Tuesday, October 2, 2018

How Are Family Physicians Different From General Physicians?


Alan L. Melotek

This question creates a lot of confusion in patients as well as medical students. Although both follow the approach of primary patient care and seem same, however, there are a few minute differences which make family medicine as a field totally different from general practice. 

Family medicine and general practice differ from one another in terms of the level of training, the focus of care and clinical approaches. Following are mentioned some of the major differences between the two specialties for further clarity of students as well as the patients.

Role of General physicians is trained to deal with medical issues of adults only. They might be able to provide medical advice for primary issues for all, however, for a more specialized disease or problem they will suggest the patient see the respective medical specialist. On the other hand, the family physician is trained to provide medical care to all members of the family regardless of their age and gender.

Both families, as well as general physicians, acquire the same training in medical school. However, family physicians have to gain additional training for one year after completion of their residency. General medical training is focused on common general medical conditions, along with basic experience in each of the internal medicine subspecialties (such as endocrinology, rheumatology, and infectious diseases) and neurology. 

Moreover, to facilitate comprehensive care for adults, general physicians are also provided experience in psychiatry, dermatology, ophthalmology, office gynecology, otorhinolaryngology, non-operative orthopedics, palliative medicine, sleep medicine, geriatrics, and rehabilitation medicine. 

On the other hand, family medicine training is provided in specialized outpatient training centers in which trainees work throughout the course of their training. They are required to provide acute, chronic, and wellness care for a panel of continuity patients. Family medicine trainees must also have experiences in behavioral health issues, common skin diseases, population health, and health system management, and there is a particular emphasis on wellness and disease prevention.

Hence, regardless of having some major differences, both general and family physicians have their unique set of skills and significant roles in the care of adult patients and facilitating primary health care as per the practice setting and the specific requirement of the patient.