1st Edition
Reflective Practice in Medicine and Multi-Professional Healthcare
This unique book presents in a single collection around 50 essays by Dr Launer on reflective practice in medicine, including examples specific to medical education and multiprofessional healthcare. Based on existing contributions to the literature by Dr Launer, the book brings them together in updated form for the first time as a themed collection with an introduction linking the different topics addressed. Coverage includes communication skills, supervision, teamwork and organisational health. In a time of unprecedented demand on healthcare services, educators and practitioners, Dr Launer offers invaluable guidance to a broad audience including community-based GPs, practice nurses and nurse practitioners, pharmacists, physician assistants and paramedics, secondary care staff including consultants and registrars across all specialties, communications skills educators, counsellors and mental health professionals, and health service managers and administrators.
Foreword
Preface: On Reflection
Acknowledgements
PART 1: LEARNING TO COMMUNICATE
Conversations Inviting Change
The Three-Second Consultation
The Big Picture
Family Matters
Three Kinds of Reflection
What’s the Point of Reflective Writing?
Digging Holes and Weaving Tapestries: Two Approaches to the Clinical Encounter
Why You Should Talk to Yourself: Internal Dialogue and Reflective Practice
PART 2: CONCEPTS AND THEORIES
Thinking in Three Dimensions
Making Meaning
Who Owns Truth?
Double Binds and Strange Loops
The Science of Compassion
Guidelines and Mindlines
Complexity Made Simple
PART 3: SUPERVISION
Super Vision
What Does Good Supervision Look Like?
Supervision Quartets
Collaborative Learning Groups
Clinical Case Discussion Using a Reflecting Team
The Irresistible Rise of Interprofessional Supervision
Supervision as Therapy
PART 4: EMOTIONS AND ATTITUDES
On Kindness
Power and Powerlessness
The Many Faces of Professionalism
Unconscious Incompetence
Clinical Gist
Rudeness and Respect in Medicine
Hunting for Medical Errors: Asking ‘What Have We Got Wrong Today?’
Whatever Happened to Silence?
PART 5: TECHNIQUES AND TEAMWORK
Good Questions
Meetings with Teams
Giving Feedback to Medical Students and Trainees: Rules, Guidance, and Realities
Why Doctors Should Draw Genograms— Including Their Own
Socratic Questions and Frozen Shoulders: Teaching without Telling
Concentric Conversations
PART 6: NARRATIVE PRACTICE
Why Narrative?
Right on Cue
Narrative Diagnosis
Therapeutic Dialogue
Medicine as Poetry
Patient Choice and Narrative Ethics
The Yin and Yang of Medical Conversations
PART 7: PROVOCATIONS
Medically Unexplored Stories
Taking Risks Seriously
Dumpling Soup
Is There a Crisis in Clinical Consultations?
Patients as Ethnographers
Docsplaining
Against Diagnosis
Author’s Note
Index
Biography
John Launer is Training Programme Director for Educational Innovation, North London Specialty School of General Practice, Health Education England, London, UK. He is a well-known medical educator and writer. He was for many years Associate Dean for Multi-Professional Faculty Development at Health Education England, London, UK.
