家庭医学的身份认同：在专科文化中成为通才？
Family medicine's identity: being generalists in a specialist culture?
作者信息
Stein Howard F
机构信息
Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Okla 73104, USA.
出版信息
Ann Fam Med. 2006 Sep-Oct;4(5):455-9. doi: 10.1370/afm.556.
Family medicine has been in conflict about whether it is a specialty or a generalist discipline. Although for a time the family was offered as a solution to family medicine being marginalized in biomedicine, a more biomedical focus prevailed. As a result, the practice of family medicine came more to resemble the world of biomedicine despite an insistence on the discipline's distinctiveness. Ways to avoid identity pitfalls in the future might be to seek solutions that do not promise to solve our identity problem once and for all, to refrain from adopting generalized slogans that do not encourage critical thinking, to practice what we preach, to accept that specialization is part of the American cultural ethos, and to embrace reflective practice.
家庭医学在其究竟是一门专科还是一门全科医学学科的问题上一直存在争议。尽管有一段时间，以家庭为导向被视为解决家庭医学在生物医学中被边缘化问题的一种方案，但更偏向生物医学的关注点占了上风。结果，尽管家庭医学坚持自身的独特性，但其实践却越来越类似于生物医学领域。未来避免身份困境的方法可能包括寻求那些不会承诺一劳永逸地解决我们身份问题的解决方案，避免采用那些不鼓励批判性思维的笼统口号，言行一致，接受专科化是美国文化精神的一部分，并采用反思性实践。
Zotero 插件