Common Dilemmas in Family Medicine

  • John Fry

Table of contents

  1. Front Matter
    Pages i-xiv
  2. Daniel M. Barr, Eric Gambrill, John Fry, John P. Geyman
    Pages 1-22
  3. Paul Freeling, Stanley Levenstein
    Pages 23-38
  4. John Fry, Benno Pollak, Ken Young, W. E. Fabb
    Pages 39-52
  5. Brian R. McAvoy, Joseph H. Levenstein
    Pages 53-68
  6. Robert B. Taylor, Denis Craddock
    Pages 69-87
  7. Robert G. Russell, Douglas G. Garvie, A. I. M. Bartelds
    Pages 89-107
  8. Niels Nørrelund, Michael J. Whitfield
    Pages 109-121
  9. Gillian Strube, K. Gill, Alistair Moulds
    Pages 123-137
  10. Peter B. Martin, Jack Froom
    Pages 139-152
  11. M. Keith Thompson, Bridget Matthews, A. G. O. Crowther
    Pages 153-170
  12. W. O. Williams, Tommy Bouchier Hayes
    Pages 171-184
  13. John Grabinar, George Davie, William Stewart, Andrew Fraser
    Pages 185-201
  14. John D. Williamson, John Smith, David Brooks
    Pages 203-227
  15. Alfred O. Berg, Patrick Kerrigan, Peter Pritchard, G. J. Pistorius, Keith W. Sehnert
    Pages 229-269
  16. Axel Engberg Pallesen, Robin Steel
    Pages 271-291
  17. Stan Schuman, Derek A. Coffman, Eric Gambrill
    Pages 293-310
  18. E. C. Gawthorn, Nils Andersen, Michael D’Souza
    Pages 311-336
  19. Susi Rottenberg, Roger A. Rosenblatt
    Pages 337-348
  20. K. H. M. Young, John Fry, W. E. Fabb
    Pages 349-359
  21. Elan Preston-Whyte, George Strube, Tommy Bouchier Hayes
    Pages 361-375
  22. John Fry, Rae West, John P. Geyman
    Pages 377-393
  23. Back Matter
    Pages 395-401

About this book


One of the eXCltmg challenges of medicine has been the reaching of decisions based on less than complete evidence. As undergraduates in teaching hospitals future physicians are taught to think in clear and absolute black and white terms. Diagnoses in teaching hospitals all are based on supportive positive findings of in­ vestigations. Treatment follows logically on precise diagnosis. When patients die the causes of death are confirmed at autopsy. How very different is real life in clinical practice, and particularly in family medicine. By the very nature of the common conditions that present diagnoses tend to be imprecise and based on clinical assessment and interpretation. Much of the management and treatment of patients is based on opinions of individual physicians based on their personal expenences. Because of the relative professional isolation offamily physicians within their own practices, not unexpectedly divergent views and opinions are formed. There is nothing wrong in such divergencies because there are no clear absolute black and white decisions. General family practice functions in grey areas of medicine where it is possible and quite correct to hold polarized distinct opinions. The essence of good care must be eternal flexibility and readiness to change long-held cherished opinions. To demonstrate that with many issues in family medicine it is possible to have more than one view I selected 10 clinical and II non -clinical topics and invited colleagues and fellow-practitioners to enter into a debate-in-print.


family medicine medicine

Editors and affiliations

  • John Fry
    • 1
  1. 1.Beckenham, KentEngland

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media B.V. 1983
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-9194-7
  • Online ISBN 978-94-010-9192-3
  • Buy this book on publisher's site