Chapter 1- Family Physician Exam Questions And
Accurate Answers
The family physician provides continuing, comprehensive
care in a personalized manner to patients of all ages, regardless
of the presence of disease or the nature of the presenting
complaint. Family physicians accept responsibility for
managing an individual's total health needs while maintaining
an intimate, confidential relationship with the
patient.
Family medicine emphasizes continuing responsibility
for total health care—from the first contact and initial
assessment through the ongoing care of chronic problems.
Prevention and early recognition of disease are essential
features of the discipline. Coordination and integration of
all necessary health services (minimizing fragmentation)
and the skills to manage most medical problems allow
family physicians to provide cost-effective health care - ANSWER Family medicine is a
specialty that shares many areas of
content with other clinical disciplines, incorporating this
shared knowledge and using it uniquely to deliver primary
medical care. In addition to sharing content with other
medical specialties, family medicine's foundation remains
clinical, with the primary focus on the medical care of
people who are ill.
The curriculum for training family physicians is designed
to represent realistically the skills and body of knowledge
,that the physicians will require in practice. This curriculum
is based on an analysis of the problems seen and the skills
used by family physicians in their practice. The randomly
educated primary physician has been replaced by one specifically
prepared to address the types of problems likely to
be encountered in practice. For this reason, the "model
office" is an essential component of all family medicine residency
programs.
The Joy of Family Practice
If you cannot work with love but only with distaste, it
is better that you should leave your work and sit at the - ANSWER gate of the temple and
take alms from those who work
with joy.
KAHLIL GIBRAN (1883-1931)
The rewards in family medicine come largely from knowing
patients intimately over time and from sharing their trust,
respect, and friendship. The thrill is the close bond (friendship)
that develops with patients. This bond is strengthened
with each physical or emotional crisis in a person's life,
when he or she turns to the family physician for help. It is
a pleasure going to the office every day and a privilege to
work closely with people who value and respect our efforts.
The practice of family medicine involves the joy of greeting
old friends in every examining room, and the variety of
problems encountered keeps the physician professionally
stimulated and perpetually challenged. In contrast, physicians
,practicing in narrow specialties often lose their enthusiasm
for medicine after seeing the same problems every
day. The variety in family medicine sustains the excitement
and precludes boredom. Our greatest days in practice are
when we are fully focused on our patients, enjoying to the
fullest the experience of working with others
PATIENT SATISFACTION
Attributes considered most important for patient satisfaction
are listed in Table 1-1 (Stock Keister et al., 2004a).
Overall, people want their primary care doctor to meet five
basic criteria: "to be in their insurance plan, to be in a location
that is convenient, to be able to schedule an appointment
within a reasonable period of time, to have good
communication skills, and to have a reasonable amount of
experience in practice." They especially want "a physician
who listens to them, who takes the time to explain things to
them, and who is able to effectively integrate their care"
(Stock Keister et al., 2004b, p. 2312). - ANSWER PHYSICIAN SATISFACTION
Physician satisfaction is associated with quality of care,
particularly as measured by patient satisfaction. The
strongest factors associated with physician satisfaction
are not personal income but rather the ability to provide
high-quality care to patients. Physicians are most satisfied
with their practices when they can have an ongoing relationship
with their patients, the freedom to make clinical
, decisions without financial conflicts of interest, adequate
time with patients, and sufficient communication with specialists
(DeVoe et al., 2002). Landon and colleagues (2003)
found that rather than declining income, the strongest predictor
of decreasing satisfaction in practice is loss of clinical
autonomy. This includes the inability to obtain services for
their patients, the inability to control their time with
patients, and the freedom to provide high-quality care.
In an analysis of 33 specialties, Leigh and associates
(2002) found that physicians in high-income "procedural"
specialties, such as obstetrics-gynecology, otolaryngology,
ophthalmology, and orthopedics, were the most dissatisfied.
Physicians in these specialties and those in int - ANSWER A study of medical students
(Clinite et al., 2013) showed
that most of them say that enjoying their work is the most
important factor in selecting a specialty. Students who
ranked primary care as their first choice ranked time with
family, work/life balance, and personal time outside work
high, and salary and prestige low. In comparison, students
who were least interested in primary care ranked salary
and prestige highest. It is clear what changes must be made
if we are to increase the number of students entering
primary care
Development of the Specialty
As long ago as 1923, Francis Peabody commented that the
swing of the pendulum toward specialization had reached
Accurate Answers
The family physician provides continuing, comprehensive
care in a personalized manner to patients of all ages, regardless
of the presence of disease or the nature of the presenting
complaint. Family physicians accept responsibility for
managing an individual's total health needs while maintaining
an intimate, confidential relationship with the
patient.
Family medicine emphasizes continuing responsibility
for total health care—from the first contact and initial
assessment through the ongoing care of chronic problems.
Prevention and early recognition of disease are essential
features of the discipline. Coordination and integration of
all necessary health services (minimizing fragmentation)
and the skills to manage most medical problems allow
family physicians to provide cost-effective health care - ANSWER Family medicine is a
specialty that shares many areas of
content with other clinical disciplines, incorporating this
shared knowledge and using it uniquely to deliver primary
medical care. In addition to sharing content with other
medical specialties, family medicine's foundation remains
clinical, with the primary focus on the medical care of
people who are ill.
The curriculum for training family physicians is designed
to represent realistically the skills and body of knowledge
,that the physicians will require in practice. This curriculum
is based on an analysis of the problems seen and the skills
used by family physicians in their practice. The randomly
educated primary physician has been replaced by one specifically
prepared to address the types of problems likely to
be encountered in practice. For this reason, the "model
office" is an essential component of all family medicine residency
programs.
The Joy of Family Practice
If you cannot work with love but only with distaste, it
is better that you should leave your work and sit at the - ANSWER gate of the temple and
take alms from those who work
with joy.
KAHLIL GIBRAN (1883-1931)
The rewards in family medicine come largely from knowing
patients intimately over time and from sharing their trust,
respect, and friendship. The thrill is the close bond (friendship)
that develops with patients. This bond is strengthened
with each physical or emotional crisis in a person's life,
when he or she turns to the family physician for help. It is
a pleasure going to the office every day and a privilege to
work closely with people who value and respect our efforts.
The practice of family medicine involves the joy of greeting
old friends in every examining room, and the variety of
problems encountered keeps the physician professionally
stimulated and perpetually challenged. In contrast, physicians
,practicing in narrow specialties often lose their enthusiasm
for medicine after seeing the same problems every
day. The variety in family medicine sustains the excitement
and precludes boredom. Our greatest days in practice are
when we are fully focused on our patients, enjoying to the
fullest the experience of working with others
PATIENT SATISFACTION
Attributes considered most important for patient satisfaction
are listed in Table 1-1 (Stock Keister et al., 2004a).
Overall, people want their primary care doctor to meet five
basic criteria: "to be in their insurance plan, to be in a location
that is convenient, to be able to schedule an appointment
within a reasonable period of time, to have good
communication skills, and to have a reasonable amount of
experience in practice." They especially want "a physician
who listens to them, who takes the time to explain things to
them, and who is able to effectively integrate their care"
(Stock Keister et al., 2004b, p. 2312). - ANSWER PHYSICIAN SATISFACTION
Physician satisfaction is associated with quality of care,
particularly as measured by patient satisfaction. The
strongest factors associated with physician satisfaction
are not personal income but rather the ability to provide
high-quality care to patients. Physicians are most satisfied
with their practices when they can have an ongoing relationship
with their patients, the freedom to make clinical
, decisions without financial conflicts of interest, adequate
time with patients, and sufficient communication with specialists
(DeVoe et al., 2002). Landon and colleagues (2003)
found that rather than declining income, the strongest predictor
of decreasing satisfaction in practice is loss of clinical
autonomy. This includes the inability to obtain services for
their patients, the inability to control their time with
patients, and the freedom to provide high-quality care.
In an analysis of 33 specialties, Leigh and associates
(2002) found that physicians in high-income "procedural"
specialties, such as obstetrics-gynecology, otolaryngology,
ophthalmology, and orthopedics, were the most dissatisfied.
Physicians in these specialties and those in int - ANSWER A study of medical students
(Clinite et al., 2013) showed
that most of them say that enjoying their work is the most
important factor in selecting a specialty. Students who
ranked primary care as their first choice ranked time with
family, work/life balance, and personal time outside work
high, and salary and prestige low. In comparison, students
who were least interested in primary care ranked salary
and prestige highest. It is clear what changes must be made
if we are to increase the number of students entering
primary care
Development of the Specialty
As long ago as 1923, Francis Peabody commented that the
swing of the pendulum toward specialization had reached
