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- Re:Re:Where is family medicine heading?Show More
This is a longstanding discussion between the many forms family medicine can take where I come from. I have seen all types of reactions from people working only in a office setup telling residents they should not undertake a "specialized practice" in emergency medicine to the opposite inside the emergency room where some colleagues try to discourage residents from going to a more hospital or office set-up.
I do...
Competing Interests: None declared. - Re:Where is family medicine heading?Show More
December 29, 2015 Letter to the Editor Canadian Family Physician Re; Where is Family Medicine Heading? Editorial Canadian Family Physician December 2015 vol. 61 no. 12 1029
Roger Ladouceur says in conclusion to his Editorial; "It's time we gave this some thought" with respect to his observation; "The more time passes, the more family medicine seems to erode. Where we once had family physicians, increasingly, we...
Competing Interests: None declared. - Is Family Medicine ready to look where its heading?Show More
Dr. Ladouceur is to be commended for opening the door to hard questions for Family Medicine as a discipline. To zero in on Certificates of Special Competence as a part of the problem, however, risks overlooking evidence of a more worrisome problem.
Why are new grads restricting or focusing their practices? Outside of those working only Emergency Medicine (which has been an issue for at least 20 years), there can...
Competing Interests: None declared. - The joys of home visitingShow More
Some of the best memories of my 40 years in practice are of housecalls. I think what makes them stand out was the opportunity to connect more deeply to my patients' lives and to get to know them more fully. I usually came away from a home visit feeling it had made a difference to the patient even if I could offer no cure or even change the course of their disease. There is almost always something we can offer to relieve...
Competing Interests: None declared. - What's happen to responsibility and professionalism in family medicine ?Show More
I am grateful to Dr. Ladouceur for bringing up the question in his December editorial "Where is family medicine heading?"
It is a question I have been asking for 26 years. In 1989 Woodstock ON (an ideal trad. GP/FP location) was struggling to recruit traditional GP/FPs. A survey of FM residents in Ontario at that time indicated that only 50% intended to be trad. GP/FPs.
To provide support to Dr. Lado...
Competing Interests: None declared. - Where is family medicine heading?Show More
Thank you Dr. Ladouceur for pointing out the elephant in the room.
Hopefully, this editorial will stimulate an active and productive discussion within the discipline of family medicine and the College of Family Physicians of Canada.
Family medicine has been coasting on a reputation based on principles (see Dr. Michael Kidd's Ian McWhinney Lecture in the same issue of CFP) and practices that have been losin...
Competing Interests: None declared.