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
- Difficult Patients
- In My Opinion
The Best of Jail Medicine: An Introduction to Correctional Medicine is available now on Amazon.com (here)