Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation's healthcare continue to decline-with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.
With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision.
Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm.
This book offers insights from doctors and doctors-to-be about successes they've enjoyed and obstacles they've faced, personal and professional. Some of these essays are easy to celebrate, and others are painful to absorb. All encourage the reader to reflect upon their own stories, embrace vulnerabilities, forgive shortcomings, celebrate resilience, and, by doing so, become a better physician.
The topics covered in these essays are divided into six chapters titled Learning and Training, Career, Caregiving, Physician as Patient, Personal Growth, and Love and Loss. Authors discuss a wide range of experiences that include combining marriage and residency, navigating racism, honing communication, forging relationships with patients and colleagues, battling addiction, getting fired, facing death, and more.
Becoming a Better Physician is a beautifully written volume that will enlighten physicians, future physicians, and anyone interested in learning how physicians grow as medical professionals and as human beings.
Read the Editors' discussion of the book with Harvard Medicine Magazine here: https: //magazine.hms.harvard.edu/articles/medicine-burnout-and-stories-doctors-tell
Geriatric medicine varies from most other fields in medicine. While many specialties function on the basis of evidence-based literature, geriatricians and other clinicians caring for older adults must integrate relatively limited evidence with variable physiological changes and complex psychosocial determinants. Geriatricians are used to caring for 90 year olds with multiple chronic illnesses. Their variable physiology leads to uncertain responses to pharmacotherapy, and their personal goals and wishes need to be incorporated into any plan of care. Practicing geriatric medicine requires the ability to see patterns. But it goes one step further, as the rules are constantly in flux. Every patient is an individual with particular needs and goals. In order to provide true person centered care to older adults, one has to incorporate these factors into the decision making process.
The proposed handbook is designed to present a comprehensive and state-of the-art update that incorporates existing literature with clinical experience. Basic science and the physiology of aging create a background, but are not the main focus. This is because every chapter has been written through the lens of person centered care. This book is about focusing on what matters to the person, and how that is not always about pathology and physiology. The reader generally will not find simple solutions to symptoms, diseases and syndromes. In fact, the key to caring for geriatric patients is the ability to think both critically and divergently at the same time. Geriatrics encompasses multiple disciplines and spans all of the subspecialties. It requires knowledge of working within an interdisciplinary team. It requires an appreciation of how quality of life varies with each individual and creates treatment and care plans that also vary. And most of all, it requires a firm commitment to first learning who the person is so that all of the necessary data can be analyzed and integrated into a true person centered plan of care. This book aims to serve as an unparalleled resource for meeting these challenges. Updated and revised from the previous edition, this text features over 40 new peer-reviewed chapters, new references, and a wide array of useful new tools that are updated on a regular basis by interdisciplinary and interprofessional experts in geriatric medicine.
Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that provides trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler's Procedures for Primary Care has been the go-to reference for step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care providers. This 4th Edition continues that tradition with new section editors, updated illustrations, new chapters, and much more. No other primary care procedure book compares with Pfenninger and Fowler's breadth and depth of practical, step-by-step content!
New Topics include: Creating a Sales Funnel, Saving for Retirement, Selling Your Practice, and much more.
Being a family doctor isn't easy. Why? Because you're either an employed physician or a doctor trying to survive on your own. Both are making doctors quit their profession every day. You have heard about direct primary care as an option, but you have been bombarded with misleading advertising, confusing recommendations, and bad information from those who fear taking the leap. This makes you question yourself every day. Do you really want to become a DPC doctor? If you do, how do you go about doing it? You start by reading The Official Guide to Starting Your Direct Primary Care Practice. In this fact-filled book, you'll discover how to avoid the common pitfalls, the top tips to market your practice, how to make patient experiences great and much more.
In this book Dr. Douglas Farrago provides thorough and clear guidance for any physician considering the Direct Primary Care route. Readers will learn if the transition to DPC is right for them, how to go about establishing and maintaining their new practice, and what to expect along the way. Dr. Farrago provides a lively and frank discussion of the entire process, providing the reader with concrete steps to take and realistic expectations about the excitement and challenges involved. He is an innovative and pragmatic physician and businessman, and he has instilled this book with his wisdom, personal experience and his ever-present sense of humor.
Some of the things you will learn by reading The Official Guide to Starting Your Own Direct Primary Care Practice: -
Douglas Farrago MD uses the insights he has learned from twenty years of being a family physician, his vast connection to DPC docs from around the country and his own odyssey into Direct Primary Care that he used to create an incredibly successful practice in the central Virginia area. He teaches you the secrets you need to know to fill your practice as well as laying the groundwork into making your office great so patients are clamoring to get in.
Then this book is for you To get more up to date DPC (Direct Primary Care) information on a regular basis go to www.dpcnews.com
Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.
Features a reader-friendly outline format, including dozens of EBM boxes and accompanying EBM ruler illustrations.
Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.
Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.
Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.
In The Doctors We Need, Dr. Anthony Sanfilippo, a respected cardiologist and former Associate Dean of Medical Education at Queen's University, confronts a startling reality: in a nation proud of its pledge to universal healthcare, over 6 million Canadians lack a family doctor. This crisis persists despite massive investments in medical education and institutions. We need to think differently.
Drawing on over 40 years of experience in the classroom and at the bedside, Dr. Sanfilippo exposes--with elegance, wit, and empathy--how our legacy processes for recruiting, educating, and promoting hyper-specialization in medicine have failed to adapt to the basic healthcare needs any Canadian should expect. Through compelling real-life accounts, he illustrates:
This groundbreaking book doesn't just diagnose the problem--it prescribes solutions that alter incentives for decision-makers and embrace a new path for aspiring family physicians. Dr. Sanfilippo proposes innovative reforms in three critical areas:
The Doctors We Need is a call to action, challenging Canadians, medical schools, and our political leaders to embrace urgent, disruptive change in the face of clear and present needs. It offers a practical roadmap for ensuring every Canadian has access to quality primary care. Essential reading for anyone concerned about the future of healthcare in Canada, this book provides the blueprint for transforming our medical system to truly serve all Canadians.
Highly acclaimed in its first three editions, McWhinney's Textbook of Family Medicine is one of the seminal texts in the field. While many family medicine texts simply cover the disorders a practitioner might see in clinical practice, McWhinney's defines the principles and practices of family medicine as a separate and distinct field of practice. The fourth edition presents six new clinical chapters of common problems in family medicine: respiratory illness, musculoskeletal pain, depression, diabetes, obesity and multimorbidity. This new edition also provides information on stewardship of resources, patient information and data, delivery of care in the home, and consultation and referral. The volume also covers continuing advances in the research base of family medicine. Readers will come away with a deeper appreciation for the role of the generalist in healthcare.
Presents step-by-step strategies for applying project management skills in varied settings and identifying concepts critical to project success
The third edition of this acclaimed resource continues to deliver highly practical skills, strategies, and wisdom to graduate-level nursing students as they prepare to confront real-life management challenges. The new edition reflects the changing roles and responsibilities of today's APRN. The revision features expanded case scenarios, supported by concrete examples and critical thinking questions.
The text helps APRNs to understand and apply evidence-based project management architecture to nursing goals and objectives that must be accomplished in an organized way. It outlines the phases of evidence-based project management--design and planning, implementation, monitoring and controlling, and final evaluation--and describes evidence-based tools used in the process. Examples and explanations of each step in the project management process clarify and reinforce learning. Purchase includes online access via most mobile devices or computers.
New to the Third Edition:
Key Features:
In The Doctors We Need, Dr. Anthony Sanfilippo, a respected cardiologist and former Associate Dean of Medical Education at Queen's University, confronts a startling reality: in a nation proud of its pledge to universal healthcare, over 6 million Canadians lack a family doctor. This crisis persists despite massive investments in medical education and institutions. We need to think differently.
Drawing on over 40 years of experience in the classroom and at the bedside, Dr. Sanfilippo exposes--with elegance, wit, and empathy--how our legacy processes for recruiting, educating, and promoting hyper-specialization in medicine have failed to adapt to the basic healthcare needs any Canadian should expect. Through compelling real-life accounts, he illustrates:
This groundbreaking book doesn't just diagnose the problem--it prescribes solutions that alter incentives for decision-makers and embrace a new path for aspiring family physicians. Dr. Sanfilippo proposes innovative reforms in three critical areas:
The Doctors We Need is a call to action, challenging Canadians, medical schools, and our political leaders to embrace urgent, disruptive change in the face of clear and present needs. It offers a practical roadmap for ensuring every Canadian has access to quality primary care. Essential reading for anyone concerned about the future of healthcare in Canada, this book provides the blueprint for transforming our medical system to truly serve all Canadians.
With mesh surgery for prolapse sometimes proving problematic, there has been a resurgence of professional medical interest in more traditional methods for the management of prolapse and of stress urinary incontinence. This concise guide to the practical aspects of pessary use will be of interest to all gynecologists involved in the clinical management of the patient with these problems.
Contents: Historical review * Pessaries for pelvic organ prolapse * Incontinence pessaries * Pessary fitting * Pessary care * Outcomes of pessary use * Current clinical studies on vaginal pessaries
Cover image of vaginal pessaries (c) 2019 Rick Hicaro, Jr., Chicago, IL 60647, USA