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.

    Foreword. About the editors. List of contributors. Drivers for change in the medical profession. The changing working environment: work patterns. Changes in postgraduate medical education and training. The shifting sands of professional power. Doctors in management. Accountability, performance and targets. The 'expert patient' and the internet. Regulation and revalidation. Interprofessional practice and rank dynamics: evolving effective team collaboration through emotional, social, occupational, and spiritual intelligences. Changing demographics of the medical profession. Doctors as educators. Personal perspectives. Index.


    Dr Penelope Cavenagh, PhD, MSc, BSc, DMS, Dip CSLT, C Psychol Director of Research and Enterprise and Head of The Graduate School at University Campus Suffolk Dr Cavanagh is Visiting Professor at the University of East Anglia and an honorary Professor at Essex University. She is an experienced health service researcher and has published extensively in the area of doctors moving into management roles. Her PhD is in the area of medical management and medical education. Professor Sam J Leinster, BSc, MD, FRCS (Edin & Eng), SFHEA, FAcadMEd Emeritus Professor of Medical Education and former Dean, Norwich Medical School, University of East Anglia Professor Leinster has been a leading breast surgeon who helped to found the University of East Anglia's innovative undergraduate medical curriculum. He was previously Director of Medical Studies and Professor of Surgery at the University of Liverpool, where he established the Breast Unit - one of the leaders in the United Kingdom - at The Royal Liverpool Hospital. Dr Susan Miles, BA(Hons), PhD, MBPsS, CSci Research Associate in Medical Education, Norwich Medical School, University of East Anglia Dr Miles is a research psychologist and chartered scientist who actively researches and publishes in medical education.