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Why is a Generalist an Expert? 2017 - Dr Mark Burgin

30/06/17.Dr. Mark Burgin BM BCh (oxon) MRCGP explains how generalist experts use an alternative to the medical model to explain complex cases to the court.

Lawyers who use a generalist expert can feel at a disadvantage when the other side use an eminent specialist but few cases are decided only on the medicine. (1)

Generalists use several techniques including the Biopsychosocial Model (BPSM) to assist the court by translating the language of life into the language of medicine.

The BPSM and the medical model are generally complementary as each has strengths where the other has weaknesses so generalists are almost always necessary.

The medical model struggles with issues such as seeing the patient as a person, minor symptoms, uncertainty, managing risk factors, complexity and social problems.

The BPSM struggles with overwhelming and progressive illness, severe trauma and recognising patterns of rare disease in a haystack of common disease.


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