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ARTICLE |

'Catch-22s' for Family Physician Educators FREE

Bruce F. Currie, PhD; John H. Renner, MD
[+] Author Affiliations

Reprint requests to Department of Family Medicine and Practice, 777 S Mills St, Madison, WI 53715 (Dr Currie).


JAMA. 1981;246(7):737-740. doi:10.1001/jama.1981.03320070021018
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FEDERAL and state funds being channeled into the training of family physicians have created a dilemma for many medical school administrators: how to adapt their institutional missions to changing specialty needs without threatening established clinical departments.

Conversely, the ambivalence of some university administrators about incorporating a generalist department has created a dilemma for family physician educators in those institutions: how to achieve first-class citizenship without being co-opted by the emphasis on subspecialization.

The "catch-22s" for medical schools and new departments of family medicine have some of their origins in the "town-gown" dissension that has often divided private practice physicians from their full-time faculty counterparts in university communities. Because a premium is placed on highly differentiated information in academia, medical school faculties are inclined to question the scholarly value of a discipline like family medicine with its integrative rather than elaborative emphasis.1 Subspecialist faculty (particularly in internal medicine) also question

REFERENCES

Rogers DE, Blendon RJ:  The academic medical center: A stressed American institution . N Engl J Med 1978;;298:940-950.
Scheffler RN, Weisfeld JD, Ruby G, et al:  A manpower policy for primary health care . N Engl J Med 1978;;298:1058-1062.
Aiken LH, Lewis CE, Craig J, et al:  The contributions of specialists to the delivery of primary care: A new perspective . N Engl J Med 1979;;300:1363-1370.
White KL, Williams TF, Greenberg BG:  The ecology of medical care . N Engl J Med 1961;;265:885-892.
Pellegrino ED:  The academic viability of family medicine . JAMA 1978;;240:132-135.
Saunders TC:  Consultation-referral among physicians: Practice and process . J Fam Pract 1978;;6:123-138.
McWhinney IR:  Family medicine in perspective . N Engl J Med 1975;;293:176-181.
McWhinney IR:  Problem solving and decision-making in primary medical practice . Can Fam Phys , (November) 1972;, pp 109-114.
Smith DH, McWhinney IR:  Comparison of the diagnostic methods of family physicians and internists . J Med Educ 1975;;50:264-270.
Currie BF, Renner JH:  Incorporating primary care education into a university environment : Knopke H, Diekelmann N (eds): Approaches to Teaching Primary Health Care . St Louis, CV Mosby Co, 1981;, pp 88-101.
Marsland DW, Jacoby KE, Mayo F, et al:  A family practice education system based on patient care outcomes in family practice settings . J Fam Pract 1980;;11:251-256.
Ramsey CN, Hitchcock MA:  A statewide model for faculty development in family medicine . J Fam Pract 1980;;11:421-426.
Rudnick KV, Spitzer WO, Pierce J:  Comparison of a private family practice and a university teaching practice . J Med Educ 1976;;51:295-402.
Jason H:  Should clinicians be teachers? J Fam Pract 1980;;11:381-382.

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Rogers DE, Blendon RJ:  The academic medical center: A stressed American institution . N Engl J Med 1978;;298:940-950.
Scheffler RN, Weisfeld JD, Ruby G, et al:  A manpower policy for primary health care . N Engl J Med 1978;;298:1058-1062.
Aiken LH, Lewis CE, Craig J, et al:  The contributions of specialists to the delivery of primary care: A new perspective . N Engl J Med 1979;;300:1363-1370.
White KL, Williams TF, Greenberg BG:  The ecology of medical care . N Engl J Med 1961;;265:885-892.
Pellegrino ED:  The academic viability of family medicine . JAMA 1978;;240:132-135.
Saunders TC:  Consultation-referral among physicians: Practice and process . J Fam Pract 1978;;6:123-138.
McWhinney IR:  Family medicine in perspective . N Engl J Med 1975;;293:176-181.
McWhinney IR:  Problem solving and decision-making in primary medical practice . Can Fam Phys , (November) 1972;, pp 109-114.
Smith DH, McWhinney IR:  Comparison of the diagnostic methods of family physicians and internists . J Med Educ 1975;;50:264-270.
Currie BF, Renner JH:  Incorporating primary care education into a university environment : Knopke H, Diekelmann N (eds): Approaches to Teaching Primary Health Care . St Louis, CV Mosby Co, 1981;, pp 88-101.
Marsland DW, Jacoby KE, Mayo F, et al:  A family practice education system based on patient care outcomes in family practice settings . J Fam Pract 1980;;11:251-256.
Ramsey CN, Hitchcock MA:  A statewide model for faculty development in family medicine . J Fam Pract 1980;;11:421-426.
Rudnick KV, Spitzer WO, Pierce J:  Comparison of a private family practice and a university teaching practice . J Med Educ 1976;;51:295-402.
Jason H:  Should clinicians be teachers? J Fam Pract 1980;;11:381-382.
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