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The Journal of the American Board of Family Medicine 20 (6): 557-564 (2007)
DOI: 10.3122/jabfm.2007.06.060220
© 2007 American Board of Family Medicine
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Family Medicine –World Perspective

A Family Medicine Training Program in the Republic of Georgia: Incorporating a Model of Chronic Disease Management

James Sanders, MD, MPH

From the Columbia St. Mary's Family Practice Residency Program, Medical College of Wisconsin, Milwaukee

Correspondence: Corresponding author: James Sanders, Columbia St. Mary's Family Practice Residency Program, Medical College of Wisconsin, 1121 E North Ave, Milwaukee, WI 53212 (E-mail: jsanders{at}mcw.edu)

Background: This study describes a different approach to increase the number of family medicine physicians trained with specific competencies in the management of chronic disease.

Methods: In 1999 the Republic of Georgia initiated an ambitious program designed to retrain practicing physicians in the specialty of family medicine. At 2 of the implementation sites, the Center for International Health worked with local health authorities to augment the official 940-hour curriculum to include lesson plans, workshops, and practicum experiences emphasizing a model of chronic disease management, giving particular attention to hypertension.

Results: The population served by the training sites has benefited in a cost-effective manner by achieving blood pressure control for as little as $8 per year per patient; the physician learners have performed above their peer group on standardized national testing.

Conclusion: Family medicine training programs in resource-poor settings can incorporate chronic disease management models into their curriculum and achieve high-quality patient care outcomes.








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