History of Science 2220 Chapter 14: Chapter 14 Notes – The Decline and Rebirth of Family Medicine
2 May 2018
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Chapter 14 – The Decline and Rebirth of Family Medicine
- General or family practice is a new speciality
o Arose in postwar
Prehistory of General Practice
- Most doctors were general practitioners – did surgery and midwifery, cared for all ages
- Only professors and researchers could claim to be specialists
‘I’m just a GP’: The Treat to General Practice
- End of 19thC, specialists were increasing in urban areas
- Belief that specialists were more effective – seen as more scientific
- mid1940s – GP facing an identity crisis
o wanted it to be recognized as a specialty itself
Professionalization of General Practice
- American Academy of General Practice formed in 1947
- The Canadian College of General Practioners founded in 1954
- Professional organization working to counter the charge of incompetence
o Established workshops for the training and continuing education of their
colleague
o Demanding the right to certify their own trainees
o Want recognition within hospitals and med schools
- Specialists tended to be older and more conservative
- Young physicians tended to lean more left
o Concerned with public welfare
o Less about money or prestige
The Advent of ‘Family Medicine’
- To see a specialist in Canada, patients needed a referral
- GP’s redefined as family medicine
o An all-inclusive practice
o Family > general, needed no explanation
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Document Summary
Chapter 14 the decline and rebirth of family medicine. General or family practice is a new speciality: arose in postwar. Most doctors were general practitioners did surgery and midwifery, cared for all ages. Only professors and researchers could claim to be specialists. I"m just a gp": the treat to general practice. End of 19thc, specialists were increasing in urban areas. Belief that specialists were more effective seen as more scientific. Mid1940s gp facing an identity crisis: wanted it to be recognized as a specialty itself. American academy of general practice formed in 1947. The canadian college of general practioners founded in 1954. Professional organization working to counter the charge of incompetence: established workshops for the training and continuing education of their colleague, demanding the right to certify their own trainees, want recognition within hospitals and med schools. Specialists tended to be older and more conservative.
