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• W67410138 abstract "The European definition of the discipline and speciality of general practice/family medicine, as defined in 2005 states: “General practice/family medicine is an academic and scientific discipline and a clinical specialty with its own educational content, research and evidence base and clinical activity, orientated to primary care”. According to this definition general practitioners/family doctors are “specialist physicians trained in the principles of the discipline”.1 The two terms “general practice” and “family medicine” were synonymous in this context.Family Medicine has accomplished a great deal and grown significantly since its birth worldwide. The strongest proof of its importance and contribution to health care is demonstrated by looking at how strongly Western countries depend on family physicians. International evidence indicates that health systems based on effective primary care, with highly trained generalist physicians (family doctors) practising in the community, provide better clinical and more cost-effective care than those with a low primary care orientation.2 Therefore, family physicians are a fundamental force and as such, they are in a unique position to influence much-needed changes in health care. Other countries and systems have already taught us that societies fare better when they have a strong, structured, accessible and affordable primary care system, to provide at least some minimum level of care. In her extensive studies of primary care around the world over many years, Barbara Starfield has found that countries with strong primary care have lower overall health care costs, improved health outcomes, and healthier populations.3 Studies have shown also that the higher the family physician-to-population ratio in an area, the lower the hospitalisation rates for both adults and children.4In Oman, the Department of Family and Community Medicine (FAMCO) was established in 1987 at the College of Medicine, Sultan Qaboos University to teach undergraduates. Family medicine was considered a major discipline like medicine, paediatrics, surgery and obstetrics and gynecology. In 1994, a formal structured four-year postgraduate training programme was started in family medicine. In 2001, this programme was recognised by the Royal College of General Practitioners (UK) and Oman was the first country in the world to conduct the MRCGP (INT) Examination.Up to 2009, about 110 Omanis have graduated as family physicians; most of them are employed by the Ministry of Health in various capacities ranging from medical officers to directors of medical services in various wilayats (districts). These specialists are also providing useful input in defining teaching, training and evaluation so that the postgraduate programme becomes increasingly indigenous, precisely targeting the needs of the country.Since 2007, this postgraduate programme has been run under the auspices of the Oman Medical Specialty Board which has not only involved local experts, but also collaborated with other training programmes in the region and in North America, Europe, India and Australia. The family physicians emerging from a residency programme of this type possess the credentials of adequate preparation and the capacity for professional action. These are keys to status, self-esteem and public trust.So far primary health care in Oman has been managed mostly by a variety of graduate and postgraduate doctors from various parts of the world, specially the subcontinent, who do not have formal training in general practice/family medicine. This has led to wide variations in the quality of patient care and the status of general practice in the country. We need to provide high quality and valued services that are safe, evidenced-based and grounded in the needs of the community. There is a need to standardise the care being provided not only by the residency training program, but also through continuous professional development activities. Given the current intake of about 10 residents per year and the existing 110, in the next 5 years there could be a family physician for each of the 159 health centres. To have an average of four family physicians for each health centre will take many years. To monitor and ensure the standards of knowledge, skills and attitudes, regular audits and peer review are required. These should be non-punitive exercises." @default.
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• W67410138 date "2009-08-01" @default.
• W67410138 modified "2023-09-23" @default.
• W67410138 title "Family Medicine Practice in Oman: Present and future." @default.
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