Family Medicine

Family Medicine
Author: J. L. Buckingham
Publisher: Springer Science & Business Media
Total Pages: 1399
Release: 2013-06-29
Genre: Medical
ISBN: 1475739990

JOHN S. MILLIS In 1966 the Citizens Commission on Graduate Medical Education observed that the explosive growth in biomedical science and the consequent increase in medical skill and technology of the twentieth century had made it possible for physicians to respond to the episodes of illness of patients with an ever-increasing effectiveness, but that the increase in knowledge and technology had forced most physicians to concentrate upon a disease entity, an organ or organ system, or a particular mode of diagnosis or therapy. As a result there had been a growing lack of continuing and comprehensive patient care. The Commission expressed the opinion that "Now, in order to bring medicine's enhanced diagnostic and therapeutic powers fully to the benefit of society, it is necessary to have many physicians who can put medicine together again. "! The Commission proceeded to recommend the education and training of sub stantial numbers of Primary Physicians who would, by assuming primary responsi bility for the patient's welfare in sickness and in health, provide continuing and comprehensive health care to the citizens of the United States. In 1978 it is clear that the recommendation has been accepted by the public, the medical profession, and medical education. There has been a vigorous response in the development of family medicine and in the fields of internal medicine, pediatrics, and obstetrics. One is particularly impressed by the wide acceptance on the part of medical students of the concept of the primary physician. Dr. John S.

Family Medicine

Family Medicine
Author: Michael Livingston
Publisher: Richmond, B.C. : ORC Enterprises
Total Pages: 228
Release: 1980
Genre: Biography & Autobiography
ISBN:

The New Pediatrics

The New Pediatrics
Author: Dorothy Pawluch
Publisher: Routledge
Total Pages: 270
Release: 2017-07-05
Genre: Medical
ISBN: 1351478532

When antibiotics became readily available in the 1950s, the danger of life-threatening infectious childhood diseases virtually disappeared. In that era, pediatricians broadened the core professional task of their specialty--the prevention and treatment of such diseases--to incorporate the behavioral and psychosocial problems of children and adolescents. Pediatricians themselves began to refer to this changing emphasis as the "new pediatrics," and to see the trend as a natural progression of their specialty into new areas of care. At the same time there arose widespread disaffection among practicing general pediatricians, defection to other areas of practice, and a decline in the popularity of pediatrics as a specialty choice.In analyzing the emergence of the new pediatrics as a case study within medical sociology, Pawluch shows how professional concerns and interests infl uence debate around social problems. As sociologists began to take greater interest in the problems of childhood, and as children's lives became increasingly medicalized--as some have argued--it is at least in part because of pediatricians' willingness to endorse medical defi nitions for certain social problems and to provide treatment for them.Pawluch's underlying concern is that medical professionals have begun to make claims for authority in the definition of what constitutes the social problems of childhood. Among the topics she examines are the "dissatisfied pediatrician syndrome," the potential for a crisis in oversupply of pediatricians and competing providers of services, the push for expansion into new areas of care, and possible future developments in this specialty.

Searching for the Family Doctor

Searching for the Family Doctor
Author: Timothy J. Hoff
Publisher: JHU Press
Total Pages: 287
Release: 2022-03-01
Genre: Medical
ISBN: 1421443015

With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.

Bulletin of the History of Medicine

Bulletin of the History of Medicine
Author:
Publisher:
Total Pages: 378
Release: 1983
Genre: Electronic journals
ISBN:

Vols. for 1939- include the Transactions of the 15th- annual meetings of the American Association of the History of Medicine, 1939-