Is the family physician in or out of hospital medicine? A discussion of pertinent perspectives to consider as we address inpatient curricular review.

摘要

The impact of the hospitalist movement upon family medicine training is in the forefront of conversation throughout family medicine and among other disciplines. The ACGME Review Committee for family medicine has called for program director input for the upcoming revision of the requirements. As we formally approach curricular change, there are important perspectives and questions to consider. How does the philosophy of family medicine impact curricular change? Are credentialing and career implications influencing the family physicians' decision to care for hospitalized patients? Are political, social, and environmental factors presenting new challenges for family physicians caring for hospitalized patients? What training model provides the best outcomes for the patient?