THE FUTURE OF FAMILY MEDICINE RESIDENCY EDUCATION: THE SPECIALTY HAS SPOKEN

Warren P. Newton; Karen B. Mitchell; Michael K. Magill

doi:10.1370/afm.2677

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RE: The Practice is the Curriculum
Maria Shreve

Published on: 11 March 2021
RE: continuity
Neil A. Meade

Published on: 10 March 2021

Published on: (11 March 2021)
Page navigation anchor for RE: The Practice is the Curriculum
RE: The Practice is the Curriculum
Maria Shreve, Family Physician/Physician Advisor, Tenet Health -Detroit Medical Center
I applaud the realization that the Family Physician is the content expert in their field and the learners need not be farmed out to specialty groups for "education". I believe this will mean looking hard at where FM residencies are placed and how institutions schedule residents' time at and away from the FMC. It will hopefully also attract a breed of FM residents and educators who are committed to the specialty as a primary field. Commitment to primary practice, flexibility in learning techniques, population-based practice, and enthusiasm for the communities served will combine into a wonderfully optimistic future for our specialty.

Competing Interests: None declared.
Published on: (10 March 2021)
Page navigation anchor for RE: continuity
RE: continuity
Neil A. Meade, Physician, IHS
After 40 years in family practice--30 in solo private practice and, after a brief hiatus, ten more with IHS, both in one location with one practice--continuity of care is of paramount importance not only for the relationships and trust it builds but for the long-term coordination of care of the FAMILY over multiple generations. Medical home was a cornerstone of my practices before the world came up with the term. I think medical home has always been practiced by primary care physicians even before it became a speciality in a national attempt at legitimization.

My other thought is that I was appalled by the adoption of specialty fellowships by the family practice academy. This to me is antithetical to the term family practice. Where is the continuity over a lifetime, over an entire body of health? If doctors want specialty fellowships they should skip family practice and go into those fellowships. Just my humble opinion.

I also agree the community needs to be a major part of the health of our patients. Too many of my patients came to me from other physicians because the physicians would not treat non-whites or mixed-race couples or LGBTQ patients or patients of different religions. This must be rooted out at the residency level. There is no place for discrimination in family practice.

Competing Interests: None declared.