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Since the publication of the 7th edition of this book, there has
been a remarkable increase in information in several clinical areas,
including cardiology, immunology and oncology. This rapid knowledge
expansion has led to practice changes for family physicians and
other primary care providers. Patients are now discharged from
tertiary care hospitals to their home communities with life
sustaining left ventricular assist “heart pumps”. Hepatitis C, once
an incurable illness, is now routinely cured. Oncology treatment
regimens are increasingly becoming ambulatory and individualized.
The decreased cost and increasing availability of health monitoring
devices will make it possible for physicians to remotely check on
the health status of their patients in their homes. With the ongoing
and worsening shortage of family physicians across the US, the
practice model for family medicine in the future may tend toward a
family physician supervising a cast of mid-level providers as they
care for a panel of patients, versus the physician providing the
majority of care. All of these changes will require practice pattern
changes and a need for up to date sources of information for the
family physician.
In addition, the “family” of family medicine academic organizations
is undertaking a major review of the practice, training, funding and
evaluation of all aspects of family medicine. Eight family medicine
organizations have launched the “Family Medicine for America’s
Health” (FMAHealth) with the expressed purpose “to strategically
align work to improve practice models, payment, technology,
workforce and education, and research to support the triple aim”.
This project has moved past the study phase and will soon move to
the implementation phased.
This book is organized into short, focused chapters almost
exclusively dedicated to topics relevant to daily practice. All lead
authors are themselves accomplished family physicians who can
specifically address the needs, concerns, and interests of this
crucial profession. As one of the key reference textbooks for family
medicine, it is very important to provide the most up-to-date
knowledge to support learners and practitioners of family medicine
in the face of rapidly expanding clinical knowledge and the
extensive self-examination of family medicine.
Family Medicine: Principles and Practice, 8th Edition, is a
must-have reference for medical students, residents, practicing
physicians, nurse practitioners and physician assistants with an
active role in patient care.