Physicians: communication method

Paracelsus attacked the established medical community of his time. His criticism was harsh, and he alienated many of his established fellow physicians with his bombastic writings. Yet, many of his practices were sound, and more importantly, those physicians who did ascribe to his practices achieved better results than when using traditional methods. Paracelsus works were not published and distributed widely until some twenty years after his death. By the end of the sixteenth century, Paracelsus methods had attracted a number of followers, and his methods formed the new basis of standard medical practice. Paracelsus followers became known as the iatrochem-ical physicians. They used a variety of drugs and treatments that depended on specific dosages of medicine prepared with specific purity. His ideas on chemical purity and for-... 

Germany Legislation only after protracted bargaining and compromise regulatory authority divided across a network of key players Qualitative testing methods and communal norms dominate blurred boundary between testing and market Close and individualized observation of patients physicians are the principal authority ("Wer heilt hat Recht")... 

What a superb job Dr. Keefer has done in describing the pharmaceutical industry as the physician knows it today. However, the story would not be complete without discussing the methods of communication between the industry and the physician for here is the mechanism by which benefits of the described system reach the patient—the ill and the disabled. 

The methods of communicating drug information to physicians follow many paths to many areas and are improving daily. A chief concern is the shortage of health manpower necessary to deliver the benefits of new therapy to those in need, but this is a problem of the world of medical care and not the world of drugs. 

Physician s Current Procedural Terminology (CPT) list of medical services and procedures performed by physicians and other providers. Each service and/or procedure is identified by its own unique 5-digit code. CPT has become the health care industry s standard for reporting of physician procedures and services, thereby providing an effective method of nationwide communication. 

Marcet had become knowledgeable in the subject by the same method she used in teaching conversation—conversations with her husband, a London physician and chemist, and friends, Berzelius, Davy, and other notables of the scientific community. In Marcet s book conversations were among a fictitious Mrs. B and her pupils Emily and Caroline. This style was evidently effective because the book went through 16 editions and an estimated l60,000 copies were sold in the United States before 1853.Its influence on Michael Faraday can be read in his own words Mrs. Marcet s Conversations on Chemistry. .. gave me my foundation in that science. ... 

Interventions were simple and low-cost, but aU were based on empirical evidence or sound safety principles, and all targeted communication. To reduce faulty orders, physicians were provided with strong incentives to write their orders according to a standardized method. Nurses and pharmacists were trained to communicate assertively in their interactions with physicians, and they received strong support from the medical leadership for doing so. 

Preparations for cutaneous (or dermal) application may be used for local treatment as well as for transdermal administration with a systemic effect. The chapter focuses on preparations with a local effect and on design of formulation and method of preparation of those prepared in pharmacies. The interaction between skin, active substance and base, the anatomy of the skin and biopharmaceutical aspects of cutaneous preparations are discussed as well as the therapeutic effect of the base. Because of the important role of the pharmacist in prescription assessment some recommendations for the communication with the physician are given. One aspect is how to proceed with a request for the mixing of two licensed medicines or for the addition of an active substance or an excipient to a licensed product. The formulation design is generally following the several phases of the multicomponent preparations. Based on the... 

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