Gerber W G, Massad R J
West J Med. 1977 Nov;127(5):426-32.
Programs to train physicians more effectively for careers in primary care are being organized within academic departments in internal medicine and pediatrics, while the number of training programs in family practice continues to grow rapidly. However, the field of primary care training is expanding without a common vocabulary and with inadequate communication between the specialties involved. If decisions concerning health care policy are to be made rationally, the development of multiple distinct models for primary health care delivery must be encouraged and these models must then be evaluated. The distinction between family practice and family medicine must be made clear if the latter discipline is to realize its potential application to all specialties. The relative exclusion of family practice from universities and the absence of experienced practitioners in university primary care programs are conditions that threaten the future of both types of programs and deserve thoughtful attention from medical educators.
在内科和儿科的学术部门内，正在组织各种项目，以便更有效地培养从事初级保健工作的医生，而家庭医学培训项目的数量也在持续快速增长。然而，初级保健培训领域在不断扩大，却没有统一的词汇，且相关专业之间的沟通也不足。如果要合理地做出有关医疗保健政策的决策，就必须鼓励发展多种不同的初级卫生保健服务模式，然后对这些模式进行评估。如果家庭医学这一学科要实现其对所有专业的潜在应用，就必须明确家庭医学与家庭医疗的区别。家庭医疗相对被排除在大学之外，以及大学初级保健项目中缺乏有经验的从业者，这些情况威胁到这两类项目的未来，值得医学教育工作者深思。
