Description
Book SynopsisThe upheavals of the NHS reforms have caused a great deal of stress and uncertainty in primary care, and professional development and support for general practitioners needs to take account of this. This book offers a group supervision model which can be used to develop the core competencies needed for GPs to make the new primary care organisations work. The book analyses how primary care professionals have dealt with the various reforms of the past decade, and picks apart the paralysing culture of politeness, conflict avoidance and rivalry for power, to reveal how at the core of reform is the struggle for each GP to construct a new professional identity which integrates medicine, management and politics.It proposes ways GPs can benefit from these experiences to become equipped with the necessary competencies to be active members or dynamic leaders in the new primary care organisations. The doctor-patient relationship is no longer one-to-one, but located within a group matrix, in the same way that a GP is now required to work within a group framework. This book enables GPs to develop the essential group skills they now need, and on which the success of the healthcare reforms ultimately depends. 'A challenging approach to understanding and supporting the individuals who make up the primary care workforce. Gerhard Wilke has drawn on his experiences to identify the reasons behind the 'dis-ease' felt by many practitioners, and to suggest models for improving their morale. This book will be of interest to practitioners working through the challenges of continuing 'top down' reorganisation of the NHS and responding to the reconfiguration of general practice partnerships into PCGs and PCTs.'
Trade Review"'There probably wouldn't be much need for a book like this if medicine could be practiced at a leisurely pace with patients well known to the physician in a setting of abundant resources and willing consultants and if all diseases presented the way they're supposed to. But in the real world, of course opposite of this holds true and the potential for good clinicians to commit diagnostic and therapeutic misadventures is very real. Unfortunately, our standard medical education doesn't prepare us very well to avoid the traps and pitfalls. This book by the Nguyen brothers represents a major training contribution. It not only reviews the basic steps involved in evaluating those major complaint categories we face every day but supplements each section by relevant case examples that are always interesting and enlightening. There is something of value here for everyone from medical students interested in the field to battle-scarred emergency physicians - veterans of a thousand shifts facing similar dilemmas in the middle of the night.' Frank J Edwards, in the Foreword"
Table of ContentsAbdominal pain. Chest pain. Fever. Flank pain. Headache. Leg pain. Musculoskeletal injuries. Shortness of breath. Syncope. Vaginal bleeding. Legal issues involving radiology.
