Abstract

The recent launch of the International and Overseas Network (ION) by the Royal College of General Practitioners (RCGP), presented a unique opportunity to review family medicine across the globe. This article looks at the future of family medicine from a South African perspective. In 2007, family physicians were recognised for the first time as medical specialists in South Africa. Training is exclusively in the state sector, and predominantly hospital-based. Family physicians lead ward-based outreach teams composed mostly of community health workers and primary healthcare nurses.1 Unlike many British GPs, most South African family physicians also have other, more traditional hospital roles such as casualty, anaesthesia, or surgery duties. In 2014, to overcome the challenge of training to established international standards while retaining sensitivity to local …

Highlights

  • HTihgeh.f2inTgheirs wisasimppaortritaalnlyt daesgdloevlaeyde.dHtereaatttmenednetdhathseunlofcaavlohuorasbplietacl,ownsheeqreuetnhceeysp.1l,a3cWedearefepwortsuhtouwresa, Introduction GbuPt, nwoiwth, n2owceleinkiscalal tueltrr,atshoeusnkdineixspneerciernoctiec, arnedcotrhdeedunidmearglyeinsgwtiitshsuaeplooockkes ti-nsfiezecdtedu.ltHraesoisunindddaenvgiceer (ToTPhhfSeelUorsiDneinc)cgieudnnhetdinslecaferuinnsogucfephrce.oorfvmitshpioelentInettoeArccnohanitlfiloeirsnmatleaancndodomnOprvlueeptresteuAareschNisilele1ts8wotperenkrd(Io1O0nN0r)u0pb0ty0utrpheea. tTRiehoniysta-cyloeCauorldsll1epgarenedsoefinsGtueasnuneaerlawlyl idPnridaaAgicctnaimottiisoiodennddeflreocs-rlai(nGRgicCePadGlulyPSltu)rb,adyspaornGueePnssedse.n. tmTehadenaehxautsneibnqteueeonfohcplaipnvoiicnragtlurnmigitiysodrtsioaagnrnedovsiesiswgisefnauemnrkialnylloymwuenndwiinceilnNl.eoHraewcrasoaysy,sbituthtiesmgsailmoybiblaeer. htToihgiwsh.ha2ertTnichhlieselilosaositmkshpaodtrttmhaneatlfauartisau.rdeeloafyfeadmtirlyeamtmedeinctinheafsroumnfaavSoouurathblAefrciocannsepqeurespnceecsti.v1e,3

  • If South African family physiDOI:Tc1ira0on.m3s3sd9ø9o/Hbnjoogsptporieptasepln1os7enXrdv1e0bs0y8a9a3dladrrgeessainrgeathwisitlhacak poof ppuolsattgiornadoufataepptrraoinxiinmga,tethlye 1re6c0en0t00g.aiBnestsweeeennin210ru1or0fa–3l bCjogppyorpigehnt1s7XT1h0e08A9u3thors 2017; 2cl0inD1i4OcsIa:mn10aa.y3v3es9or9ao/gnbejgbopeoflpo2es1nt.1p7aXt1ie0n0t5s57per year were referred by their GP for suspected Achilles rup1tuorfe[5]

  • As yet, there are very few opportunities for mid-grade health workers to further their careers in family medicine, and this could hamper existing efforts to alleviate the primary care workload crisis

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Summary

Introduction

HTihgeh.f2inTgheirs wisasimppaortritaalnlyt daesgdloevlaeyde.dHtereaatttmenednetdhathseunlofcaavlohuorasbplietacl,ownsheeqreuetnhceeysp.1l,a3cWedearefepwortsuhtouwresa, Introduction GbuPt, nwoiwth, n2owceleinkiscalal tueltrr,atshoeusnkdineixspneerciernoctiec, arnedcotrhdeedunidmearglyeinsgwtiitshsuaeplooockkes ti-nsfiezecdtedu.ltHraesoisunindddaenvgiceer (ToTPhhfSeelUorsiDneinc)cgieudnnhetdinslecaferuinnsogucfephrce.oorfvmitshpioelentInettoeArccnohanitlfiloeirsnmatleaancndodomnOprvlueeptresteuAareschNisilele1ts8wotperenkrd(Io1O0nN0r)u0pb0ty0utrpheea. tTRiehoniysta-cyloeCauorldsll1epgarenedsoefinsGtueasnuneaerlawlyl idPnridaaAgicctnaimottiisoiodennddeflreocs-rlai(nGRgicCePadGlulyPSltu)rb,adyspaornGueePnssedse.n. tmTehadenaehxautsneibnqteueeonfohcplaipnvoiicnragtlurnmigitiysodrtsioaagnrnedovsiesiswgisefnauemnrkialnylloymwuenndwiinceilnNl.eoHraewcrasoaysy,sbituthtiesmgsailmoybiblaeer. htToihgiwsh.ha2ertTnichhlieselilosaositmkshpaodtrttmhaneatlfauartisau.rdeeloafyfeadmtirlyeamtmedeinctinheafsroumnfaavSoouurathblAefrciocannsepqeurespnceecsti.v1e,3. HTihgeh.f2inTgheirs wisasimppaortritaalnlyt daesgdloevlaeyde.dHtereaatttmenednetdhathseunlofcaavlohuorasbplietacl,ownsheeqreuetnhceeysp.1l,a3cWedearefepwortsuhtouwresa, Introduction GbuPt, nwoiwth, n2owceleinkiscalal tueltrr,atshoeusnkdineixspneerciernoctiec, arnedcotrhdeedunidmearglyeinsgwtiitshsuaeplooockkes ti-nsfiezecdtedu.ltHraesoisunindddaenvgiceer (ToTPhhfSeelUorsiDneinc)cgieudnnhetdinslecaferuinnsogucfephrce.oorfvmitshpioelentInettoeArccnohanitlfiloeirsnmatleaancndodomnOprvlueeptresteuAareschNisilele1ts8wotperenkrd(Io1O0nN0r)u0pb0ty0utrpheea. (TPrSaTUinhDien)gpuainstdheesxrocslfuutsphiveeersvleyistiihnornetheteopsectooanptefliersmmecaatyocrno,emavnepdrlehptaerveAedcochrmoillisenssaendtte;lynydehotonhseprruitepatlt-huberaeys.eaTdrhe.i,sFdacemonuilzlydenppshryoesfsiecthinaetnasCalneleawids iAwJrwnneuuhadfnr3uriislgdc6egeal-eesybst.e.iep1aoaTrscnUirehna-nfdemotoilylnirdpokgteGuuo.mtPrmnHrneaeeuanaulnwctipmeyrheaxtmeBstpoeokreeaieuatdrmniniseimddahsnt.aiceGnkeolyePdJmssuhh,palayicmodftu2sodte0pesid1rftif6mpimSc.aaouoirlnutsytythalcywbaAoareflvfkreii‘ccncoaltgimnhneaimfcna’rdumitgnh3ihilatytyht pohwhhueeeyreasslslitlecaahitctaewcunropsomcraioknplensaortssnhuihelaetaendhvddeebaapyornrttiahmoonenfar-art,cyhuamedhlloieubGranelPelot.htfsrfPciancaodairsapie-l tieorniWoarlithanookspnleliytaswbl areoslliicensgmseuwdcithihcaaals sctueapnspudlaeielrtsy,d, ewapneraeaesrssetihoienmsim3a,ecodmriasptuerrloygxeicmrhyadlleutnotigetesh.deInbcya2l0cw1ah4na,etutowmeowvseaersec.ofomHuoenwdth.ceAanchtwiavle-

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