The Family Doctors: Images and Metaphors of the Family Doctor to Learn Family Medicine

José Luis Turabian, PhD
Medico de Familia, Tutor de Residentes, Centro de Salud Poligono Industrial, SESCAM, Toledo, Spain

Benjamin Perez-Franco
Health Center “The Station”, Talavera de la Reina. SESCAM Toledo, Spain

Series: Professions – Training, Education and Demographics
BISAC: LAW034000

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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Medicine is often learned through a mechanistic metaphor of biology and a military metaphor of war. However, the conceptual elements and skills that promote the mastery of family medicine, such as contextual knowledge, continuity of care, the clinical interview, comprehensiveness, coordination, and so on, are often difficult to explain and to understand. Furthermore, these fundamental concepts of family medicine have nothing to do with the metaphor of the machine or the metaphor of war. In this book, these concepts are explained through metaphors that are more explanatory, nicer, sweeter, and more playful. Thinking based on metaphors and comparisons is a way of making a concept so suggestive, interesting and surprising that it reaches people more easily.

The value of family medicine lies in its distinctiveness from academic medicine; it is a unique discipline that defines itself in terms of relationships, especially those between the doctor and patient. Family physicians tend to think in terms of individual patients rather than of abstractions and generalizations, and family medicine is based more on the metaphor of an organism rather than that of mechanistic biology. Family medicine is unique in the medical arena in that it transcends the duality of body and mind. Thus, the family doctor should be encouraged to use a non-conventional form when thinking about the problems that are presented in the consultation (for example, thinking on the basis of metaphors). (Imprint: Nova Biomedical)

Preface

Chapter 1. INTRODUCTION

Chapter 2. THE FAMILY DOCTOR AS A FEMALE FAMILY DOCTOR

Chapter 3. THE FAMILY DOCTOR AS A DRINKER OF CHINESE TEA

Chapter 4. THE FAMILY DOCTOR AS AN OPTICIAN

Chapter 5. THE FAMILY DOCTOR AS A FOOTBALL COACH

Chapter 6. THE FAMILY DOCTOR AS A CATHEDRAL BUILDER

Chapter 7. THE FAMILY DOCTOR AS A POTATO IN THE BASEMENT

Chapter 8. THE FAMILY DOCTOR AS A JAZZ MUSICIAN

Chapter 9. THE FAMILY DOCTOR AS A KNIFE WITH MULTIPLE USES (SWISS ARMY KNIFE)

Chapter 10. THE FAMILY DOCTOR AS A MYOPIC HAWK

Chapter 11. THE FAMILY DOCTOR AS A CLASSIC PAINTER

Chapter 12. THE FAMILY DOCTOR AS AN EXPLORER ON A DESERT ISLAND

Chapter 13. THE FAMILY DOCTOR AS A BASS

Chapter 14. THE FAMILY DOCTOR AS A PLUG

Chapter 15. THE FAMILY DOCTOR AS A MUSICIAN

Chapter 16. THE FAMILY DOCTOR AS AN ADVENTURER

Chapter 17. THE FAMILY DOCTOR AS A PHOTOGRAPHER

Chapter 18. THE FAMILY DOCTOR AS AN HISTORIAN

Chapter 19. THE FAMILY DOCTOR AS A PERSON EATING SPAGHETTI OR CHERRIES

Chapter 20. THE FAMILY DOCTOR AS A TRANSLATOR

Chapter 21. THE FAMILY DOCTOR AS AN ETHNOGRAPHER

Chapter 22. THE FAMILY DOCTOR AS A CAT

Chapter 23. THE FAMILY DOCTOR AS A CIVIL ENGINEER

Chapter 24. THE FAMILY DOCTOR AS A FILM DIRECTOR

Chapter 25. THE FAMILY DOCTOR AS A TOURIST THAT OPENS A FOLDED MAP

Chapter 26. THE FAMILY DOCTOR AS AN ARCHITECT

Chapter 27. THE FAMILY DOCTOR AS A CATALYST

Chapter 28. THE FAMILY DOCTOR AS AN IMPRESSIONIST PAINTER

Chapter 29. THE FAMILY DOCTOR AS A WIZARD

Chapter 30. THE FAMILY DOCTOR AS A FISHERMAN WITH A HOOK

Chapter 31. THE FAMILY DOCTOR AS A CUBIST OR ABSTRACT PAINTER

Chapter 32. THE FAMILY DOCTOR AS A RHIZOME

Chapter 33. THE FAMILY DOCTOR AS ROUEN CATHEDRAL PAINTED BY MONET

Chapter 34. THE FAMILY DOCTOR AS A DETECTIVE

Chapter 35. THE FAMILY DOCTOR AS A FLYING KITE

Chapter 36. THE FAMILY DOCTOR AS A CONDUCTOR

Chapter 37. THE FAMILY DOCTOR AS A HIKER IN THE LABYRINTH

Chapter 38. THE FAMILY DOCTOR AS A LAWYER

Chapter 39. THE FAMILY DOCTOR AS AN ECOLOGIST

Chapter 40. THE FAMILY DOCTOR AS A MARATHON RUNNER

Chapter 41. THE FAMILY DOCTOR AS AN ARCHAEOLOGIST

Chapter 42. THE FAMILY DOCTOR AS A KITCHEN CHEF

Chapter 43. THE FAMILY DOCTOR AS AN INTERPRETER

Chapter 44. THE FAMILY DOCTOR AS A GARDENER

Chapter 45. THE FAMILY DOCTOR AS A JOURNALIST

Chapter 46. THE FAMILY DOCTOR AS A NATURALIST

Chapter 47. THE FAMILY DOCTOR AS AN ATHLETE DOING RAFTING

Chapter 48. THE FAMILY DOCTOR AS A METEOROLOGIST

Chapter 49. THE FAMILY DOCTOR AS AN EDUCATOR

Chapter 50. THE FAMILY DOCTOR AS THE PAINTER JOSEF ALBERS

Chapter 51. THE FAMILY DOCTOR AS A FISHERMAN RATHER THAN HUNTER

Chapter 52. THE FAMILY DOCTOR AS A PRE-RAPHAELITE PAINTER

Chapter 53. THE FAMILY DOCTOR AS THE GENIE IN ALADDIN’S LAMP

Chapter 54. THE FAMILY DOCTOR AS A SEA TURTLE

Chapter 55. THE FAMILY DOCTOR AS A SCULPTOR

Chapter 56. THE FAMILY DOCTOR AS A "MIDDLE OF THE ROAD BEATNIK"

Chapter 57. THE FAMILY DOCTOR AS A READER OF PATIENTS

Chapter 58. THE FAMILY DOCTOR AS A MAGPIE

Chapter 59. THE FAMILY DOCTOR AS A TAOIST MASTER

Chapter 60. THE FAMILY DOCTOR AS A TENNIS PLAYER IN A DOUBLES MATCH

Chapter 61. THE FAMILY DOCTOR AS THE PAINTER GIOTTO

Chapter 62. THE FAMILY DOCTOR AS A SAILOR

Chapter 63. THE FAMILY DOCTOR AS A GOLFER

Chapter 64. THE FAMILY DOCTOR AS A FILTER COFFEE

Chapter 65. THE FAMILY DOCTOR AS A MINER

Chapter 66. THE FAMILY DOCTOR AS A TAILOR

Chapter 67. THE FAMILY DOCTOR AS A DIVER

Chapter 68. THE FAMILY DOCTOR AS A POET

Chapter 69. THE FAMILY DOCTOR AS A PHILOSOPHER

Chapter 70. THE FAMILY DOCTOR AS A BILLIARDS PLAYER

Chapter 71. THE FAMILY DOCTOR AS SANCHO PANZA

Chapter 72. THE FAMILY DOCTOR AS A CANDLE LIGHT

Chapter 73. THE FAMILY DOCTOR AS A MOTHER WHO PICKS UP HER BABY

Chapter 74. THE FAMILY DOCTOR AS A NUTS AND BOLTS MECHANISM

Index

"The Family Doctorsjoins the pleasant and simple form medicine and literature. The suggestion of the metaphors with which Turabián and Perez-Franco approach, in a subtle and complete way, the multiple facets of the function of the family doctor, has a cuasi-picassiano point. Certainly, it is an essential book to understand the Family Medicine from another point of view.” - Dr. Alejandro Villarin. Head of Studies. Teaching Unit of Primary Care and Community; Primary Care Management of Toledo

"The Family Doctorsis a tour for multiple situations and experiences that the family doctor must learn to handle. It expresses enthusiasm in the defense of the Family Medicine.” - Dr. Teresa Mendez. Health Technician. Teaching Unit of Primary Care and Community; Primary Care Management of Toledo

"It's a book that pleasantly surprises the reader by its originality and the apparent clarity of ideas of their authors. Exploration of the essence of the concepts of family medicine is highly interesting from different perspectives. Its innovative structure allows an agile and entertaining reading.” - Dr. Ignacio Párraga Martínez. Editor “Revista clinica de Medicina de Familia”

"Jose Luis Turabian y Benjamin Perez Franco are a real masters of Medicine. Their symbiosis multiplies its already extensive clinical and teaching experience, and makes them current references of the Family and Community Medicine in Spain. Now, they present us a fascinating, creative, and funny book, which invites us to reflect on the multiple facets of the family doctor and the boundless tasks that he has to perform in his daily work. An essential book to understand what this excitating specialty is.” - Dr. Francisco Lopez de Castro. Head of Service Training in Specialized Health, Ministry of Health of Castilla La Mancha, Toledo

"The Family Doctorsis pleasant, easy reading, capable of attracting the attention of the reader by combining the magic of the knowledge, the observation and the experience, with the problematics of the human relations. It is through its short stories as it transmits us in a clear, brief and concise form the qualities that a good family doctor must have.” - Dr. Blanca Cordero, Medical Coordinator, Health Center Santa Maria de Benquerencia; Primary Care Management of Toledo

Chapter 1

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Chapter 13

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Chapter 14

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Chapter 15

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Chapter 16

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Chapter 17

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This book is written for doctors in training in the specialty of Family Medicine / General Practice; for teachers of these doctors in training; for family doctors established who care for patients every day; and for students School of Medicine and their teachers. This book can be useful to physicians from areas close to Family Medicine: Internal Medicine, Geriatrics and Pediatrics, as well as professionals of Primary Care Nursing. Finally, it might interest Non-Governmental Organizations and Mutual Aid Groups working in primary care, and to the patients or ordinary people interested in Family Medicine.

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