Those of us who have practiced medicine in jails and prisons (correctional medicine) know this is a great job! We often see patients who have never had easy access to medical care. As a result, we get to diagnose and treat a larger variety of medical diseases than most medical professionals. We get to see the striking improvements our patients make due to our interventions. Since correctional medicine is largely free from traditional government/private insurance, we are freed from ICD-9 codes, diagnostic-related-groups (DRGs), and billing. We work with a disadvantaged and underserved population that appreciates our efforts and are grateful to have us. Our work is emotionally rewarding!
But it is also true that correctional medicine is different in important ways from medical practice “on the outside.” For example, we cannot fire our patients and they cannot fire us. Because of this, we must learn “verbal jiujitsu” skills to effectively communicate without animosity. We also must be scrupulously fair with our patients in a way that simply does not happen on the outside. And, of course, we must practice in a loud, hectic concrete and plexiglass building with TSA style security checks. These differences can be enough to overwhelm some medical newcomers with sensory overload.
The Best of Jail Medicine: An Introduction to Correctional Medicine consists of 47 articles from the popular Jail Medicine blog that discuss must-know aspects of practicing medicine in a jail or prison. Each section contains several articles highlighting a different essential aspect of correctional medicine.
Why Correctional Medicine is a Great Job
Communication with Incarcerated Patients
Unique Operations in Jails and Prisons
Comfort Items: The Special Problem of Correctional Medicine
Treating Withdrawal—Every Time
Issues of Medical Care in Jails and Prisons
In My Opinion
The Best of Jail Medicine: An Introduction to Correctional Medicine is available now on Amazon.com (here)
If you’ve ever gone looking for books, articles, or–well anything! written about correctional medicine, you will quickly notice that there really isn’t very much out there. The specialty of correctional medicine is in its infancy. You can count the number of published books about the subject on less than two hands.
So a day in which a new book about correctional medicine is published is always a good day. And if by chance that book also happens to be well written and truly useful, well, that’s a true bonus and time for celebration.
Lorry Schoenly has written such a book that I recommend for all of us who practice in jails and prisons. This is a book that has universal applicability, whether you are a nurse, a practitioner, a mental health provider or an administrator. The name of the book is Correctional Health Care Patient Safety Handbook. You should read this book!Continue reading →
Everyone who has worked in corrections for any length of time accumulates a litany of anecdotes about the funny and crazy things that go on. These tend to get passed around whenever correctional personnel get together at parties or conferences. Invariably, someone eventually says, “You know, someone should write these stories down.” Well, finally someone has.
Dr. William Wright has published a sparkling and humorous memoir of his time working in a county jail entitled “Jailhouse Doc.” This book is well worth reading. In fact, it is almost a “must read” for those of us who work in correctional medicine. Not only is it the only book I am aware of about jail medicine, it is well written, funny and informative.Continue reading →
I was hoping I could pick your brain (and those of your readers) for ideas regarding Outcome studies.
We are an NCCHC accredited facility with a population of less than 500 inmates. We are required as part of our accreditation to complete 1 Outcome and 1 Process study annually. Outcome studies are more patient specific and Process studies are more global, referring to the process by which we deliver care.
I don’t usually have problems developing Process Studies, but always seem to get stuck on the Outcome studies. I am wondering if you or your viewers might share any suggestions on topics for Outcome studies or comment on topics they have studied in the past.
Quick! Name a book that describes the experience of being a medical professional in a jail or prison! . . . Can’t do it, can you? There are lots of books that talk about the life of a lawyer or a doctor in general. There are books about prison inmates and even correctional officers. But, to my knowledge, no one has ever written a book describing the experience of working as a physician in a jail or prison. Maximum Insecurity: A Doctor in the Supermax fills that void. This is a wonderful book, written by Dr. William Wright, about his experiences providing medical care to inmates in the Colorado State Penitentiary maximum-security prison. And not only is this the first memoir I am aware of written about correctional medicine, Maximum Insecurity is also a gem–funny, informative and engrossing.Continue reading →