Download Becoming a Family Physician by Marilyn Little (auth.), Marilyn Little PhD, John E. Midtling PDF

By Marilyn Little (auth.), Marilyn Little PhD, John E. Midtling MD (eds.)

Drawing at the services of a nationally famous workforce of family members perform educators affiliated with the collage of California, Drs. Little and Midtling may be able to current many particular examples on assembly the demanding situations of turning into a kinfolk doctor. additionally incorporated are chapters that draw out the variations among inpatient and outpatient carrier, talk about the educating of perform administration, and contact at the influence of experts in ethics and pass cultural verbal exchange on kinfolk perform groups. The concluding chapters research how kinfolk physicians have survived within the "medical community", and think about the way forward for relatives practice.

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Before World War II most outside support 2. Family Practice and Residency Training Programs 21 came from private foundations and philanthropers. To 1940 the Rockefeller Foundation alone contributed $64 million to medical sciences. 1 Following the war, the National Institutes of Health expanded and the federal government became an important source of funding. The total value of federally sponsored medical school-based research increased from $8 million in 1947-1948 to $390 million in 1967-1968. 94) In the 1970s, health manpower funds augmented research funds as the federal government became concerned with the numbers and distribution of primary care practitioners.

1. Training Family Physicians in the 1990s 19 11. : March 1985. , Bureau of Health Professions, 1985 (aDAM report no. 3-85). 12. Steinwachs DM, Weiner JP, Shapiro S, et al: A comparison of the requirements for primary care physicians in HMOs with projections made by the GMENAC. N Engl 1 Med 314(4): 217-222, 1986. 13. Weiner JP, Steinwachs DM, Shapiro S, et al: Assessing a methodology for physician requirement forecasting. Med Care 25(5): 426-436, 1987. 14. Schwartz WB, Sloan FA, Mendelson DN: Why there will be little or no physician surplus between now and the year 2000.

Many students come into medical school with family medicine in mind, but they change to another specialty before graduating. 2o In a review of 12 studies of changes of specialty choice during medical school, Markert 20 found a dramatic decrease in interest in family practice combined with an increased interest in internal medicine. Interest in the other specialties, including pediatrics, obstetrics, psychiatry, and surgery, tended to remain fairly constant. Markert showed that the average decline in choice of family practice from year 1 or 2 of medical school to year 4 or beyond was from 32% to 17%, while choice of internal medicine increased from 19% to 26%.

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