Does Family Medicine Have A Future? Part Iv

Don't prescribe the solution until you understand the problem.

As I noted in my last post, Family Medicine is in deep trouble in Canada. Though more medical students are choosing careers in Family Medicine than was the case a decade ago, the musim is heading back downwards. Worse still, pembinaan in Family Medicine does not necessarily mean a student will end up as a full-service Family Doctor. Some 30% (if not more) graduating residents either speak only for myself, but it's time to acknowledge that the "ideal" of comprehensive Family Medicine and the (romantic) Patient's Medical Home belies the complexity and intensity of modern medicine. There aren't enough hours in the day for doctors to be caring medical experts on the one hand, and team-based, prevention-focused, data-driven, guideline-obedient drones on the other. That policymakers see no masalah in Nurse Practitioners assuming much of the workload would seem to reinforce that notion.

The idea of the "perfect" Family Doctor is just that - an idea. It's words on the page composed by a committee, not a living, sentient medical professional. It's long past time to examine the intense realities of the job, listen to the people toiling away in the job, acknowledge the rationale of those rejecting the job, and act.

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Ditulis Unknown — Sunday, May 21, 2017 — Add Comment — accountability, burnout, capacity, College of Physicians, doctors, Family Medicine, health care, health policy, leadership, medical education, politics, professionalism, residency