The four Surgical Royal Colleges have recently received approval from the GMC to make changes to the MRCS Part A Examination. The second edition of this popular book,SBAs and EMQs for the MRCS Part A is an invaluable guide to sitting and passing the new MRCS examination.There is an increased emphasis on Anatomy and Basic Sciences,which now account for 60% of the exam. College-approved,systematic and coherent questions for all the main systems are included, providing comprehensive coverage of the curriculum. The Question and Answer format, including many more Single Best Answers aids revision.Expanded to reflect the new 2017curriculum
SBAs and EMQs for the MRCS Part A is an invaluable guide to sitting and passing the examination, which tests the candidates in their knowledge of the basic sciences as applied to surgical practice. Based on the highly successful Insider Medical MRCS Examination Clinical Course, this book facilitates the pathway for a novice clinician to pass this challenging examination. College-approved, systematic and coherent questions for all the main systems are included, providing comprehensive coverage of the surgical curriculum. Answers are provided in brief at the foot of each question page for rapid reference, while full explanations of each appear in a separate section at the end of each chapter. The sections provide insider tips on how to pass the examination and identify mistakes commonly made by many candidates, whilst providing references to the key chapters within Bailey & Love's Short Practice of Surgery. With over 350 SBAs and 50 EMQs, this book will provide helpful pointers for further study throughout training, and is essential reading for those preparing to sit Part A of the MRCS examination.
Reproductive Endocrinology and Infertility provides an overview of the most frequently encountered clinical challenges faced by medical students and residents. Part I begins with chapters on reproductive hormonal physiology and development to provide a basis for understanding the management of the most common reproductive clinical problems that confront obstetrician-gynecologists and other practitioners in women’s health. Several of the chapters, including obesity, premenstrual syndrome, menopause and imaging, provide a cross-disciplinary approach to endocrine related problems common among reproductive aged women. Part II includes chapters on the evaluation of infertility, as well as surgical and medical approaches to treating infertility in men and women. The chapter on alternative medicine provides a basis for understanding the increasingly popular use of therapies such as acupuncture and herbal treatments. The last chapter discusses the influence of environmental factors on fertility, an important field that is often ignored in the traditional approach to infertility. This text is meant to be used as a portable reference with readily accessible information including a summary of key points in each chapter. All of the contributors are involved in residency training programs and understand the kinds of patient management questions that are encountered in a busy practice. Our goal with this book is to provide information that will support solid patient management and hopefully pique the appetite to learn more.
This volume offers a comprehensive historical survey of medicine in sixteenth-century Europe and examines both medical theories and practices within their intellectual and social context. Nutton investigates the changes brought about in medicine by the opening-up of the European world to new drugs and new diseases, such as syphilis and the Sweat, and by the development of printing and more efficient means of communication. Chapters examine how civic institutions such as Health Boards, hospitals, town doctors and healers became more significant in the fight against epidemic disease, and special attention is given to the role of women and domestic medicine. The final section, on beliefs, explores the revised Galenism of academic medicine, including a new emphasis on anatomy and its most vocal antagonists, Paracelsians. The volume concludes by considering the effect of religious changes on medicine, including the marginalisation, and often expulsion, of non-Christian practitioners. Based on a wide reading of primary sources from literature and art across Europe, Renaissance Medicine is an invaluable resource for students and scholars of the history of medicine and disease in the sixteenth century.
Neurosurgery: The Essential Guide to the Oral and Clinical Neurosurgical Examination is the first book of its kind to cover the International and Intercollegiate FRCS Specialty Examination in Neurosurgery. It will also help you prepare for the American Board of Neurological Surgery (ABNS) examination and other neurosurgical examinations around the
In early American society, one’s identity was determined in large part by gender. The ways in which men and women engaged with their communities were generally not equal: married women fell under the legal control of their husbands, who handled all negotiations with the outside world, as well as many domestic interactions. The death of a husband enabled women to transcend this strict gender divide. Yet, as a widow, a woman occupied a third, liminal gender in early America, performing an unusual mix of male and female roles in both public and private life. With shrewd analysis of widows’ wills as well as prescriptive literature, court appearances, newspaper advertisements, and letters, The Widows’ Might explores how widows were portrayed in early American culture, and how widows themselves responded to their unique role. Using a comparative approach, Vivian Bruce Conger deftly analyzes how widows in colonial Massachusetts, South Carolina, and Maryland navigated their domestic, legal, economic, and community roles in early American society.
It may not be a quick fix, but this concrete action plan for reform can create a less costly and healthier system for all. Beyond the outrageous expense, the quality of care varies wildly, and millions of Americans can’t get care when they need it. This is bad for patients, bad for doctors, and bad for business. In The Long Fix, physician and health care CEO Vivian S. Lee, MD, cuts to the heart of the health care crisis. The problem with the way medicine is practiced, she explains, is not so much who’s paying, it’s what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better—and that is both backward and dangerous. Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians’ practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health care organizations that share online how much care costs and how well each physician is caring for patients. Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform—for employers and other payers, patients, clinicians, and policy makers—can reinvent health care, and create a less costly, more efficient, and healthier system for all.
This book is designed to help the candidate in preparation for the newly revised oral examination or OSCE, the concluding element required to pass the MRCS examination. Success requires a solid working knowledge and a well-rehearsed examination technique. A precise, structured and systematic routine is paramount. This technique, as outlined in this
This is a fully updated edition of the hugely successful OSCEs for the MRCS Part B: A Bailey and Love Revision Guide. The content has been revised in line with recent changes to the examination, such as the introduction of microbiology and applied surgical sciences and changes from patient safety to clinical and procedural skills.Popular with trainee surgeons preparing for the oral element of the MRCS (the objective structured clinical examination, or OSCE), this revision guide will maximise the chances of success in surgical examinations.
Despite being a relatively straightforward clinical diagnosis, recognition of hidradenitis suppurativa (HS) is highly variable, and clinical management is challenging and complex. Written by the world's leading experts in HS, A Comprehensive Guide to Hidradenitis Suppurativa brings together up-to-date scientific evidence on the diagnosis, patho-mechanisms, comorbidities, and multi-faceted medical and surgical interventions for this debilitating condition—in one convenient reference. - Covers every aspect of this complex skin disorder: etiology, pathophysiology, epidemiology, medical, alternative therapies, a range of surgical options, laser treatments, and comorbidities. - Discusses specific patient populations such as children, women of childbearing potential, and pregnant and breastfeeding women. Because HS has higher prevalence in people of skin of color, this patient population is well-documented in the text. - Offers insights into multi-disciplinary care, patient support and education, patients at risk for rapid disease progression, and clinical and translational research. - Features procedural videos covering laser therapies, de-roofing procedures, excisions and closure techniques, cryoinsufflation techniques, and special wound care material selection and techniques. - Includes recent FDA-approved drugs as well as those drugs and therapies that show future promise. - Identifies evidence gaps that provide a springboard to the future innovations in HS care to come. - Edited and authored by global experts who have co-authored 2019 U.S. and Canadian guidelines on hidradenitis suppurativa.
Once a Native American hunting ground, the industrial melting pot of Monessen, in western Pennsylvania, rises over a horseshoe bend in the Monongahela River. Established in 1898, this powerhouse town boomed for close to 60 years, producing vast amounts of steel and other crucial industrial materials. Known for its cultural diversity, Monessen's predominantly immigrant population-with the highest naturalization rate in the United States at the turn of the twentieth century-and the vibrant neighborhoods they established were entirely sustained by the local mills. The battles for decent pay, job protection, benefits, and an 8-hour day kindled fiercely for decades until Monessen and towns like it in the Monongahela Valley gave the average person a dignity denied them for centuries: decent pay for decent work. Families thrived. Children went to college. It was the American dream. Then, neighborhoods began to unravel, foreign imports stole jobs, and finally the mills, the only support of the town, closed. Demonstrating their unyielding spirit, Monessen residents have struggled to fight for the recovery and rebirth of their hometown. In this new history, Monessen: A Typical Steel Country Town, informative narrative highlights the rapid expansion and gradual demise of a society built almost solely on its industrial endeavors and recounts how a disjointed populace has come together to restore their proud community. Over 100 striking photographs depict the dominating presence of the mills, the quiet faces of the people who toiled there, scenes of daily life, and memorable events through the years, as well as the dramatic changes that have marked Monessen's unique history.
Marstons Mills is a picturesque, rural village in Barnstable on Cape Cod. With wide-open spaces that were once farmland of Mystic Lake Dairy and Clear Lake Duck Farm, Marstons Mills is a community that has always relied on its rich natural resources. The Marstons Mills River, one of the best herring runs on the Cape, was responsible for powering the mills that processed wool from local herds. The same river also played a role in the local cranberry industry. Its headwaters rose in the cranberry bogs, where the large-scale production of cranberries first began in America. In the village center and along its quiet country roads, Marstons Mills has many impressive Greek Revival homes and traditional Cape Cod cottages. These were the homes of whaling masters and clipper ship captains who retired here from the sea. Marstons Mills presents the village's history through rich and fascinating images and gives readers and residents a view into the past.
An important figure in mid-Twentieth Century medicine and cardiology, brilliant, dynamic George Burch was outstanding on every front — pioneering researcher in multiple aspects of the body’s workings, an inspiring educator, editor and prolific writer, and electrifying lecturer. His patients loved him for his gentleness, common sense approach and tireless advocacy on their behalf. Immersed in medicine from childhood as he assisted his father, a physician in rural Louisiana, he was influential worldwide by a surprisingly young age. Possessed of a healthy sense of humor, he was nevertheless deeply serious of purpose. He was an independent thinker, outspoken and unfazed by mainstream opinion. Increasingly controversial, he became a hero to some, but to others an outdated fossil. The life story of this remarkable man resonates vividly in today’s environment of confusion and inordinate expense in medical care.
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