Family medicine focuses on providing comprehensive and continuous healthcare to patients of all ages, sexes, and diseases within the context of their families. It aims to address physical, psychological, social, and even spiritual factors impacting health. The role of the family physician involves making diagnoses, managing chronic illnesses, building long-term trusting relationships with patients, and working with other professionals to promote community health. The goals of family medicine education are to develop knowledge of common and serious diseases, skills in diagnosis and management especially for primary care settings, and attitudes of addressing the whole patient within their family and social environment.
Family medicine focuses on providing comprehensive and continuous healthcare to patients of all ages, sexes, and diseases within the context of their families. It aims to address physical, psychological, social, and even spiritual factors impacting health. The role of the family physician involves making diagnoses, managing chronic illnesses, building long-term trusting relationships with patients, and working with other professionals to promote community health. The goals of family medicine education are to develop knowledge of common and serious diseases, skills in diagnosis and management especially for primary care settings, and attitudes of addressing the whole patient within their family and social environment.
Family medicine focuses on providing comprehensive and continuous healthcare to patients of all ages, sexes, and diseases within the context of their families. It aims to address physical, psychological, social, and even spiritual factors impacting health. The role of the family physician involves making diagnoses, managing chronic illnesses, building long-term trusting relationships with patients, and working with other professionals to promote community health. The goals of family medicine education are to develop knowledge of common and serious diseases, skills in diagnosis and management especially for primary care settings, and attitudes of addressing the whole patient within their family and social environment.
Family medicine focuses on providing comprehensive and continuous healthcare to patients of all ages, sexes, and diseases within the context of their families. It aims to address physical, psychological, social, and even spiritual factors impacting health. The role of the family physician involves making diagnoses, managing chronic illnesses, building long-term trusting relationships with patients, and working with other professionals to promote community health. The goals of family medicine education are to develop knowledge of common and serious diseases, skills in diagnosis and management especially for primary care settings, and attitudes of addressing the whole patient within their family and social environment.
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FAMILY MEDICINE
(DEFINITION, HISTORY & ROLE)
DR:MAHDI QADI DEPARTMENT OF FAMILY &COMMUNITY MEDICINE KAAU Definition Family medicine is an accumulated body of knowledge dealing with the health, the .state of total well being, of an individual within the family unit
Family practice is a specialty that provides continuous and comprehensive health care – without limitation by age, sex, organ system, or disease entity – in relation to . the family unit
The family physician is the practitioner who implements the principles of the discipline of family medicine in the specialty family practice. He or she may be called counselor, coordinator, advocate, or humanitarian. In his selected areas of competence, the family physician is the physician best qualified to evaluate and manage the health care problems of the individual in the context of family .
The History of Family Practice The Term General Practitioner (G.P) came into use at about the beginning of the 19th century
Before that: * Physicians
* Surgeons * Apothecaries
In the beginning of the 20th century the overhelming majority of all-
.physicians were Gps The History of Family Practice 1908 – 1910 Flexner study and report about the medical schools in USA and Canada --- shift towards specialization and subspecialization --- decrease no. of Gps.
Then the problem of the decreasing number of Gps and its
implications started to be recognized. --- many medical leaders asked for decreasing specialty residences and increasing residencies in general practice. The History of Family Practice In 1947 foundation of the American Academy of General Practice.
First training programme of General Practice in USA
started in 1950.
In England the Royal College of General Practitioner was
founded in1952. And then the vocational training for General Practitioners started. * Dr. Ward Darley, the Executive Director of the American Association of Medical Colleges and previously the Dean of the University of Colorado Medical School and later President of the University of Colorado, spoke out with a strong endorsement of the concepts of the family medicine.
Dr. Darley, who had been practicing internist from 1931 to 1944 prior to his full-time involvement in education, had long been an interested and outspoken person concerning comprehensive medicine.
He early declared that “fragmentation of medicine in specialties
continues to increase fragmentation of patient care”. • In 1961 Dr. Darley wrote, “As both medical knowledge and specialism increases, I believe that the need for a special kind of generalist who will need a special kind of training will more and more emerge…. He must be an astute diagnostician, particularly if he is to recognize and intelligently control the significant beginnings of disease. The management of chronic illness and its rehabilitation will be among his most important activities. His function will be to maintain and promote health as well as prevent disease. One of the fundamental responsibilities of his physician will be to guide his patients through the growing complexities of medical care. He will be keenly aware of the importance of utilizing those community resources having something to offer in the management of his patients. In essence, then, I am proposing a new speciality”. The History of Family Practice In 1962, the World Health Organization Expert Committee on Professional and Technical Education and Medical Auxiliary Personnel met in Geneva to discuss the worldwide shortage of family physicians.
Their report stressed the need to train family doctors to serve as
physicians of first contact with the patient, and concluded that every medical student’s training should include exposure to family practice.
It was felt that all graduates choosing family practice should
experience some from of specially designed postgraduate study. The committee proclaimed the need for more research in the field of family medicine. The History of Family Practice Now interest is high. - More training programs. - More interest among medical students and doctors. - In many programs more applicants than openings. - Societies are pleased عصام عارف يترك الفن نهائيا ً ويعلن توبته...قال :إنه وجد فيه الذل والمهانة
الرياض -تركي بسام :
أكد الفنان سابقا ً عصام عارف تركه الفن نهائياً ،وأنه أوصد الباب نهائيا ً في وجه الفن وأرجع تركه للفن الى تراكمات عديدة بدأت بالتهاب في أذنه الوسطى مروراً بوفاة أمه ثم وفــــــــــــاة الفنانة التونسية ذكــرى.. ROLE A DESCRIPTION OF THE WORK OF THE GENERAL PRACTITIONER: “ The general practitioner is a licensed medical graduate who gives care to individuals irrespective of age, sex, and illness. It is the synthesis of these functions which is unique.
He will attend his patients in his consulting room and in their homes and sometimes in a clinic or a hospital. His aim is to make early diagnosis. He will include and integrate physical, psychological and social factors in his considerations about health and illness.)++SPIRITUAL). العودة إلى هللا أحــــد أسباب الشفاء من األمراض (قصـة ليلى الحلو) ROLE
He will make an initial decision about every problem which is
presented to him as a doctor.
He will undertake the continuing management of his patients
with chronic, current, or terminal illness.
Prolonged contact means that he can use repeated opportunities
to gather information at a pace appropriate to each patient and build up a relationship of trust which he can use professionally. ROLE He will practice in cooperation with other colleagues, medical and non-medical.
He will know how and when to intervene through treatment,
prevention, and education to promote the health of his patients and their families.
He will recognize that he also has a professional responsibility to
the community”.
----------------------------------- From “A system of training for general practice” Published by the Royal College of General Practice 1992. مهام طبيب األسرة .1التعامل مع الفرد في نطاق األسرة مع المامة بطرق الوقاية ومقدرة علـى الـتشخيص والمعالجة . .2تحقيق الصلة مع المريض في نطاق األسرة من كافة النواحي الفيزيائية واالجتماعية والنفسية . .3االلمام بالمشاكل الصحية في المجتمع والقدرة على تحديد االوليات . .4العمل على رفع المستوى اـلصحي للفرد واألسرة والمجتمع . .5السعي لتطوير و تحديث طب األسرة والعمل على تطوير و تحديث معلوماتة ومهاراتة في هذا المجالـ . .6المساهمة مع طبيب المجتمع في تحقيق المهام التالية : ا -تنشيط عمل الفريق الصحي . ب -السعي لتحقيق مشاركة المجتمع والتنسيق بين القطاعات المختلفة ذات العالقة من اجل تخطيط و تنظيم و تقويم البرامج الصحية . ج -اجراء وتشجيع البحوث والدراسات الصحية التطبيقية . د -المشاركة في تدريب العاملين في القطاع الصحي . EDUCATIONAL AIMS 1. Knowledge : (a). That he has sufficient knowledge of disease processes particularly of common diseases, chronic diseases, and those which endanger life or have serious complications or consequences;
(b). That he understands the opportunities, methods, and
limitations of prevention, early diagnosis, and management in the setting of general practice;
(c). His understanding of the way in which interpersonal relationships within
the family can cause health problems or alter their presentation, course and management, just as illness can influence family relationships; EDUCATIONAL AIMS )knowledge(
(d). An understanding of the social and environmental circumstances of his
patients and how they may effect a relationship between health and illness;
(e). His knowledge and appropriate use of the wide range of interventions available to him;
(f). That he understands the ethics of his profession and their importance for the patient;
(g). That he understands the basic method of research as applied to general
practice. EDUCATIONAL AIMS 2. Skills: (a). How to form diagnosis which take account of physical, psychological, and social factors;
(b). That he understands the use of epidemiology and probability
in his everyday work;
(c). Understanding and use of the factor ‘time’ as a diagnostic,
therapeutic, and organizational tool; EDUCATIONAL AIMS )Skills(
(d). That he can identify persons at risk and take appropriate action;
(e). That he can make relevant initial decisions about every problem presented to him as a doctor;
(f). The capacity to co-operate with medical and non-medical professionals;
(g). Knowledge and appropriate use of the skills of practice management.
EDUCATIONAL AIMS 3. Attitudes: (a). A capacity for empathy and for forming a specific and effective relationship with patients and for developing a degree of self-understanding;
(b). How is recognition of the patient as a unique individual
modifies the ways in which he elicits information and makes hypotheses about the nature of his problems and their management;
(c). That he understands that helping patients to solve their own
problems is a fundamental therapeutic activity; EDUCATIONAL AIMS )Attitudes(
(d). That he recognizes that he can make a professional
contribution to the wider community;
(e). That he is willing and able critically to evaluate his own work;
(f).That he recognizes his own need for continuing education and
