The Circle of Change (ePub)
(Sprache: Englisch)
The clinician-patient relationship is an unapologetic reminder that clinical practice is an applied science, and that clinical knowledge only becomes useful through human interaction and application. Through dialog, the relationship serves as a powerful...
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The clinician-patient relationship is an unapologetic reminder that clinical practice is an applied science, and that clinical knowledge only becomes useful through human interaction and application. Through dialog, the relationship serves as a powerful conduit for information flow. This text, utilizing stories of successes and failures I have journaled over 44-years practicing medicine, argues that there is hidden knowledge important to patient care beyond technology's reach that can only be gained through mutual trust, rapport and the right questions asked. But there are many external factors that constrain and strain the clinician-patient relationship. Institutional and cultural restrictions foisted upon medical practice are laden with bureaucratic, political, and economic demands which impinge upon time spent with the patient. Correcting the situation is challenging because many of the causative factors are of a societal nature and not within one individual's influence. But nurturing the clinician-patient relationship and harvesting information from patients' stories that may explain conflict, impasse, resistance to plan of care and lifestyle changes is well within our scope and is in fact necessary for good care. As such, it is the clinician's job to develop skills for impasse resolution and interview techniques to explore the personal, family and cultural relational dynamics and nuances of meaning, lying within the illness narrative. While physicians, physician assistants, nurse practitioners, and others are well-trained to take inventory of the body's biological systems, practitioners often lack the skill set to ask the right questions for exploring psychosocial systems, and therein lies the pedagogic vacuum to be filled. It is the purpose of this text to introduce a meaning-based problem-solving approach, The Circle of Change, as a pragmatic map and compass for gathering and processing patients' narratives to uncover meaning and care for the illness. The book is written for students, physicians, physician assistants, nurse practitioners, and other health related professionals to enjoy, learn, and grow from their practices as they seek to understand, help, and heal those under their care.
Autoren-Porträt von Md Jeffrey S. Trilling
Dr. Jeffrey Trilling graduated from New York Medical College and completed Board Certification in Family Medicine with added qualification in Geriatrics. For 18 years he was Chair of the Department of Family Medicine at Stony Brook's School of Medicine, Family Medicine Chief of Staff at Stony Brook University Hospital, and President of Stony Brook Primary Care. He is on the academic faculty in the Department of Family, Population & Preventive Medicine's Center for Medical Humanities, Compassionate Care & Bioethics at Stony Brook Medicine. Dr. Trilling was past President of the Alaska Academy of Family Medicine and has practiced medicine for 44 years in both academics and the private sector. He has been an ad hoc reviewer for national medical journals, additionally serving as Series Editor for the International Journal of Family Practice. Dr. Trilling has multiple peer-reviewed publications and presentations both nationally and internationally.
Bibliographische Angaben
- Autor: Md Jeffrey S. Trilling
- 2023, Englisch
- Verlag: Outskirts Press
- ISBN-10: 1977263526
- ISBN-13: 9781977263520
- Erscheinungsdatum: 31.03.2023
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eBook Informationen
- Dateiformat: ePub
- Grösse: 1.25 MB
- Mit Kopierschutz
Sprache:
Englisch
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