June 28, 2007
Letters to the Editor
The Wall Street Journal
200 Liberty Street
New York
,
NY
10281-1015
Dear Editor:
I take great umbrage, as do the nearly 94,000
members of the
American
Academy
of Family Physicians, with some of the responses to Peter Bach’s
June 21 commentary, “How Many Doctors Does it Take to Treat a
Patient?” which were published June 26.
In particular, the letters from Mark Aeder, MD,
Case
Medical
Center
; Nicholas Rummo, MD,
Northern
Westchester
Hospital
; and S.M. Bunn, MD, purport that primary care physicians aren’t
adequately trained. This assertion is not only inflammatory, it is
just plain wrong.
Because of their extensive and integrated
training, family physicians are the only medical specialists
qualified to treat most ailments that most patients have most of
the time. Family physicians deliver a wide range of acute, chronic
and preventive medical care services for people of all ages. In
addition to diagnosing and treating acute illness, we also provide
preventive care, including routine check ups, health-risk
assessments and screening tests, and personalized counseling on
maintaining a healthy lifestyle. Family physicians manage chronic
illness, often coordinating care provided by subspecialists. From
heart disease, stroke and hypertension, to diabetes, cancer,
depression and asthma, family physicians provide primary care for
the nation’s most serious health problems.
Like most other medical specialists, family
physicians complete a three-year, accredited residency program
after graduating from medical school. As part of our residency
education, we participate in integrated inpatient and outpatient
training in major medical areas: women’s health and
children’s care, adult and geriatric medicine, psychiatry and
behavioral health, surgery and community medicine. We also receive
instruction in many other areas including emergency medicine,
orthopedics and neurology. Family physicians must complete
rigorous annual clinical medical education requirements as well.
An extensive research base has proven the value
of what we do as family physicians. We are held in high regard by
our subspecialist colleagues. As a matter of fact, most consider
primary care physicians, and in particular family physicians, best
qualified to provide both preventive care as well as care to
patients with multiple complex problems. Family physicians
are the backbone of
America
’s health care system.
The AAFP and our members are working tirelessly
with other physician and health care organizations, and the
business community to promote an improved health care system based
on a patient-centered medical home. The cornerstone of the
patient-centered medical home is an ongoing, personal,
patient-physician relationship focusing on integrated care that is
coordinated and facilitated by a primary care doctor. This will
result in better quality care at less expense to the patient and
the system. Both patients and the health care system would be a
lot better off if every American had a personal family physician.
Sincerely,
Rick Kellerman, M.D.
President,
American
Academy
of Family Physicians
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