Arya Neil, Gibson Christine, Ponka David, Haq Cynthia, Hansel Stephanie, Dahlman Bruce, Rouleau Katherine
Assistant Clinical Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont, and Adjunct Professor in the Department of Family Medicine at Western University in London, Ont.
Clinical Assistant Professor in the Department of Family Medicine of the Cumming School of Medicine at the University of Calgary in Alberta and Executive Director of the Global Familymed Foundation.
Can Fam Physician. 2017 Jun;63(6):436-441.
To demonstrate how family medicine has been recognized and integrated into primary health care systems in contrasting contexts around the world and to provide an overview of how family physicians are trained and certified.
Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Papers Working Group, which was struck at the 2013 conference, was tasked with developing a series of papers to highlight the key issues, lessons learned, and outcomes emerging from the various activities of the Besrour collaboration. The working group comprised members of various academic departments of family medicine in Canada and abroad who attended the conferences.
An initial search was conducted in PubMed using a family medicine hedge of MeSH terms, text words, and family medicine journals, combined with text words and terms representing low- and middle-income countries and the concept of family medicine training programs. A second search was completed using only family medicine terms in the CAB Direct and World Bank databases. Subsequent PubMed searches were conducted to identify articles about specific conditions or services based on suggestions from the authors of the articles selected from the second search. Additional articles were identified through reference lists of key articles and through Google searches. We then attempted to verify and augment the information through colleagues and partners.
The scope of family medicine and the nature of family medicine training vary considerably worldwide. Challenges include limited capacity, incomplete understanding of roles, and variability of standards and recognition. Opportunities for advancement might include technology, collaboration, changes in pedagogy, flexible training methods, and system-wide support.
展示家庭医学在世界各地不同背景下是如何被认可并融入初级卫生保健系统的，并概述家庭医生的培训和认证方式。
自2012年以来，加拿大家庭医生学院主办了贝斯鲁尔会议，以反思其在推动全球家庭医学学科发展中的作用。2013年会议成立的贝斯鲁尔论文工作组负责撰写一系列论文，以突出贝斯鲁尔合作各项活动中出现的关键问题、经验教训和成果。该工作组由加拿大国内外参加会议的家庭医学各学术部门成员组成。
最初在PubMed中进行检索，使用医学主题词、文本词和家庭医学期刊的家庭医学检索词，再结合代表低收入和中等收入国家的文本词和术语以及家庭医学培训项目的概念。第二次检索仅在CAB Direct和世界银行数据库中使用家庭医学术语完成。随后根据第二次检索所选文章作者的建议，在PubMed中进行检索，以识别关于特定病症或服务的文章。通过关键文章的参考文献列表和谷歌搜索确定了其他文章。然后，我们试图通过同事和合作伙伴核实并补充信息。
家庭医学的范围和家庭医学培训的性质在全球范围内差异很大。挑战包括能力有限、对角色的理解不完整以及标准和认可的差异。发展机会可能包括技术、合作、教学方法的改变、灵活的培训方式以及全系统的支持。
