Goh Lee Gan, Ong Chooi Peng
Division of Family Medicine, National University Health System, NUHS Tower Block, 1E Kent Ridge Road, Level 9, Singapore 119228.
Singapore Med J. 2014 Mar;55(3):117-23. doi: 10.11622/smedj.2014031.
This review provides an update of education and training in family medicine in Singapore and worldwide. Family medicine has progressed much since 1969 when it was recognised as the 20th medical discipline in the United States. Three salient changes in the local healthcare landscape have been noted over time, which are of defining relevance to family medicine in Singapore, namely the rise of noncommunicable chronic diseases, the care needs of an expanding elderly population, and the care of a larger projected population in 2030. The change in the vision of family medicine into the future refers to a new paradigm of one discipline in many settings, and not limited to the community. Family medicine needs to provide a patient-centred medical home, and the discipline's education and training need to be realigned. The near-term training objectives are to address the service, training and research needs of a changing and challenging healthcare landscape.
本综述介绍了新加坡及全球家庭医学教育与培训的最新情况。自1969年家庭医学在美国被确认为第20个医学学科以来，该领域已取得了很大进展。随着时间的推移，本地医疗领域出现了三个显著变化，这些变化对新加坡的家庭医学具有决定性意义，即非传染性慢性病的增加、老年人口不断增长的护理需求以及预计到2030年人口数量的增加。家庭医学未来愿景的转变意味着在多种环境下形成一种新的学科范式，而不仅限于社区。家庭医学需要提供以患者为中心的医疗之家，并且该学科的教育与培训需要重新调整。近期的培训目标是满足不断变化且具有挑战性的医疗领域的服务、培训和研究需求。
