If the terms are used interchangeably, then the 'extra' in primary health care is likely to be forgotten, or crowded out by the dominant primary care/primary medical care approach.įamily physicians are also encouraged to take new patients into their practices. Q: Does it matter that these are often used interchangeably? If so, why?Ī: The difference between them matters since primary health care recognises and addresses a broader range of health issues and contributing factors, has a wider range of strategies (more focus on prevention, education, community engagement and capacity building), involves a wider range of players (councils, education, welfare, community organisations as well has health services) and has a philosophy which recognises more easily the contribution which individuals and communities make to their health. Primary health care involves a more social view of health. Primary health care is broader in that can also deals with the determinants of health - environmental factors (air pollution), social factors (bullying at school), and individual factors (lack of health literacy) - and include a stronger focus on promoting health as well as preventing or treating illness (primary care sometimes involves interventions to prevent specific health problems - immunisation etc.) Primary health care often has stronger links to the community, since it is the communities' health problems (rather than just individual health problems) that are being addressed. It is often based around medical care ('primary medical care') but may also involve allied health, nursing care or alternative therapies. Maybe starting with those will help you start building.Q: What is the difference between primary care and primary health care?Ī: Primary care is essentially about care for sick or injured individuals based in the community. In the preface, the author said that there were <8 frameworks that he had to use with a very high frequency (dyspnea, acute kidney injury, anemia, hypoxemia, diarrhea, fever of unknown origin, and syncope). If there are no decks for this book, start slowly creating cards for you, as your necessity. The best Internal Medicine/Clinical Medicine is the one that teaches you most and makes you comfortable working and treating your patients. Having said all that, it only matters what you like and where you learn most from. Being able to create differentials is one of the most important goals of medical school, and listing a long list of diagnosis based on simple frameworks sometimes is suitable for learning, but challenging to apply in a real-life scenario. It doesn't matter if you memorize all causes of monoarticular inflammatory arthritis, because you'll most likely get a tap + pain characteristics + clinical epidemiology and get your diagnosis and treatment plan (often gives you the diagnosis in a retrospective manner). Getting a correct diagnosis (even a tough one) is not a heroic act it is standard-care, evidence-based medicine. As you can tell, very different approaches to clinical medicine. Now check the same section from Pocket Medicine. Check this sample framework from the preface. It turns out that the book just became another long list of diagnoses unless you use only the tips of the frameworks. Rather than memorize a long list of diagnoses, it is sufficient to remember the headings of a framework, from which many of the diagnoses can then be generated. I realized that having an approach to a problem in many cases is as simple as constructing a framework that divides the long differential diagnosis into shorter sublists, which are easier for our brains to store and process. Some of the frameworks are good, but he says in the preface (excerpt below) of the book that he didn't like a long list of differential diagnosis:
Long answers to vague questions are not ideal to flashcard formats, IMO. I just downloaded the book from libgen.io purchased the book, and I didn't feel that it adds much compared to Pocket Medicine. YelloW General Surgery ABSITE Review Deck
#Goroll primary care medicine quizlet full
For a full list please see all decks here.ĭubin + Rhythm Strips + Hoop!'s Radiology
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