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Few doctors receive formal training in how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training.New doctors will find little help in the standard textbooks on how to follow-up patients.This book provides the necessary background information to enable rational decision making in a concise and economical style. It describes reasonable and safe lines of management suitable for most patients, ideal for when discussion with a senior colleague is not possible. Since the First Edition was published surgical outpatient services have undergone tremendous change. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams.This new edition is multi-authored to take account of the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. Surgeons will use this book as a useful foundation on which to build their own personal knowledge.
For the UK equivalent of this book, please see General Surgery Outpatient Decisions edited by Michael Gaunt, Tjun Tang and Stewart Walsh. Few doctors receive formal training on how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience, with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training. New doctors will find little help in the standard textbooks on how to follow-up patients. This book provides the vital background information to enable rational decision making in a concise and economical manner. It describes reasonable and safe lines of management suitable for most patients; ideal for when discussion with a senior colleague is not possible. Surgical outpatient services have undergone tremendous change in recent years. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams. This multi-authored volume takes into account the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. This book is an important foundation on which to build their personal knowledge.
The New York Times bestselling author of Better and Complications reveals the surprising power of the ordinary checklist We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
A practical volume solely devoted to outpatient surgery and care. Presents illustrated discussions of procedures and techniques for general ambulatory surgery as well as discussions on the economic benefits, safety, and quality of care for the patient. All aspects of each procedure are covered including indications for surgery, anesthetic management, and postoperative care.
A sensitive, authoritative, and up-to-date guide to common gynecological problems and procedures answers questions about the diagnosis and treatment of fibroids, ovarian cysts, endometriosis, pelvic pain, and related problems.
General Surgery: Principles and International Practice is organized into Ten Sections, each representing an important branch of surgical science. It aims to provide the medical student, general surgical resident or active practitioner with an illustrative, instructive and comprehensive textbook depicting the rationale for the basic operative principles mandated by state-of-the-art surgical therapy. The reader can rapidly review the subject matter in a three-to-five page summary with contemporary bibliography in each chapter and a "Pearls and Pitfalls" section summarizing the 'impact', concerns and outcomes of surgical management. Amply supported by line drawings and photographs, algorithms and anatomical depictions, this provides the student of diseases, as well as those studying for Board examinations, a text that has rapidly assimilated data into the most contemporary applications of surgical therapy.
For nearly 25 years, medical students and faculty alike have chosen Essentials of General Surgery and its companion textbook, Essentials of Surgical Specialties, for authoritative coverage of surgical information that every physician in training should know. The Fifth Edition incorporates current research from the field; new sample questions, answers, and rationales; and new tables and algorithms. A new art program presents concepts and images—including an Appendix with 50 burn images—in full color for optimal learning and retention.

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