This book is the first one to examine stress in primary health care professionals in the UK - the professionals who are in the frontline of medical care in a rapidly changing society. It is a detailed literate review of stress in general and includes the results of studies on primary health care professionals. It contains extensive material from face-to-face interviews with each profession and practical advice on how they can manage stress.

Concerned mostly with treating patients suffering from stress, but a final chapter also considers stress among general practitioners themselves. After reviewing the factors that can induce stress and techniques for managing it, details such matters as the physiology and psychology, somatic and psychological presentations, giving advice, and producing a set of audio tapes. Annotation copyrighted by Book News, Inc., Portland, OR

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Stress is an easy thing to ignore. It seems normal. Everyone is stressed, right? But do you know that stress among your clinical staff and administrative employees significantly affects the quality of care patients receive? It leads to medical errors, near misses, and lower patient satisfaction. As a leader in your organization, you cannot ignore the significant impact that stress can have on organizational performance. This is not a self-help book. Rather, it is an "other-help" book that will explain how to evaluate and address the stress your clinicians and administrators regularly face. After making the business case for addressing stress, it explains how to reverse the burnout your employees are experiencing and reengage them in their work. Topics covered include: The direct and indirect costs associated with stress from the perspective of clinical staff, administrative staff, and the organization as a whole The main theories about stress management and the primary stressors facing clinical and administrative staff How to assess stress and burnout, and tools you can use to determine the extent of the problem in your organization How to identify the common underlying stressors leading to burnout among employees Strategies that shift emphasis from individuals and focus instead on changing the stressful environment in which they work Techniques for sustaining a positive environment so it can remain stress free

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Remediation in medical education is the act of facilitating a correction for trainees who started out on the journey toward becoming excellent physicians but have moved off course. This book offers an evidence-based and practical approach to the identification and remediation of medical trainees who are unable to perform to standards. As assessment of clinical competence and professionalism has become more sophisticated and ubiquitous, medical educators increasingly face the challenge of implementing effective and respectful means to work with trainees who do not yet meet expectations of the profession and society. Remediation in Medical Education: A Mid-Course Correction describes practical stepwise approaches to remediate struggling learners in fundamental medical competencies; discusses methods used to define competencies and the science underlying the fundamental shift in the delivery and assessment of medical education; explores themes that provide context for remediation, including professional identity formation and moral reasoning, verbal and nonverbal learning disabilities, attention deficit disorders in high-functioning individuals, diversity, and educational and psychiatric topics; and reviews system issues involved in remediation, including policy and leadership challenges and faculty development.

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.