Description
Medical Generalism, Now! is a unique and timely consideration of generalist medical practice. With a focus on the knowledge work of clinical practice and by taking a whole healthcare system view, the book responds to a recognized need to strengthen generalist practice within modern healthcare delivery in both primary and secondary care settings.
Through a series of creative provocations directed to consulting clinicians and their trainers/educators, service leaders and managers, and policy makers, readers are encouraged to challenge the orthodox view that generalism is an outdated 'jack of all trades’ sub-set of clinical medicine delivering the ‘simpler’ aspects of medicine, with more complex issues requiring onward specialist referral. Case studies are used throughout to illustrate the challenges to be faced, accompanied by a description of the principles of generalist knowledge work needed to tackle the scenarios described and discussing the implications for practice and service redesign.
Essential reading for clinicians, managers and policy makers across all healthcare settings, the book concludes with a call to action, synthesizing the learning from each chapter to define and describe delivery of the key changes needed.
Table of Contents
Preface
About the Author
Additional Contributors
Chapter 1: Principles of Whole Person Medicine
1.1 The purpose of Whole Person medicine. 1.2 The focus for whole person care: the Creative Self. 1.3 The goal of healthcare: enhancing health for daily living. 1.4 The work of healthcare: creating understanding in context. 1.5 The context of WP healthcare: complex interventions. 1.6 Summary.
Chapter 2. Wise Foundations: the knowledge work of practice
2.1 The knowledge work of clinical practice. 2.2 The knowledge work of specialist medicine. 2.3 The alternative knowledge work of generalist practice. 2.4 Barriers to generalism in action. 2.5 Generalism in action: the 4Es of best practice. 2.6 Advanced generalist practice: Emperor’s new clothes?2.7 Knowledge work: the missing piece in person-centred healthcare redesign.
Chapter 3: Wise People – delivering the knowledge work of advanced generalist practice
3.1 The Flipped Consultation. 3.2 Goldilocks Medicine. 3.3 Heath’s Generalist Gatekeeper or Guru. 3.4 Summary.
Chapter 4: Wise Places – practices supporting advanced generalist knowledge work
4.1 Enabling the work of advanced generalist practice: redesigning the generalist practice. 4.2 BOUNCEBACK: enabling knowledge work in context. 4.3 COMPLEX NEEDS: Enabling knowledge work in context for multimorbidity. 4.4 PACT: creating places for tailored care knowledge work. 4.5 Conclusions: Creating Wise Places.
Chapter 5: Wise Systems – the advanced generalist healthcare system
5.1 Setting the scene – New Public Management. 5.2 CATALYST - knowledge work drivers for system change, a workforce example. 5.3 TAILOR - knowledge work drivers for system change, a workplace example. 5.4 UNITED GENERALISM – a policy example. 5.5 Implications for Medical Generalism, now.
Chapter 6: Medical Generalism, Now
6.1 Starting in Primary Care. 6.2 Wise Policy. 6.3 Wise Practice. 6.4 Wise People. 6.5 Medical Generalism Now.
Chapter 7: Medical Generalism, everywhere?
Index.
