Medical Generalism, Now! - Reclaiming the Knowledge Work of Modern Practice

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leaders and managers, and policy makers, readers are encouraged to challenge the orthodox view that generalism is an outdated 'jack of all trades' sub-set of clinical medicine delivering the 'simpler' aspects of medicine, with more complex issues requiring onward specialist referral.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.

List 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.

About the author

Professor Joanne Reeve is an academic GP committed to excellence in academic primary care at the heart of the design and delivery of quality primary care. Primary care is the bed rock of the NHS, and is underpinned by a discipline of academic primary care which delivers the workforce, research evidence and strategic vision for practice and policy. Joanne graduated from Liverpool Medical School in 1997, and started out planning a career in public health medicine. A Masters in Public Health rekindled her interests in the professional, clinical and academic challenges of developing person-centred healthcare. She returned to General Practice and successfully applied for doctoral funding from the NCCRCD (the precursor to NIHR) to look at person-centred management of distress in terminal illness. Following her PhD, she worked in Manchester, Liverpool and Warwick developing a portfolio of work on Primary Care redesign based on the principles of medical generalism (whole person medical care). Her work has been supported by fellowships from the NIHR (including a Clinical Lecturership at Manchester, and a Clinician Scientist Award at Liverpool). Joanne joined Hull York Medical School in 2017 to establish the Academy of Primary Care - championing innovative scholarship driving excellence in primary care provision.

Summary

The book 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.

Report

"But for someone who wants to transform their general practice into a "wise place" where generalist care is possible, or instil fire in their belly to challenge a healthcare system that seems designed to pervert this kind of care, Reeve's new book is worth a look."
- Professor Trisha Greenhalgh, BJGP Open

Product details

• Authors: Joanne Reeve, Joanne (Hull York Medical School Reeve, Reeve Joanne
• Publisher: Taylor & Francis Ltd.
• Languages: English
• Product format: Paperback / Softback
• Released: 13.10.2023
• EAN: 9781032272900
• ISBN: 978-1-0-3227290-0
• No. of pages: 186
• Subjects: Natural sciences, medicine, IT, technology > Medicine > General; General practice, MEDICAL / Public Health, MEDICAL / Practice Management & Reimbursement, MEDICAL / Preventive Medicine, Public health & preventive medicine, General Practice / Family Medicine, Public health and preventive medicine