The world of primary care was galvanized in 2007 by the publication of the Joint Principles of The Patient-Centered Medical Home (PCMH) that spells out the fundamental features of a primary health care setting in which a team of clinicians offers accessible first-contact primary care. 1 This care should be personal, coordinated, continuous, and comprehensive-it should address most or all of a person's health care needs. Comprehensiveness confers value to the PCMH, and is an especially important principle. 2 By some means, "all of a person's health care needs" must be addressed in the PCMH. This cannot be achieved without including the behavioral aspects of health. Yet comprehensiveness often is not achieved in PCMH efforts because behavioral issues are not addressed. This shortfall requires redress.
The world of primary care was galvanized in 2007 by the publication of the Joint Principles of The Patient-Centered Medical Home (PCMH) that spells out the fundamental features of a primary health care setting in which a team of clinicians offers accessible first-contact primary care. 1 This care should be personal, coordinated, continuous, and comprehensive-it should address most or all of a person's health care needs. Comprehensiveness confers value to the PCMH, and is an especially important principle. 2 By some means, "all of a person's health care needs" must be addressed in the PCMH. This cannot be achieved without including the behavioral aspects of health. Yet comprehensiveness often is not achieved in PCMH efforts because behavioral issues are not addressed. This shortfall requires redress.
Family medicine is undergoing dramatic transformation around the world. Its organisation, delivery, and funding are changing in profound ways.
While the specifics of primary care reform vary, a common emerging strategy involves establishment of primary health care teams that provide improved access, use electronic records, are networked with other teams, and are paid using blended payment schemes.
More family doctors are needed in all countries. New approaches beyond the traditional apprenticeships or residency programs will be required to meet global demand.
Training of family doctors must change to prepare tomorrow's family physician for a different practice reality.
Curricula are more competency‐oriented, rather than time‐focused.
Today's trainees can anticipate a career that includes periodic reassessment of their knowledge base and competency.
This article explores these trends and offers some strategies that have proved effective in various parts of the world for training increased numbers of qualified family doctors.
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