M. Patrice Eiff, MD serves as Professor and Vice Chair of Academic Affairs and Director of Faculty Development in the Department of Family Medicine at Oregon Health and Science University. She is an author of Fracture Management for Primary Care, 3rd Edition.
Dr. Eiff holds an MD from the Medical College of Wisconsin, and completed a residency in family medicine at Duke University Medical Center. She also completed a faculty development fellowship at Duke. She holds a Certificate of Added Qualification in Sports Medicine, and has served as team physician at Portland State University. Dr. Eiff is a diplomat of the American Board of Family Practice and is a member of the Society of Teachers of Family Medicine and was a charter member of the American Medical Society for Sports Medicine.
“As primary care gets more and more support in this country, we’re going to be asking our primary care doctors to have a broader scope of practice in order to meet the needs of the community more effectively.” -Dr. Michael Tuggy
Family medicine offers the full scope of practice of medicine that I enjoy doing: I like taking care of people of all ages, from conception, birth and end of life care for our elderly. Family medicine has great opportunities for performing procedures – both in the outpatient and inpatient settings. Being a personal physician to my patients is incredibly rewarding with the meaningful long term relationships we develop in family medicine.
In family medicine there’s definitely a trend towards broadening the scope of what we do. As primary care gets more and more support in this country, we’re going to be asking our primary care doctors to have a broader scope of practice in order to meet the needs of the community more effectively. So the better trained you are in the care delivery, either in the medical components or the procedural components, the more valuable you’re going to be to the community and to your patients.
Jorge Garcia and I put the Atlas of Essential Procedures together in order to allow both medical students and family medicine residents to learn the core procedures of primary care. A key step model helps you learn the proper order in which to do things, and also not forget key components of what needs to be done in order to do the procedure properly. The videos are also broken up in the same way, reflecting the key steps so you can learn that process. The goal is to watch the video, read the text and then go back again to watch the video to really fill out your knowledge base before you actually try the procedure on a model or a real patient.
A few years ago we realized the video components were really important, but some of the procedures that we do involve things you can’t see because they’re inside the pelvis or inside the body. Elsevier helped us purchase a large 3D model of the human body which allows us to integrate that into our video products. That integration actually gives you the ability to see what you could not see otherwise.
One of the great things I see happening now is the move to electronic formats. That’s really going to enhance the user’s interaction with the tools that we’re providing. I’m sure over time that we’re going to see many more books integrated with video, audio, maybe more complex cases that will be integrated into the text to show even more complicated ways of fixing problems and come up with procedural work that we do. Those are all things that I think would be easier to do now with the electronic format. And also we can update them more easily. As things change, we can go in and switch out a web page or change a video and update it without having to have you purchase a whole other book for those simple updates.
Bio
Michael Tuggy, MD is a Clinical Professor at the University of Washington School of Medicine, Director of the Swedish Family Medicine Residency Program, and Medical Director of the Swedish Family Medicine/First Hill Campus clinic. He is a board-certified family medicine physician.
He holds his MD from Baylor College of Medicine in Houston, and has postgraduate training in advanced cardiac life support, advanced trauma life support, chemical casualty care, and advanced life support in obstetrics. He has also published research in backcountry and telemark skiing injuries, altitude adaptation and illness, as well as studies with virtual reality training devices in family medicine.
Dr. Tuggy is a member of the American Academy of Family Physicians, National Ski Patrol, and the Wilderness Medical Society, where he served on the board for two years. He is the president-elect for the Association of Family Medicine Residency Directors in 2012 and will serve as its president in 2013.
Related Authors: Jorge Garcia, MD
Jorge Garcia, MD practices and teaches family medicine at the Swedish Medical Center in Seattle, Washington, with special focus in the areas of preventive medicine, student health, obstetric care, travel and international medicine. He is an author of the text Atlas of Essential Procedures.
Dr. Garcia holds an MD from the University of California at San Francisco, and completed a Family Medicine residency at the Group Health Cooperative in Seattle. He served as director of the Sea-Mar Clinic and worked at the International District Clinic in Seattle. He works as a consultant for International SOS, which is dedicated to providing medical guidance for various institutions, and has served as a volunteer physician throughout Latin America.
Related Authors: Michael Tuggy, MD
“With Dermatologic and Cosmetic Procedures in Office Practice, I may be putting my Skin Clinic out of business. If the family doctors buy our book and DVD they won’t have to refer to me anymore!” -Richard Usatine, MD
It has taken me 20 years to get to the point where I am an expert in dermatologic procedures. If I had had Dermatologic and Cosmetic Procedures in Office Practice when I was a resident, it would have been incredibly useful. I had to learn so much of this on my own and through working with dermatologists and plastic surgeons, but now it’s all available in one resource. My practice is almost exclusively a referral practice, so family doctors send their patients to me. With Dermatologic and Cosmetic Procedures in Office Practice, I could be putting my Skin Clinic out of business. If the family doctors buy our book and DVD they won’t have to refer to me anymore!
The work that I do on a daily basis — cutting and sewing and taking care of my patients in my skin clinic —has allowed me to create images and text for the Dermatologic and Cosmetic Procedures in Office Practice. The book also has photographs and text from excellent contributors. I’m proud that the book and DVD are now available for doctors and other healthcare professionals who do dermatology procedures, including physicians’ assistants, nurse practitioners, and dermatologists in training. There are so many people who can benefit from this book.
I’m very excited about the iPad and iPhone app. Many of the young doctors have grown up with technology and they just like material electronically. For those folks, the app is a real winner. For people who still like to feel the book and watch a DVD, the book and DVD combination is a wonderful resource. I love having my applications on my iPhone where I can use them to teach my students, residents, and patients. The app is great because right before you do a procedure, you can pull up information about the procedure, look at the text, click on the video, and two minutes later do the procedure feeling well-informed and confident that you will do a good job for your patients.
Bio
Dr. Richard Usatine is a Professor of Dermatology and Medical Director of a University Health System Skin Clinic in San Antonio. He is also a Professor in the Department of Family and Community Medicine at the University of Texas Health Science Center in San Antonio (UTHSCSA). He is lead author of Dermatologic and Cosmetic Procedures in Office Practice.
Dr. Usatine is the founder and medical director of the University Health System Skin Clinic in San Antonio, which provides underserved patients access to medical and surgical care for their dermatological needs. He also directs the only underserved dermatology fellowship for family physicians in the US. Among his numerous honors and awards is the 2000 Humanism in Medicine Education award, presented by the Association of American Medical Colleges. He received the UTHSCSA Family Medicine Residency Faculty Recognition Award in 2004 and the President’s Award for Excellence in Teaching in 2006.
Related Authors: John L. Pfenninger, MD, FAAFP; Daniel L. Stulberg, MD; Rebecca Small, MD
“I don’t think I ever attended a baby’s delivery where I didn’t experience a rush.” – John Pfenninger, MD
My grandmother used to ride with a country doctor in a horse and buggy. There were times when the doctor would need to travel 25 or 30 miles out into the farmlands to see patients. My grandmother lived out there, so when the doctor wouldn’t make it in time for a baby’s delivery, my grandmother would sometimes become a lay midwife. She always instilled in me that interest in just being there and doing things, in terms of taking care of people. Plus, being born and raised on a farm, we took care of the animals when they had illnesses so, medicine has always been fascinating to me. I received my college degree in biology and then went into medicine. One of the neatest things was seeing that first delivery. That was something. I don’t think I was ever at a baby’s delivery that didn’t give me a rush.
I wanted Pfenninger and Fowler’s Procedures for Primary Care to be a comprehensive book on medical procedures. Before this text, primary care doctors could go to a dermatology text or an OB-Gyn text, but those books didn’t talk about the common things that the primary care doctor sees. I really felt we needed a text with common procedures that primary care doctors do in the office or the emergency room, and that hospitalists do in the hospital. I also wanted the book to cover other issues that family docs deal with, such as billing for procedures, patient education, and consent forms.
The text is used by family docs as well as other primary care clinicians, mid level providers, people in the service (especially navy corpsmen), and others . A military doctor told me once about an experience he had in the field. He said, “There was a procedure I had to do that I’d never done before, so I looked it up in your book. I laid it open beside the patient, and I said ‘Okay, we’re gonna do this.’ And I did it, and it went well because it was all there in the text, like a step-by-step a cookbook.”
The third edition covers about 220 different topics, while the first edition covered 140 topics, so it’s expanded a great deal. In the third edition we have a whole section on aesthetic medicine. We also expanded the hospitalist topics, such as putting in central lines. We’ve made sure the procedures are up-to-date. Our illustrations are better; there are more photos. We also put a significant amount of information online, like patient education and consent forms. So when you buy the book, there’s even more information you can access online.
John L. Pfenninger, MD is a lauded medical author, educator and lecturer in the field of procedural medicine, and President and Director of The Medical Procedures Center, PC. Dr. Pfenninger attended the University of Michigan Medical School and completed three years of advanced training in Family Practice at The University of Utah. In 1989, he established The National Procedures Institute which conducts medical seminars for physicians throughout the country. He has taught procedural skills courses across the United States and internationally for 18 years.
Dr. Pfenninger first completed Procedures for Primary Care Physicians in 1994, which was the first such comprehensive reference text of its kind. It was selected as one of the 37 best medical books of all time in 1998. The publication, now titled Pfenninger and Fowler’s Procedures for Primary Care, is in its third edition. He is also an editor of Dermatologic and Cosmetic Procedures in Office Practice and is the author of numerous scientific articles and book chapters. He has been recognized with the Robert E. Bowsher Best Teacher Award, the Society of Teachers of Family Medicine Excellence in Teaching Award, and the American Academy of Family Physicians Thomas W. Johnson Award for Career Contributions to Family Medicine Education. Dr. Pfenninger has limited his practice solely to office surgery and procedures since 1989 (www.mpcenter.net).
