Definition of Family Medicine General practice Family Medicine

Definition of Family Medicine General practice / Family Medicine is an academic and scientific discipline, has its own educational content, research, evidence base and clinical activity, and a clinical specialty orientated to primary care.

Characteristics of the discipline of GP/FM First medical contact within the health care system dealing with all health problems regardless of the age, sex, or any other characteristic of the patient Co-ordinate care, working with other n professionals in the primary health care n

Characteristics of the discipline of GP/FM Develops a person-centered approach, n orientated to the individual, his/her family, and their community. Has a unique consultation process, which n establishes a relationship over time, through effective communication between doctor and patient

Characteristics of the discipline of GP/FM Is responsible for the provision of n longitudinal continuity of care as determined by the needs of the patient. Has a specific decision making process n determined by the prevalence and incidence of illness in the community.

Characteristics of the discipline of GP/FM Manages simultaneously both acute and chronic health problems of individual patients. n Manages illness which presents in an n undifferentiated way at an early stage in its development, which may require urgent intervention.

Characteristics of the discipline of GP/FM Promotes health and well being both by appropriate and effective intervention. n Deals with health problems in their physical, psychological, social, cultural and existential dimensions. n

The Core Competencies of the General Practitioner 1. Primary care management n 2. Person-centered care n 3. Specific problem solving skills n 4. Comprehensive 1. approach n 5. Community orientation n 6. Holistic approach n

The WONCA 1991 statement includes the following Comprehensive care n Orientation to the patient n Family focus n Doctor/patient relationship n Co-ordination with other services n Advocacy n Accessibility and resource management n

Drug Doctor Balint et al to coin the term “the drug doctor”. Using the consultation interaction as a therapeutic tool must be regarded as a key feature of general practice and must be part of its training. n