the new edition. For more than a year, they have met together every week to read
every page of the 2nd edition. Parts that they agree were out of date were removed.
New items were discussed and written between them and entered into the 3rd
edition. Every chapter was scrutinized and altered accordingly. Considerable new
material was added. The effects of new technologies were discussed together, and
the affected chapters altered. For example, the advances in electronic communication
have made superfluous the long alphabetical list of procedures for special
conditions, which covered many pages in Chapter 9 in the second edition.
The five clinical chapters (11–15) were in the second edition to illustrate the
section on basic principles (Chapters 1–10). The book does not set out to cover
the whole field of clinical family medicine. Three of them are devoted to symptoms
(sore throat, headache, and fatigue), one to a conventional disease category
(diabetes), and one to a physiological variable/risk factor (hypertension). The five
chapters have become out of date in 10 years, so these were all examined and
updated, as well as the chapter on alternative, or complementary, medicine. Major
advances have been made in records, home care, shared care, and practice management:
major changes have been made in these chapters.
In therapeutics, the recommendations are in accordance with authoritative
opinion at the time of writing. As time passes, these inevitably become outdated,
and more current recommendations will need to be consulted. It is doubtful nowadays
whether any textbook can be considered an appropriate source for information
on pharmacotherapy. Drug dosages are not given unless they are of special
significance.
This is actually the third edition of a book that began life as An Introduction
to Family Medicine in 1981. The clinical chapters and the section on the practice
of family medicine were added in the edition of 1989. The book and the
ideas it presents have grown with the development of the discipline. Important
themes run right through the book. For example, the process of clinical reasoning
and narratives of illness emerge in many chapters, with cross-references to other
chapters and to case reports. We have visualized the book as a whole, rather than
as a series of disconnected chapters, so it is intended to be read as a whole. Since
we have tried to anchor it to some fundamental ideas, we hope readers will find
it an aid to reflection.
the new edition. For more than a year, they have met together every week to read
every page of the 2nd edition. Parts that they agree were out of date were removed.
New items were discussed and written between them and entered into the 3rd
edition. Every chapter was scrutinized and altered accordingly. Considerable new
material was added. The effects of new technologies were discussed together, and
the affected chapters altered. For example, the advances in electronic communication
have made superfluous the long alphabetical list of procedures for special
conditions, which covered many pages in Chapter 9 in the second edition.
The five clinical chapters (11–15) were in the second edition to illustrate the
section on basic principles (Chapters 1–10). The book does not set out to cover
the whole field of clinical family medicine. Three of them are devoted to symptoms
(sore throat, headache, and fatigue), one to a conventional disease category
(diabetes), and one to a physiological variable/risk factor (hypertension). The five
chapters have become out of date in 10 years, so these were all examined and
updated, as well as the chapter on alternative, or complementary, medicine. Major
advances have been made in records, home care, shared care, and practice management:
major changes have been made in these chapters.
In therapeutics, the recommendations are in accordance with authoritative
opinion at the time of writing. As time passes, these inevitably become outdated,
and more current recommendations will need to be consulted. It is doubtful nowadays
whether any textbook can be considered an appropriate source for information
on pharmacotherapy. Drug dosages are not given unless they are of special
significance.
This is actually the third edition of a book that began life as An Introduction
to Family Medicine in 1981. The clinical chapters and the section on the practice
of family medicine were added in the edition of 1989. The book and the
ideas it presents have grown with the development of the discipline. Important
themes run right through the book. For example, the process of clinical reasoning
and narratives of illness emerge in many chapters, with cross-references to other
chapters and to case reports. We have visualized the book as a whole, rather than
as a series of disconnected chapters, so it is intended to be read as a whole. Since
we have tried to anchor it to some fundamental ideas, we hope readers will find
it an aid to reflection.
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