Clinical Uncertainty in Primary Care : The Challenge of Collaborative Engagement
https://libcat.nshealth.ca/en/permalink/provcat40729
Lucia Siegel Sommers, John Launer, editors.
--New York, NY:
Springer
, c2013.
- Available Online
- View e-Book
- Location
- Online
This is a book about primary care clinicians and the clinical uncertainty endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences. This book is also about addressing uncertainty in primary care practice and engaging it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient's problem. It also requires carefu…
- Available Online
- View e-Book
- Other Authors
- Sommers, Lucia Siegel
- Launer, John
- Responsibility
- Lucia Siegel Sommers, John Launer, editors
- Place of Publication
- New York, NY
- Publisher
- Springer
- Date of Publication
- c2013
- Physical Description
- 1 online resource (xiv, 306 p. : 41 illus., 18 illus. in color)
- ISBN
- 9781461468127
- 9781461468110 (print ed.)
- Subjects (MeSH)
- Cooperative Behavior
- Primary Health Care
- Uncertainty
- Abstract
- This is a book about primary care clinicians and the clinical uncertainty endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences. This book is also about addressing uncertainty in primary care practice and engaging it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient's problem. It also requires carefully managed communication, facilitating dialogue with the patient and encouraging shared problem-solving. Most importantly, this book is about collaborative engagement with case-based uncertainty in the setting of small groups of clinicians. Sommers and Launer contend that the medical profession's tradition of working independently should be augmented with an explicitly shared, collegial one of jointly creating wisdom through practice-based learning. An international panel of expert clinicians and educators provides: Perspectives on clinical uncertainty in the medical literature; A taxonomy of clinical uncertainty with patient examples; Analysis of the educator role to support clinicians in engaging uncertainty; A compendium of small group methods for collaborative engagement with clinical scenarios; Analysis of the special challenges of collaborative engagement. A mind-opening manifesto, Clinical Uncertainty in Primary Care will equip primary care clinicians, educators, public health and behavioral health professionals with resources for infusing practice with meaning through collegial collaboration. From the Foreword: "Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close to exhaustive job of defining clinical uncertainty. They identify its origins, components, and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine--and present a cogent case for its special relationship to primary care practice--Clinical Uncertainty in Primary Care not only presents a model of collegial collaboration and support, it also implicitly legitimates it." Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.
- Contents
- Part I. Clinical Uncertainty in Primary Care -- 1.Introduction -- 2. Uncertainty and Clinical Method -- 3. Learning about Uncertainty in Professional Practice -- Part II. The Challenge of Engagement -- 4. Balint Groups and Peer Supervision -- 5. Research on Balint groups -- 6. The Thistle and the Maple Leaf: PBSGL in Canada and Scotland -- 7. Narrative-Based Supervision -- 8.Training in Narrative-based supervision: Conversations inviting change -- 9. Practice Inquiry: Uncertainty Learning in Primary Care Practice -- 10. Using Practice Inquiry to Engage Uncertainty in Residency Education -- 11. "We're all in the same boat": Potentials and Tensions When Learning Through Sharing Uncertainty in Peer Supervision Groups -- 12. Case-Based Learning in Swedish Primary Health Care: Strengths and Challenges -- 13. Afterword.
- Format
- e-Book
- Location
- Online
Informatics education in healthcare : lessons learned
https://libcat.nshealth.ca/en/permalink/provcat33815
Eta S. Berner, editor.
--London:
Springer
, c2014.
- Available Online
- View e-Book
- Location
- Online
This book reviews and defines the current state of the art for informatics education in medicine and health care. This field has undergone considerable change as the field of informatics itself has evolved. Twenty years ago almost the only individuals involved in health care who had even heard the term informatics were those who identified themselves as medical or nursing informaticians. Today, we have a variety of subfields of informatics including not just medical and nursing informatics, but…
- Available Online
- View e-Book
- Other Authors
- Berner, Eta S.
- Responsibility
- Eta S. Berner, editor
- Place of Publication
- London
- Publisher
- Springer
- Date of Publication
- c2014
- Physical Description
- 1 online resource (xviii, 243 pages)
- Series Title
- Health informatics
- ISBN
- 9781447140788 (electronic bk.)
- 9781447140771
- Subjects (MeSH)
- Education, Medical
- Medical Informatics - education
- Abstract
- This book reviews and defines the current state of the art for informatics education in medicine and health care. This field has undergone considerable change as the field of informatics itself has evolved. Twenty years ago almost the only individuals involved in health care who had even heard the term informatics were those who identified themselves as medical or nursing informaticians. Today, we have a variety of subfields of informatics including not just medical and nursing informatics, but informatics applied to specific health professions (such as dental or pharmacy informatics), as well as biomedical informatics, bioinformatics and public health informatics. Informatics Education in Health Care addresses the broad range of informatics education programs available today. The Editor and very experienced internationally recognized informatics educators who have contributed to this work have made the tacit knowledge explicit and shared some of the lessons they have learned. This book therefore represents the key reference for all involved in the informatics education whether they be trainers or trainees.
- Contents
- Part I. Introduction to Lessons Learned -- Introduction and Overview -- Managing Unspoken Assumptions in Online Education -- Part II. Training Informatics Specialists in the U.S. -- Training for Informatics Research Careers: History of Extramural Informatics Training at the National Library of Medicine -- Clinical Informatics Subspecialty Certification and Training -- Education in Nursing Informatics -- Applied Informatics for Health IT Managers -- Informatics for the Health Information Technology Workforce -- Online Continuing Education in Informatics the AMIA 10x10 Experience -- Part III. Informatics Education for Other Health Professionals -- Educating the Informatics-Enabled Physician -- Informatics Education for Health Administrators -- Bioinformatics for Biological Researchers Using Online Modalities -- Clinical and Translational Research Informatics Education and Training -- Part IV Informatics Education Worldwide -- Translating U.S. Informatics Educational Programs for Non-U.S. Audiences -- Informatics Education in Low-Resource Settings -- Part V. Summary of Lessons Learned -- Informatics Education in Healthcare: What Have We Learned?
- Format
- e-Book
- Location
- Online
Lost virtue : professional character development in medical edication
https://libcat.nshealth.ca/en/permalink/provcat26079
edited by Nuala Kenny, Wayne Shelton.
--Amsterdam, Netherlands:
Elsevier/JAI Press
, 2006.
- Call Number
- W 18 L881 2006
- Location
- Dickson Building
- Call Number
- W 18 L881 2006
- Other Authors
- Kenny, Nuala
- Shelton, Wayne
- Responsibility
- edited by Nuala Kenny, Wayne Shelton
- Place of Publication
- Amsterdam, Netherlands
- Publisher
- Elsevier/JAI Press
- Date of Publication
- 2006
- Physical Description
- 233 p.
- Series Vol.
- v. 10
- Series Title
- Advances in bioethics
- ISBN
- 9780762311965
- Subjects (MeSH)
- Education, Medical - ethics
- Moral Development
- Personality Development
- Physician's Role
- Physicians - ethics
- Virtues
- Contents
- Introduction : lost virtue : professional character development and medical education / Nuala Kenny and Wayne Shelton -- 1. Character formation and the making of good physicians / Edmund Pellegrino -- 2. Ethical concept of medicine as a profession : its origins in modern medical ethics and implications for physicians / Laurence B. McCullough -- 3. Character formation in professional education : a word of caution / Robert M. Veatch -- 4. Evidence-based character development / Muriel J. Bebeau -- 5. Disillusioned doctors / Carl Elliott -- 6. Molding professional character / Rosamond Rhodes and Lawrence G. Smith -- 7. Mindful practice and the tacit ethics of the moment / Ronald M. Epstein -- 8. Learning and teaching in professional character development / Karen V. Mann -- 9. Medical-social education compact and the medical learner / David J. Doukas -- 10. Searching for Doctor Good : virtues for the twenty-first century / Nuala Kenny.
- Format
- Book
- Location
- Dickson Building
- Loan Period
- 3 weeks
Practice-based evidence for healthcare : clinical mindlines
https://libcat.nshealth.ca/en/permalink/provcat33535
John Gabbay, Andrée Le May.
--Abingdon, UK:
Routledge
, 2011.
- Available Online
- View e-Book
- Location
- Online
This book challenges the evidence-based practice movement to re-think its assumptions. Firmly rooted in real practice while drawing lucidly on a great breadth of theoretical frameworks, it examines afresh how clinicians use knowledge. Evidence-based practice has recently become a key part of the training of all health professionals. Yet despite its ‘gold-standard’ status, it is faltering because too much effort has gone into insisting on an idealised model of how clinicians ought to use the be…
- Available Online
- View e-Book
- Author
- Gabbay, John
- Other Authors
- Le May, Andrée
- Responsibility
- John Gabbay, Andrée Le May
- Place of Publication
- Abingdon, UK
- Publisher
- Routledge
- Date of Publication
- 2011
- Physical Description
- 1 online resource, 269 p.
- ISBN
- 9780415486699
- Subjects (MeSH)
- Clinical Medicine - methods
- Evidence-Based Practice
- Guideline Adherence
- Health Knowledge, Attitudes, Practice
- Abstract
- This book challenges the evidence-based practice movement to re-think its assumptions. Firmly rooted in real practice while drawing lucidly on a great breadth of theoretical frameworks, it examines afresh how clinicians use knowledge. Evidence-based practice has recently become a key part of the training of all health professionals. Yet despite its ‘gold-standard’ status, it is faltering because too much effort has gone into insisting on an idealised model of how clinicians ought to use the best evidence, while not enough has been done to understand why they so often don’t. Practice-based Evidence for Healthcare is a groundbreaking attempt to redress that imbalance. Examining how clinicians actually develop and use clinical knowledge day-to-day, the authors conclude that they use ‘mindlines’– internalised, collectively reinforced, tacit guidelines. Mindlines embody the composite and flexible knowledge that clinicians need in practice. They are built up during training and continually updated from a wide range of formal and informal sources. Before new evidence becomes part of practitioners’ mindlines, it is transformed by their interactions with colleagues and patients via their communities of practice and networks of trusted colleagues.
- Contents
- Introduction : evidence in practice -- From formal knowledge to guided complexity -- Clinical thinking and knowledge in practice -- Growing mindlines : laying the foundations -- Growing mindlines : cultivating contextual adroitness -- The place of storytelling in knowledge sharing -- A community of clinical practice? -- Co-constructing collective mindlines -- Co-constructing clinical reality -- Conclusions and implications.
- Format
- e-Book
- Location
- Online
