RESUMEN La formación de un médico de nuevo modelo en Cuba surge de forma experimental por la necesidad que tenía la población de recibir una atención médica integral. Como siempre nuestro comandante con sus ideas revolucionarias plantea la necesidad de su creación para que cada familia cubana contara con un médico y una enfermera que les brindara apoyo y cuidado desde el punto de vista clínico, epidemiológico y social. El municipio de Colón fue el primero en implementar este novedoso programa en la provincia de Matanzas. Con el objetivo de dar a conocer el surgimiento y desarrollo del mismo en esta ciudad es que se realiza el siguiente trabajo (AU).
SUMMARY The training of a new model doctor in Cuba arises experimentally because of the need of the population to receive comprehensive medical care. As always, our commander with his revolutionary ideas raised the need for its creation so that each Cuban family would have a doctor and a nurse who could provide support and care from a clinical, epidemiological and social point of view. The municipality of Colón was the first to implement this novel program in the province of Matanzas. With the aim of publicizing its emergence and development in our city, the authors wrote the following article (AU).
Humans , Male , Female , Family Practice/history , History of Medicine , Physicians, Family/education , Physicians, Family/history , Professional Training , Family Practice/education , Family Practice/methods , Family Nurse Practitioners/education , Family Nurse Practitioners/history
Humans , Evidence-Based Medicine/trends , Family Practice/trends , Physicians, Family/history , Physicians, Family/trends , Primary Health Care/history , Primary Health Care/trends , Review Literature as Topic , Evidence-Based Medicine/history , Biomedical Research/history , Biomedical Research/trends , History, 20th Century , History, 21st Century , Family Practice/history
No abstract available.
Physicians, Family/history , History, 20th Century , History, 21st Century , Humans , Physicians, Family/education
POEMs (patient-oriented evidence that matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change practice. For 20 years the authors of this article have reviewed more than 100 English language clinical journals monthly to identify POEMs in the medical literature relevant to primary care practice. This article identifies the POEMs in each of the last 20 years that were highest ranked for having recommended a major and persistent change in practice that year. They include POEMs that recommend a novel, effective intervention, a second group that recommends abandoning an ineffective practice, and a third group that recommends abandoning a potentially harmful practice. The top POEMs of the past 20 years illustrate the breadth of practice change in primary care and the need for family physicians to have a systematic approach to keeping up with the medical literature, such as that in POEMs, especially because many of these important articles did not appear in the primary care literature.
Biomedical Research/trends , Evidence-Based Medicine/trends , Family Practice/trends , Physicians, Family/trends , Primary Health Care/trends , Biomedical Research/history , Evidence-Based Medicine/history , Family Practice/history , History, 20th Century , History, 21st Century , Humans , Physicians, Family/history , Primary Health Care/history
BACKGROUND: Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key to the success of these programs has been a specific focus on improving access to care, understanding and eliminating health disparities, cultural competency and behavioral science training that recognizes the challenges often faced by patients and families living in poor rural and urban areas of the country. In keeping with a focus on the underserved, several urban underserved residencies also became national models for the provision of primary care to patients and families affected by HIV/AIDS. Family medicine training programs focused on the underserved have resulted in the development of a cohort of family physicians who care for those most in need in the United States. Despite these achievements, persistent challenges remain in providing adequate access to care for many living in rural and inner city settings. New strategies will need to be developed by family medicine programs and others to better meet these challenges.
Family Practice/history , Medically Underserved Area , Physicians, Family/psychology , Vulnerable Populations/psychology , Cultural Competency , Family Practice/education , History, 20th Century , History, 21st Century , Humans , Internship and Residency , Physicians, Family/history , Primary Health Care , United States
This commentary reflects the professional life story of a prolific and well-published poet, Howard Stein. An anthropologist by training, Howard's poetry is well known and well respected by family physicians. It is within family medicine that Howard found his professional home, and in his 45-plus-year career he has shared the value of "patient story"; the value of the doctor-patient relationship; and the art of listening deeply to self, colleagues, and patients. This commentary offers a tribute to Howard's professional life and his contributions to family and narrative medicine. (PsycINFO Database Record
Anthropology , Poetry as Topic/history , Anthropology/methods , History, 20th Century , History, 21st Century , Humans , Physicians, Family/history , Workforce
La multimorbilidad parece «infinita» y así no es operativa para tomar decisiones útiles. Presentamos un nuevo concepto: los «problemas maestros», como método cualitativo para facilitar la salida de este laberinto. Para la enseñanza de este concepto se han usado metáforas basadas en el mundo del arte. Estos «problemas maestros» generalmente permanecen ocultos y solo pueden «desvelarse» entre los intersticios de la multimorbilidad, al fijarnos en los detalles del sistema que define el problema. Un problema con «energía» o «problema maestro» es complejo, múltiple y dramático o teatral -todas las cosas de la historia clínica nos hacen mirar hacia ese punto determinado-; es el que nos da un golpe en la boca del estómago, el que hace que nos lata más rápido el corazón, el que nos conmueve a muchos niveles, el que tiene una gran «densidad de emociones», elementos humanos, símbolos sociales, y nos abre soluciones en un paciente (AU)
Multiple morbidity seems to be 'infinite' and so is not easy to make useful decisions. A new concept is introduced: the 'master problems', as a qualitative method to facilitate the exit from this maze of multiple morbidity. Metaphors from the art world have been used to teach this concept. These 'master problems' generally remain hidden and can only 'unravel' between the interstices of multiple morbidity, when the details of the system that defines the problem are explained. A problem with 'energy' or a 'master problem' is complex, multiple and dramatic or theatrical -everything in the clinical history history make us look into that particular question-. It is what gives us a blow to the stomach, which causes our hearts to beat faster, that moves us on many levels, which has a high 'density of emotions', human elements, social symbols, and opens solutions in a patient (AU)
Qualitative Research , Education, Medical/methods , Education, Medical/standards , Education, Medical/trends , Metaphor , Family Practice/education , Family Practice/history , Family Practice/organization & administration , Patient Care Planning/organization & administration , Patient Care Planning/standards , Education, Medical/history , Education, Medical/organization & administration , Family Practice/instrumentation , Family Practice/standards , Family Practice/trends , Physicians, Family/education , Physicians, Family/history , Community Medicine/organization & administration , Morbidity
Dr. Julie Phillips, an Associate Professor of Family Medicine at Michigan State University College of Human Medicine, has contributed several poems to Families, Systems, and Health over the last 2 years. This month's issue features her fourth poem in this journal, titled "Autumn Chores" (Phillips, 2015). We were interested in learning more about Julie's creative writing, why she writes poetry, how she balances writing and a demanding academic medical career, and what she hopes her poems might contribute to clinical practice and medical education. Colleen Fogarty interviewed her to find out the answers in this article. Julie's poems are indeed, as she says, carved from small moments in time, but they have a disproportionately large emotional impact. Her poems tackle issues such as the tension between medical and parental authority; professional boundaries; worklife balance; the still-gaping holes in our health care system; and what it means to care for others. To read her work, please search the journal index. (PsycINFO Database Record
Biomedical Research/history , Faculty, Medical/history , Physicians, Family/history , Poetry as Topic/history , History, 21st Century , Humans
