Biomedical subjects
J B Deisher
Publications and source records attributed to J B Deisher.
A family practice residency network. Affiliated programs in the Pacific Northwest.
The Department of Family Medicine at the University of Washington School of Medicine has developed a regional network of affiliated family practice residency programs in the Pacific Northwest. Collaborative efforts among the seven participating programs are directed to common needs such as curriculum development, sharing of educational resources, program evaluation, problem-solving of operational programs, and coordination of resident rotations. This family practice residency network is a logical and necessary extension of the program that has been developed in Washington, Alaska, Montana, and Idaho for teaching medical students. Regional undergraduate and graduate teaching programs in family practice represent an important role for the university relating to its surrounding region through the collaborative efforts of the medical school and participating hospitals and physicians in the community.
The problem-oriented unit record in residency management.
Application of the "medical model" of supervision to a university affiliated residency network resulted in a problem-oriented record for each unit. A data-base tabulation and standardized problem list were developed. These have been found useful in the supervision/consultation process for established programs, in the assistance of developers of new programs, and in evaluative reporting.
What is so special about a family physician?
Around a core of common, acute and chronic, recurrent health problems, a family physician must marshall the traditional episodic management for both inpatient and outpatient illness. He must also be especially adept at recently emerging routines of prevention and early detection. He provides individual and familial psychologic support and counselling, for both its therapeutic and preventive values. In addition, he must relate the individual care of his patient and the patient's family to the community as a whole. In doing this he will use not only his own skills but those of lay health volunteers, trained allied health care professionals and skilled subspecialists in the limited medical disciplines. The proper preparation of family physicians for this complicated role has far-reaching implications for change in both medical education and medical practice.