Medical.Profession Kalabay.Laszlo

MEDICINE AS A LEARNED AND HUMANE PROFESSION Dr. László Kalabay Department of Family Medicine Semmelweis University

What is medical profession? ,[object Object],[object Object]

The attributes of medical profession ,[object Object],[object Object],[object Object],[object Object],[object Object]

The physician as a scientist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Most of these learned skills extend to the management of individual cases at the bedside, i.e. ,[object Object],[object Object],[object Object],[object Object]

The central tenet is: „Could my conclusion be wrong?” ,[object Object],[object Object],[object Object],[object Object]

The effect of explosion of medical knowledge: increased specialization and subspecialization as ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The clinical reasoning and decision making as scientific aspects of the patient-physician interaction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The physician as caregiver 1 ,[object Object],[object Object],[object Object]

„ You give but little when you give of your possessions – it is when you give of yourself that you truly give” (Khalil Gibran: The Prophet)

The physician as caregiver 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]

„ The humility that comes from others having faith in you” (Dag Hammarskjöld)

The physician must be willing to ,[object Object],[object Object]

The patients still needs care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The physician as a professional 1 ,[object Object],[object Object],[object Object],[object Object]

The physician as a professional 2 ,[object Object],[object Object]

Patient-centeredness makes medicine as an art ,[object Object]

Systems of patients care beyond the millennium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The physician has now a dual responsibility to ,[object Object],[object Object]

Reform of national health systems ,[object Object],[object Object],[object Object]

INTRODUCTION TO FAMILY MEDICINE / GENERAL PRACTICE

The ecology of medical care revisited (Green, 2001)

Levels of Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Basic definitions in general medicine ,[object Object],[object Object],[object Object],[object Object]

The History of Family Medicine ,[object Object],[object Object],[object Object],[object Object]

Percent of American Physicians in practice as General Practitioners, 1930-1970

General Practice – An Initial Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Main Characteristics of Family Medicine preventive approach situative office home integrative complex, somatic, psychic, social independent from age, gender social status lasts for a lifetime continuous problem- oriented involves one-person responsibility provides definitive care individual family community

„ Old” and „new” models of general practice Some „non-care” services provided elsewhere Practice providing all care Local contract National contract GP as a member of a multi-disciplinary team The GP is the main provider Rapid access to care Personal & continuity of care

The interrelated competence framework

Something about learning new skills, acquiring and applying knowledge!

GMC for GPs - Good Clinical Care 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMP for GPs - Good Clinical Care 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMC for GPs – Keeping Records and Keeping Colleagues Informed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMC for GPs – Access, Availability and Providing Care Out of Hours ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMC for GPs – Relationship with Patients, Avoiding Discrimination 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMC for GPs – Relationship with Patients, Avoiding Discrimination 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMC for GPs – Working with Colleagues, with Practice Team and Referrals 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

GMC for GPs – Working with Colleagues, with Practice Team and Referrals 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],The excellent GP

Give me a doctor … 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Give me a doctor (?) … 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Medical.Profession Kalabay.Laszlo

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Medical.Profession Kalabay.Laszlo