489 focus of learning. If continuity is threatened, residency education needs radical
restructuring to avoid a persistent drift to a more circumscribed scope of practice in health …

Every Quebecer wants his or her own family doctor, yet family medicine residents
completing their training are shunning doctors' offices. Is the way in which continuity of care …

If the ultimate purpose of medical education—to meet the health needs of society—is to be
achieved, the primary goal of undergraduate medical education should be to produce …

After 3 decades in private practice, I joined the faculty of a nearby residency program. Like
most family medicine residencies, it follows a curriculum that my physician father would have …

T he management of patients with chronic illnesses is widely regarded to be a major
weakness of 20th century primary care, perhaps its most glaring deficiency. 1, 2 We have …

Continuity of care between a patient and a physician is a core aspiration. However, we
rarely achieve it in residency training, 1–4 even though benefits of care continuity accrue in …

Premise 3: if the current situation does not change, it will prevent family medicine from
maturing as an academic discipline. If what we do in departments of family medicine can be …

The need for primary care providers is greater than ever. Unfortunately, continuity clinics,
where most residents learn to be primary care doctors, leave many residents less likely to …

Irecall the story of a patient from a war-ravaged Balkan country who presented her
posttraumatic stress through somatic symptoms. Whenever she was seen by other …

(IOM) to be a critical element of primary care. This sustained partnership is commonly called
continuity of care. It is a cornerstone for realizing other aspects of primary care, as defined by …