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General practice residency training program in Thailand: past, present, and future.

S Prueksaritanond1, P Tuchinda

  • 1Department of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|January 5, 2002
PubMed
Summary

General Practice residency training in Thailand began in 1973, evolving significantly by 1999. Initial programs lacked dedicated departments and trainers, leading to a shift towards Family Medicine training and the establishment of the College of Family Physicians.

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Area of Science:

  • Medical Education
  • Primary Care Training
  • Thailand Healthcare System

Background:

  • General Practice was recognized as a medical specialty in Thailand in 1969.
  • Postgraduate residency programs commenced in 1973, expanding to nine by the late 1980s.
  • Early programs featured rotating clinical disciplines but lacked specialized General Practice departments and faculty.

Purpose of the Study:

  • To outline the historical development of General Practice residency training in Thailand.
  • To identify limitations in early postgraduate General Practice programs.
  • To describe the transition to Family Medicine training and its governing body.

Main Methods:

  • Historical review of medical specialty recognition and postgraduate training program evolution.

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  • Analysis of curriculum structure and identified weaknesses in early residency programs.
  • Documentation of policy changes and institutional developments in medical training.

    • Main Results:

    • The initial General Practice residency programs faced challenges including a lack of dedicated departments, trainers, and organizational support.
    • A significant revision occurred in 1999, rebranding the training as Family Medicine residency.
    • The College of Family Physicians of Thailand was established to centralize postgraduate education.

    Conclusions:

    • The evolution from General Practice to Family Medicine reflects a strategic enhancement of primary care training in Thailand.
    • The establishment of the College of Family Physicians signifies a commitment to structured and centralized postgraduate medical education.
    • Addressing the identified weaknesses was crucial for advancing the quality and effectiveness of primary care physician training.