- Shopping Bag ( 0 items )
From The CriticsReviewer: Ann B. Nattinger, MD, MPH (Medical College of Wisconsin)
Description: This is a comprehensive review of adult ambulatory medicine. It is an update of the previous edition, which was published in 1995.
Purpose: As stated by the editors, the purpose is to provide guidance for the evaluation, management, and long-term course of common clinical problems addressed in the ambulatory setting, and for recognizing problems requiring specialist referral or hospitalization. I believe they succeed admirably in accomplishing these goals.
Audience: The editors state that the intended audience is the office-based practitioner of internal medicine or family medicine. This book would also be helpful for residents or medical students on ambulatory rotations.
Features: A wide variety of ambulatory topics are covered, mostly organized by subspecialty area. Each chapter includes discussion of epidemiology and pathophysiology, diagnosis, and treatment. There are many helpful tables, and a nice emphasis on patient counseling and patient instructions. Some of the photographs could be clearer, but the diagrams are generally well done. The references have been updated to 1997 and are separated into general and specific references. References that are controlled trials, meta-analyses, or consensus-based recommendations are bolded. I especially liked the early chapters on general topics, such as prevention, geriatrics, adolescent medicine (including a guide to sports participation), and disability evaluation.
Assessment: We practitioners of primary care adult medicine are fortunate to have two other major textbooks in the field. These are Goroll's Primary Care Medicine: Office Evaluation and Management of the Adult Patient, 3rd Edition (Lippincott Williams & Wilkins, 1995), and Branch's Office Practice of Medicine, 3rd edition (W.B. Saunders, 1994). Although the others are also excellent references, this text compares well, particularly with respect to the evidence-based approach, tables, and patient counseling aspects. This text has fewer chapters than Goroll, but each is more comprehensive. At the risk of emphasizing my age, I also found the slightly larger type attractive.