A general practitioner (GP) or family physician (FP) is a physician/medical doctor who provides primary care. A GP/FP treats acute and chronic illnesses, provides preventive care and health education for all ages and both sexes. Some also care for hospitalized patients, do minor surgery and/or obstetrics. The term general practitioner is common in the United Kingdom and some other Commonwealth countries, where the word "physician" is only used for certain specialists and not for GPs.
Australia
General Practice in Australia has undergone many changes in training requirements over the past decade. The basic medical degree in Australia is the MBBS (
Bachelors of Medicine and Surgery), which has traditionally been attained after completion of a six-year course. Over the last few years, four-year postgraduate courses have become more common. After graduating, a one or two-year internship (dependent on state) is required for registration before specialist training begins. For general practice training, the doctor applies to enter the three-year "Australian General Practice Training Program", a combination of coursework and apprenticeship type training leading to the awarding of the FRACGP (Fellowship of the
Royal Australian College of General Practitioners), if successful. This qualification or its equivalent is needed to access the
Medicare health system for remuneration as a general practitioner. Medicare is Australia's
Universal Health Care system, and without access to it, a practitioner cannot effectively work in Australia. Most GPs work under a fee-for-service arrangement although increasingly a portion of income is derived from Government payments for participation in chronic disease management. There is a shortage of GPs in rural areas and increasingly outer metropolitan areas of large cities, which has led to the utilisation of overseas trained doctors (OTDs). GP incomes can match those of other internal medicine specialists, but not proceduralists. Many GPs feel that they are second-rate doctors because of lower incomes, less public respect than their specialist colleagues, lack of research opportunities, and lack of access to public hospitals. Historically GPs were the default group for those who had failed often brutal specialist training programs or for those without family connections to secure training positions for lucrative specialties, this is less so with the advent of general practice as a specialty in its own right, including a proper training scheme and certification process.
Brazil
General practice in
Brazil is called
clínica geral or
clínica médica. Any physician is legally allowed to practice without any training after graduation in the medical school, but recent efforts by the government, the
Brazilian Medical Association and the specialized
Sociedade Brasileira de Clínica Médica are trying to demand also a specialist title for its practice, just like for others such as cardiology, endocrinology, etc. The majority of Brazilian GPs are located in the public health sector and is constituted mostly by young, recently graduated physicians. The reason is that GP is not terribly profitable and about 40% of Brazilian doctors prefer to do specialized practice, instead. To do this, they are required to do
medical residence of variable duration and submit to a board of medical examiners in order to get the title of specialist. Each medical society is in charge of organizing the examinations (which usually are carried out once a year) and granting the titles to those physicians who passed the requirements. The title is recognized by the
Federal Council of Medicine (the Federal professional regulatory body), the Ministry of Education and the Ministry of Health.
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