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Searching for the Family Doctor by Timothy J. Hoff Pdf
With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.
"Every Doctor spoke to me deeply and personally ... as we face the challenges of 21st Century medical practice, I felt cared for, much like I do when visiting my personal family doctor. Every Doctor will speak to you as well." Associate Professor Sandy Buchman, Family Physician Practising in Palliative Care, President-Elect of the Canadian Medical Association "As implicit in the title, the book reaches out to every doctor from recent graduates to the experienced – general practitioner and specialist. The message is universal, timeless and challenging." Emeritus Professor John Murtagh, Department of General Practice, School of Primary Health Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Australia "Michael and Leanne are indeed the best family doctors to author Every Doctor because they have demonstrated in this book how much they understand about us as medical practitioners, as leaders and advocates, and about our journeys and our future. They share precious experience and offer precious advice." Dr Donald Li (Hong Kong, China), President, World Organisation of Family Doctors (WONCA), 2018-2020 "If you ever feel like giving up medicine - and all of us have those sorts of days - then this remarkable, courageous and joyful book is the one for you." Dr Iona Heath CBE, President, Royal College of General Practitioners (2009-2012) ‘Every Doctor’ is about thriving in medicine at a time of massive advances and changes in global health systems and medical services. The book is a must-read for doctors of all specialties at all stages of their careers wherever they practise in the world, because exemplary care of patients, peers, profession and self is a lifelong journey.
It's My Midlife Crisis... Get Your Own! by Valerie Vinson Pdf
If you're middle aged...you need this book. If you used to be middle aged... you need this book. If you ever plan to be middle aged...you need this book!It's My Midlife Crisis...Get Your Own! is an irreverent look at middle age...and how we deal with it.
Our Own Agendas is the second collection of essays by McGill women. The first, A Fair Shake, was published a decade ago. The second volume both reflects the current climate of openness and shows that many barriers remain to be challenged. Our Own Agendas makes a lively and enlightening contribution to our understanding of women's experiences and to Canadian social history.
Selective Mutism In Our Own Words by Cheryl Forrester,Carl Sutton Pdf
An eye-opening and enlightening collection of stories from people living with Selective Mutism (SM), this book provides a much-needed platform for people with SM to share experiences of the condition in their own words. Exploring all aspects of SM, from symptoms and diagnostic criteria, to triggers and the consequences of being psychologically unable to speak, the stories in this book dispel the myths around this often misunderstood condition. Far from refusing to talk, or choosing not to, the contributors offer genuine insights into why they simply cannot speak in certain situations or in front of certain people. Children, teens and adults from the UK and US share experiences of feeling isolated, struggling at school, and finding ways to communicate. Letting people with SM know that they are not alone with the condition, the book will also help family, friends and professionals to understand what it is like to live with SM.
Hearings, Reports and Prints of the Senate Committee on Labor and Public Welfare by United States. Congress. Senate. Committee on Labor and Public Welfare Pdf
It is 1943 and the big war in Europe is now in its fourth year. The Allies have begun to take the fight to Germany and bombing raids on German cities are now an almost daily and nightly occurrence. As cities are being destroyed, panic-stricken survivors are frantically searching for relatives to find shelter with. Refugees, driven out of recently occupied Russian territories in the east, are now arriving with only small pieces of luggage as their only possessions and they are in desperate need of places to stay. Our small house, which we already shared with another family, soon nearly doubles its occupancy as desperate relatives in need of shelter kept arriving. All eligible men are away fighting at one of Hitler's many fronts. The overwhelming need to support this effort has left the country drained of nearly everything and has forced mothers alone to protect and provide for their families during this most difficult period of history. Fear, hunger, and the struggle to survive have become a way of life. As children we did not always understand the serious time in which we lived, however, we learned to assess the fear from the expressions on our mother's faces, especially so during the frequent air raids. Often it was their despair that we quietly observed while they struggled with the constant inability to adequately provide for their families. In late1943, my family received the news that Dad had recently become a prisoner of war. By late1944, it became clear that Germany was losing the war. Fear that Russian troops would reach our area ahead of American or British forces became the real concern now. Just days prior to Germany's capitulation, our occupation occurred, and this event would forever remain in my memory and directly affect much of my young life. The events, as described, were real and have been written as seen through the eyes of a young boy. Following our liberation, we came to realize the enormous atrocities that had occurred and learned of people whose suffering had been far greater than ours, and to those people I wish to offer my deepest respect.
United States. Congress. Senate. Committee on Labor and Public Welfare. Subcommittee on Health
Author : United States. Congress. Senate. Committee on Labor and Public Welfare. Subcommittee on Health Publisher : Unknown Page : 1894 pages File Size : 48,6 Mb Release : 1971 Category : Medical care ISBN : UCBK:C051740828
J. L. Buckingham,E. P. Donatelle,W. E. Jacott,M. G. Rosen,Robert B. Taylor
Author : J. L. Buckingham,E. P. Donatelle,W. E. Jacott,M. G. Rosen,Robert B. Taylor Publisher : Springer Science & Business Media Page : 1399 pages File Size : 50,7 Mb Release : 2013-06-29 Category : Medical ISBN : 9781475739992
Family Medicine by J. L. Buckingham,E. P. Donatelle,W. E. Jacott,M. G. Rosen,Robert B. Taylor Pdf
JOHN S. MILLIS In 1966 the Citizens Commission on Graduate Medical Education observed that the explosive growth in biomedical science and the consequent increase in medical skill and technology of the twentieth century had made it possible for physicians to respond to the episodes of illness of patients with an ever-increasing effectiveness, but that the increase in knowledge and technology had forced most physicians to concentrate upon a disease entity, an organ or organ system, or a particular mode of diagnosis or therapy. As a result there had been a growing lack of continuing and comprehensive patient care. The Commission expressed the opinion that "Now, in order to bring medicine's enhanced diagnostic and therapeutic powers fully to the benefit of society, it is necessary to have many physicians who can put medicine together again. "! The Commission proceeded to recommend the education and training of sub stantial numbers of Primary Physicians who would, by assuming primary responsi bility for the patient's welfare in sickness and in health, provide continuing and comprehensive health care to the citizens of the United States. In 1978 it is clear that the recommendation has been accepted by the public, the medical profession, and medical education. There has been a vigorous response in the development of family medicine and in the fields of internal medicine, pediatrics, and obstetrics. One is particularly impressed by the wide acceptance on the part of medical students of the concept of the primary physician. Dr. John S.
Life and Decline of the Family Doctor by Charles Rees Pdf
This book comes from my experiences as a family doctor in a small town in Dorset England for 38 years covering 1972 to 2010. During most of that time being a Family Doctor was more than being a General Practitioner. I have tried to explain the changes that occurred without trying to extol the virtues of a golden age which never existed. The process of computerisation, advances in medicine, change in the family, de-skilling of the doctor, training of GPs and the rise of the ‘portfolio’ doctor are covered hopefully without over-doing it. I hope I have explained how doctor and patient became distanced and why. All through this period the control by Government extended. The Doctor now works for the Government and not the patient. Since I retired from the Practice 10 years ago the concept of a patient having their own Doctor for decades or generations has largely gone. What I have tried to do is to explain the changes and why they happened and to do it through the people I lived along side and cared for. They were sometimes hard work, sometimes irritating, often chaotic and occasionally terribly funny. But in the end they were my patients and I was their Doctor.
United States. Congress. House. Committee on Ways and Means
Author : United States. Congress. House. Committee on Ways and Means Publisher : Unknown Page : 760 pages File Size : 49,9 Mb Release : 1959 Category : Health insurance ISBN : UOM:39015078142166
Hospital, Nursing Home, and Surgical Benefits for OASI Beneficiaries by United States. Congress. House. Committee on Ways and Means Pdf
Considers H.R. 4700, to guarantee adequate health care for dependent survivors and aged, retired and disabled individuals by amending the Social Security Act and Internal Revenue Code to establish and finance compulsory insurance against costs of hospitalization, nursing home care and surgical services.