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  • Book
    by Alan Bleakley.
    Summary: The recent history of medicine is one of great biological and technological advances. Diagnoses are being made earlier, diseases caught sooner, patients living longer. And yet there is one area that lags behind the rest of the field: despite the efforts of graduate courses and training manuals, too many doctors still find communication a challenge. In Patient-Centered Medicine in Transition, the focus is not on skills or tools but on context to improve communication not only with patients, but between colleagues, with management, and within and across teams. Rigorous and readable, this timely manifesto presents new models of team process in patient-centered care, emphasizing their value in reducing harmful medical errors and improving patient care, safety, and outcomes. Further, the author provides significant research evidence supporting democratic approaches to communication in medicine while also addressing vital questions of ethics, empathy, gender dynamics, and physician self-care. Included in the coverage: The epidemic of communication hypocompetence. Patient-centeredness without a center. How doctors think can be judged from how they listen and speak. Working and learning in teams in the new era of health care. Blunting Occam's Razor: team process and complexity theory. Building a collaborative community in medical education research. Patient-Centered Medicine in Transition offers a bold new reconceptualization of an important topic and a roadmap to new frontiers in practice to be read and discussed by researchers and practitioners in medical education.

    Contents:
    Communication hypocompetence--an iatrogenic epidemic
    Democracy in medicine
    Patient-centeredness without a center
    How doctors think can be judged from how they listen and speak
    A new wave of patient-centeredness
    Models of patient-centered care
    What is meant by empathy?
    Gender matters in medical education
    Working and learning in teams in a new era of health care.-Theorizing team process through cultural-historical activity theory (CHAT): networking and knotworking
    Theorizing team process through a Foucauldian perspective: gaining a voice in team activity at the clinical coalface
    Theorizing team process through actor-network-theory (ANT): communication practice as a theory in action
    Theorizing team process through Deleuzean rhizomatics: becoming a medical professional in nomadic teams
    Team process and complexity theory: blunting Occams Razor
    Building a collaborative community in medical education research
    Conclusion: professing medical identities in the liquid world of teams.
    Digital Access Springer 2014