 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
|
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
|
 |
|
. |
|
|
WHAT’S IN A
NAME?
On June 14, 2005 the Department
of Family Practice & Community Medicine officially became the Department of Family and Community Medicine by vote of the UK Board of Trustees. This change
reflects the growing complexity of the research, educational mission,
and service interests of the Department as well as the diversity of our
faculty members.
Community medicine has an early tradition at the University of
Kentucky. The first department of community medicine in the United
States was founded here in the early 1960’s by Dr. Kurt Deuschle. Dr.
Deuschle and the Department became well known worldwide for the
revolutionary concepts introduced in medical education and research. In
addition to the usual courses in epidemiology and biostatistics,
medical students participated in some of the first-ever community
preceptorships with practicing physicians. They also studied community
health problems by a formalized process of a community diagnosis.
Elective international clerkships were offered to selected fourth-year
students to increase their skills in primary care, and carry out
original research projects in their host countries. The concept of
integrating the study of the community in the context of the clinical
practice of medicine is a legacy we hope to maintain by the inclusion
of “community” in our title.
Family medicine as a discipline also has historical roots at the
University of Kentucky. Dr. William Willard, the founding dean and
vice-president of the College of Medicine, was the chair of the AMA
Committee that produced the Willard Report, one of the seminal position
papers, which led to the establishment of family practice as a new
discipline. One of the faculty members in that period was Dr. Nicholas Pisacano, a general practitioner who not only had a great influence on
the Willard report, but also became one of the founders of the American
Board of Family Practice and served as its first executive director.
The first home of the Board was in the UK College of Medicine.
It is in this context that we wish to further and preserve our original
mission of the department, while at the same time, recognize the
diverse nature of our research, clinical and educational mission to
address community health needs and concerns in a broader sense. We also
honor the memories of such outstanding leaders such as Doctors Pisacano,
Deuschle, and Willard who contributed so much to American medicine. We
look forward to our new role and its responsibilities.
Source: U.K. Family & Community Medicine
Newsletter Issue Number 1 |
|
|
|
|
|
: |
|
-
The Early Years:
1930, 1941, 1947-1948, 1956, 1959
(Click here to open
& close a description of the history.)
-
1930 |
GP accounted for 80% of all
physicians
|
| |
|
| 1941 |
In 1941 when a delegate to the American
Medical Association (AMA) House of Delegates called for a
certifying board in general practice, it was not yet time for
this idea. In fact, 28 years would pass before the twentieth
primary specialty board would be approved.
http://www.afprd.org/afprdtext/historyidentify.html |
| |
|
1947-
1948 |
1947 The Davis-Truman Special Committee of the
American Medical Association (AMA) studied conditions of general
practice; this was just the first of several committees that
would examine various aspects of the issue over the next 20
years; ABGP holds first meeting; 1948-1st residency programs in
general practice were developed; Kentucky Chapter holds its first
meeting (called Kentucky Academy of General Practitioners)
http://www.afprd.org/afprdtext/historyidentify.html
http://www.kafp.org/x2678.html |
| |
|
| 1956 |
Kentucky Legislature acted on recommendation
from Governor A.B. Chandler to create a medical school at the
University of Kentucky.
May 1956 UK Board of Trustees authorizes
establishment of medical center to include: medicine, dentistry,
nursing, student health, medical library and university hospital.
University of Kentucky College of Medicine
begins under direction of its founding Dean: Dr. William Willard
(1956-1965) (Source: “A Medical School is Born”)
|
| |
|
| 1959 |
In 1948 residencies in general practice began
to develop, and pilot residencies in family practice were set up
in 1959; 1959-1st pilot family practice residency programs began
and KAGP office is in Louisville
http://www.afprd.org/afprdtext/historyidentify.html |
|
| |
-
The Development Years for specialty & at UK:
Fall 1960, 1960s, 1965,
1966, 1969, late 1969
(Click here to open & close a description of the
history.)
-
Fall of 1960 |
UK College of Medicine 1st medical class (40
students); becomes 86th medical school in the United States and
one of 40 new schools developed since WWII.
(Source: “A Medical School is Born”)
|
| |
|
| 1960s |
Graduating class of UKCOM includes notable graduates such as:
Dr. Samuel Matheny (Chair,
Department)
Dr. Emery Wilson (Dean, COM
1987 til 2004)
Faculty teaching at UKCOM
includes notable physicians such as:
Dr. Nicholas Pisacano: The American Board of Family
Practice
(ABFP) established the Pisacano Leadership
Foundation in
1990-91 to honor Nicholas J. Pisacano, M.D.,
founder
and first executive director of the ABFP, Lexington,
KY
Dr. Claire Louise Caudill: Dr. Caudill was instrumental in
bringing
improved healthcare to Morehead with the start of St.
Claire
Regional Medical Center
www.st-claire.org/Site/Physicians%20Corner/beginnings1.html
First Department of Community Medicine ever
offered in a medical school started under direction of Dr. Kurt
Deuschle (1960-1968) who was selected by the college’s
Dean, Dr. William Williard. (Source: “A Medical School is Born”)
By the 1960s, the general public was also
becoming aware of what this specialization meant to them as
patients. It was increasingly difficult to find a physician to be
a continuous, comprehensive provider of medical care.
http://www.afprd.org/afprdtext/historyidentify.html |
| |
|
| 1965 |
By 1965, after repeatedly voting down
resolutions to create a certifying board, the Congress of
Delegates of the Academy voted to authorize application for a
certifying board. Once committees delineated the core content for
the residency curriculum and the “Special Requirements for
Residency Training in Family Practice,” the stage was set.
http://www.afprd.org/afprdtext/historyidentify.html |
| |
|
| 1966 |
Three social reports on peoples’ frustration with the healthcare
system called for a new medical specialty of family practice to
meet people’s perceived needs in a fragmented healthcare system:
The
graduate education of physicians: report of the Citizens
Commission on Graduate Medical Education (Millis Commission)
Meeting
the challenge of family practice: report of the American Medical
Association. Ad Hoc Committee on Education for Family Practice
(Willard Committee).
Health
is a community affair: report of the National Commission on
Community Health Services (Folsom Commission).
All called for a new medical specialty of
family practice to meet people’s perceived needs in a fragmented
healthcare system
http://www.futurefamilymed.org/PreBuilt/5 & the slides from
“1. FFM Background”
The 1966 Report of the Citizens Commission on Graduate Medical
Education, entitled “The Graduate Education of Physicians” and
commonly called the Millis Report, emphasized the fragmentation
in patient care that was occurring. To maintain their skills and
knowledge, physicians were being trained to care for only a
portion of a patient’s health. Few were being trained for
comprehensive and ongoing care.
http://www.afprd.org/afprdtext/historyidentify.html |
| |
|
| 1969 |
Finally, following approval by the Liaison
Committee for Specialty Boards, the Advisory Board for Medical
Specialties, and the AMA Council on Medical Education, the
American Board of Family Practice, Inc. (ABFP) was incorporated
on February 8, 1969.
http://www.afprd.org/afprdtext/historyidentify.html;
AMA recognizes family practice as a specialty
http://www.kafp.org/x2678.html;
ABFP is incorporated with Dr. Nicholas Piscano as founder and
executive director-first meeting held in Lexington, Kentucky.
http://www.aafp.org/fpr/970100fr/4.html |
| |
|
| Late in 1969 |
Within a few months of the approval for the
American Board of Family Practice, 20 residency programs had been
approved by the AMA Council on Medical Education. These programs
had met the “Special Requirements for Residency Training in
Family Practice” that had been approved in December 1968. These
“essentials,” as they were commonly known, described a three-year
program that covered family medicine, internal medicine,
pediatrics, psychiatry, obstetrics and gynecology, surgery, and
community medicine. This later was considered to be one of the
unique components of family practice.
http://www.afprd.org/afprdtext/historyspecialty.html;
1969 58,000 General Practitioners & 0 Family Physicians
2000 15,000 General Practitioners & 70,000 Family Physicians
http://www.futurefamilymed.org/x19624.html & the slides from
“1. FFM Background” |
|
| |
-
Family
Medicine in Kentucky/Nation Continues:
1971, 1975, 1988-1989,
1991, 1999, 2000-2001, July 2003, & into the present
(Click here to open & close a description of the
history.)
-
1971 |
AAGP officially becomes AAFP
offering the nation’s 20th medical specialty
http://www.aafp.org/fpr/970100fr/4.html;
Trover Foundation
Family Practice Residency Program, Madisonville begins; first of
its kind in Kentucky (http://www.mc.uky.edu/RuralHealth/recent/WhitePaper.pdf,
page 5) |
| |
|
| 1975 |
Department of Family Practice receives full
accreditation for its family practice residency at UK and
graduates its first class of 4 residents; since then we have had
196 graduates. (Source: Janice Thomas, Residency
Program Coordinator) |
| |
|
|
1988 -1989 |
At the University of Kentucky, our
family practice program, in conjunction with the ABFP, developed
and pioneered the nations’ first Accelerated Residency Program
(Source: Janice Thomas, Residency Program
Coordinator &
www.mc.uky.edu/familypractice/pr/accelerated_residencies.html)
|
| 1991 |
The East Kentucky Family Practice Residency
Program (housed at the University of Kentucky Center for Rural
Health, Hazard) begins accepting residency applicants
(http://www.mc.uky.edu/RuralHealth/recent/WhitePaper.pdf,
pg. 5) |
| |
|
| 1996 -1997 |
Dr. Samuel Matheny endowed the “Dr. C. Louise
Caudill Chair of Family Medicine” |
| |
|
| 1999 |
Department of Family Practice receives full
accreditation to offer a Sports Fellowship program [Janice
Thomas] |
| |
|
| 2000-2001 |
2000 University of Kentucky Rural Family
Practice Residency, Morehead receives full accreditation; the
first residents arrive in 2001 with graduates expected in 2004
(http://www.mc.uky.edu/RuralHealth/recent/WhitePaper.pdf,
page 6 & Janice Thomas, Residency Program Coordinator) |
| |
|
| July 2003 |
Dr. Samuel Matheny named Dr. Nicholas J.
Pisacano Chair of Family Medicine |
| |
|
| June 2004 |
The Department of Family Practice becomes the Department of Family & Community Medicine with approval from the
University of Kentucky Board of Trustees. |
|
Faculty at the University of Kentucky Department of Family &
Community Medicine are deeply involved in the current trends for the
specialty and improving access to care within the state. For more
information, please check out your local and national family practice
organizations such as:
AAFP http://www.aafp.org/
The Robert Graham Center
http://www.aafppolicy.org/
ABFP
https://www.abfp.org/index.aspx
STFM
http://www.stfm.org/index_ex.html
KAFP http://www.kafp.org/
Future of Family Medicine Project:
http://www.futurefamilymed.org/ |
|
|
|
|
|
 |
|
~ |
|
|
|
|
|
|
|
|
|
|
 |
 |
| ____________________________________________ |
|
| |
|
|
|
| |
|
|