MacWhinney I R
N Engl J Med. 1975 Jul 24;293(4):176-81. doi: 10.1056/NEJM197507242930405.
Family medicine is part of the process by which medicine adjusts itself to the changing needs of society. Family physicians have in common the fact that they obtain fulfillment from personal relations more than from the technical aspects of medicine. Their commitment is to a group of people more than to a body of knowledge. Their experience gives them a distinctive perspective of illness that includes its personal and social context. Medical knowledge includes information, skill and insight. Medical education has tended to emphasize the former: to concentrate on foreground rather than background. In the training of family physicians the education setting and the role of instructors are of crucial importance.
家庭医学是医学适应社会不断变化需求过程的一部分。家庭医生的共同之处在于,他们从人际关系中获得满足感,而非医学的技术层面。他们致力于一群人,而非某一知识体系。他们的经验赋予了他们对疾病独特的视角,其中包括疾病的个人和社会背景。医学知识包括信息、技能和洞察力。医学教育往往强调前者:专注于前景而非背景。在家庭医生的培训中,教育环境和教师的角色至关重要。