Introduction: The need for global health training for early-career family medicine physicians is greater than the supply. This paper details the formation of a one-year, self-funded global health fellowship for early-career family medicine physicians. Methods: In August of 2012, the University of Washington Department of Family Medicine established a self...

BACKGROUND Family physicians (FPs) specialize in the management of common problems, but we know little about their role in the care of patients with rare conditions. OBJECTIVE To describe the roles FPs play in the identification and management of patients with rare conditions in a typical practice. METHODS Office record review of 100 patients with rare conditions in the everyday, community-...

BACKGROUND The College of General Practitioners of Malaysia and the Royal Australian College of General Practitioners held the first Conjoint Member of the College of General Practitioners (MCGP)/Fellow of Royal Australian College of General Practitioners (FRACGP) examination in 1982, later renamed the Conjoint MAFP/FRACGP examinations. The examination assesses competency for safe independent g...

This paper outlines the general practice world view and introduces the main features of the theories of 'chaos' and complexity. From this, analogies are drawn between general practice and the theories, which suggest a different way of understanding general practice and point to future developments in general practice research. A conceptual and practical link between qualitative and quantitative...

Over the past 5 years, general practice in the UK has undergone major change. Starting with the introduction of the new GMS contract in 2004, it has continued apace with the establishment of Postgraduate Medical Education Training Board, a GP training curriculum, and nMRCGP. The NHS is developing very differently in the four countries of the UK. Regulation of the profession is under review, and...

BACKGROUND There is growing interest in real-time feedback (RTF), which involves collecting and summarizing information about patient experience at the point of care with the aim of informing service improvement. OBJECTIVE To investigate the feasibility and acceptability of RTF in UK general practice. DESIGN Exploratory randomized trial. SETTING/PARTICIPANTS Ten general practices in south...

This paper draws on accounts from young teenagers and their parents in two linked qualitative studies of families living in Scotland in differing socio-economic circumstances. We compare and contrast teenager experiences of eating practices and food choice in these families. We show the range of meanings attached to how, where and what these teenagers and their parents described as everyday eat...

Can a family physician practise good medicine without following clinical practice guidelines? Obviously, you have the right to come back with, “What do you mean by good medicine?” Let’s define it for our present purposes as that promoted by the 4 principles of family medicine: a family physician is a skilled clinician, family medicine is a community-based discipline, a family physician is a res...

ROBIN C FRASER of oil, some 50 years ago, it has undergone phenomenal change. Its population has expanded rapidly, mainly through immigration (Table 1);' only 40% are Kuwaiti, with the remainder mostly from other Arab countries. Its age structure differs markedly from the UK:2 compared with the UK it has double the proportion of those aged under 15 years and only one 10th the proportion of thos...