Family Medicine

Recommendations

Info

World Book of Family Medicine – European Edition 2015 gave you a magic wand, what would you wish for?), understanding the role of “the position in the family of origin” (first born, only child, sibling of a sick or handicapped brother/sister, etc), knowing not only the “genetic tree” but also the “relationship tree” with the subjective force of ties (single bond, double bond, triple bond, broken bond, distant bond, inexistent bond), knowing the important dead family members, seeing the elephant(s) in the room, being aware of and even knowing the secrets of the family (abuse, abortion(s), alcohol, drugs, jail time, etc) ... these are important topics in a training programme. What is the result of good training? It will come as no surprise that doctors trained this way often find that essential hypertension (or primary hypertension or idiopathic hypertension) is the form of hypertension that by definition, has no identifiable cause – unless you look at all the influencing strings of family, community, world view and metaphors. Then treating hypertension (or other psychosomatic diseases) becomes a chess play in 3 dimensions – not only antihypertensive drugs, but a biopsychosocial approach is needed. A Family Systems training also gives you the wisdom that family systems are homoeostatic systems – they contain the problem, also the solution, and strive for an equilibrium – panta rhei. Intervision as a follow up of training Continuous Professional Development (CPD) is essential for every family doctor. Often, you get stuck in a “patient puzzle” - you see the pieces, but no way to get to an (elegant) solution. Then intervision or “inter-peer learning” is a good way to keep learning in the minefield that Family Systems Theory has opened. Two know more than one, a group knows more than two … if it is a safe environment. That group becomes a family by itself – as with any group of people that share a common interest. A (2-year) training in Family Systems Theory is like learning to swim. You get your 50-metre diploma but under no circumstances can you swim an Olympic distance in an Olympic time – yet this is what you need to be able to do when you're a professional Family Doctor. Training is more than just reading a book, attending a few classes – it needs retraining, day by day, year by year. Sometimes a coach is needed and sometimes switching of coach and learning other methods is needed. Conclusion The litany of this essay is simple – learn, learn the family words and language, for goodness sake! The social causes as to why this is not yet a reality in Family Medicine is layered in the World Views and Metaphors of our teachers. “Medicine is a hugely biological matter, psychosocial topics are just a tiny bit of the reality and besides, they are the topics of some soft scientists, not aware of the importance of our profession”. There is an elephant in the room. Take home messages In order to become a complete Family Doctor, you should be trained in Family Systems Theory. Taking biopsychosocial factors into account (as evidence-based as possible) leads to better therapy. Inter-peer learning is a strong teaching method. There is an elephant in the room. Original Abstract http://www.woncaeurope.org/content/54-family-systems-medicine-new-view-training-general-practitioners References Amy Begel, http://familysystemsmedicine.com/index.html (retrieved December 2014) 262
World Book of Family Medicine – European Edition 2015 Taanila A, Larivaara P, Korpio A, Kalliokoski R., Evaluation of a family-oriented continuing medical education course for general practitioners. Med Educ. 2002 Mar;36(3):248-57. Larivaara P, Taanila A. Towards interprofessional family-oriented teamwork in primary services: the evaluation of an education programme. J Interprof Care. 2004 May;18(2):153-63. Launer J, Lindsey C., Training for systemic general practice: a new approach from the Tavistock Clinic. Br J Gen Pract. 1997 Jul;47(420):453-6. Pekka Larivaara, Erkki Väisänen, and Jorma Kiuttu, Family systems medicine: A new field of medicine 1994, Vol. 48, No. 5 , Pages 329-332 John Launer, Conversations inviting change http://www.johnlauner.com/81.html (retrieved December 2014) R. de Bernart, L. Polenzani, A. Bussotti, S. Giovannoni, E. Messina, Training General Practitioners In Systemic Relational Theory And Practice http://woncaeurope.org/content/ew19-training-general-practitioners-systemic-relational-theoryand-practice-workshop (retrieved December 2014) Sohail Inayatullah, Causal Layered Analysis at TEDxNoosa (retrieved December 2014) 263
Page 1 and 2:
The World Book of Family Medicine -
Page 3 and 4:
World Book of Family Medicine - Eur
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
The WP workshops on Ethics describe
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
References: World Book of Family Me
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Original Abstract World Book of Fam
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Original abstract World Book of Fam
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
References World Book of Family Med
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
References World Book of Family Med
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Original abstract World Book of Fam
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Take home messages World Book of
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212: World Book of Family Medicine - Eur
Page 215 and 216: References World Book of Family Med
Page 261: World Book of Family Medicine - Eur
Page 287 and 288: Quaternary Prevention rubric (www.p
Page 313 and 314:
show all

Family Medicine

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?