History and Growth of Family Medicine.pptx

This is a presentation that goes over the timelines of historical epoch and figures that changed the trends and development of the Family Medicine specialty across the world and Nigeria.

1. History and Growth of Family Medicine PRESENTED BY DR AJEDE JEFFREY O.

2. OUTLINE INTRODUCTION HISTORY GROWTH CONCLUSION REFERENCES

3. INTRODUCTION What is Family Medicine? A medical specialty that provides, coordinated, comprehensive and continuing care. Integrates the biological, behavioral and clinical sciences. Encompasses all ages, sizes, organ systems and disease entities. (American Academy of Family Physicians /AAFP) - 1993

4. It is concerned with a holistic approach to patient care. The individual is seen and treated in his or her totality and in the context of his family, community and culture. Other names: General practice(coined in the 1900s), Primary Care Emphasizes family as a sociological support unit for the individual. Also the influence of the family in the cause and effects of health and diseases in the individual.

5. HISTORY Family Medicine has been of the natural history of medical practice. For centuries, medical care was provided by healers and generalists. 17 th and 18 th Centuries Relatively few physicians available for the general population. Most practised in different settings: -Traveling from place to place -In urban centres where the served the middle class. -As personal attendants to the wealthy and aristocrats.

6. 20 th Century Limits on what they could do increased with growing knowledge and technology. Conied as general practice in the 1900s, Majority of medical graduates in America chose a career at the time, where they became skilled in maternal and child care as well as surgery.

7. In the Era around the World War 2, specialization became the trend. By the 1960s, there were more hands going into specialization This raised a public concern on the fragmentation of patient care. “57 specialists to diagnose and treat 57 diseases but none to treat the patient” Thus a re-orientation of medical care was done to emphasize personal and primary care. Hence, the grounds for the rebirth of general practice and establishment of family medicine.

8. Reports released in the 1960s that gave the grounds include: The Folsom report: “…every American should have a personal physician to ensure integration and continuity of all medical services. The Millis report; focused on graduate medical education, to make family medicine a board specialty. Dr Millis was known as the grandfather of family practice. The Willard report; recommended residency training program and specified for a board to manage certification. In 1969, the American Board of Family Practice was established as the 20 th American Specialty.

9. Many other countries have gone on to establish Family Medicine as a speciality with overseeing boards Royal College of General Practioners (RCGP-UK)-1972 Royal Australian College of General Practitioners(RACGP) Royal New Zealand College of General Practioners (RNZCGP) The World Organization of National Colleges and Academies of General Practice/Family Medicine.(WONCA).-1972 National Postgraduate Medical College of Nigeria(NPMCN)-1980s

10. GROWTH There has been continued development of the Family Medicine Specialty. The 62 nd World Health Assembly resolution of May 2009, indicated that “…member nations are to intensify the training of family physicians as means to improving primary health care and helping achieve the Millennium Development Goals…” Between 1995 and 2015, the number of countries with family medicine training, increased from 56 to 132

11. CONCLUSION Family Medicine is a unique medical specialty. Birthed as a Phoenix out of the ashes of generalist care. To provide, personal, primary, coordinated, comprehensive and continuing care. It has grown to have global and local impacts and relevance.

12. REFERENCES Haq C, Ventres W, Hunt V, Mull D, Thompson R, Rivo M, Johnson P. (1995). Where there is no family doctor: the development of family practice around the world. Acad Med. 1995;70(5):370-380. Mc Whinney A Textbook on Family Medicine 3 rd Edition Oxford New York, 2009. https://www.aafpins.com/2013/03/the-history-and-evolution-of-family-medicine/