Family Medicine

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World Book of Family Medicine – European Edition 2015 2. Finkelhor D, Browne A. The Traumatic Impact of Child Sexual Abuse: A Conceptualization. American Journal of Orthopsychiatry 1985;55:530-41. 3. Gallo-Silver L, Anderson CM, Romo J. Best clinical practices for male adult survivors of childhood sexual abuse: “Do no harm.” Perm J 2014 Summer;18(3):82-7. DOI: http://dx.doi.org/10.7812/TPP/14-009. 4. Lacelle C, Hebert M, Lavoie F, Vitaro F, & Tremblay RE. (2012). Child sexual abuse and women’s sexual health: The contribution of CSA severity and exposure to multiple forms of childhood victimization. Journal of Child Sexual Abuse, 21, 571–592. 5. Leeners B, Stiller R, Block E, Görres G, Imthurn B, Rath W. Effect of childhood sexual abuse on gynecologic care as an adult. Psychosomatics 2007 Sep-Oct;48(5):385-93. DOI: http://dx.doi.org/10.1176/appi.psy.48.5.385. 6. Leserman, J, Li, Z, Drossman, DA, & Hu, YJB. (1998). Selected symptoms associated with sexual and physical abuse history among female patients with gastrointestinal disorders: The impact on subsequent health care visits. Psychological Medicine, 28(2), 417-425. 7. Raposo SM, Mackenzie CS, Henriksen CA, Afifi, TO. (2014). Time Does Not Heal All Wounds: Older Adults Who Experienced Childhood Adversities Have Higher Odds of Mood, Anxiety, and Personality Disorders. Am J Geriatr Psychiatry 22, 1241-1250. 8. Sugaya L, Hasin, DS, Olfson M, Lin K-H, Grant BF, & Blanco C. (2012). Child Physical Abuse and Adult Mental Health: A National Study. Journal of Traumatic Stress. 25, 384–392. © Isha Mehmood on Flickr 2009 AP Fellow. Location: Kathmandu, Nepal. Partner: IANSA/ SAP-Nepal 20
World Book of Family Medicine – European Edition 2015 Zekeriya Akturk, MD zekeriya.akturk@gmail.com Education 5 – The Role of Family Medicine in Undergraduate Medical Zekeriya AKTÜRK 1, Turan SET 2, Kenan TAŞTAN 1, Nezih DAĞDEVİREN 3, Erkan Melih ŞAHİN 4, Cahit ÖZER 5 Affiliations - Formerly: Trakya University Faculty of Medicine, Department of FM Currently: 1 Atatürk University Faculty of Medicine, Department of FM 2 Karadeniz Technical University Faculty of Medicine, Department of FM 3 Trakya University Faculty of Medicine, Department of FM 4 Çanakkale 19 Mart University Faculty of Medicine, Department of FM 5 Mustafa Kemal University Faculty of Medicine, Department of FM Introduction General practice / family medicine (GP/FM) is defined as “an academic and scientific discipline, with its own educational content, research, evidence base and clinical activity, and a clinical speciality orientated to primary care”. Although primary care is widely perceived to be the backbone of a rational health services system, medical education is widely based on disciplines other than family medicine. There is a discrepancy between the place of practice of medical graduates and the place where medical education is based: despite nearly 60% of the medical graduates being employed there, only less than 10% of the training happens in primary care facilities (Figure 1). Figure 1: The mismatch in the balance between education and practice platforms. Aim The aim of this paper is to describe the potential contribution of family medicine/general practice to undergraduate medical education (UME). The Past: During the early days of the discipline, it was discussed and suggested that family medicine should contribute to UME. However, it was not an easy task. There were even arguments that general practice is not 'scientific'. In Turkey, we had to wait more than another 20 years to see family medicine engaged in UME: in 2001 there were only seven actively lecturing family practice departments throughout 47 medical faculties (15%). That same year, Trakya University commenced UME of class one medical students with objectives such as “to teach the principles of primary healthcare, and basic procedures used in medical practice”. The Present: Over time, the contribution of family medicine to UME increased significantly. The discipline improved in all areas including service provision, management, research, and educational content. Today, almost 90% of European universities have GP/FM curriculum, the duration of clinical rotations ranging from 1 to 12 weeks. In Turkey 55/83 medical schools (66%) have a GP/FM curriculum. Some of the authors of this article joined a one-day workshop (http://www.ktu.edu.tr/dosyalar/17_02_15_769b1.pdf) where participants presented 21
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Family Medicine

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