Family practice: professional identity in transition. A case study of family medicine in Canada

Social Science & Medicine
Marie-Dominique BeaulieuLaurier Boucher

Abstract

With increasingly fewer family physicians in many countries and students less interested in primary care careers, generalists are becoming an endangered species. This situation is a major health care resource management challenge. In a rapidly changing health care environment, family medicine is struggling for a clear identity -- a matter which is crucial to health system restructuring because it affects the roles and functioning of other professions in the system. The objective of our study was to explore representations of roles and responsibilities of family physicians held by future family and specialist physicians and their clinical teachers in four Canadian medical school faculties of medicine, using both focus groups and individual interviews. In addition to family medicine, we targeted residency programs in general psychiatry, radiology and internal medicine -- three areas that interface significantly between primary care and specialized medicine. In each faculty, respondents included the vice-dean of postgraduate studies; the director of each relevant program; educators in the program; residents in each specialty in their last year of training. Findings are centred around three major themes: (1) the definition of famil...Continue Reading

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Citations

Aug 23, 2012·BMC Medical Education·Anna Selva OlidUNKNOWN Universidad y Medicina de Familia Research Group (UNIMEDFAM)
Oct 12, 2013·Teaching and Learning in Medicine·Ian WilsonHelen Young
Dec 1, 2010·Journal of Evaluation in Clinical Practice·Marie-Josée FleuryAlain Lesage
Jan 29, 2010·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Ed BakerCarissa Moffat Miller
Sep 24, 2015·Journal of Health Organization and Management·Ann DadichAnne Smyth
Jul 9, 2011·Depression Research and Treatment·Tamara SussmanIlyan Ferrer
May 15, 2015·Journal of Health Organization and Management·Ann DadichDavid Bennett
Mar 1, 2015·Family Practice·Ghada ElkhawagaAbdel-Hady El-Gilany
Nov 20, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Charo RodríguezPierre-Paul Tellier
Sep 29, 2020·Advances in Health Sciences Education : Theory and Practice·Lawrence Grierson, Meredith Vanstone
Jun 11, 2020·International Journal of Environmental Research and Public Health·Ya-An LiuShinn-Jang Hwang
Apr 12, 2019·International Journal of Integrated Care·Nassera TouatiJean-Louis Denis
Mar 17, 2020·The Journal of Continuing Education in the Health Professions·Linda LeeW Wayne Weston
Dec 24, 2020·Journal of Primary Care & Community Health·Mohammed A AlAteeqYahia M AlKhadli
May 18, 2021·Medical Education Online·Nirmalatiban ParthibanKaren Morgan

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