Family Medicine World
Comments
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

 
$
%
123
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBP
1
GeneralEducationInstitutionRecognition by Health System Health System
Health Systems Performance
Measures of Performance (Mortality, Life Expectancy, Access to Care etc.)
2
Post GradMastersCertificateUndergradWebsitesPrimary Care Health Team
3
RegionCountryEditorContributorsYear EstablishedTrainees AnnualTotal # TraineesLength TrainingScope Training Months DisciplineYesYear EstablishedTrainees AnnualTotal # TraineesLength TrainingScope TrainingParametersCourses Primary CareFamily Medicine TeachersNumber per yearLengthCollege of Family PhysiciansReCertificationCMEFamily Medicine SocietySystems SupportCompensationTeaching and Administrative RolesTypes PractitionersTotal Numbers Primary CareMDs Primary Care proportion% MD primary care FDOther Primary Care providersHow structuredFD Role Gatekeeper G Manager MComprehensive ContinuityUniversal (U) Public (Pub) Private (Pri) Mixed (M)MD Pt RatioFD Pt RatioTerminology FD% primary care FD population coveredOther Prim Care and RoleCommunity MedicinePlan Rural UnderservedHealth National Regional Local Control Responsibility FundingPer capita Income or GDPGini % Governmental Spending Health Care or of GDPLife ExpectancyInfant Child MortalityAccess Care Immunization etcFertility Age under 18
4
5
North America
6
Canada60smore Universal
7
US60s
8
9
10
Latin AmericaSofia Cuba
11
BrazilY
12
ArgentinaYY Atencion primaria de la salud
13
PeruY198970-90 down to 2 in 2001 back to 70 in 200760021 programs Master’s Maestría en Medicina Familiar y Atención Primaria de Salud at the Universidad Peruana Cayetano Heredia (UPCH)4/21 universitiesmore community medicinemixed health system with multiple insurers and providers and 20% of the population remain without coveragefew specific jobs for family medicine specialists and trainees are much more interested in other residencies
14
Ecuador
15
ChileNicolas BarticevicY till recently Catholic University of Chile has been adult and child streams Spanish modelCatholic University in UCL several Master’sdistance Diploma programmes . These are at Catholic University, Concepcion, Valparaiso and Frontera320 hours comprised of forty hour courses including one in classYscientific associations of FMFM Associations reps in influential positions advisors health policies/ systems
16
Uruguay1997 Ministry created 2006-7 residencyUniversidad de la Republica scientific associations of FMFM Associations reps in influential positions advisors health policies/ systems
17
BoliviaMinistry of Health, social services and hospitals400Y
M public health system, managing a team which cares for a population between 2500 to 10000
18
Venezuelasimilar COPCearly 80s
19
ColombiaY 6 institutions200scientific associations of FM community and family model of health delivery with Family Doctors included in the basic teams
20
Paraguay1981 4-5 residents per year 1998 four schools a couple accepting 20 per year240Yscientific associations of FM Society since 1990FM Associations reps in influential positions advisors health policies/ systems
21
22
Central America Caribbean
23
Costa RicaYscientific associations of FMFM Associations reps in influential positions advisors health policies/ systems community and family model of health delivery with Family Doctors included in the basic teams
24
El SalvadorMinistry of Health institution, Dr. Jose Antonio Saldaña National Hospital, in San Salvador in academic collaboration with the University of El Salvador (UES) National Hospital ? closed now Instituto Salvadoreño del Seguro Social (ISSS) Amatepec Hospital in San Salvador, the Social Security Hospital of Sonsonate; 1980smodels from primarily Argentina, Cuba, Canada and Spain but also the United States and England influenced by the US (market-based) and Cuba (Latin American social medicine based on “social determination” and revolutionary theory)320 hours at the Dr. “José Matías Delgado” Universitylittle done... some UESAMEFAES (Association of Family Physicians of El Salvador) began in 2011poorly understood in El Salvador. Some see family physicians as general practitioners with three more years of studies, others as mini-internists but most don’t know who they are or what they do and some may be dealt with as such. Thus while some are lucky enough to be engaged by the ISSS as a GP, or as an internist by the Ministry of Health
25
Mexico
26
Cuba la Sociedad Cubana de Medicina Familiar (SOCUMEFA) con la Medicina Familiar y la Atención Primaria de Salud (APS) each person has their own family doctor and primary care nurse team and 36,000 family doctors in 3000 clinics provide 100% coverage of the population of 11 million people including rural areas and making housecalls.500 such polyclinics exist each dealing with 30-60,000 people, 20-40 family doctor and nurse officesfamily medicine training is almost compulsory with 97% of medical graduates spending an internship year and two residency years in training in family practice, before being eligible to apply for another residency.U Pub
27
West Indiespublic health oriented diploma and Master’s programmes (in Jamaica for instanceTrinidad and Tobago Postgraduate Diploma in Primary Care and Family Medicine
28
Guyanain collaboration Ottawa2016
29
30
Nicaragua community and family model of health delivery with Family Doctors included in the basic teams
31
Panama
32
WesternEurope
before 60s3 yearshalf of which is GP based and half hospital, using an e portfolio to log everything with a dedicated educational supervisor.Universal
33
Great Britainhttp://www.rcgp.org.uk/ NHS and PrivateM but strong Pub
34
FranceCollège National des Généralistes Enseignants 1983http://www.cnge.fr/
35
Spain19791982 about 20,000 membershttps://www.semfyc.es/es/
36
GermanyErika Baum20031300 (2016)5400+28005 years18 months inpatient General medicine. 18 months any subject with direct patient contact, 24 months Generql Practice which can include 6 months in peadiaty, general medicine or outptient surgeryNo Master'sTwo weeks in Practice 14 hours didactic, 1 month elective (Famulatur), variable participation in further teaching (like prevention, geriatric aspecs)highly variable number at the universities including professors, asistant professors, GPs with special training6600 membersnot mandatory, but reduced compensation from health insurance if CME-Points not achieved60 points in 5 yearsHausärzteverband, about 25000 membershttp://www.degam.de/what-we-do.html sometimes incentives for working in underserved areasspecial budget for primary care (GPs, general internists and pediatricianspaid by universities and organizations such as kassenärztliche Vereinigung, ÄrztekammerGPs, general internists and pediatricians, specialists in outpatient setting54.38545% aroundabout 70%General Medicine12.102
Pediatricians: 7.415
practice team with nurses (medizinische Fachangestellte) and one( about 60% of practices) ore more GPs (mostly 2-3), led by GP who ownes the prctice in most casesno gatekeeping. GP manages practice team (most solo practice)mostly long term patients but free movement of patientsstatuatory system covering 89% of population, 10% privately insured, few uninsuredsee OECD-Dataon average 1 GP has contact to 900 patients during a period of 3 months, there are no formal lists but this is about half of the practice populationa) General Practitioners/Family Physicians: 54.385

b) general medicine: 12.102

c) Pediatricians: 7.415

Setting (2015)

– Solo practice: 57,5%

– Group Practice: 38,8%

– Medical supply center with at least one GP: 3,6%

Private unregistered-perhaps 0.1% http://www.kbv.de/html/
different and highly variable incentives in local settingsKassenärztliche Vereinigung is reponsible for the sufficient provision of outptient caresee OECD data12%men 79, women 82 yearssee OECDfurther data: https://www.barmer.de/presse/infothek/studien-und-reports/artztreports/barmer-arztreport-2017-99088 https://www.barmer.de/blob/36738/41528a9e5704bb8d47e25e00707af4ba/data/pdf-arztreport-2016.pdf
37
AustriaManfred Maier
38
Switzerland
39
NetherlandsAnne Marie Griffioen, Jennifer Young3 years post medical school6 months ER, 3-6 months geriatrics or chronic health-nursing home 3 months psychiatry ( or six months OB)Dutch College of General PractitionersG
40
95% GPs 11000
41
42
43
Eastern EuropeBohumil Seifert
44
Czech
45
Slovakia
46
PolandPhD public health or social medicine
47
EstoniaPhD public health or social medicineConferences JournalsY
48
LatviaPhD public health or social medicine
49
Lithuania
50
Slovenia
PhD public health or social medicine
Conferences JournalsY
51
52
53
54
Russia and others
55
Russia15 family medicine training sites have been established (notably in St. Petersburg and the Far East
56
57
58
Balkans
59
Slovenia
60
GreeceELEGEIA (Greek Company of General Medicine Doctors) & ENOSI ( Greek Union of Medicine General Doctors)
61
Croatia
62
Bosnia
63
64
Israel
65
66
Middle East North Africa
Labib Girgiseconomic diversity richest in the world Gulf are found alongside some of the poorest (Yemen, Gaza). inequity low governmental spending on healthcare ( 8.2% between 2006 – 2011 vs. 18% on education) and high out of pocket expenditures (40% or more),access health status perception of low quality of care gender differences education and health violent conflict in several countries refugee crises, brain drain
poorer-communicable disease obesity obesity DM among highest world (four MENA countries – Egypt, Bahrain, UAE, Kuwai
67
EgyptFour years of residency training either in hospitals, family planning centres or rural areas’ primary health care unitsCairo Alexandria each have about 10 centres 10+ trainers and more than 100 trainees while 20 other smaller centres each have about 1-4 trainers and 10 to 40 trainees. The residency stream doubled in size from to 2007-2010 with 50 trainers and 500 trainees per year while fellowship increased almost 10 fold over the three years. Academic Master’s including two exams (clinical and medical subjects) and thesis four universities: Cairo, Ain Shams,Alexandria, and Suez CanalEgyptian Fellowship Program: (also four years), part of which held is in prestigious hospitals specialties and the other half in a family medicine centre, final clinical exam accredited by the Royal College in the UK and the possibility of doing an Arab Board exam
68
Palestine
69
70
Saudi
71
Oman198833 month
72
Dubai
73
74
TurkeyMinistry of Health 1985 (as a primarily hospital-based training); university affiliated programs were offered starting in 1993 300 residents
75
76
Tunisiaworking with Paris Montreal2011 two year diploma2008 interfaculty group comprised of the Tunisian Family Medicine Society
77
Algeria
78
79
Iraq
80
Kurdistan
81
Iran
82
83
SubSaharan Africa
84
South Africa all 8 departments FaMEC (Family Medicine Educational Consortium)primary care in 1968 at the University of Pretoria and being community based since 1998 http://www.phcfm.org/index.php/phcfm African Journal of Primary Health Care & Family Medicine (PHCFM)2007 recognized as a specialty
85
MalawiMangochi and Nkhoma under the leadership of John Parks
86
87
88
Ghanatwo institutions1999
89
Nigeria1980's ?three separate 18 month part-time family medicine Diploma programmes have begun in Nigeria in the North, East and Southwest Zones. Groups meet one weekend per month on Friday afternoons and Saturdays on for lectures, practicals and demonstrations.
90
91
UgandaInnocent BesigyeMakerere at Mulago, Mbarara technically has a program but no current residentsMbarara 1999, 2002 hampered50+Makerere accepts up to 5//year, Mbarara limited by tuition and applicants3 years recognized and paid by the Ugandan Ministry of Health as specialists
92
Kenyathree of the church hospitals, approached Moi University in 2000 to pioneer2005 Moi Aga Khan University in Nairobi (began 2002), Maseno University in western Kenya (2014), Kabarak University in central Kenya (2015) but may stop again, and Kenyatta University near Nairobi (2015)AKU is 5 yearsMaseno is both Family Medicine and EmergencyYesKAFP providesKenyan Association of Family Physicians (KAFP) began in 2002Ministry of Health has adopted an official Family Medicine Policy (2009) Coordinating Committee, chaired by the Ministry of Health, champions
93
TanzaniaAga Khan University2004 with historical acceptance and migration residents Kenya AKu is 5 yearsYes
94
Rwandaassisted by the University of Colorado, took residents from 2008-2010On hold, from federal level has disallowed NRU to train Family Medicine
95
96
EthiopiaAddis Ababa U with U of T and Wisc Gondar and Jimma beginning2013, plans for Gondar and Jimma to accept soon19 residents 3 cohorts3 years
97
Sudan Gezira University in central Sudan 2-year Master of Science (MSc) in family medicineGezira University in central Sudan, in the city of Wad Madani to develop both a 1-year diploma using online modules from NextGen U
98
99
100
Loading...
 
 
 
Sheet1