Clinical Uncertainty in Primary Care (eBook, PDF)

The Challenge of Collaborative Engagement

• Format: PDF

Produktbeschreibung

The Power of Colleagues

What happens when primary care clinicians meet together on set aside time in their practice settings to talk about their own patients?

.....Complimenting quality metrics or performance measures through discussing the actual stories of individual patients and their clinician-patient relationships

In these settings, how can clinicians pool their collective experience and apply that to ‘the evidence’ for an individual patient?

.....Especially for patients who do not fit the standard protocols and have vague and worrisome symptoms, poor response to treatment, unpredictable disease courses, and/or compromised abilities for shared decision making

What follows when discussion about individual patients reveals system-wide service gaps and coordination limitations?

.....Particularly for patients with complex clinical problems that fall outside performance monitors and quality screens

How can collaborative engagement of case-based uncertainties with one’s colleagues help combat the loneliness and helplessness that PCPs can experience, no matter what model or setting in which they practice?

.....And where they are expected to practice coordinated, evidence-based, EMR-directed care

These questions inspired Lucia Sommers and John Launer and their international contributors to explore the power of colleagues in “Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement” and offer antidotes to sub-optimal care that can result when clinicians go it alone.

From the Foreword: “Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine…and they present a cogent case for its special relationship to primary care practice…‘Clinical Uncertainty in Primary Care’ not only presents a model of collegial collaboration and support, it also implicitly legitimates it.’’ Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.

Produktdetails

• Verlag: Springer New York
• Erscheinungstermin: 5. Juli 2013
• Englisch
• ISBN-13: 9781461468127
• Artikelnr.: 43800798

Autorenporträt

Lucia Siegel Sommers is an educator and health services researcher with a 40-year history of working with clinician small groups. She holds an undergraduate degree from the University of Pennsylvania; a masters in social work from Bryn Mawr University; a doctorate in public health from the University of California, Berkeley and completed a 2-year fellowship in health services research at Stanford University. From 1994 through 2001, Lucia was a full-time faculty member in the Internal Medicine Residency Program at St. Mary’s Medical Center in San Francisco and Associate Program Director from 1997 to 2001. She is currently an assistant professor in the Department of Family and Community Medicine at the University of California San Francisco where she has taught medical students since 1996. Her published research includes studies focused on the effectiveness of medical audit, nurse-physician collaboration to improve care and reduce costs in hospitals and interdisciplinary care for thefrail elderly in the primary care office setting.

John Launer is a family physician, family therapist, educator and writer. He graduated in English at Cambridge before studying medicine at London University. After obtaining Membership of the Royal College of General Practitioners with distinction in 1983, he worked for 22 years as a GP in Edmonton, north London, and continues to work as a part-time GP. In 1994 he completed training at the Tavistock Clinic as a family therapist and joined the senior staff there as honorary consultant in general practice and primary care. Since then his teaching and clinical work has drawn together ideas from family medicine and family therapy, with a focus on narrative and clinical supervision. John is an Associate Dean for Postgraduate Medical Education at London University, and has published five previous books as author or editor, including ‘Narrative-Based Primary Care: A Practical Guide.’ He has lectured and run workshops internationally, including in the USA, Canada, Scandinavia, Israel and Japan.

Inhaltsangabe

Section One: Clinical Uncertainty in Primary Care1.Introduction.- 2.Uncertainty and Clinical Method.- 3.Learning about Uncertainty in Professional Practice.- Section Two: The Challenge of Engagement.- 4.Balint Groups and Peer Supervision.- 5.Research on Balint groups.- 6.The Thistle and the Maple Leaf: PBSGL in Canada and Scotland.- 7.Narrative-Based Supervision.- 8.Training in Narrative-based supervision: Conversations inviting change.- 9.Practice Inquiry: Uncertainty Learning in Primary Care Practice.- 10.Using Practice Inquiry to Engage Uncertainty in Residency Education.- 11.“We’re all in the same boat”: Potentials and Tensions When Learning Through Sharing Uncertainty in Peer Supervision Groups.- 12.Case-Based Learning in Swedish Primary Health Care: Strengths and Challenges.- 13. Afterword.

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Section One: Clinical Uncertainty in Primary Care1.Introduction.- 2.Uncertainty and Clinical Method.- 3.Learning about Uncertainty in Professional Practice.- Section Two: The Challenge of Engagement.- 4.Balint Groups and Peer Supervision.- 5.Research on Balint groups.- 6.The Thistle and the Maple Leaf: PBSGL in Canada and Scotland.- 7.Narrative-Based Supervision.- 8.Training in Narrative-based supervision: Conversations inviting change.- 9.Practice Inquiry: Uncertainty Learning in Primary Care Practice.- 10.Using Practice Inquiry to Engage Uncertainty in Residency Education.- 11."We're all in the same boat": Potentials and Tensions When Learning Through Sharing Uncertainty in Peer Supervision Groups.- 12.Case-Based Learning in Swedish Primary Health Care: Strengths and Challenges.- 13. Afterword.

Rezensionen

From the reviews:

"This book outlines a collaborative engagement strategy for primary care clinicians. ... The book is directed mainly at U.K. general practitioners. ... This is a nice theoretical approach to helping inexperienced clinicians mature ... ." -- Vincent F. Carr, Doody's Book Reviews, October, 2013

"This book is helpful reading for family physicians and essential for its teachers; it addresses a ubiquitious problem that we too often avoid as being too complex for discussion ... . The book helps us speak honestly about an essential truth concerning primary care-that much of what we do is not exact science, cannot be taught as technique, and won't be clarified through yet one more evidence-based guideline or clinic workflow ... ." (John Muench, Family Medicine, stfm.org, July-August, 2016)