Family practice management in an overseas theater

The mandate to convert outpatient primary care programs to family practice programs reached the overseas military theater a number of years ago. Everyone seemed positive about initiating a system that facilitated the relationship between the patient and the health care professional of his/her choice. As a consequence, many new programs were started. A number of concerns have been raised by local medical treatment facility commanders. These concerns demonstrate uncertainty regarding the goals, principles, and expectations of family practice programs. This article endeavors to bring helpful information regarding the philosophy and strengths of family practice. Two very different patterns of organizational structure are discussed and practical advice is given that will, it is hoped, be helpful to senior clinical managers.