Pantoja Tomás
Programa de Medicina Familiar y Comunitaria, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 2003 Mar;131(3):338-42.
Over the last fifty years, Family Medicine has became not only an important part of many health systems around the world but also an established academic discipline. However, in the Iberoamerican context its development has been slow and with a number of difficulties. After a decade of work at the Family and Community Medicine Programme of the Catholic University of Chile, the role of Family medicine as an academic discipline requires a reflection. A definition of Family Medicine is advanced in line with a recent proposal of WONCA Europe including some fundamental aspects in the practice of any family doctor. A set of criteria for considering a medical subject as a discipline is analyzed and discussed with reference to Family Medicine. A unique field of action, an established body of knowledge, a set of analytical techniques, an specific area of research, its own philosophy, and a training which is intellectually rigorous, are all criteria that Family Medicine fulfills. Family Medicine is a medical discipline with a clear definition and it can be considered an academic discipline. Therefore, it is possible to establish an academic department within a Faculty of Medicine in Chile, which will contribute to a more balanced and complete medical education in the country.
在过去的五十年里,家庭医学不仅已成为全球许多卫生系统的重要组成部分,而且已成为一门既定的学科。然而,在伊比利亚美洲地区,其发展一直较为缓慢且面临诸多困难。在智利天主教大学家庭与社区医学项目工作了十年之后,家庭医学作为一门学科的作用需要反思。本文根据世界家庭医生组织欧洲分会最近的一项提议,提出了家庭医学的定义,其中包括任何家庭医生在实践中的一些基本方面。参照家庭医学分析并讨论了将一门医学科目视为一门学科的一套标准。一个独特的行动领域、一套既定的知识体系、一套分析技术、一个特定的研究领域、其自身的理念以及严格的智力训练,这些都是家庭医学所具备的标准。家庭医学是一门有明确界定的医学学科,可被视为一门学科。因此,有可能在智利的医学院内设立一个学术部门,这将有助于该国的医学教育更加平衡和完整。