Professional Documents
Culture Documents
J III MD
?
What happened to general practice?
1950
number of generalists
()
Loss of role as center of health system
1960
Medical education changed in the 1960s
Emphasis on technology
Pressure
to expand number of students but no requirement to create the right mix of specialties
?
Why family medicine?
(
Specialism caused fragmented care
Political
pressure from elected officials toward medical schools to respond to community
needs
Essential organizational components
Directors
()
An organization of academics
VS
General practice
vs.
family medicine
No organized training
Hospital based
Community based
Curative only
No
six years
Emphasis on individual
Includes preventive
6 Certification every
Family Medicine was successful
2700
1132
113
85,000
nationwide.
3
3rd Largest Physician Professional Organization.
2009
Practicing US Family Physicians 2009
22%70%
70% metropolitan
64%
50%
2008
2008
?
Where do family doctors work?
1:
Where do family doctors see patients each week:
:
Patients seen in the office
8.1
:
Patients seen in nursing home
:
House calls
0.6
2.4
84.9
Profile of activities of family doctors
Family doctors and obstetrics
Most common diagnostic groups
Top 25
Top 25 diagnoses
Procedures done in office
21
In the 21st Century
50
The factors that created family medicine 50 years ago still persist
Fragmentation of care, need for a guide in
the labyrinth of modern medicine, a personal physician who is trustworthy
The cost of care has risen dramatically while the quality of care has not
1
Number of positions filled with US
graduates
:
Challenges: education
Cost of medical
school is rising
Patient
Students more interested in technology than people
()
The ubiquitous society (everyone is linked all the time)
:
Challenges: patient care
(
:
Challenges: society
US population is aging
Disparities based on race, socioeconomic status and location
continues to rise
Causes for optimism :
The rest of the world understands the need for well trained
family doctors.
Governments have to live within their budgets
After a point, more money does not produce better care, just more costs.