Family Medicine: Principles and PracticeJ. L. Buckingham, E. P. Donatelle, W. E. Jacott, M. G. Rosen, Robert B. Taylor JOHN S. MILLIS In 1966 the Citizens Commission on Graduate Medical Education observed that the explosive growth in biomedical science and the consequent increase in medical skill and technology of the twentieth century had made it possible for physicians to respond to the episodes of illness of patients with an ever-increasing effectiveness, but that the increase in knowledge and technology had forced most physicians to concentrate upon a disease entity, an organ or organ system, or a particular mode of diagnosis or therapy. As a result there had been a growing lack of continuing and comprehensive patient care. The Commission expressed the opinion that "Now, in order to bring medicine's enhanced diagnostic and therapeutic powers fully to the benefit of society, it is necessary to have many physicians who can put medicine together again. "! The Commission proceeded to recommend the education and training of sub stantial numbers of Primary Physicians who would, by assuming primary responsi bility for the patient's welfare in sickness and in health, provide continuing and comprehensive health care to the citizens of the United States. In 1978 it is clear that the recommendation has been accepted by the public, the medical profession, and medical education. There has been a vigorous response in the development of family medicine and in the fields of internal medicine, pediatrics, and obstetrics. One is particularly impressed by the wide acceptance on the part of medical students of the concept of the primary physician. Dr. John S. |
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Contents
2 | |
13 | |
17 | |
29 | |
30 | |
31 | |
The Clinical Sciences | 40 |
The Family Practice Residency | 58 |
Cardiovascular Medicine | 477 |
Dermatology | 512 |
Emergency Medicine | 534 |
Endocrinology | 566 |
Environmental Medicine | 594 |
Gastroenterology | 614 |
Geriatric Medicine | 642 |
Hematology | 655 |
Essentials for Residency Training in Family Practice 58 Residency | 71 |
Educational Methods 76 Continuing Education Requirements | 80 |
The American Board of Family Practice | 88 |
Health Care Delivery | 97 |
HEALTH CARE DELIVERY | 98 |
Home Care | 112 |
THE PRINCIPLES OF FAMILY MEDICINE | 113 |
Nursing Home and Extended Care | 123 |
THE PATIENT THE FAMILY | 140 |
The Years from Birth to Puberty | 149 |
The Adolescent Years | 161 |
The Young Adult | 173 |
The Middle Years | 191 |
The Later Years | 200 |
Section B The Family | 212 |
The Impact of Illness on the Family | 221 |
The Family in Crisis | 234 |
The Family the Hospital and the Family Physician | 242 |
Death and Bereavement | 250 |
Bereavement 255 References | 256 |
Compliance | 272 |
Drug Use and Abuse | 277 |
Drug Abuse 281 SelfPoisoning 282 Prescribing | 284 |
Behavioral Problems of Childhood | 315 |
Premarital and Marital Counseling | 332 |
Human Sexuality | 347 |
Section A Clinical Evaluation | 355 |
Communication | 361 |
Problem Differentiation | 368 |
Symptoms and the Medical History | 382 |
Physical Diagnosis | 388 |
Laboratory Diagnosis | 403 |
Electrocardiography | 422 |
Approach to Patients with Specific Clinical | 435 |
Roentgenography Nuclear Imaging and Ultrasonography | 444 |
Section B Clinical Approach to Problems | 457 |
Nephrology | 680 |
Neurology and Neurosurgery | 703 |
Obstetrics and Gynecology | 722 |
Oncology | 768 |
Ophthalmology | 798 |
Oral Surgery | 821 |
Orthopaedics | 838 |
Otorhinolaryngology | 856 |
Pediatrics | 890 |
Physical Medicine | 923 |
Plastic Surgery | 947 |
Psychiatry | 960 |
Pulmonary Medicine | 989 |
Rheumatology | 1030 |
Surgery | 1054 |
Urology | 1071 |
THE PRACTICE OF FAMILY MEDICINE | 1090 |
Planning a Private Practice | 1101 |
Practice Management | 1110 |
Auditing 1126 Scheduling Patient Appointments 1128 | 1128 |
Caring for the Patient | 1158 |
Preventive Medicine | 1178 |
Occupational Health and Industrial Medicine | 1208 |
School Health | 1220 |
Interactions | 1245 |
Government and Third Party Payers | 1252 |
Legal Aspects of Family Practice | 1265 |
Medical Ethics | 1272 |
Peer Review | 1276 |
Family Practice Today and Tomorrow | 1289 |
FamilyGeneral Practice in the United Kingdom | 1297 |
The Challenges to Family Practice | 1304 |
The Family Physician of the Future | 1313 |
1319 | |
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activities adolescent adulthood alcohol American antibiotic areas barbiturates basic become behavioral science changes child chronic cian clerkship clinical conflict consultation continuing counseling decrease Department of Family depression diabetes diabetes mellitus diagnosis diet disease drugs effects elderly emotional empty nest evaluation experience factors family doctor family function family medicine family members family physician family practice resident family therapy family's feelings hospital hypertension illness important increase individual infant intake interaction involved kcal learning marital marriage medical school menopause ment milk mother myocardial infarction needs normal nurse nurse practitioner obesity parents patient education Pediatrics percent person physi physical practitioners pregnancy prescribed present primary problems protein Psychiatry psychologic psychosomatic illness relationship responsibility role sexual skills social specialty specific stage stress student symptoms teenagers therapeutic therapy tion treatment vitamin weight young adult