Fundamentals of Clinical Practice

Fundamentals of Clinical Practice is an introductory textbook focusing on the patient physician relationship. Formerly closeted behind closed doors, this most intimate of healing relationships is coming under increasing scientific scrutiny. Physicians and other healthcare providers are beginning to understand the critical importance of this relation ship to the health of patients, as well as to larger societal relationships, systems, and values. To facilitate the reader's exploration of the patient-physician relationship, all chap ters include numerous illustrative cases and conclude with cases for discussion that allow small groups of learners to tackle these difficult issues. Our hypothesis is that through discussion a deeper understanding of the dynamics of the patient-physician relationship will allow medical students and other future healthcare providers to form more effective therapeutic relationships with their patients. Part I of this textbook, "The Patient," explores the relationship through the patient's perspective, with chapters on human health and disease and individual and family devel opment. Understanding the patient's perspective is critical to establishing a sound thera peutic relationship. The day when a physician could maintain solely a disease or techno logical perspective is fading fast under the weight of patient criticism, particularly in primary care fields. Patients judge such a disease or technological perspective as less humane and frequently vote with their feet, finding other physicians who are much better able to balance the caring aspects of medicine with the curing.

Klappentext

This unique text explores the patient-physician relationship, focusing on those relationships and societal problems that can have an impact on it. Writing for first- and second-year medical students, strongDrs. Mengel/strong and strongHolleman/strong describe the process of developing into a physician and how that affects the individual; the many cultural issues that can impact on the patient; and the current economic forces affecting the quality of health care. Students will benefit from the cogent clinical examples and cases that illustrate important points and the suggested supplementary readings.

Zusammenfassung
'Fascinating and well researched...This book successfully keeps the focus on the patient-physician relationship by inserting case presentations at regular intervals. The chapters are designed with cases and questions for small-group discussion at the end of each chapter.'
JABFP, Jan-Feb, 1998
'If you are looking for an exciting introductory textbook that speaks to the heart of the patient-physician relationship, this is your best bet...Since its focus is on the fundamentals of clinical practice, the text serves also as a current reference...It is bound to be a pivotal source of professional interest and use.'
Family Medicine, April 1998

Inhalt
I. The Patient.- 1: Human Health and Disease.- 2: Individual and Family Life Cycle.- II. The Doctor.- 3: Becoming a Physician.- 4: Being a Physician.- III. Society Section A. Relationships.- 5: The Patient-Physician Relationship.- 6: The Family System.- 7: The Community.- 8: The Workplace.- 9: Public Health and the Environment.- 10: The Cultural World of the Patient.- 11: The Healthcare System.- Section B. Values.- 12: Medical Ethics.- 13: Health Policy and Economics.- Section C. Special Problems.- 14: The Tobacco Pandemic.- 15: Alcohol and Drug Abuse.- 16: Violence.- 17: Mental Illness.- 18: Sexually Transmitted Diseases.- 19: Vulnerable and Indigent Populations.- 20: Maternal and Child Health.- References.