A new and creative way of thinking about the consultation in primary care, for both trainees and practising GPs The book features a unique Two Houses model to help the reader move away from completing a series of tasks to focusing on the two key objectives at the heart of every consultation: Working out what matters (The House of Discovery) Deciding with the patient what to do about it (The House of Decision) Using the rich metaphors contained within these houses, the book explores common pitfalls that can beset those who are learning the craft of consulting in primary care, and encourages the reader to fill their toolbox with the skills needed to develop their own patient-centred consultation style. The GP Consultation Reimagined is based on the author's experience of teaching communication skills over 10 years as a GP Training Programme Director. "This book will not teach you to improve your consultations. That is its great merit. Instead, it will encourage you to learn how to consult better." From the Foreword by Roger Neighbour

Patients with mental health issues present frequently in primary care and their consultations are often more challenging and time-consuming than those involving physical illness. For many patients there remains a significant stigma associated with mental ill-health and overcoming this adds further complexity to the consultation. Improving the Mental Health Consultation provides a simple ‘short circuit’ tool to help GPs and other healthcare professionals to explain mental health problems simply and effectively to their patients. The tool is straightforward, easy to convey within the confines of a 10-minute consultation and extremely effective in helping to break down the stigma that patients often feel. The tool has been developed and refined during over ten years of consultations in primary care. The detailed explanations of how to use the tool during the consultation, along with the extensive case studies, will help you to improve your mental health consultations and so help your patients deal better with their diagnosis. From anxiety to OCD and chronic fatigue to fibromyalgia, the book also provides detailed coverage of diagnosis and classification using ICD-11 and DSM-IV, and management using the latest NICE guidelines.

This book is designed to help candidates prepare for the MCQ part of the Diploma in Occupational Medicine exam. The first 150 questions, along with their answers and explanations, are designed to help readers check their understanding. This section of the book is broken down into the core subject areas on which you will be tested: Ethics and the law Effects of work on health Principles of occupational health Clinical occupational health Health and safety at work The book also contains a complete mock practice exam of 60 questions, together with answers and commentary. These questions follow the style of those in the exam and will help fully prepare candidates, by allowing them to develop an understanding of how the exam questions work. Written by a GP Registrar (and winner of the Faculty of Occupational Medicine’s Mobbs Fellowship) who recently passed the exam, and checked for accuracy by a Consultant in Occupational Medicine, this book is the ideal revision and practice guide for exam candidates. From reviews: "As a recent DOccMed candidate, I consider this book to be a useful reference for those preparing for the written part of the diploma examination... it would be an excellent investment for anyone preparing for the exam." Occupational Medicine, April 2018

The Recorded Consultation Assessment (RCA) represents a significant change for a generation of doctors used to taking practical exams featuring actors. The RCA exam is based on recordings of your telephone and video consultations with genuine patients, but of course patients don’t present or respond quite like actors do! This full-colour book provides a practical guide to help nervous candidates, and particularly International Medical Graduates (IMGs), prepare effectively, with useful advice on: Common pitfalls Working with your practice team to identify the patients you need Obtaining consent Differentiating between low and high challenge cases, and which topics to avoid Setting up the technology for telephone, video and face-to-face consultations How to perform well in each of the core domains In addition, the book takes you through all aspects of using the FourteenFish platform to record, assess and submit your consultations, with screenshots used to illustrate every step. If you need help to prepare from someone who passed the exam as part of the first cohort, who has run RCA exam preparation courses, and who has checked what is required with trainers and programme directors, then you need this book! Really packed with practical and clinical tips Covers everything you need to know before submitting A stress-free way to prepare for the exam

Health and welfare issues of brachycephalic (flat-faced) animals are one of the most pressing problems facing companion animals right now. Dogs, in particular, are suffering from a ‘brachycephalic crisis’ resulting from a perfect storm where predispositions to an array of health issues are amplified by a population boom for certain brachycephalic breeds such as the French Bulldog and Pug. But yet, for many owners, these dogs represent the perfect companion: endearing personas and cute looks in a socially desirable package. So where is the truth in all of this? This book will equip veterinary professionals, animal welfare scientists, breeders and owners with the fuller story about brachycephalic health and welfare. The first half of the book provides the context of how and why we are in this crisis, offering in-depth historical, social, ethical, communication, nursing, welfare, epidemiological, genetics and international perspectives. The second half shifts towards the clinical arena, with chapters that cover the background, diagnosis, treatment and prevention of the many unique healthcare needs of brachycephalic animals. Cutting-edge knowledge is shared on a range of disciplines including respiratory disease, ophthalmology, dermatology, dentistry, neurology, obesity, reproduction and anesthesia. With twenty chapters written by world-leading experts, lifetimes of experience and knowledge are condensed into the first book dedicated exclusively to brachycephaly in companion animals. This essential reference resource will inform, challenge and stimulate; it will open your mind to new opportunities for you to improve the welfare of brachycephalic animals by your personal and collective choices and actions. But prepare to be surprised: you may just find that your views on brachycephaly in companion animals will be changed forever.

A concise, practical guide to the diagnosis, treatment and management of common allergy and asthma conditions in primary care. Allergy and asthma represent some of the most common chronic conditions presenting in primary care. Furthermore, up to 20% of patients with allergies struggle on a daily basis with the fear of anaphylactic shock or an asthma attack. This book guides readers through the basic immunology and pathophysiology and then provides details on all aspects of the clinical assessment of allergic patients: History-taking Clinical examination Investigations and imaging A broad range of allergies is then presented with succinct clinical advice detailing the causes, diagnosis and treatment of each allergy in turn. Asthma is covered separately using the latest asthma guidelines to describe the risk factors, stratification, and accurate diagnosis. This is followed by a concise presentation of asthma management and monitoring in primary care. The book concludes with the pressing issue of childhood allergy, and highlights the investigations, assessment and treatments specific to allergy and asthma in children. This is the ideal clinical text for GPs, medical students and nurse practitioners looking to manage common allergies and asthma, and for those looking for decision-making support when considering onward referral.

Between 1973 and 2016, the ways to manipulate DNA to endow new characteristics in an organism (that is, biotechnology) have advanced, enabling the development of products that were not previously possible. What will the likely future products of biotechnology be over the next 5â€"10 years? What scientific capabilities, tools, and/or expertise may be needed by the regulatory agencies to ensure they make efficient and sound evaluations of the likely future products of biotechnology? Preparing for Future Products of Biotechnology analyzes the future landscape of biotechnology products and seeks to inform forthcoming policy making. This report identifies potential new risks and frameworks for risk assessment and areas in which the risks or lack of risks relating to the products of biotechnology are well understood.

A profound insight into the state of our health care system, the wellbeing of patients and that of their doctors.Our health care system is struggling. We live in an era of factory style medicine; spiralling costs; complex and chronic conditions; and doctors at the heart of it under pressure as never before. Witnessing worrying burnout in her doctor husband, Lucy Mayes went on a quest to find out what is really going on behind the scenes in medicine. Lucy asked doctors on the front lines how they make meaning in their work, what quality medicine looks like to them, and what their hopes are for the future of medicine. What emerged were consistent messages about elements of practice that the culture and systems of medicine still struggle to understand and support: the power of humanism; compassion; time; listening; the therapeutic relationship; and mind-body plus other whole-person understandings of health and healing. Beyond the Stethoscope will leave readers shocked, moved and inspired by the human story and wisdom of those who sit before them in that most intimate and ancient of humanist exchanges: that of the doctor and patient.

An urgent call to reform Britain's sickness culture, offering social--not medical--solutions.

This book shows researchers how ethnography can be carried out within human service settings, providing an invaluable guide on how to apply ethnographic creativeness and offering a more humanistic and context-sensitive approach to generating valid knowledge about today’s service work.