This fascinating new book describes the evolution of the medical profession and how the role of the doctor and expectations of that role have changed over time. It critically examines developments in the light of both external influences such as the ageing population, patient attitudes and knowledge and government regulation, and internal changes such as the increasing knowledge base, advances in technology and changes in recruitment. Challenges in management, working environment, education and training are considered and practical recommendations for both practising and student doctors are offered. The holistic approach is supported with contributions from both primary and secondary care practitioners together with academics and educationalists. It is highly recommended for doctors and medical students seeking new strategies for understanding and managing change. Sociologists and policy makers, too, will find the wide-ranging perspectives enlightening.

chapter Chapter 1|10 pages

Drivers for change in the medical profession

BySam J Leinster

chapter Chapter 2|12 pages

The changing working environment: work patterns

ByBernard Brett, Susan Miles

chapter Chapter 3|13 pages

Changes in postgraduate medical education and training

ByJoanne Kellett, Veena Rodrigues

chapter Chapter 4|12 pages

The shifting sands of professional power

ByAlistair Leinster

chapter Chapter 5|11 pages

Doctors in management

ByPenny Cavenagh, Bernard Brett

chapter Chapter 6|8 pages

Accountability, performance and targets

ByRichard Young, Krishna Sethia

chapter Chapter 7|11 pages

The 'expert patient' and the internet

ByAndrea Stöckl

chapter Chapter 8|8 pages

Regulation and revalidation

ByRichard Young, Krishna Sethia

chapter Chapter 10|15 pages

Changing demographics of the medical profession

ByLaura Bowater, Sandra Gibson

chapter Chapter 11|12 pages

Doctors as educators

ByVeena Rodrigues

chapter Chapter 12|22 pages

Personal perspectives

ByChristopher H Hand, Amanda Howe, Ian LP Beales, Ann Barrett