ABSTRACT
In this chapter, I focus on how we do the knowledge work of everyday practice – the practical delivery of whole person healthcare. I start by contrasting the knowledge work of specialist and generalist medicine, recognising a distinction between deductive and inductive (or even abductive) clinical reasoning. Having described the known barriers to this work in practice, I introduce the 4Es of advanced generalist practice in action: Epistemology, Exploration, Explanation and Evaluation. Together, these describe how we can introduce safe, effective advanced generalism into everyday practice. I also describe an evidence-informed outline of the potential impact of introducing these changes and conclude by recognising advanced generalist knowledge work as the missing piece in work to reclaim general practice.
