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Article CommentaryCommentary

The gentle radical

Ten reflections on Ian McWhinney, generalism, and family medicine today

Curtis Handford and Brian Hennen
Canadian Family Physician January 2014; 60 (1) 20-23;
Curtis Handford
Works in the Department of Family and Community Medicine at St Michael’s Hospital in Toronto, Ont, and is Assistant Professor in the Department of Family and Community Medicine at the University of Toronto.
MD CCFP MHSc
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  • For correspondence: curtis.handford@utoronto.ca
Brian Hennen
MD CCFP FCFP
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  • Reflections on Ian McWhinney
    Chris Hall
    Published on: 03 February 2014
  • Published on: (3 February 2014)
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    Reflections on Ian McWhinney
    • Chris Hall, MDCM, CCFP, FCFP

    The reflections on Ian McWhinney in the January issue of CFP were wonderful reading. As a resident in family medicine in 1973 I was exposed to his teachings, philosophies and leadership in the UWO program. Only after 40 years do I fully appreciate how fortunate I was to have had that practice shaping opportunity.

    Chris Hall MDCM, CCFP, FCFP Oshawa

    Conflict of Interest:

    ...
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    The reflections on Ian McWhinney in the January issue of CFP were wonderful reading. As a resident in family medicine in 1973 I was exposed to his teachings, philosophies and leadership in the UWO program. Only after 40 years do I fully appreciate how fortunate I was to have had that practice shaping opportunity.

    Chris Hall MDCM, CCFP, FCFP Oshawa

    Conflict of Interest:

    None declared

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    Competing Interests: None declared.
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Canadian Family Physician: 60 (1)
Canadian Family Physician
Vol. 60, Issue 1
1 Jan 2014
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The gentle radical
Curtis Handford, Brian Hennen
Canadian Family Physician Jan 2014, 60 (1) 20-23;

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Curtis Handford, Brian Hennen
Canadian Family Physician Jan 2014, 60 (1) 20-23;
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Jump to section

  • Article
    • Generalism is a distinctive clinical method
    • In Canada, family practice is the epitome of generalist clinical practice
    • Generalism has a scientific basis
    • Generalists are often diagnosticians, sometimes curers, but always healers
    • Society increasingly expects specialist attention, perhaps at their peril
    • Demands on generalists are constantly shifting
    • Generalists face challenges, including from within family medicine
    • Generalist skill needs to be modeled for learners to engage
    • Family physicians require particular learning to be effective generalists
    • Family physicians are expert clinicians, not specialists
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