Altman D F
Section for Generalist Physician Programs, Association of American Medical Colleges, Washington, D.C. 20037-1127, USA.
Acad Med. 1995 Dec;70(12):1087-90.
Although there has been growing recognition of the important role of generalist physicians in the United States, there has been insufficient discussion of who the generalists are and how their role is defined. Traditionally, generalists have been defined by their specialty, with physicians in family medicine, general internal medicine, and general pediatrics considered generalists. But this approach may not sufficiently recognize the specific competencies and therefore the specific training required of generalists. A new definition is based on the functional requirements of generalist practice and the central role that generalist physicians will play in comprehensive care. This definition can be used, first, to assure that medical education, both fundamental and continuing, provides generalists with these needed competencies and, second, to judge claims among different categories of physicians that they should be considered generalists.
尽管在美国,人们越来越认识到全科医生的重要作用,但对于谁是全科医生以及如何定义他们的角色,讨论却不够充分。传统上,全科医生是根据其专业来定义的,家庭医学、普通内科和普通儿科的医生被视为全科医生。但这种方法可能无法充分认识到全科医生所需的特定能力,以及因此所需的特定培训。一个新的定义是基于全科医疗实践的功能要求以及全科医生在综合医疗中所起的核心作用。这个定义首先可以用来确保基础医学教育和继续医学教育为全科医生提供这些所需的能力,其次可以用来评判不同类别的医生声称自己应被视为全科医生的说法。