Lecture №8 Family medicine and its meaning in system of medical help to population The Term General Practitioner (GP) came into use at about the beginning of the 19th century Before that

Standard documents:

Orders of the Ministry of Health of Ukraine,

Regulations about doctors and nurses of general

practice and/or family medicine, on family out-patient

departments and departments of family doctors at the

polyclinics,

Reference lists of qualifications and other

documents.

• Family physicians in the United States may hold either an M.D. or
• a D.O. degree. Physicians who specialize in family medicine must
• successfully complete an accredited three-year family medicine
• residency in the United States in addition to their medical degree.
• They are then eligible to sit for a board certification examination,
• which is now required by most hospitals and health plans. American
• Board of Family Medicine requires its Diplomates to maintain
• certification through an ongoing process of continuing medical
• education, medical knowledge review, patient care oversight through
• chart audits, practice-based learning through quality improvement
• projects and retaking the board certification examination every 7 to
• 10 years. The American Osteopathic Board of Family Physicians
• requires its Diplomates to maintain certification and undergo the
• process of recertification every 8 years.

• The term "family medicine" is used in many European and Asian countries, instead of "general medicine" or "general practice". In Sweden, certification in family medicine requires five years working with a tutor, after the medical degree. In India, those who want to specialize in family medicine must complete a three-year family medicine residency, after their medical degree (MBBS). They are awarded either a D.N.B. or an M.D. in family medicine. Similar systems exist in other countries.

• Family physicians complete an undergraduate degree,
• medical school, and three more years of specialized
• medical residency training in family medicine. Their
• residency training includes rotations in internal medicine,
• pediatrics, obstetrics-gynecology, psychiatry, and geriatrics.
• The specialty focuses on treating the whole person,
• acknowledging the effects of all outside influences, through
• all stages of life. Family physicians will see anyone with
• any problem, but are experts in common problems. Many
• family physicians deliver babies in addition to taking care
• of patients of all ages.

• Family Medicine (FM) came to be recognized as a medical specialty in India only in the late 1990s. According to the National Health Policy - 2002, there is an acute shortage of specialists in family medicine. As family physicians play very important role in providing affordable and universal health care to people, the Government of India is now promoting the practice of family medicine by introducing post graduate training through DNB (Diplomate National Board) programs.

•