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. 'The profession of medicine is changing, more rapidly perhaps than many doctors think. Whether it relates to the professional power base or the changing demographics of the profession itself, both topics are discussed in this book. The topics are thought-provoking as they should be, but all come back asking what doctors are for. This remains a key issue and one that requires discussion and debate.' Sir Kenneth Calman, in the Foreword

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