Family Medicine’s Essential Role in Public Health

These have been recommended to me recently as good videos about disparities and their impact on development and the imperative in clinical and public healthcare to address them.

Center for the Developing Child – Harvard University

A few thoughts about this video:

  • Family medicine is
    uniquely positioned to recognize the roadblocks to development in the
    young family and directly influence both the young adult parents and the
    children.
  • Family medicine lives in the community and can
    contribute to the healthy development of the child-care providers and
    other community citizens that impact child development through our
    involvement in the community.
  • The easiest thing to do in
    these EHR-dominated transition years between productivity-based and
    quality-based funding of health care is to create more “education” to
    throw at these families.  Yet Family Medicine training in family systems, behavior
    change and mental health put us in the best position to affect
    development of adults not by education/information but by skill building
    and coaching.

Unnatural Causes – from PBS

A few thoughts about this summary video:

There’s more to
life than your genes…Genetics education has really exploded in medical
education.  Despite all its importance and the real promises it holds
for use to tailor therapies and understand risk better, I’m more excited
about the ideas behind epigenetics.  The idea that our nurture (social
history, development, family) not only influences but may fundamentally
alter our nature (the expression of our genetic code) reinforces the
essential role of intelligent, capable and caring physicians that know well their patients, their
patients’ families and their patients’ community.  That, dear readers, is a major way that Family Medicine improves the Public Health.