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1University of Wisconsin, Madison, Wisconsin sbschrag@wisc.edu.
Annals of Family Medicine
|May 22, 2023
Summary
Transitioning from obstetrics care does not mean losing your identity as a family physician. Core values like generalism and patient-centeredness can be maintained in outpatient settings.
Area of Science:
- Medical Education
- Family Medicine
- Physician Identity
Background:
- Physicians transitioning out of inpatient obstetrics may fear losing their core professional identity.
- Family medicine's historical values include generalism and patient-centered care.
- The practice setting can influence how these values are expressed.
Purpose of the Study:
- To explore the author's personal experience transitioning from obstetrics practice.
- To examine the potential impact of leaving inpatient obstetrics on family physician identity.
- To affirm that core family medicine values can be preserved in outpatient settings.
Main Methods:
- Reflective essay based on personal experience.
- Qualitative self-analysis of professional identity.
- Exploration of the philosophical underpinnings of family medicine.
Main Results:
- The author successfully maintained their identity as a family physician after leaving obstetrics.
- Core values of generalism and patient-centeredness were found to be transferable to an office-based practice.
- The 'how' of practice is as crucial as the 'what' in upholding family medicine principles.
Conclusions:
- Family physicians can retain their identity and core values when transitioning away from inpatient obstetrics.
- Embracing patient-centeredness and generalism in outpatient settings allows for continued adherence to family medicine principles.
- Professional identity in family medicine is adaptable and not solely defined by specific clinical services like obstetrics.
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