Distributed for UCL Press
Generalism in Clinical Practice and Education
Generalism is a key approach to healthcare organization and delivery that enables person-centered, dynamic, and cost-effective patient care. With its emphasis on adaptability, generalism requires expansive, nurturing, and personalized approaches to clinical education in which a generalist attends to and explores patient priorities.
Generalism in Clinical Practice and Education outlines a generalist philosophy of practice, which is brought to life through interleaved examples. Written by a range of international clinicians, patients, and academics this book does not prescribe a single way to do generalism properly. Rather, it seeks to inspire readers’ future engagement with generalism in practice and education through sharing underpinning concepts, values, and principles. This ‘big picture’ attention to generalism across public health, social determinants of health, and clinical care is at the heart of sustainable and efficient use of resources to prioritize those in need. The book explores four key principles that aim to achieve creative, inclusive, and agile approaches to clinical care. Its goal is to support generalism in clinical practice and education and to produce clinical practitioners and learners who enjoy, embrace, and enhance future clinical care.
Table of Contents
List of figures
List of tables
List of contributors
Foreword by John Launer
Acknowledgements
1 What is generalism and why is it important?
Sophie Park, Kay Leedham-Green and Tanya Cohen
2 Generalism across disciplines
Martina Kelly, Rupal Shah, Nicola Clarke and Jens Foell
3 Patient priorities and perspectives
Anya de Iongh and Fiona McKenzie
4 Researching Generalism
Lindsey Pope, Helen Reid, Nigel Hart, Emily Owen
5 Implementing Generalist Knowledge
Sophie Park, Claire Duddy and Kamal Mahtani
6 Education for Clinical Generalism
Sophie Park, Kay Leedham Green and Ben Jackson
7 Generalism and assessment
Eleanor Hothersall and Eliot Rees
8 Organisation and Design of Healthcare for Generalism
Stewart Mercer, John Gillies and Clare MacRae
9 Collaborative and integrated working
Emily Owen and Charles Coombs
10 Supporting Generalism through Health Justice Partnerships
Hazel Genn and Sophie Park
11 Generalist Approaches to Community Health Need
Jane Myat, Jane Riddiford, Sadie Lawes-Wickwar and Henry Aughtersoni
12 Making general practice and clinical education socially accountable
Sadie Lawes-Wickwar and Jane Hopkins
13 Sustainability, Health and Healthcare
Alice Clack, Frances Mortimer and Kay Leedham-Green
14 Generalist approaches to quality improvement
Rebecca Mackenzie and Nitisha Nahata
15 Interactional knowledge
Graham Easton
16 Prescribing and de-prescribing: the generalist’s script
Deborah Swinglehurst and Nina Fudge
17 Embedding health and wellbeing into clinical practice and education
Jessica Xie, Kay Leedham-Green and Sara Thompson
18 Addressing multimorbidity through personalised care
Danielle Nimmons, Emma Hyde and Kay Leedham-Green