[Being a GP] [The GP consultation] [Clinical Ethics and Values] [Evidence based health care] [Clinical Governance] [Equality and diversity]

[Management in primary care] [Information technology] [Research and academic activity]     

[Patient Safety Management] [Healthy living] [Genetics] [Acutely ill People] [Children & Young People] [Older Adults] [Women's health] [Men's health]

[Sexual Health] [Cancer & Palliative Care] [Mental Health Problems] [Drugs and Alcohol] [Learning Disabilities] [Respiratory] [Cardiovascular] [Gastroenterology] [Ophthalmology] [Neurology] [ENT & Facial] [Rheumatology and Trauma] [Dermatology] [Metabolic]                    

[Teaching, mentorship and clinical supervision]

Being a GP  Direct link to the "Being a GP"

Material specific for the Nottingham VTS

• Generalism in General Practice: Dr Kay Mohanna, Principal Lecturer in Medical Education Staffordshire. A PowerPoint presentation given to the Nottingham VTS as the inaugural lecture 5th September 2007

Relevant texts and resources

Primary care management

• Jones R, Britten N, Culpepper L, et al. (eds). Oxford Textbook of Primary Medical Care Oxford: Oxford University Press, 2004

• McWhinney I R. A Textbook of Family Medicine (2nd edn) Oxford: Oxford University Press, 1997

• Rakel R E. Textbook of Family Practice (6th edn) London: W B Saunders, 2001

Person-centred care

• Balint M. The Doctor, His Patient and the Illness London: Pitman Medical Publishing, 1964

• Emanuel E J. Four models of the physician–patient relationship JAMA 1992; 267: 2221–6 Fehrsen G S and Henbest R J. In search of excellence. Expanding the patient-centred clinical method: a three-stage assessment Fam Pract 1993; 10: 49–54

• Henbest R J and Stewart M. Patient-centredness in the consultation 2: does it really

• make a difference? Fam Pract 1990; 7: 28–33 Howie J G R. The John Fry Fellowship 1999 Patient-centredness and the Politics of Change. A day in the life of academic practice London: The Nuffield Trust, 1999

• Leopold N. Sustained partnership in primary care J Fam Pract 1996; 42: 129–37 Levenstein J H (ed.). The patient-centered clinical method 1: a model for the doctor– patient interaction in family medicine. Fam Pract 1986; 3: 24 17

• McWhinney I R. The need for a transformed clinical method. In: Stewart M and Roter D (eds). Communicating with Medical Patients Newbury Park, ca: Sage, 1989, pp. 25–40

• Mead N and Bower P. Patient-centredness: a conceptual framework and review of the empirical literature Soc Sci Med 2000; 51: 1087–110

• Mold J W. Goal-oriented medical care Fam Med 1991; 23: 46–51

• Neighbour R. The Inner Consultation Lancaster: mtp, 1987

• Stewart M, Brown J B, Weston W W, McWhinney I R, McWilliam C L, Freeman T R. Patient-Centered Medicine: transforming the clinical method Oxford: Radcliffe Medical Press, 2003

• Toon P D. What is Good General Practice ? Occasional Paper 65. London: Royal College of General Practitioners, 1994

Specific problem-solving skills

• Allen T, Bordage G, Page G. Key features: an effective guide for assessment of patient management skills. In: International Conference Proceedings: approaches to the assessment of clinical competence, Part II Dundee: Ninewells Hospital and Medical School, 1992, pp. 478–83

• Bordage G. Elaborated knowledge: a key to successful diagnostic thinking Acad Med 1994; 69: 883–5

• Bordage G and Zacks R. The structure of medical knowledge in the memories of medical students and general practitioners: categories and prototypes Med Educ 1984; 18: 406–16

• Case M S, Swanson D B, Wooliscroft J O. Assessment of diagnostic pattern recognition skills in medical clerkship using written tests. In: International Conference Proceedings: approaches to the assessment of clinical competence, Part II Dundee: Ninewells Hospital and Medical School, 1992, pp. 452–8

• Dowie J and Elstein A S (eds). Professional Judgement: a reader in clinical decision-making Cambridge: Cambridge University Press, 1991

• Hannaford P C, Smith B H, Elliott A M. Primary care epidemiology: its scope and purpose Fam Pract 2006; 23 (1): 1–7

• Kassirer J P and Kopelman R I. Learning Clinical Reasoning Baltimore: Williams & Wilkins, 1991

• Knotnerus J A. Medical decision-making by general practitioners and specialists Fam Pract 1991; 8: 305–7

• Norcini J J and Shea J A. The effect of level of expertise on answer key development Acad Med 1990; 65: 515–16

• Sackett D L, Hayes R B, Guyatt G H, Tugwell P Clinical Epidemiology: a basic science for clinical medicine (2nd edn) Boston: Little, Brown, 1991

• Thistlethwaite J E. Making and sharing decisions about management with patients: the views and experiences of pre-registration house officers in general practice and hospital Med Educ 2002; 36: 49–55

A comprehensive approach

• Kaufman D M. ABC of learning and teaching in medicine: applying educational theory in practice BMJ 2003; 326: 213–16

• Van der Vleuten C P M. The assessment of professional competence: developments, research and practical implications Adv Health Sciences Educ Theory Pract 1996; 1: 41–67

Community orientation

• Feachem R G A. Poverty and inequity: a proper focus for the new century Bull World Health Organ 2000; 78: 1

• Gulbrandsen P, Fugelli P, Hjortdahl P. General practitioners’ knowledge of their patients’ psychosocial problems: multipractice questionnaire survey BMJ 1997; 314: 1014–18

• Gulbrandsen P, Fugelli P, Sandvik L, Hjortdahl P. Influence of social problems on management in general practice: multipractice questionnaire survey BMJ 1998; 317: 28–32

• Longlett S K, Kruse J E, Wesley R M. Community-oriented primary care: critical assessment and implications for resident education J Am Board Fam Pract 2001; 14: 141–7

• Marmot M. Improvement of social environment to improve health Lancet 1998; 352: 57–60

• Oandasan I F, Ghosh I, Byrne P N, Shafir M S. Measuring community-oriented attitudes towards medical practice Fam Pract 2000; 17: 243–7

• Pearce N, Foliaki S, Sporle A, Cunningham C. Genetics, race, ethnicity, and health BMJ 2004; 328: 1070–2

• Pollock A M and Majeed F A. Community oriented primary care BMJ 1995; 310: 481–2

• Smeeth L and Heath I. Tackling health inequalities in primary care BMJ 1999; 318: 1020–1

A holistic approach

• Freeman G and Hjortdahl P. What future for continuity of care in general practice? BMJ 1997; 314: 1870–3

• Greenhalgh T and Eversley J. Quality in General Practice: towards a holistic approach London: King’s Fund, 1999

• Hjortdahl P. General practice and continuity of care: organisational aspects Fam Pract 1989; 6: 292–8 Hjortdahl P and Laerum E. Continuity of care in general practice: effect on patient satisfaction BMJ 1992; 304: 1287–90

• Howie J G R, Porter A M D, Heaney D J, Hopton J L. Long to short consultation ratio: a proxy measure of quality of care for general practice Br J Gen Pract 1991; 41: 48–54

• Kolcaba R. The primary holisms in nursing J Adv Nurs 1997; 25: 290–6

• McWhinney I R. Beyond diagnosis: an approach to an integration of behavioral science and clinical medicine N Engl J Med 1972; 287: 384–7

• Patterson E. The philosophy and physics of holistic health care: spiritual healing as a workable interpretation J Adv Nurs 1998; 27 (2): 287–93

• Stott N C H and Davis R H. The exceptional potential in each primary care

• consultation J R Coll Gen Pract 1979; 29: 201–5

• Wharton M. Clinical training in the community: a holistic approach BMJ 1995; 310: 407

• Wilson A. Consultation length in general practice: a review Br J Gen Pract 1991; 41: 119–22

• Wilson A, McDonald P, Hayes L, Cooney J. Health promotion in general practice: a minute makes a difference BMJ 1992; 304: 227–30