medical students andTable of ContentsPreface vii About the companion website ix 1 Introduction to ECG monitoring 1 2 Principles of ECG monitoring 3 3 Six stage approach to ECG interpretation 9 4 Sinus tachycardia 13 5 Sinus bradycardia 15 6 Sinus arrhythmia 17 7 Atrial ectopic beats 19 8 Atrial tachycardia 21 9 Atrial flutter 23 10 Atrial fibrillation 27 11 AV junctional ectopics 31 12 AV junctional escape rhythm 33 13 Junctional tachycardia 35 14 Ventricular ectopics 37 15 Idioventricular rhythm 41 16 Ventricular tachycardia 43 17 Torsades de pointes 47 18 First degree AV block 49 19 Second degree AV block Mobitz type I (Wenckebach phenomenon) 51 20 Second degree AV block Mobitz type II 53 21 Third degree (complete) AV block 55 22 Ventricular fibrillation 59 23 Ventricular standstill 61 24 Asystole 63 25 Recording a 12 lead ECG 65 26 What the standard 12 lead ECG records 71 27 Interpretation of a 12 lead ECG 75 28 ECG changes associated with myocardial infarction 81 29 ECG changes associated with myocardial ischaemia 87 30 ECG changes associated with bundle branch block 91 31 Wolff–Parkinson–White syndrome 97 Appendix A: Resuscitation council (UK) bradycardia algorithm 99 Appendix B: Resuscitation council (UK) tachycardia algorithm 101 Appendix C: Resuscitation council (UK) advanced life support (ALS) algorithm 103 Appendix D: Vagal manoeuvres 105 Appendix E: Synchronised electrical cardioversion 107 Appendix F: External (transcutaneous) pacing 111 Appendix G: Procedure for transcutaneous pacing 113 Appendix H: Definitions 115 References 117 Index 119

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Book SynopsisPain Medicine at a Glance The market-leading at a Glance series is popular among healthcare students and newly qualified practitioners for its concise, simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text. Covering a wide range of topics, books in the at a Glance series are ideal as introductory texts for teaching, learning and revision, and are useful throughout university and beyond. Everything you need to know about Pain Medicine... at a Glance! Pain Medicine at a Glance is a user-friendly, visual introduction to the impact of pain in various clinical care settings, focusing on primary care needs. Aligned with learning objectives developed by the Johns Hopkins School of Medicine, this authoritative guide covers the basic forms and pathophysiology of pain, the clinical skills necessary for delivering excellent care, pharmacological and non-pharmacological treatments, and a variety of special cases such as healthcare ethics, integrative care, and treatment planning for chronic pain self-management therapy and the management of pain in children and older adults. A new addition to the market-leading at a Glance series, the text offers concise and accessible chapters, full-color illustrations, self-assessment questions, and easy-to-follow diagrams. Topics include pain assessment, cognitive factors that influence pain, applying behavioral perspectives on pain, managing opioids and other pharmacological therapies, treating acute pain in patients with substance abuse issues, and more. Perfect for learning, revision, and teaching, this book: Provides a foundation of clinical and basic science knowledge about pain and its mechanismsDescribes major forms of pain, including surgical, orofacial, musculoskeletal, and obstetric painOffers advice on fostering empathy and compassionate practices in pain medicine Covers non-pharmacological treatments such as physical therapy, hydrotherapy, meditation, acupuncture, massage, and various focal treatmentsIncludes discussion of recent advances and new discoveries in pain science Pain Medicine at a Glance is the ideal companion for medical and healthcare students, junior doctors, advanced practice providers, nurse practitioners, and others involved in diagnosing and treating pain-associated illness. For more information on the complete range of Wiley medical student and junior doctor publishing, please visit: www.wiley.com To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email All content reviewed by students for students Wiley Medical Education books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind. If you would like to be one of our student reviewers, go to www.reviewmedicalbooks.com to find out more. This book is also available as an e-book. For more details, please see www.wiley.com/buy/9781118837665Table of ContentsPAIN MEDICINE At-A-Glance Table of Contents Dr. Beth Brianna Hogans, M.D., Ph.D I Pain Basics 1 What is pain, how do we assess it? 2 Nociceptive processing, how does pain occur? 3 What are the major types of pain? 4 How prevalent is pain, what are the common forms? 5 How do we resolve dilemmas in pain? 6 What are the big challenges in pain? 7 Cognitive factors that influence pain II Pain Clinical skills 8 Managing pain safely: diagnosis and treatment 9 Gathering the history with a pain narrative 10 Assessing pain in those with communication barriers 11 Examination skills I: Observation and affect 12 Examination skills II: Inspection and manual skills 13 Knowledge, skills, and compassionate practices 14 Counseling and shared decision-making: applying psychological approaches in primary care for pain 15 Communicating with teams of patients with pain 16 Planning therapy: coordinated, comprehensive care III Pain Pharmacology 17 Basic considerations for pharmacological therapy – balancing mechanisms of drugs and disease 18 Non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen (over-the-counter analgesia) 19 Neuromodulating agents: pain-active anti-depressants and anti-convulsants 20 Opioids - the basics and perioperative pain control 21 Opioids – the details: equianalgesia and safe use 22 Opioids – advanced practice - alternative delivery: IV, PCA, epidural 23 Focal treatments for pain in primary practice: topical, iontophoretic, basic injections, TENS 24 Interventional treatments and surgery for pain IV Non-pharm. treatments 25 Activating treatment: Physical/occupational therapy, hydrotherapy, exercise: walking, yoga, chi gong 26 Cognitive therapies: CBT, ACT, reframing 27 Manual therapies: massage: trigger points, acupressure, chiropractic, stretching, inversion 28 Therapies that utilize descending pain pathways: video, music, distraction, acupuncture, meditation V Major pain forms 29 Acute and Chronic pain: the basics 30 Surgical and procedural pain 31 Musculoskeletal pain 32 Orofacial pain 33 Neck Pain, cervical and thoracic spine pain 34 Arm Pain 35 Low back pain 36 Back pain emergencies 37 Radiating leg, buttock, and groin pain 38 Knee pain 39 Foot and ankle pain 40 Headache emergencies 41 Headache - basic diagnosis and management 42 Headache - chronic pain and the acute flare 43 Visceral pain 44 Pelvic pain 45 Exceptional causes of severe, chronic pain: CRPS, fibromyalgia, erythromelalgia VI Special patient groups and clinical contexts 46 Management of pain with substance abuse 47 Pain at the end of life, opioid rotation 48 Opioids for chronic pain: preventing iatrogenic OUD 49 Tapering opioids in patients with pain 50 Pain in infants, children, and adolescents 51 Pain in older patients 52 Pharmacotherapy in aging, renal & liver dysfunction 53 Pain in pregnancy and the peripeurium Appendices I Sample exam sheet II Sample pain diary III Daily stretching guide IV Patient packet – Your power over pain V Glossary

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Book SynopsisMedical students encounter many challenges on their path to success, from managing their time, applying theory to practice, and passing exams. TheMedical Student Survival Skillsseries helps medical students navigate core subjects of the curriculum, providing accessible, short reference guides for OSCE preparation and hospital placements. These guides are the perfect tool for achieving clinical success. Medical Student Survival Skills: Procedural Skillsis the ideal guide for medical students tasked with performing a core set of clinical procedures. A vital part of any medical training, these procedures range from basic body temperature and blood pressure measurements to more advanced arterial blood gas sampling and ophthalmoscopic techniques. This indispensable guide enables students to quickly lookup relevant information on the go, carry out clinical procedures with minimal supervision and apply procedural knowledge to their OSCE exams.Table of ContentsAbout the companion website vii 1 Measuring body temperature 1 2 Measuring pulse and blood pressure 7 3 Transcutaneous monitoring of oxygen saturations 13 4 Peak expiratory flow 17 5 Venepuncture 21 6 Managing blood samples correctly 25 7 Taking blood cultures 29 8 Measuring capillary blood glucose 33 9 ECG monitoring 37 10 Recording a 12 lead ECG 41 11 Basic respiratory function tests 45 12 Urine multi‐dipstick test 49 13 Advising patients on how to collect a mid‐stream urine specimen 53 14 Taking nose, throat, and skin swabs 57 15 Performing a pregnancy test 63 16 Administering oxygen 69 17 Airway management: Insertion of oropharyngeal and nasopharyngeal airways 75 18 Ventilation: Pocket mask and self‐inflating bag 81 19 Defibrillation (manual and automated) 87 20 Cardiopulmonary resuscitation 91 21 Establishing peripheral intravenous access 101 22 Use of infusion devices 107 23 Making up drugs for parenteral administration 111 24 Dosage and administration of insulin and use of sliding scales 115 25 Administering a subcutaneous injection 119 26 Intravenous injections 123 27 Administration of blood transfusion 127 28 Male and female urinary catheterisation 135 29 Instructing patients in the use of devices for inhaled medication 147 30 Skin suturing 151 31 Application of a sling 155 32 Safe disposal of clinical waste, needles, and other ‘sharps’ 159 33 Arterial blood gas sampling 165 34 Examination of the ear 169 35 Ophthalmoscopy 175 36 Relieving foreign body airway obstruction 181 Index 185

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Book SynopsisHealthcare Simulation at a Glance presents an accessible overview of everything you need to know about simulation in clinical practice and healthcare education. From embedding simulation in programmes, to technical and non-technical features of simulation in a variety of contexts, to how simulation can be used in assessment and the provision of feedback to healthcare professionals, this practical guide is the perfect resource for developing the skills and knowledge required as both a student and an educator. Healthcare Simulation at a Glance: Introduces the concepts and theories underpinning simulation practiceProvides an understanding of the key terms and processes involvedIncludes a range of examples and tips for easy application in practice Healthcare Simulation at a Glanceis ideal for both those new to using simulation in education, as well as experienced academics.Trade Review"This is a very readable book in a format that is reader friendly. The contributing authors are international practitioners from anaesthesia, emergency medicine, health care education and simulation practice. The book is intended for a wide readership to include all healthcare practitioners and technical and support staff.... It is a snap shot of complex topics surrounding simulated education and practice; readers will gain knowledge and understanding of key concepts, language and terms."—Journal of Perioperative PracticeTable of ContentsList of contributors vii Preface ix Acknowledgements x Part 1 Overview and broad concepts 1 1 Simulation 2 2 What is simulation education 4 3 Fidelity 6 4 Research in healthcare simulation 8 5 The evidence base for simulation education 10 Part 2 Simulation and education 13 6 Learning theories and simulation education: 1 14 7 Learning theories and simulation education: 2 16 8 Teaching with simulation 18 9 Embedding simulation in a programme 20 10 Developing scenarios 22 11 Lesson planning 24 Part 3 Simulation in practice 27 12 The simulation centre 28 13 Technical skills simulators 30 14 Manikins 32 15 Audio and video recording 34 16 Learning technologies and simulation 36 17 Distributed simulation 38 18 Engagement and simulation science 40 19 In situ and mobile simulation 42 20 Human factors 44 21 Non-technical skills 46 22 Team working 48 23 Crisis management 50 24 Simulated and standardised patients 52 Part 4 Assessment, feedback and remediation 55 25 Principles of assessment 56 26 Learner-centred assessment 58 27 Learning and assessing professionalism using simulation 60 28 The debrief 62 29 Recruitment and selection 64 30 Feedback 66 31 Ethics and simulation 68 32 Mentoring and supervision 70 33 Simulation and remediation 72 Part 5 Developing your practice 75 34 Developing your practice 76 References 78 Index 83

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Book SynopsisSurviving the journey through the Royal Australasian College of Physicians (RACP) examinations requires grit, courage and hard work. The second edition of How To Pass the RACP Written and Clinical Exams is fully updated to help candidates and those who teach them dig deep to maximise their chances of success. This insider's guide takes the candidate through the whole process, from preparing for the Written Exam, through to presenting short and long cases in the Clinical Exam. The authors' experiences are combined with tips from recent candidates, wisdom from RACP examiners and advice from specialist contributors. Additional chapters for post-exam registrars and supervisors include career planning, providing feedback, preparing for interviews, and organising the Clinical Exam. As well as comprehensive guidance for adult medicine candidates, this new edition includes Paeds Points' for paediatrics trainees. Containing a wealth of information, pearls of wisTable of ContentsPreface xv About the Authors xvii Acknowledgements xix Illustrations xxi General Disclaimer xxiii Section 1 The Written Exam 1 1 Introduction to the Written Exam 3 Why Does The RACP Have a Written Exam? 4 When is the Best Time to Sit? 5 How Long Does It Take to Prepare for the Written Exam? 5 Am I Ready to Sit This Exam? 5 Decision Made. Sitting the Written 6 2 Preparation 11 One Year Out - What to Do Before You Even Start Studying 11 3 How to Start Studying for the Written Exam 15 How to Manage Your Time 15 Dealing with Stress 20 Advice from Registrars on Studying and Keeping Sane(ish) 21 Evidence‐Based Study - Break It Down! 24 Getting Down to Work - How to Start Studying 25 4 Topics That Need to Be Covered for the Written Exam 29 What is My Goal? Why Am I Putting Myself Through This? 29 How to Think Like An Examiner for the Written Exam 30 Organising Your Study Time - A Plan of Attack 30 The FRACP Curriculum 31 Topics to Cover 31 Money for Jam 32 Immunology - Special Mention 33 Visual Material in the Exam 34 5 Study Group 35 General Principles That Make Study Groups Effective 35 What Do You Do at Study Group? 36 6 Now We Know How to Study, What Stuff Do We Study From? 39 Wallpapering Your Mind 39 Comprehensive List of Resources for Wallpapering Your Mind 40 Lecture‐Based Resources 40 MCQ‐Based Resources 42 Textbooks and Online Resources 44 Other Useful Textbooks and Resources 46 Technological Advances to Help With Your Study 48 Journals: A Suggested Approach 49 Useful Websites 50 7 Old FRACP Exam Questions 53 Without Us, or You, Breaking the Rules, How Can the Modern Candidate Cope Without FRACP Past and Remembered Papers? 54 What is the Point of Doing Old FRACP and Course Questions? 54 8 Two‐Week Revision Courses 57 Dunedin FRACP Written Examination Revision Course 58 FRACP Written Exam Prep Course - Melbourne 59 Royal Prince Alfred BPT Exam Revision Course - Sydney 59 Short Courses Worthy of Consideration 60 9 Putting It All Together - The Final Three Months 63 Practicalities of Getting to the Exam 63 What to Study 63 Keeping as Calm as Possible 64 Leading Up to the Big Day - The Weeks Before 64 The Day Before 65 On the Day - How to Get Through the Exam 66 10 After the Exam 69 What to Do If You Pass 69 What to Do If You Don’t Pass 69 Section 2 The Clinical Exam 71 11 Introduction to the FRACP Clinical Exam 73 Why Is There a Clinical Exam? 75 Getting Your Timing Right: When to Sit the Clinical Exam 75 12 The Clinical Exam Marking Schedule 77 13 Two Weeks of Ground Work 85 Three Key Parts to Passing the Clinical Exam 86 How to Get Humble and Ask for Help 87 The Kit Bag 88 Book Reviews 92 Course Reviews 96 Personal Appearance - First Impressions Count 98 The ‘Infection Control’ Effect 104 14 How to Start - Doing Your First Practice Cases 105 Know Your Enemies 106 A Few Tricks of the Trade 106 Practising Cases - Who Can Help You the Most? 106 Who Can Help Me Pass This Exam? 107 Mock Exams: Well Worth the Humiliation 109 15 An Introduction to the Long Case 111 What is a Long Case Anyway? 111 Point to Prove in the Long Case 113 Aspects of a Long Case 113 Practising for Long Cases 116 How Many Long Cases Should You Do? 117 Practicalities of Practising 118 What to Do If There Aren’t Enough Patients to See 119 Key Long Cases 119 Taking Orderly Notes for Your Long Case 121 Role of the Study Group for the Long Case 122 16 Mastering and Presenting your Long Case 125 A Suggested Style for Long Case Presentation 125 Organising Your Presentation 126 Verbal Signposts 127 Presenting a Case Well - Speech and Drama 101 127 Presentation Template That Worked for Us 128 The Grilling 138 The Aftermath 138 Sentences That Save Time and Sound Slick 139 17 Special Points for Paediatric Cases 141 Specific Points About the Paediatric Long Case 141 The Developmental Case 144 The Adolescent Long Case 149 18 Secret Long Case Species 153 The Chronic Disease Long Case 153 The Single Problem Long Case 154 The Diagnostic Dilemma Long Case 154 The Disaster Long Case 155 19 Top Long Case Tips from Candidates and Examiners 161 Long Case Advice from Candidates 161 Long Case Advice from Examiners 164 20 Suggested Approach to a Māori Patient in the Long Case 167 21 Long Case Examples 171 Long Case 1 - Multiple Medical Problem Management 171 Long Case 2 - Complicated Diabetes Case 178 Long Case 3 - Diagnostic Long Case 185 Long Case 4 - Adolescent Single Problem Long Case with Transition of Care 193 22 Past Exam Long Cases 203 23 An Introduction to the Short Case 217 Marking Schedule for the Short Case 217 Points to Prove in the Short Case 218 24 How to Put On a Show 223 Part 1: Examination Routine - How to Practise 223 Part 2: Presenting a Short Case 230 Part 3: The Short Case Discussion (Grilling) 233 25 Short Case Advice from Registrars 239 26 Past Exam Short Cases 243 27 Putting It All Together for the Clinical Exam - One Month Out 257 What is Your Presentation Style? 257 General Advice About Style 258 Personalities That Fail the Clinical Exam 259 28 The Lead‐Up to the Exam 265 The Week Before 265 The Day Before 266 The Morning of the Exam - Staying Calm 266 Getting Through Exam Day - Tips From Registrars 267 Final Advice From Examiners 268 Section 3 The F‐words - Freedom, Failure, Feedback, Family, Finding Patients and Fellowship 271 29 The Post‐Exam World 273 Wow! I Passed! 273 Oh. I’ve Failed 274 The Official Feedback Session 274 30 How to Fail - The Outsider’s Guide to the FRACP Exam 275 Chapter Author: Dr Roderick Ryan, General Physician, Box Hill 275 ‘I Failed the FRACP Exam - What Shall I Do?’ 276 Tips for Coping with Failure in the Written Exam 277 Tips for Coping with Failure in the Clinical Exam 278 Seven Key Clinical Exam Skills that Must be Mastered by Those Who Have Failed 279 Snakes and Ladders 281 31 Paying It Forward - How to Provide Feedback for Practice Cases 283 The Feedback Loop 284 Feedback for Clinical Exams 284 32 Studying for the Exams with a Family on Board 291 Chapter Author: Dr Robert Wakuluk, Advanced Trainee, Auckland 291 33 Organising the Clinical Exam 295 First Principles 295 Organising the People and the Space 296 Case Selection Formula 297 Types of Cases You Need to Find 298 Where Are Cases Found? 299 Short Case Patients 301 Long Case Patients 301 Back‐Up Patients 301 The Envelopes 302 ‘Mind‐Map’ and Other Spreadsheets 303 The Day Before 304 On the Day 304 What Examiners Tell the Patients 304 34 Preparing for Your Medical Interview 307 Chapter Author: Dr Nalin Wickramasuriya, Consultant Paediatrician 308 Trap Number 1 - Giving a Straight Answer to a Straight Question 309 The Three Goals of an Interview 309 Rapport 309 Trap Number 2 - The Short Case/Viva Complex 312 Trap Number 3 - Preparing for the Interview Like an Exam 312 Trap Number 4 - Talking Posh on the Day of the Interview 314 Trap Number 5 - Not Planning Your Response When the Interviewer Asks You a Question 315 35 Career Planning 317 I Passed. What Advanced Training Programme Should I Apply For? 317 Pearls of Wisdom 318 Career Path Planning 319 Get a Mentor 320 36 OK, We’ll Stop Talking Now! 321 Helping the Next Lot 322 Index 323

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Book SynopsisMedical students encounter many challenges on their path to success, from managing their time, applying theory to practice, and passing exams. TheMedical Student Survival Skillsseries helps medical students navigate core subjects of the curriculum, providing accessible, short reference guides for OSCE preparation and hospital placements. These guides are the perfect tool for achieving clinical success. Medical Student Survival Skills: The Acutely Ill Patientis a concise and portable reference on the management of patients in acute care settings. Managing acutely ill patients can be challenging for many medical students, where quick and decisive decision-making is crucial. This important resource covers the management of numerous acute care conditions, such as tachypnoea, acute stroke, ketoacidosis, anaphylaxis and acute liver failure. With OCSE key learning points, figures and illustrations,The Acutely Ill Patientis the key to success in emergency and surgical rotations and OCSE exams.Table of ContentsAbout the companion website vii 1 ABCDE: Assessment and treatment of the acutely Ill patient 1 2 Management of tachypnoea 13 3 Management of bradycardia 17 4 Management of sinus tachycardia 25 5 Management of other tachycardias 27 6 Management of oliguria 37 7 Management of pyrexia 41 8 Management of anaphylaxis 47 9 Management of acute asthma 55 10 Management of hypovolaemia 61 11 Management of sepsis 67 12 Management of acute stroke 73 13 Management of chest pain 79 14 Management of abdominal pain 85 15 Management of acute ischaemic leg 91 16 Management of acute kidney injury 99 17 Management of the unconscious patient 105 18 Management of upper gastrointestinal bleed 113 19 Management of diabetic ketoacidosis 121 20 Management of hypoglycaemia 127 21 Management of severe headache 131 22 Management of acute liver failure 141 23 Management of self‐harm and poisoning 147 24 Management of trauma 159 25 In‐hospital resuscitation 167 References 179 Index 181

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Book SynopsisThe comprehensive and authoritative guide to clinical reproductive science The field of clinical reproductive science continues to evolve; this important resource offers the basics of reproductive biology as well as the most recent advance in clinical embryology. The author - a noted expert in the field - focuses on the discipline and covers all aspects of this field. The text explores causes of male and female infertility and includes information on patient consultation and assessment, gamete retrieval and preparation, embryo culture, embryo transfer and cryopreservation. Comprehensive in scope, the text contains an introduction to the field of clinical reproductive science and a review of assisted reproductive technology. The author includes information on a wide range of topics such as gonadal development, the regulation of meiotic cell cycle, the biology of sperm and spermatogenesis, in vitro culture, embryo transfer techniques, fundamentals of fertilisation, oocyte activation aTable of ContentsList of Contributors xi About the Editor xv Preface xvii Acknowledgements xix About the Companion Website xxi Section One Reproductive Science: Fundamentals of Human Reproductive Biology 1 1 Sexual Differentiation, Gonadal Development, and Development of the External Genitalia: A Review of The Regulation of Sexual Differentiation 3Rebecca M. Perrett 2 Male and Female Reproductive Anatomy 35Sara Sulaiman and James Coey 3 Fundamentals of Reproductive Endocrinology 45Derrick Ebot, Haider Hilal, Michael Carroll, and James Coey 4 The Ovaries, Oocytes, and Folliculogenesis 57Jacques Gilloteaux and James Coey 5 The Human Spermatozoa 65Allan Pacey and Katrina Williams 6 The Biology of Fertilization 75Michael Carroll 7 Human Embryo Development: From Zygote Stage to Peri‐Implantation Blastocyst 93Stéphane Berneau and Michael Carroll 8 The Female Reproductive Tract and Early Embryo Development: A Question of Supply and Demand 99Henry J. Leese and Daniel R. Brison Section Two Clinical Reproductive Science: Causes of Male and Female Infertility 109 9 Disorders of Male Reproductive Endocrinology 111Michael Carroll 10 Disorders of Female Reproductive Endocrinology 125Mahshid Nickkho‐Amiry and Cheryl T. Fitzgerald 11 Oocyte Aneuploidy and the Maternal Age Effect 133Mary Herbert 12 Female Reproductive Pathology: Peritoneal, Uterine, and Fallopian Tube Pathologies 147Kenneth Ma Kin Yue, Rosa Trigas, and Edmond Edi‐Osagie 13 Pathologies of the Male Reproductive Tract 159Aarush Sajjad, Muhammad A. Akhtar, and Yasmin Sajjad 14 The Impact of Infections on Reproduction and Fertility 177Val Edwards Jones 15 Nutrition, Fetal Health, and Pregnancy 189Emma Derbyshire 16 The Embryonic Environment and Developmental Origins of Health 195Tom P. Fleming and Congshan Sun 17 Lifestyle and Environmental Impacts on Fertility 205Ana‐Maria Tomova and Michael Carroll Section Three Clinical Reproductive Science In Practice: IVF and Assisted Reproductive Technologies 215 18 Assessing the Infertile Couple 217Narmada Katakam, Ruth Arnesen, Caroline Watkins, Bert Stewart, and Luciano G. Nardo 19 Ovarian Stimulation Protocols 231Nikolaos Tsampras and Cheryl T. Fitzgerald 20 Oocyte Retrieval Techniques and Culture of Oocytes 241Dawn Yell 21 Sperm Preparation: Strategy and Methodology 251Stephen Harbottle 22 Diagnostic Semen Analysis: Uncertainty, Clinical Value, and Recent Advances 265Mathew Tomlinson 23 Surgical Sperm Retrieval 279Muhammad A. Akhtar, Elizabeth Hester, Solmaz Gul Sajjad, and Yasmin Sajjad 24 In Vitro Fertilization and Intracytoplasmic Sperm Injection 291Bryan Woodward 25 Morphological Assessment of Embryos in Culture 303J. Diane Critchlow 26 In Vitro Culture of Gametes and Embryos – The Culture Medium 317Robbie Kerr 27 Incubators in the Assisted Reproductive Technology Laboratory 333Louise Hyslop 28 Embryo Transfer Techniques and Improving Embryo Implantation Rates 341Rachel Cutting 29 Cryopreservation of Gametes and Embryos 351Tope Adeniyi 30 Preimplantation Genetic Diagnosis and Screening 371Colleen Lynch and Brendan Ball 31 Long‐Term Follow‐Up of Children Conceived Through In Vitro Fertilization 385Omar Abdel‐Mannan and Alastair G. Sutcliffe Index 393

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Book SynopsisHealthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas provides the tools and resources to help raise professional standards within the healthcare system. Taking an evidence and case-based approach to understanding professional dilemmas in healthcare, this book examines principles such as applying professional and ethical guidance in practice, as well as raising concerns and making decisions when faced with complex issues that often have no absolute right answer. Key features include: Real-life dilemmas as narrated by hundreds of healthcare students globally A wide range of professionalism and inter-professionalism related topics Information based on the latest international evidence Using personal incident narratives to illustrate these dilemmas, as well as regulatory body professionalism standards, Healthcare Professionalism is an invaluable resource for students, healthcare professTrade Review'...excellent layout and presentation, especially the way the text is broken up into boxes to highlight common themes throughout each chapter, such as learning outcomes for reflective sessions and case study narratives. Each chapter is also rounded off with a summary, discussion points, learning activities and recommended reading, which helps the reader to draw conclusions at each stage to consolidate learning...there is much learning to be gained from the insightful reflections of a wider, multidisciplinary body of students' – Nursing Standard 'This book explores important professionalism dilemmas, including patient safety errors, consent and confidentiality ... The chapters include thought-provoking narratives on personal incidents and case studies that clearly link theory with practice. Detailed referencing provides an evidence-based, robust approach to tackling professionalism dilemmas.' – Surgeons’ News, The Royal College of Surgeons of Edinburgh“This book presents a valuable and realistic structure for teaching and learning how to become and develop as professional in any healthcare discipline. The usefulness of this book lies in the approach to guiding and developing the student's professional identify and the educator's teaching strategies to promote corrective actions based on reflections shaped by professional dilemmas founded on failures of professionals in various healthcare disciplines” Linda S. Hansen, MSN, RN, Michigan State University College of Nursing on behalf of Doody’s Aug 17 'The key strength of this book is that it continually links the theory of professionalism to the reality of day-to-day practice ... the authors do an excellent job of exposing the commonalities and differences in the perspectives of the various health care professions.' Anesthesia and Analgesia Table of ContentsForeword xi About the Authors xiii Acknowledgements xv Author Contributions xvii 1 Introduction 1 References 4 2 What is Healthcare Professionalism? 7 Introduction 8 Who is Responsible for Setting Professionalism Codes of Conduct? 8 What is the Ethical Basis of Healthcare Professionalism? 10 How is Professionalism Understood Across Regulatory Bodies’ Codes of Conduct? 12 How is Professionalism Linguistically Framed Across Healthcare Professionalism Codes of Conduct? 15 What are Stakeholders’ Understandings of Professionalism Across Different Country Cultures? 16 What are Students’ Understandings of Professionalism Across Country Cultures? 19 Professionalism: Embodied Identities? 23 Chapter Summary 25 References 26 3 Teaching and Learning Healthcare Professionalism 31 Introduction 32 Why Teach and Learn Professionalism? 32 What is a Curriculum? 33 How is Professionalism Taught and Learnt? 35 What Curricula‐related Professionalism Dilemmas do Healthcare Students Experience? 42 Chapter Summary 45 References 46 4 Assessing Healthcare Professionalism 51 Introduction 52 Why Assess Professionalism? 52 How is Professionalism Assessed? 53 What are the Key Challenges Facing Professionalism Assessment? 56 What Assessment‐related Professionalism Dilemmas are Learners Experiencing? 58 Chapter Summary 65 References 67 5 Identity‐related Professionalism Dilemmas 71 Introduction 71 How do Professional Identities Relate to Learning? 72 Are Professional Identities Easily Developed? 73 What are the Consequences of Professional Identities? 74 What are Identity‐related Professionalism Dilemmas? 75 What Identity‐related Professionalism Dilemmas Occur Across the Pre‐university to Year 1 Transition? 76 Identity Dilemmas Across Undergraduate Healthcare Education 78 Identity Dilemmas Across Transitions into Practice 81 Emotional impact and resistance 82 Chapter Summary 83 References 85 6 Consent‐related Professionalism Dilemmas 89 Introduction 90 What is Consent and why does it Matter? 90 What are the Common Myths about Patient consent for student involvement in their care? 93 What are Common Consent‐related Professionalism Dilemmas? 97 What is the Impact of Consent‐related Professionalism Dilemmas? 100 How do Students Act in the Face of Consent‐related Professionalism Dilemmas? 102 Chapter summary 103 References 105 7 Patient Safety‐related Professionalism Dilemmas 109 Introduction 110 How Have Patient Safety and Associated Terms been Defined? 110 What are the Factors that can Influence Patient Safety in the Workplace? 111 What Types of Patient Safety‐related Dilemmas Occur Across Different Healthcare Professions? 113 How can Healthcare Learners’ Actions and Roles Develop a Positive Workplace Culture of Patient Safety? 119 Chapter Summary 122 References 123 8 Patient Dignity‐related Professionalism Dilemmas 127 Introduction 128 What is Patient Dignity? 128 Why Does Patient Dignity Matter? 129 What are Dignity Violations and How do they Arise? 130 What Patient Dignity‐related Professionalism Dilemmas do Healthcare Learners Witness or Participate in? 133 What is the Impact of Patient Dignity‐related Professionalism Dilemmas? 139 How do Learners Act in the Face of Patient Dignity‐related Professionalism Dilemmas? 140 Chapter Summary 142 References 143 9 Abuse‐related Professionalism Dilemmas 145 Introduction 146 What are Equality, Diversity and Dignity at Work and Why Do They Matter? 146 What is Workplace Abuse and its Relationship with Power? 149 What are the Causes of Workplace Abuse? 151 What are the Consequences of Workplace Abuse? 152 What Abuse‐related Professionalism Dilemmas do Healthcare Learners Experience? 152 How can Workplace Abuse be Prevented and Managed? 158 Chapter Summary 160 References 161 10 E‐professionalism‐related Dilemmas 167 Introduction 168 What are the Benefits of OSNs for Professionalism? 168 What are the Challenges of OSNs for Professionalism? 169 What is E‐professionalism and Why is it Important? 170 What E‐professionalism Lapses do Healthcare Learners Commit? 172 What are the Repercussions for E‐professionalism‐related Lapses? 176 What are the Psychological, Social and Technological Factors Associated with Social Media Use? 177 What are the Regulatory Recommendations for the Prevention and Management of E‐professionalism Lapses? 180 Chapter Summary 181 References 182 11 Professionalism Dilemmas Across National Cultures 187 Introduction 188 What is Culture? 188 What Different Cultural Dimensions are there? 189 What are Eastern and Western Cultural Spaces? 191 How can we Develop Cultural and Intercultural Capability? 195 What are the Professionalism Dilemmas Across Different Cultural Spaces? 198 How are Situations Culturally Interpreted? Intercultural Dilemmas on Medical Electives by Western Students 202 Chapter Summary 204 References 205 12 Professionalism Dilemmas Across Professional Cultures 207 Introduction 208 What are the Roles of Different Healthcare Professionals? 209 How do Professionalism Dilemmas Compare Across Healthcare Students? 211 Interprofessional Dilemmas: Hierarchies, Roles and Conflict 214 How do Dilemmas Around Role Boundaries Come About? 218 What are Students’ Reactions and Actions in the Face of Interprofessional Dilemmas? 219 How can Interprofessional Conflict be Managed? 220 Chapter Summary 222 References 224 13 Conclusions 227 Power, Hierarchy, Conformity and Resistance 227 Negative Emotions, Empathy and Moral Distress 228 Looking Forward: Education, Training and Practice 229 Looking Forward: Research 231 Looking Back: Researcher Reflexivity 232 Coda 233 References 234 Afterword: Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas 237 Index 241

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Book SynopsisTable of ContentsPreface vii Part 1 Introduction 1 1 Introduction to endocrinology 2 Part 2 Disorders of the hypothalamic–pituitary axis 5 2 The hypothalamic–pituitary axis and its assessment 6 3 Acromegaly 8 4 Cushing’s syndrome 10 5 Hypopituitarism and non-functioning pituitary adenomas 12 6 Prolactinoma and hyperprolactinaemia 14 Part 3 Disorders of thirst and fluid balance 17 7 Hypernatraemia and diabetes insipidus 18 8 Hyponatraemia and SIADH 20 Part 4 Thyroid disorders 23 9 Thyroid function 24 10 Hyperthyroidism: clinical presentation and investigation 26 11 Hyperthyroidism: management and ophthalmopathy 28 12 Hyperthyroidism: special circumstances 30 13 Hypothyroidism 32 14 Goitre, thyroid nodules and cancer 34 Part 5 Disorders of calcium homeostasis 37 15 Physiology of calcium, PTH and vitamin D metabolism 38 16 Hypercalcaemia 40 17 Hypocalcaemia 42 18 Osteoporosis 44 Part 6 Disorders of the adrenal gland 47 19 Steroid physiology and biochemical assessment 48 20 Adrenal insufficiency 50 21 Adrenocortical tumours 52 22 Disorders of the adrenal medulla 54 Part 7 Disorders of the reproductive system 57 23 Physiology of the reproductive system 58 24 Growth, puberty and sexual differentiation 60 25 Menstrual disturbance 62 26 Hyperandrogenism 64 27 Menopause and HRT 66 28 Male hypogonadism 68 29 Gynaecomastia 70 30 Infertility 72 Part 8 Neuroendocrine tumours 75 31 Neuroendocrine tumours 76 32 Neuroendocrine tumours: management 78 33 Inherited endocrine tumour syndromes 80 34 Spontaneous hypoglycaemia 82 Part 9 Endocrine emergencies 85 35 Adrenal crisis 86 36 Pituitary apoplexy 88 37 Myxoedema coma 90 38 Thyroid storm 92 39 Acute hyponatraemia 94 40 Severe hypercalcaemia 96 41 Acute hypocalcaemia 98 Part 10 Diabetes mellitus 101 42 Overview 102 43 Diagnosis and monitoring 104 44 Classification 106 45 Type 1 diabetes: aetiology and clinical presentation 108 46 Type 1 diabetes: insulin and other therapies 110 47 Type 2 diabetes: aetiology and clinical presentation 112 48 Type 2 diabetes: treatment 114 49 Macrovascular complications 116 50 Microvascular complications 118 51 Diabetic foot disease 120 52 Diabetic ketoacidosis 122 53 Hyperglycaemic hyperosmolar state 124 54 Hypoglycaemia 126 55 Peri-operative management 128 56 Management of acute illness 131 57 Insulin infusions 134 58 Pregnancy and diabetes 136 59 Genetics of diabetes 138 60 The multidisciplinary team 140 61 Lipid disorders 142 62 Appetite and weight 144 63 Obesity and anorexia 146 Index 148

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Book SynopsisHow to Teach Using Simulation in Healthcare provides an ideal introduction and easy-to-use guide to simulation in medical education.Trade Review"It utilises an undeniable wealth of knowledge from the authors, leading to a book which is well written and informative, covering a diverse range of subjects" – Journal of Perioperative PracticeTable of ContentsList of Figures vii List of Tables ix About the Authors xi Preface xv Chapter 1: Introduction 1 Chapter 2: Simulation‐based medical education (SBME): some specifics 3 Chapter 3: Simulation in (medical) education: some background 13 Chapter 4: Equipment in SBME: more than just a mannikin? 27 Chapter 5: Physical and psychological realism 37 Chapter 6: Simulation mapping and scenario design 45 Chapter 7: Running a simulation session: some practicalities 55 Chapter 8: Formative assessment and feedback 65 Chapter 9: Summative assessment 73 Chapter 10: Human factors, ergonomics and non‐technical skills 83 Chapter 11: Five case examples 97 Chapter 12: Using new technology to enhance learning 119 Chapter 13: Commissioning a simulation centre 139 Chapter 14: Training for simulation faculty 151 Chapter 15: Conclusions and next steps 157 Chapter 16: Annotated bibliography 159 Index 163

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Book SynopsisThe Hands-on Guide to Clinical Reasoning in Medicine is the perfect companion to your time on clinical placements, providing an easy-to-read, highly visual guide to help develop your clinical decision making skills, and transfer your knowledge into practice. Packed full of useful tips, key boxes, exercises and summaries that are designed to help you apply the knowledge gained in clinical practice. Divided into the common clinical placements that you would find yourself in: Respiratory, Cardiovascular, Neurology, Geriatrics, Gastroenterology, Nephrology, Endocrinology and Rheumatology, each chapter covers the diagnosis of common clinical conditions, as well as decision-making in their investigation and management. Written for medical students in their clinical years, as well as new doctors and advanced nurse practitioners, The Hands-on Guide to Clinical Reasoning in Medicine provides students with an accessible resource for honing their clinical reasoning Trade Review“The Hands-on Guide to Clinical Reasoning in Medicine is a great book aimed at medical students. It uses ideas such as concept maps, activities, and cases to take learners through the diagnostic process in an explicit way. This approach is likely to be more useful than a 'traditional' textbook when it comes to thinking through real patients' problems. The book covers the internal medicine curriculum, and there is also an accompanying website. It's well laid out and easy to read. It's designed to be an internal medicine textbook written through a clinical reasoning lens - and the result is a practical book that makes learning more likely to happen. I'd recommend it to medical students, junior doctors, advanced clinical practitioners, and others who need to get to grips with the basics of medicine but in a thoroughly practical and applicable way.” – Dr Nicola Cooper, Consultant Physician, Honorary Clinical Associate Professor, University Hospitals of Derby & Burton NHS Foundation Trust and University of Nottingham, UK and co-editor of the ABC of Clinical Reasoning. "The book is written in an informal, conversational style with a friendly and coaching feel ... the questions are thought provoking, with a patient at the centre. The prompts in the text serve as a useful guide to develop skills in clinical reasoning." – British Journal of General Practice, July 2020 Table of ContentsForeword, ix Preface, xi Acknowledgements, xiii Reviewers, xv Abbreviations, xvii Normal Reference Ranges, xix Icons Explained, xxi About the Companion Website, xxiii 1 Introduction: The Skeleton Laid Bare, 1 Part I Respiratory Medicine, 11 2 History Taking: A Breath of Fresh Air, 13 3 Clinical Examination: The Rustle of Leaves, 20 4 Interpretation of Chest Radiographs: The Light Through the Tunnel, 22 5 Interpretation of Arterial Blood Gases and Pleural Fluid Results: Needling it Out, 26 6 Chronic Cough, 30 7 Acute Breathlessness, 37 8 Acute Chest Pain, 45 9 Acute Haemoptysis, 50 Part II Cardiovascular Medicine, 55 10 History Taking: The Three Pillow Dilemma, 57 11 Clinical Examination: The Orchestra of Sounds, 62 12 Interpretation of Chest Radiographs: Let There Be Light, 67 13 Interpretation of Electrocardiograms: The Rhythm of Life, 70 14 Palpitations, 75 15 Worsening Breathlessness, 80 16 Vague Systemic Symptoms, 85 17 Acute Chest Pain, 89 18 Blurring the Margins, 94 Part III Nephrology, 99 19 History Taking: Blood in the Urine, 101 20 Clinical Examination: Why Is the Kidney Failing?, 107 21 Renal Investigations: The Case of the Frothy Urine, 110 22 Hypertension, 115 23 Haematuria, 120 24 Oedema, 124 25 Non‐Specific Symptoms, 128 Part IV Endocrinology, 133 26 History Taking: Why Am I Losing Weight Doctor?, 135 27 Clinical Examination: Looking at the Person as a Whole, 137 28 Investigations: Seeing the Wood for the Trees, 143 29 Weight Gain, 147 30 Palpitations, 151 31 Weight Loss, 155 32 Thirsty and Confused, 159 Part V Neurology, 163 33 History Taking: What a Headache, 165 34 Clinical Examination: Walking Straight, 169 35 Investigations: The Light Bulb, 178 36 Headache, 185 37 Diplopia, 190 38 Leg Weakness, 195 39 Unilateral Weakness, 201 Part VI Geriatric Medicine, 205 40 History Taking: The Haze of Confusion, 207 41 Clinical Examination: Why Do I Keep Falling?, 212 42 Urinary Continence, 215 43 Falls, 220 44 Acute Confusion, 225 45 Dementia, 231 Part VII Gastroenterology, 237 46 History Taking: Where is the Pain?, 239 47 Clinical Examination: I Have Turned Yellow Doctor!, 246 48 Investigations: Journey to the Centre of the Abdomen and Beyond, 250 49 Weight Loss and Diarrhoea, 257 50 Jaundice, 262 51 Haematemesis and Melaena, 266 52 Abdominal Pain, 271 Part VIII Rheumatology, 277 53 History Taking: My Joints Hurt, 279 54 Clinical Examination: A Hot Swollen Joint, 282 55 Investigations: A Glimpse into the Creaky Bones, 286 56 Muscle Aches, 291 57 Joint Pain, 296 58 Back Pain, 301 59 Multi‐System Disease, 305 Part IX Common Clinical Conditions, 311 60 Common Clinical Conditions, 313 61 Respiratory Block, 314 62 Cardiology, 318 63 Nephrology, 323 64 Neurology, 326 65 Gastroenterology, 330 66 Geriatric Medicine, 333 67 Endocrinology, 335 68 Rheumatology, 337 Index, 338

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Book SynopsisTextbook of Surgery is a core book for medical and surgical students providing a comprehensive overview of general and speciality surgery. Each topic is written by an expert in the field. The book focuses on the principles and techniques of surgical management of common diseases. Great emphasis is placed on problem-solving to guide students and junior doctors through their surgical training.Table of ContentsContributors viii Preface xiii Acknowledgements xiv Section 1 Principles of Surgery 1 Preoperative management 3Julian A. Smith 2 Assessment of surgical risk 13Benjamin N.J. Thomson 3 Anaesthesia and pain medicine 19David Story 4 Postoperative management 25Peter Devitt 5 Surgical techniques 35Benjamin N.J. Thomson and David M.A. Francis 6 Management of surgical wounds 45Rodney T. Judson 7 Nutrition and the surgical patient 49William R.G. Perry and Andrew G. Hill 8 Care of the critically ill patient 57Jeffrey J. Presneill, Christopher MacIsaac and John F. Cade 9 Surgical infection 65Marcos V. Perini and Vijayaragavan Muralidharan 10 Transplantation surgery 75Michael A. Fink 11 Principles of surgical oncology 87G. Bruce Mann and Robert J.S. Thomas 12 Introduction to the operating theatre 93Andrew Danks, Alan C. Saunder and Julian A. Smith 13 Emergency general surgery 109Benjamin N.J. Thomson and Rose Shakerian Section 2 Upper Gastrointestinal Surgery 14 Gastro‐oesophageal reflux disease and hiatus hernias 115Paul Burton and Geraldine J. Ooi 15 Tumours of the oesophagus 123Ahmad Aly and Jonathan Foo 16 Peptic ulcer disease 133Paul A. Cashin and S.C. Sydney Chung 17 Gastric neoplasms 143John Spillane 18 Obesity and bariatric surgery 151Yazmin Johari and Wendy A. Brown Section 3 Hepatopancreaticobiliary Surgery 19 Gallstones 163Arthur J. Richardson 20 Malignant diseases of the hepatobiliary system 173Thomas J. Hugh and Nigel B. Jamieson 21 Liver infections 191Vijayaragavan Muralidharan, Marcos V. Perini and Christopher Christophi 22 Pancreatitis 199Peter S. Russell and John A. Windsor 23 Pancreatic tumours 209David Burnett and Mehrdad Nikfarjam 24 Portal hypertension and surgery on the patient with cirrhosis 219Michael A. Fink Section 4 Lower Gastrointestinal Surgery 25 Principles of colorectal and small bowel surgery 229Ian Hayes 26 Physiology of small and large bowel: alterations due to surgery and disease 237Jacob McCormick and Ian Hayes 27 Small bowel obstruction and ischaemia 243Ian Hayes and the late Joe J. Tjandra 28 The appendix and Meckel’s diverticulum 249Rose Shakerian and the late Joe J. Tjandra 29 Inflammatory bowel disease 255Susan Shedda, Brit Christensen and the late Joe J. Tjandra 30 Diverticular disease of the colon 267Ian Hastie and the late Joe J. Tjandra 31 Colorectal cancer 273Ian T. Jones and the late Joe J. Tjandra 32 Large bowel obstruction 285Raaj Chandra 33 Perianal disorders I: excluding sepsis 293Ian Hayes and Susan Shedda 34 Perianal disorders II: sepsis 301Ian Hayes and the late Joe J. Tjandra Section 5 Breast Surgery 35 Breast assessment and benign breast disease 309Rajiv V. Dave and G. Bruce Mann 36 Malignant breast disease and surgery 317Rajiv V. Dave and G. Bruce Mann Section 6 Endocrine Surgery 37 Thyroid 331Jonathan Serpell 38 Parathyroid 339Jonathan Serpell 39 Tumours of the adrenal gland 345Jonathan Serpell Section 7 Head and Neck Surgery 40 Eye injuries and infections 353Helen V. Danesh‐Meyer 41 Otorhinolaryngology 359Stephen O’Leary and Neil Vallance 42 Tumours of the head and neck 369Rodney T. Judson Section 8 Hernias 43 Hernias 381Roger Berry and David M.A. Francis Section 9 Skin and Soft Tissues 44 Tumours and cysts of the skin 397Rodney T. Judson 45 Soft tissue tumours 403Peter F. Choong 46 Infection of the extremities 415Mark W. Ashton and David M.A. Francis 47 Principles of plastic surgery 423Mark W. Ashton Section 10 Trauma 48 Principles of trauma management 431Scott K. D’Amours, Stephen A. Deane and Valerie B. Malka 49 Burns 443Ioana Tichil and Heather Cleland Section 11 Orthopaedic Surgery 50 Fractures and dislocations 457Peter F. Choong 51 Diseases of bone and joints 465Peter F. Choong Section 12 Neurosurgery 52 Head injuries 483Andrew H. Kaye 53 Intracranial tumours, infection and aneurysms 493Andrew H. Kaye 54 Nerve injuries, peripheral nerve entrapments and spinal cord compression 511Andrew H. Kaye Section 13 Vascular Surgery 55 Disorders of the arterial system 527Raffi Qasabian and Gurfateh Singh Sandhu 56 Extracranial vascular disease 537Raffi Qasabian and Gurfateh Singh Sandhu 57 Venous and lymphatic diseases of the limbs 545Hani Saeed and Michael J. Grigg 58 Endovascular therapies 553Timothy Buckenham Section 14 Urology 59 Benign urological conditions 565Anthony J. Costello, Daniel M. Costello and Fairleigh Reeves 60 Genitourinary oncology 577Homayoun Zargar and Anthony J. Costello Section 15 Cardiothoracic Surgery 61 Principles and practice of cardiac surgery 587James Tatoulis and Julian A. Smith 62 Common topics in thoracic surgery 603Julian A. Smith Section 16 Problem Solving 63 Chronic constipation 617Kurvi Patwala and Peter De Cruz 64 Faecal incontinence 625Andrew Bui 65 Rectal bleeding 633Adele Burgess 66 Haematemesis and melaena 637Wendy A. Brown 67 Obstructive jaundice 643Frederick Huynh and Val Usatoff 68 The acute abdomen, peritonitis and intra‐abdominal abscesses 649Paul Cashin, Michael Levitt and the late Joe J. Tjandra 69 Ascites 659David A.K. Watters, Sonal Nagra and David M.A. Francis 70 Neck swellings 667Rodney T. Judson 71 Acute airway problems 675Stephen O’Leary 72 Dysphagia 679Wendy A. Brown 73 Leg swelling and ulcers 685Alan C. Saunder, Steven T.F. Chan and David M.A. Francis 74 Haematuria 693Kenny Rao and Shomik Sengupta 75 Postoperative complications 699Peter Devitt 76 Massive haemoptysis 707Julian A. Smith 77 Epistaxis 711Robert J.S. Briggs 78 Low back and leg pain 715Jin W. Tee and Jeffrey V. Rosenfeld 79 Acute scrotal pain 727Anthony Dat and Shomik Sengupta 80 Post‐traumatic confusion 735John Laidlaw 81 Sudden‐onset severe headache 745Alexios A. Adamides 82 The red eye 749Christine Chen 83 Double vision 757Christine Chen Answers to MCQs 763 Index 767

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Book SynopsisHow to Pass the FRACP Written Examination is an indispensable review and study guide for anyone preparing for the challenging Fellow of the Royal Australasian College of Physicians (FRACP) exam. This up-to-date resource fully aligns with the current FRACP core training curriculum, containing a wealth of traditional multiple-choice questions (MCQs) as well as extended-matching questions (EMQs). There are hundreds of questions for every major topic of the written examination, including critical care medicine, cardiology, infectious diseases, immunology and allergy, neurology, and pharmacology. More than a simple practice exam, this guide provides clear and complete explanations of each answer, a mini-review of the subject, and links to the most recent or relevant articles on the topic. Complementing the main body of questions are a number of 'teaching' and two-step questionsdesigned to strengthen clinical reasoning skills, highlight important issues, and expand knowledge of contemporaTable of ContentsIntroduction Acknowledgements Abbreviations Features contained in your study aid 1. Cardiology Answers 2. Critical Care Medicine Answers 3. Dermatology Answers 4. Endocrinology Answers 5. Epidemiology, Statistics and Research Answers 6. Gastroenterology Answers 7. General and Geriatric Medicine Answers 8. Genetic Medicine Answers 9. Haematology Answers 10. Immunology and Allergy Answers 11. Infectious Diseases Answers 12. Medical Obstetrics Answers 13. Medical Oncology Answers 14. Mental Health Answers 15. Nephrology Answers 16. Neurology Answers 17. Palliative Medicine Answers 18. Pharmacology, Toxicology and Addiction Medicine Answers 19. Respiratory and Sleep Medicine Answers 20. Rheumatology Answers 21. Basic Science Answers Index

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Book SynopsisTable of ContentsList of Figures xviii Preface xxv Acknowledgements xxvii Units and Abbreviations xxviii Part 1 Introduction 1 Chapter 1 Occupational Hygiene and Risk Assessment 3 1.1 Introduction 3 1.2 Hazard and Risk 8 1.3 Risk Assessment 9 1.4 The Stages of a Risk Assessment 10 1.4.1 Identify the Hazard 10 1.4.2 Decide Who Might Be Affected and How 11 1.4.3 Evaluate the Risks 11 1.4.4 Take Preventative and Protective Measures 13 1.4.5 Record the Significant Findings 14 1.4.6 Review the Assessment Regularly and Revise It If Necessary 14 1.5 Who Should Carry Out Risk Assessment? 15 References and Further Reading 15 Chapter 2 Identifying Hazards 17 2.1 Introduction 17 2.2 Identifying Hazards 18 2.3 Example of Hazard Identification 20 2.4 Conclusions Arising from a Hazard Assessment 21 References and Further Reading 21 Chapter 3 Exposure, Exposure Routes and Exposure Pathways 23 3.1 Introduction 23 3.2 Exposure Routes 23 3.3 Exposure Pathways 26 3.4 Measuring Exposure 27 3.5 Biological Monitoring 28 3.6 Exposure Assessment: What the Legislation Requires 29 3.7 Conclusions 30 References and Further Reading 31 Chapter 4 The Exposure Context 32 4.1 Context for Measurement 32 4.2 Sources of Hazardous Substances 33 4.3 Dispersion Through the Workroom 34 4.4 Receptor 36 4.5 Jobs and Tasks 37 4.6 Conclusion 38 References and Further Reading 38 Chapter 5 Modelling Exposure 39 5.1 Introduction 39 5.2 Worst‐Case Models 40 5.3 Control Banding and COSHH Essentials 42 5.3.1 Worked Example 44 5.4 Screening Tools Used for Regulation of Chemicals in Europe 46 5.4.1 ECETOC TRA 46 5.4.2 Stoffenmanager.nl 47 5.4.3 Worked Example 48 5.4.4 Overall Reliability of These Tools 49 5.5 The Advanced REACH Tool 49 5.5.1 Bayesian Statistics 49 5.5.2 The ART 50 5.5.3 Worked Example 51 5.6 Conclusions and Prospects 52 References and Further Reading 52 Chapter 6 Why Measure? 54 6.1 Introduction 54 6.2 Reasons for Undertaking Monitoring 54 6.2.1 To Support a Risk Assessment 54 6.2.2 To Assess Compliance with an OEL 55 6.2.3 To Make a Comparison with Existing Data 55 6.2.4 To Provide Baseline Information on the Exposure Distributions Within a Plant 56 6.2.5 Supporting Information for Registration Submissions Under the REACH Regulations 56 6.2.6 Containment Capability Studies 57 6.2.7 To Underpin a Research Study 58 References and Further Reading 58 Chapter 7 How to Carry Out a Survey 59 7.1 Introduction 59 7.2 Planning the Survey 59 7.3 Workplace Monitoring 61 7.4 Monitoring Strategies 63 7.5 Quality Assurance and Quality Control 66 References and Further Reading 68 Chapter 8 Analysis of Measurement Results 69 8.1 Introduction 69 8.2 Dealing with Variability in Measurement Results 69 8.3 Summary Statistics and Data Presentation 71 8.4 Testing Compliance 74 8.4.1 Worked Example 76 8.5 Other Software Tools to Aid Data Analysis 78 References and Further Reading 78 Chapter 9 Introduction to Control 80 9.1 Introduction 80 9.2 Specific Control Measures 81 9.2.1 Elimination 82 9.2.2 Substitution 82 9.2.3 Total Enclosure 83 9.2.4 Technological Solutions 84 9.2.5 Segregation 84 9.2.6 Partial Enclosure 85 9.2.7 Local Ventilation 85 9.2.8 General Ventilation 86 9.2.9 Personal Protective Equipment 87 9.3 The Effectiveness of Control Measures 87 References and Further Reading 88 Chapter 10 The Importance of Good Records and How to Write a Survey Report 89 10.1 Record, Educate and Influence 89 10.2 Measurement Records 90 10.3 Survey Reports 92 10.3.1 General Principles of Writing a Good Report 92 10.3.2 Report Structure 93 10.3.3 Common Pitfalls and Administrative Points 96 References and Further Reading 96 Chapter 11 Risk Assessment 98 11.1 Introduction 98 11.2 Identify All Hazardous Substances or Agents 100 11.3 Identify the Likely Levels of Exposure 100 11.4 Identify All Persons Likely to be Exposed 102 11.5 Assess Whether the Exposures are Likely to Cause Harm 102 11.6 Consider Elimination or Substitution 103 11.7 Define Additional Control Measures Necessary to Reduce the Harm to Acceptable Levels 104 References and Further Reading 105 Chapter 12 Risk Communication 107 12.1 Introduction 107 12.2 Risk Perception 108 12.3 Trust 110 12.4 Principles of Good Risk Communication 110 12.4.1 Know Your Constraints Before You Start 111 12.4.2 Define the Role of the Communicator 111 12.4.3 Research Your Audience 111 12.4.4 Timing 112 12.5 The Presentation 112 12.6 Communicating Risk 114 12.7 Quantitative Risk Assessment to Aid Risk Communication 115 References and Further Reading 117 Part 2 Hazardous Substances 119 Chapter 13 An Introduction to Hazardous Substances 121 13.1 Introduction 121 13.2 The Complexities of Modern Workplaces 122 13.3 The Top Five Hazardous Carcinogens 123 13.4 Substances of Concern for the Respiratory System 123 13.5 Pesticides, Pharmaceuticals and Other Biologically Active Substances 124 13.6 Organic Chemicals 125 13.7 Summary 126 References and Further Reading 126 Chapter 14 Dust, Particles and Fibrous Aerosols 128 14.1 Introduction 128 14.2 Airborne Particulate Matter 128 14.3 Fibres 131 14.4 Measurement of Airborne Particulate and Fibre Concentrations 133 14.4.1 Filters 134 14.4.2 Filter Holders and Sampling Heads 135 14.5 Measurement of Flow Rate 139 14.6 Pumps 141 14.7 Direct‐Reading Aerosol Monitors 142 14.8 Flow Rate Measurement Using a Rotameter or Electronic Flow Calibrator by Using the Soap Bubble Method 144 14.9 The Measurement of Inhalable Airborne Dust 146 14.9.1 Equipment Required 146 14.9.2 Method 147 14.9.3 Calculations 149 14.9.4 Possible Problems 149 14.10 The Measurement of Airborne Respirable Dust by Using a Cyclone Sampler 150 14.10.1 Equipment Required 150 14.10.2 Method 150 14.10.3 Calculations 151 14.10.4 Possible Problems 151 14.11 Measurement of Nanoparticles 151 14.12 The Sampling and Counting of Airborne Asbestos Fibres 152 14.12.1 Equipment Required for Sampling 154 14.12.2 Method for Sampling 154 14.12.3 Fibre Counting and Generating Concentration Data 154 14.12.4 Method of Evaluation 155 14.12.5 Calculations 156 14.12.6 Possible Problems 157 14.13 The Choice of Filter and Filter Holder to Suit a Specific Dust, Fume or Mist 157 14.14 To Trace the Behaviour of a Dust Cloud by Using a Tyndall Beam 159 14.14.1 Equipment Required 159 14.14.2 Method 160 Note 160 References and Further Reading 160 Chapter 15 Gases and Vapours 163 15.1 Introduction 163 15.2 Collection Devices 167 15.2.1 Adsorption Methods 167 15.2.2 Adsorbent Tubes 169 15.2.3 Passive Samplers 171 15.2.4 Colorimetric Detector Tubes 172 15.3 Containers 174 15.4 Direct‐Reading Instruments 174 15.5 To Measure Personal Exposure to Solvent Vapours Using an Adsorbent Tube 176 15.5.1 Equipment Required 176 15.5.2 Method 177 15.5.3 Calculations 177 15.5.4 Example 178 References and Further Reading 179 Chapter 16 Bioaerosols 181 16.1 Introduction 181 16.2 Classification of Microorganisms 182 16.3 Viruses 183 16.4 Bacteria 184 16.5 Moulds and Yeasts 186 16.6 Allergens 187 16.7 Principles of Containment 187 16.8 Monitoring Bioaerosols 188 16.9 Measurement of Endotoxins and Allergens 192 16.10 Interpretation of Sample Results 193 References and Further Reading 194 Chapter 17 Dermal and Inadvertent Ingestion Exposure 196 17.1 Introduction 196 17.2 Occupations Where Dermal Exposure is Important 197 17.3 Local and Systemic Effects 198 17.4 How Do We Know If Dermal Exposure is an Issue? 199 17.5 What Do We Measure? 200 17.6 Methods for Dermal Exposure Measurement 202 17.7 Sampling Strategy 205 17.8 Liquids and Solids 207 17.9 Biomonitoring and Modelling of Dermal Exposure 208 17.10 From Exposure to Uptake 209 17.11 Controlling Dermal Exposure 210 17.12 Inadvertent Ingestion Exposure 211 References and Further Reading 214 Chapter 18 Human Biomonitoring 217 18.1 Introduction 217 18.2 Selection of a Suitable HBM Method 218 18.3 Examples of HBM 220 18.4 Study Protocols 221 18.5 Interpretation of HBM Data 222 References and Further Reading 224 Part 3 Physical Agents 225 Chapter 19 An Introduction to Physical Agents 227 19.1 Introduction 227 19.2 Physical Agents in the Workplace 228 19.3 Noise and Vibration 229 19.4 Thermal Environment 230 19.5 Ionising and Non‐ionising Radiation 231 References and Further Reading 232 Chapter 20 Noise 233 20.1 Introduction 233 20.2 Frequency 234 20.3 Duration 236 20.4 Occupational Exposure Limits 237 20.5 Pressure and Magnitude of Pressure Variation 238 20.6 Equipment Available 239 20.7 Sound Level Metres and Personal Noise Dosimeters 239 20.8 Personal Noise Dosimeters 243 20.9 Calibration 245 20.10 Collecting Noise Measurements 247 20.10.1 Using an SLM 247 20.10.2 Results 248 20.11 To Measure Workplace Noise Using a PND 249 20.11.1 Using a PND 249 20.11.2 Results 250 20.11.3 Possible Complications 250 20.12 To Measure the Spectrum of a Continuous Noise by Octave Band Analysis 251 20.12.1 Collecting a Spectrum of a Continuous Noise by Octave Band Analysis 252 20.12.2 Results 252 20.13 To Determine the Degree of Noise Exposure and the Actions to Take 254 Note 255 References and Further Reading 255 Chapter 21 Vibration 257 21.1 Introduction 257 21.2 Vibration 259 21.3 Occupational Exposure Limits 261 21.4 Risk Assessment 262 21.5 Measurements and Measurement Equipment 262 21.6 Hand–Arm Vibration Measurement Calculations 264 21.6.1 Reporting of Vibration Exposure Data 265 21.7 Control of Vibration 266 References and Further Reading 267 Chapter 22 Heat and Cold 269 22.1 Introduction 269 22.2 Heat Stress 272 22.3 Measurement Equipment 275 22.3.1 Dry Bulb Thermometers 275 22.3.2 Wet-bulb Thermometers 275 22.3.3 Air Speed 276 22.3.4 Globe Thermometer 276 22.3.5 Integrating WBGT Instruments 276 22.4 Personal Physiological Monitoring 277 22.5 Measurement of the Thermal Environment 279 22.6 Predicted Heat Strain Index 281 22.7 Risk Assessment Strategy 282 22.8 Control of Hot Environments 283 22.9 Thermal Comfort 285 22.10 Cold Environments 286 22.11 To Calculate the Wind Chill Factor 288 22.11.1 Procedure 288 References and Further Reading 289 Chapter 23 Lighting 290 23.1 Introduction 290 23.2 Lighting Standards 293 23.3 Equipment Available 293 23.4 Calibration 293 23.5 To Measure Lighting 294 23.5.1 Aim 294 23.5.2 Equipment Required 294 23.5.3 Method 295 23.5.4 Possible Problems 296 23.5.5 Results and Comparison with Guidance 297 23.5.6 Reporting 297 23.6 Control 298 References and Further Reading 299 Chapter 24 Ionising Radiation 301 24.1 Introduction 301 24.2 Ionising Radiation 302 24.3 Background Radiation 303 24.4 Basic Concepts and Quantities 304 24.5 Types of Radiation 306 24.6 Energy 307 24.7 Activity 307 24.8 Radiation Dose Units 308 24.8.1 Absorbed Dose and Dose Equivalent 308 24.8.2 To Calculate Dose Equivalent 309 24.8.3 Dose Rate 309 24.9 Dose Limits 310 24.10 Derived Limits 311 24.11 Procedures to Minimise Occupational Dose 311 24.12 Personal Dosimetry and Medical Surveillance 313 24.12.1 Monitoring of Ionising Radiation in Work Areas 314 24.12.2 Personal Monitoring for External Dose 316 24.12.3 Film Badge Dosimeter 317 24.12.3.1 Advantages of the Film Badge Dosimeter 317 24.12.3.2 Disadvantages 318 24.12.4 Thermoluminescent Dosimeter 318 24.12.4.1 Advantages Thermoluminescent Dosimeter 318 24.12.4.2 Disadvantages 318 24.12.5 Direct‐Reading Monitors 319 24.12.5.1 Disadvantages of Direct‐reading Monitors 319 24.12.6 Air Monitoring 319 References and Further Reading 320 Chapter 25 Non‐Ionising Radiation 321 25.1 Introduction 321 25.2 Ultraviolet Radiation 323 25.3 Visible and Infrared Radiation 325 25.4 Blue Light 326 25.5 Microwaves, Radiowaves and Low‐frequency Electric and Magnetic Fields 327 25.6 Lasers 329 References and Further Reading 330 Part 4 Control of Hazards 333 Chapter 26 Assessing the Effectiveness of Exposure Controls 335 26.1 Introduction 335 26.2 The Effectiveness of Control Measures 336 26.2.1 Elimination and Substitution 336 26.2.1.1 Case Study: Replacement of Trichloroethylene for Cleaning Textiles 336 26.2.2 Ventilation and Control Measures at Source 337 26.2.2.1 Case Study: Enclosure of Beryllium Processing 338 26.2.3 Personal Protective Equipment 339 26.2.4 Using Effectiveness Data 340 26.2.4.1 Case Study: Loading Pharmaceuticals into a Process Vessel 341 26.3 Measuring Exposure to Assess the Effectiveness of Controls 342 26.3.1 Case Study: Use of Push‐Pull Ventilation in Hand Soldering 342 References and Further Reading 344 Chapter 27 Assessing Local Ventilation Control Systems 345 27.1 Introduction 345 27.2 Air Pressure 346 27.2.1 Static Pressure (ps) 346 27.2.2 Velocity Pressure (pv) 347 27.2.3 Total Pressure (pt) 347 27.3 Measurement Equipment 347 27.3.1 Pressure‐Measuring Instruments 347 27.3.2 Air Velocity Measuring Instruments 349 27.3.2.1 Vane Anemometers 350 27.3.2.2 Heated Sensor Anemometers 351 27.3.2.3 Velocity Pressure Devices 352 27.3.2.4 Smoke Tube Kit 354 27.3.2.5 Calibration 355 27.3.2.6 Tyndall Beam 355 27.3.3 Barometric Pressure Instruments 355 27.4 Ventilation Measurement Records 355 27.5 Measurement of Air Flow in Ducts 359 27.5.1 Aim 359 27.5.2 Equipment Required 359 27.5.3 Method 360 27.5.4 Calculation 363 27.5.5 Example 364 27.5.6 Possible Problems 365 27.6 Measurement of Pressure in Ventilation Systems 366 27.6.1 Aim 366 27.6.2 Equipment Required 366 27.6.3 Method 366 27.6.4 Results 367 27.6.5 Possible Problems 368 27.7 To Measure the Face Velocity on a Booth, Hood or Fume Cupboard 368 27.7.1 Aim 368 27.7.2 Equipment Required 369 27.7.3 Method 369 27.7.4 Results 370 27.7.5 Possible Problems 370 References and Further Reading 370 Chapter 28 Personal Protective Equipment 372 28.1 Introduction 372 28.2 Components of An Effective PPE Programme 372 28.2.1 Assessment of Risks and Identification of Where Control is Required 373 28.2.2 Implement All Feasible Controls 373 28.2.3 Identify Who Needs Residual Protection 374 28.2.4 Inform Wearers of the Consequences of Exposure 374 28.2.5 Select PPE Adequate to Control Residual Exposure 374 28.2.5.1 Case Study 376 28.2.6 Involve Wearers in the PPE Selection Process 377 28.2.7 Match PPE to Each Individual Wearer 377 28.2.8 Carry Out Objective Fit‐Tests of RPE 378 28.2.9 Ensure That PPE Does not Exacerbate or Create Risks 378 28.2.10 Ensure PPE are Mutually Compatible 381 28.2.11 Train Wearers in the Correct Use of Their PPE 381 28.2.12 Supervise Wearers to Ensure Correct Use of PPE 382 28.2.13 Maintain PPE in Efficient and Hygienic Condition 383 28.2.14 Inspect PPE to Ensure it is Correctly Maintained 383 28.2.15 Provide Suitable Storage Facilities for PPE 383 28.2.16 Record Maintenance and Inspection Data 384 28.2.17 Monitor Programme to Ensure its Continuing Effectiveness 384 References and Further Reading 384 Part 5 The Future 387 Chapter 29 Monitoring for Hazards at Work in the Future 389 29.1 What the Future Holds for Monitoring Hazards at Work 389 References and Further Reading 393 Appendix: Survey checklists 395 Equipment Suppliers 403 Chemical Analytical Services 405 Index 407

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Book Synopsishow to succeed at revalidation Doctors in the UK are required to provide evidence of their fitness to practiceall doctors registered with the General Medical Council (GMC) need to revalidate to maintain their registration. How to Succeed at Revalidation contains up-to-date information on the current regulatory framework and step-by-step guidance for the entire revalidation process. Offering expert advice on how to undertake the process from the perspective of the appraisee, the appraiser, and the employer, this practical, quick-reference guide covers each of the Good Medical Practice (GMP) domains: Knowledge, Skills and Performance; Safety and Quality; Communication, Partnership and Team Work; and Maintaining Trust. Throughout the text, numerous examples describe different models of appraisal and reflection, identify activities that map to each domain, and demonstrate how revalidation requirements can be achieved in the course of daily practice. This much-needed guide: Covers regulaTable of ContentsAcknowledgements viAbbreviations vii Chapter 1: An introduction 1 Chapter 2: Regulation in health - a brief history 5 Chapter 3: A history of the current framework 21 Chapter 4: Revalidation - the role of the appraiser, Responsible Officer and Designated Bodies 47 Chapter 5: Revalidation – the role of the appraisee 73 Chapter 6: Examples of reflections across all GMC Domains 105 Chapter 7: The future of medical revalidation in the United Kingdom 133 Index 147

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Book SynopsisEfforts to improve the quality of healthcare have failed to achieve a meaningful and sustainable improvement. Patients continue to experience fragmented, inconvenient, and unsafe care while providers are increasingly becoming overburdened with administrative tasks. The need for change is clear. Healthcare professionals need to take on new leadership roles in quality improvement (QI) projects to effect real change. The Quality Improvement Challenge in Healthcare equips readers with the skills and knowledge required to develop and implement successful operational improvement initiatives. Designed for healthcare providers seeking to apply QI in practice, this valuable resource delivers step-by-step guidance on improvement methodology, team dynamics, and organizational change management in the context of real-world healthcare environments. The text integrates the principles and practices of Lean Six Sigma, human-centered design, and neurosciences to present a field-tested framework. Detailed yet accessible chapters cover topics including identifying and prioritizing the problem, developing improvement ideas, defining the scope of the project, organizing the QI team, implementing and sustaining the improvement, and much more. Clearly explaining each step of the improvement process, this practical guide: Presents the material in a logical sequence, gradually introducing each step of the process with clearly defined workflow templatesFeatures a wealth of examples demonstrating QI application, and case studies emphasizing key concepts to highlight successful and unsuccessful improvement initiativesIncludes end-of-chapter exercises and review questions for assessing and reinforcing comprehensionOffers practical tips and advice on communicating effectively, leading a team meeting, conducting a tollgate review, and motivating people to change Leading QI projects requires a specific set of skills not taught in medical school. The Quality Improvement Challenge in Healthcare bridges this gap for experienced and trainee healthcare providers, and serves as an important reference for residency program directors, physician educators, healthcare leaders, and health-related professional organizations.Table of ContentsWhy This Book? x About the Authors xi List of Stories, Examples, Exercises, and Case Studies xiii About the Companion Website xv Part I The Basics 1 Chapter 1 The Problem with Healthcare 3 Chapter 2 We Need to Improve the Way We Improve 11 Part II The First “R”: The Right Project 21 Chapter 3 The Project Selection Process 23 Chapter 4 Frame Your Challenge: The Problem Statement and Charter 36 Part III The Second “R”: The Right People 45 Chapter 5 Don’t Go at It Alone: Find a Primary Sponsor 47 Chapter 6 Organize Your QI Team and Select the Team Leader 51 Part IV The Third “R”: The Right Problem 61 Chapter 7 What is the Scope of the Project? The SIPOC Diagram 63 Chapter 8 Who Are the “Customers,” and What Do They Need? 68 Chapter 9 Who Are the “Stakeholders,” and What Challenges Do They Have? 81 Part V The Fourth “R”: The Right Cause 87 Chapter 10 To Understand a Process, You Need to “Go See” and Create a Map 89 Chapter 11 Get a Quick Win: Identify and Eliminate “Waste” 109 Chapter 12 Measure What Matters: Choose the Right Project Metrics 124 Chapter 13 Practicalities for Planning and Collecting Baseline Data 137 Chapter 14 Define Baseline Performance: Is the Process “Stable”? 147 Chapter 15 Tools to Characterize the Type of Variation: The Run Chart 176 Chapter 16 Tools to Characterize the Type of Variation: The Control Chart 186 Chapter 17 Define Baseline Performance: Is the Process Capable? 207 Chapter 18 How to Identify and Prioritize the Most Likely Cause of the Problem 222 Chapter 19 Before Proceeding, Confirm the Cause-and-Effect Relationship 242 Part VI The Fifth “R”: The Right Solution 253 Chapter 20 Develop and Prioritize Your Improvement Ideas 255 Chapter 21 Test the Effectiveness of Your Ideas with a Pilot 280 Chapter 22 Improve “Flow” and Work Conditions 288 Chapter 23 Now Roll-Out Your Improvement Ideas and Make Them “Stick” 310 Part VII Additional Things You May Need to Know 331 Chapter 24 How to Prepare and Conduct a Tollgate Review 333 Chapter 25 How to Communicate Effectively to Engage the Frontline 339 Chapter 26 How to Lead an Effective Team Meeting 354 Chapter 27 How to Help Your QI Team Become a High-Performing Team 369 Chapter 28 Steps and Strategies to Effective Decision-Making 393 Chapter 29 What Neurosciences Can Teach Us to Motivate People to Change 403 Chapter 30 How Does it All Fit Together? The MRI Suite at St. Mary’s Hospital 421 Appendix 449 Appendix I Common Improvement Tools and Techniques 451 Appendix II Glossary of Improvement Terms 457 Appendix III Additional Resources 460 Index 463

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Book SynopsisMultiple choice question-and-answer book for cardiologists at all levels, now updated to include 100 new questions covering additional topics Cardiology Board Review, Second Edition is a multiple-choice question-and-answer study aid that is written for the primary purpose of helping candidates prepare for the American Board of Internal Medicine (ABIM) subspecialty certification. The questions address all areas of cardiology, some of which include: physical examination, ECG section with high resolution images, non-invasive and invasive imaging, myocardial diseases, and more. Each of the 1,400 questions is followed by four answers to choose from and the discussions address not only the rationale behind picking the right choice, but also fills in information around the topic so that important key concepts are clearly laid out. This helps candidates to prepare for the test, while also developing a clear understanding of various aspects of cardiology, including diagnosis and management. Written by two highly experienced authors in the field of healthcare, Cardiology Board Review, Second Edition covers topics such as: History and physical examinations, electrocardiography, chest x-rays in cardiology, stress testing and risk stratification of asymptomatic subjects, and echocardiographyCardiac magnetic resonance imaging, cardiac computed tomography, cardiac catheterization, acute coronary syndromes, and chronic coronary artery diseaseHeart failure, transplant, left ventricular assist devices, pulmonary hypertension, cardiomyopathies, hypertension, and diabetes mellitusLipids, valvular heart disease, adult congenital heart disease, pericardial diseases, aortic diseases, and cardiac arrhythmiasPacemakers and defibrillators, cardiac masses, systemic disorders affecting the heart, and heart disease and pregnancy Providing comprehensive coverage of all relevant subjects and offering the easy-to-understand why behind the answer to each question, this second edition of Cardiology Board Review is an essential study resource for fellows in training, practicing cardiologists, and those preparing for ABIM subspecialty board in cardiology.Table of ContentsList of Contributors viii Preface x 1 History and Physical Examination 1Ramdas G. Pai 2 Electrocardiography 15Ramdas G. Pai 3 Chest X-Ray in Cardiology 53Padmini Varadarajan and Ramdas G. Pai 4 Stress Testing and Risk Stratification of Asymptomatic Subjects 82Vrinda Vyas, Ramdas G. Pai, and Padmini Varadarajan 5 Echocardiography 98Ramdas G. Pai 6 Cardiac Magnetic Resonance Imaging 158Padmini Varadarajan 7 Cardiac Computed Tomography 180Ramdas G. Pai 8 Cardiac Catheterization 209Balaji Natarajan and Ashis Mukherjee 9 Acute Coronary Syndromes 230Gagan Kaur and Ashis Mukherjee 10 Chronic Coronary Artery Disease 256Patrick Bagdasaryan, Percy Genyk, Ashis Mukherjee, and Padmini Varadarajan 11 Heart Failure, Transplant, Left Ventricular Assist Devices, Pulmonary Hypertension 272Ravi Rao, Chirag Patel, and Padmini Varadarajan 12 Cardiomyopathies 302Padmini Varadarajan 13 Hypertension 320Mandira Patel, Vrinda Vyas, and Padmini Varadarajan 14 Diabetes Mellitus 334Ravi Rao, Jarmanjeet Singh, and Padmini Varadarajan 15 Lipids 347Mandira Patel, Vrinda Vyas, and Padmini Varadarajan 16 Valvular Heart Disease 362Jarmanjeet Singh and Padmini Varadarajan 17 Adult Congenital Heart Disease 400Padmini Varadarajan 18 Pericardial Diseases 438Ramdas G. Pai 19 Aortic Diseases 448Jarmanjeet Singh and Padmini Varadarajan 20 Carotid and Vertebral Artery Disease 474Balaji Natarajan, Prashant Patel, and Prabhdeep Sethi 21 Peripheral Vascular Disease 490Bala Natarajan, Prashant Patel, Ravi Rao, and Ashis Mukherjee 22 Cardiac Arrhythmias 515Ramdas G. Pai 23 Pacemakers and Defibrillators 542Ramdas G. Pai 24 Cardiac Masses 548Padmini Varadarajan 25 Systematic Disorders Affecting the Heart 581Ramdas G. Pai 26 Interdisciplinary Consultative Cardiology 585Ramdas G. Pai 27 Heart Disease and Pregnancy 595Padmini Varadarajan 28 Racial and Gender Disparities 601Padmini Varadarajan 29 Pharmacologic Principles of Cardiac Drugs 604Christopher Hauschild 30 Anticoagulation 615Padmini Varadarajan 31 Aspirin and Antiplatelet Therapy 627Christopher Hauschild 32 Statistical Concepts 633Ramdas G. Pai 33 Genetics 642Padmini Varadarajan 34 Cardiac Emergencies and Resuscitation 650Ramdas G. Pai Index 656

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Book SynopsisTable of ContentsList of Contributors Foreword by Brian Hodges Foreword from ASME Foreword from AMEE Preface Part I Developing your practice as a health professions education researcher 1. Exploring versus measuring: considering the fundamental differences between qualitative and quantitative research Jennifer Cleland 2. Theory in healthcare education research: the importance of worldview Wendy McMillan 3. Constructivism: Learning Theories and Approaches to Research Anna MacLeod, Sarah Burm, and Karen Mann 4. Widening access to medicine: using mid-range theory to extend knowledge and understanding Sandra Nicholson, Kirsty Alexander, Maeve Coyle, and Jennifer Cleland 5. Developing the research question: setting the course for your research travels Jaunita Bezuidenhout, Champion Nyoni, Rhoda Meyer, and Susan van Schalkwyk 6. Researching technology use in health professions education: questions, theories, approaches Rachel Ellaway 7. Power analyses: planning, conducting and evaluating education research R. Brent Stansfield and Larry Gruppen 8. Navigating health professions education research: exploring your researcher identity, topic and community Janneke M. Frambach, Muhammad Zafar Iqbal, Pim Teunissen, and Susan van Schalkwyk 9. How to tell compelling scientific stories: tips for artful use of the research manuscript and presentation genres Lorelei Lingard and Erik Driessen Part II Methodologies and methods for health professions education research 10. What is known already: Reviewing evidence in health professions education Morris Gordon 11. Qualitative research methodologies: embracing methodological borrowing, shifting and importing Lara Varpio, Maria Athina (Tina) Martimianakis, and Maria Mylopoulos 12. Attuning to the social world: Ethnography in health professions education research Simon Kitto, Janet Alexanian, and Joanne Goldman 13. Visual methods in health professions research: purpose, challenges and opportunities Sayra Cristancho, Kori LaDonna, and Emily Field 14. Critical discourse analysis: questioning what we believe to be ‘true’ Morag Paton, Thirusha Naidu, Rene Wong, Cynthia Whitehead, and Ayelet Kuper 15. Functional and Corpus Linguistics in health professions education research: The study of language in use Abigail Konopasky and Brett A. Diaz 16. Challenging Epistemological Hegemonies: Researching Inequity and Discrimination in Health Professions Education Saleem Razack, Andrea Jane McKivett, and Marco Antonio de Carvalho Filho 17. Educational Neuroscience: current status and future opportunities Anke Sambeth, Steven Durning, Minna Huotilainen, and Anique de Bruin Part III Theory informing health professions education research 18. Sticking with messy realities: complexity Alan Bleakley and Jennifer Cleland 19. Activity theory Jenny Johnston and Helen Reid 20. Disentangling humans, technologies and things: Sociomaterial research in health professions education Rola Ajjawi, Margaret Bearman, and Anna MacLeod 21. Social cognitive theory: thinking and learning in social settings Dario Torre and Steven J. Durning 22. Learning and participatory practices at work: Understanding and appraising learning through workplace experiences Stephen Billett, Linda Sweet, and Christy Noble 23. Health behaviour theories: a conceptual lens to explore behaviour change Francois Cilliers, Christina St-Onge, and Cees van der Vleuten 24. Self-regulated learning in HPE: theoretical perspectives and research methods Anthony R. Artino Jr., Adam Gavarkovs, Ryan Brydges, and Larry D. Gruppen 25. Emotions and learning: cognitive theoretical and methodological approaches to studying the influence of emotions on learning Meghan McConnell and Kevin Eva 26. Research on instructional design in the health professions: from taxonomies of learning to whole-task models Jimmy Frèrejean, Diana H.J.M Dolmans, and Jeroen K. G. van Merrienboer 27. Cognitive load theory: researching and planning teaching to maximise learning Adam Szulewski, Tamara van Gog, Fred Paas, and John Sweller 28. Deliberate practice and mastery learning: origins of expert medical performance William C.l McGaghie and Theresa Kristopaitis 29. Closing comments: Building and sustaining capacity David Taylor and Trevor Gibbs 30. Conclusion Jennifer Cleland and Steven J. Durnin Index

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