TY - JOUR
KW - Family Practice/organization & administration
KW - Health Services Research/organization & administration
KW - Humans
KW - Models, Organizational
KW - Patient-Centered Care/standards
KW - Physicians, Family/standards
KW - Primary Health Care/organization & administration
KW - Quality Assurance, Health Care
KW - United States
AU - T. P. Daaleman
A1 - 
AB - Family medicine is currently undergoing a transformation and, amid such change, the medical home has emerged as the new polestar. This article examines the medical home through the lens of philosopher Alasdair MacIntyre and offers a perspective, informed by Hubert Dreyfus and Peter Senge, about medical homes as practical sites of formation for family physicians. The intellectual past of family medicine points to contextually sensitive patient care as a practice that is particular to the discipline, with the virtue of "placing patients within contexts over time" as a commonly held virtue. Dreyfus provides a model of knowledge and skill acquisition that is relevant to the training of family physicians in practical wisdom. In this model, there is a continuum from novice to more advanced stages of professional formation that is aided by rules that not only must be learned, but must be applied in greater contextually informed situations. Senge's emphasis on learning organizations-organizations where people are continually learning how to learn together-presents a framework for evaluating the extent to which future medical homes facilitate or retard the formation of family physicians.
BT - Journal of the American Board of Family Medicine : JABFM
C5 - Education & Workforce; Medical Home
CP - 5
CY - United States
DO - 10.3122/jabfm.2008.05.080083
IS - 5
JF - Journal of the American Board of Family Medicine : JABFM
N2 - Family medicine is currently undergoing a transformation and, amid such change, the medical home has emerged as the new polestar. This article examines the medical home through the lens of philosopher Alasdair MacIntyre and offers a perspective, informed by Hubert Dreyfus and Peter Senge, about medical homes as practical sites of formation for family physicians. The intellectual past of family medicine points to contextually sensitive patient care as a practice that is particular to the discipline, with the virtue of "placing patients within contexts over time" as a commonly held virtue. Dreyfus provides a model of knowledge and skill acquisition that is relevant to the training of family physicians in practical wisdom. In this model, there is a continuum from novice to more advanced stages of professional formation that is aided by rules that not only must be learned, but must be applied in greater contextually informed situations. Senge's emphasis on learning organizations-organizations where people are continually learning how to learn together-presents a framework for evaluating the extent to which future medical homes facilitate or retard the formation of family physicians.
PP - United States
PY - 2008
SN - 1557-2625; 1557-2625
SP - 451
EP - 457
EP - 
T1 - The medical home: Locus of physician formation
T2 - Journal of the American Board of Family Medicine : JABFM
TI - The medical home: Locus of physician formation
U1 - Education & Workforce; Medical Home
U2 - 18772299
U3 - 10.3122/jabfm.2008.05.080083
VL - 21
VO - 1557-2625; 1557-2625
Y1 - 2008
ER -