vbid/9781461468127

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The Power of Colleagues What happens when primary care clinicians�meet together on set aside time in their practice settings to talk about their own patients?� …..Complimenting quality metrics or performance measures through discussing the actual stories of individual patients and their clinician-patient relationships In these settings, how can clinicians pool their collective experience�and apply that to �the evidence� for an individual patient? …..Especially for patients who do not fit the standard protocols and have vague and worrisome symptoms, poor response to treatment, unpredictable disease courses, and/or compromised abilities for shared decision making What follows when discussion about individual patients reveals system-wide service gaps and coordination limitations? …..Particularly for patients with complex clinical problems that fall outside performance monitors and quality screens How can collaborative engagement of case-based uncertainties with one�s colleagues help combat the loneliness and helplessness that PCPs can experience, no matter what model or setting in which they practice? …..And where they are expected to practice coordinated, evidence-based, EMR-directed care These questions inspired Lucia Sommers and John Launer and their international contributors to explore the power of colleagues in��Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement��and offer antidotes to sub-optimal care that can result when clinicians go it alone.� From the Foreword: �Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close-to-exhaustive job of defining clinical uncertainty. They identify its origins, components and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine�and they present a cogent case for its�special relationship to primary care practice��Clinical Uncertainty in Primary Care� not only presents a�model of collegial�collaboration and support, it also implicitly legitimates�it.�� Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of�Pennsylvania.Typham this is the title: Clinical Uncertainty in Primary Care The Challenge of Collaborative Engagement