Penny Cavenagh & Sam Leinster 
Changing Roles of Doctors 

This fascinating new book describes the evolution of the medical profession and howthe role of the doctor and expectations of that role have changed over time. It critically examines developments in the light of both external influences such as theageing population, patient attitudes and knowledge and government regulation, andinternal changes such as the increasing knowledge base, advances in technology andchanges in recruitment. Challenges in management, working environment, educationand training are considered and practical recommendations for both practising andstudent doctors are offered. The holistic approach is supported with contributions from both primary andsecondary care practitioners together with academics and educationalists. It ishighly recommended for doctors and medical students seeking new strategies forunderstanding and managing change. Sociologists and policy makers, too, will findthe wide-ranging perspectives enlightening. ‘The profession of medicine is changing, more rapidly perhaps than manydoctors think. Whether it relates to the professional power base or the changingdemographics of the profession itself, both topics are discussed in this book. The topicsare thought-provoking as they should be, but all come back asking what doctors arefor. This remains a key issue and one that requires discussion and debate.’Sir Kenneth Calman, in the Foreword