Oxford Handbook of Clinical Specialties 10th Edition PDF

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Preface

This is the first medical book to take the Health of its readers seriously on the grounds that the health of one person (a patient) must not be bought at the expense of another (their doctor). It is an unsettling paradox that when we study medicine our own health may be forgotten, with long hours of hard work—often without joy or sustenance—as our health is shattered by the weight of an over-loaded curriculum (no doubt because we are over-stimulated by the too many receptors, organs, and systems, about which we know far too much).
What can a book do about this dilemma? Whilst we strive to guide you through the realms of the specialties with a concise overview of exactly what you need to know, we also place prominence on developing your skills beyond just pure facts, since these may quickly be forgotten. We want to furnish your mind with anecdotes which will remind you of the value of your hard work to inspire and motivate you to learn more. It is the quirks of medicine which we remember best; the bits that make you smile and make you realize that the work we do can be truly inspiring. The spiral symbol [] throughout the book, and at the start of each chapter, is your reminder to connect with and enjoy your patients; to discover what is important to them, and in so doing, make a real difference to their health and well-being. Few people receive such privileged insight into another’s life. Few other professions can reflect on their day—and from the mundane, the routine, even the stressful—bring forth such engaging or thought-provoking episodes from their encounters at work.
We also hope our writings inspire you that further work can be accomplished. Do not think that a student’s or junior doctor’s work goes unnoticed—you are in the ideal position to make astute and objective observations uncluttered by previous baggage. Two medical students were instrumental in the journey of discovery of insulin: in 1869, German student Paul Langerhans found clusters of cells within the pancreas whose function were unknown, but were later shown to be insulin producing -cells. Canadian student Charles Best’s work with Frederick Banting led to the discovery of insulin in 1921—a miracle treatment for a previously feared and deadly disease. You may think the world of discovery is exhausted, especially for such junior members of the team, but in 2014 a medical student was the lead author for research which revealed the extent of aspergillosis in cystic fibrosis. Take heart!
So in bringing these thoughts together, try to make a habit of treasuring those unique quirks that come your way, and regularly bring them to mind as a refreshing antidote to the demands of our profession. And be aware of the possible line of enquiry that your studies or work may present, bearing in mind the dictum of Albert Szent-Gyorgyi, the physiologist who is credited with isolating vitamin C: ‘Discovery is to see what everybody else has seen, and to think what nobody else has thought’.

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