Description: This book outlines a collaborative engagement strategy for primary care clinicians.
Purpose: The foreword speaks to developing small groups of primary care physicians, oriented around issues of medical uncertainty. This approach brings young and more experienced clinicians together to discuss in generalities cases with which they are not sure how to proceed. This may be a reasonable approach in the U.K., but with the demand for services and the financial constraints in the U.S., this simply does not appear to be a reasonable time investment for American primary care clinicians. The emphasis on evidence-based practice also brings into question the value of this collaborative engagement strategy, as evidence-based medicine is focused on moving away from the biases of individual senior clinicians to strategies based on reproducible data.
Audience: The book is directed mainly at U.K. general practitioners. The editors include an educator and health services researcher and a U.K. GP.
Features: This is a collection of a number of essays, with an emphasis on Balint groups, a method of exploring the emotional conflicts that come with physicians wanting to show empathy while "doing the right thing" and a few success stories of how this technique has been useful in Canada and Sweden.
Assessment: This is a nice theoretical approach to helping inexperienced clinicians mature, but does not conform to the current generally accepted manner of approaching the emotional maturation of young physicians.