一、美国家庭医学的发展1930年前后,美国的专科医师只占医师总数的15%,绝大多数医师是内科、小儿科、妇产科、外科等各科都诊治的通科医师。近半个世纪以来,随着医学的发展和医疗专科化的分工,1960年时,已只有18%的医学院校毕业生愿意成为通科医师,至1980年,专科医师已占85%,出现不平衡状态。 First, the development of American family medicine Before and after 1930, the United States specialized physicians accounted for only 15% of the total number of physicians, the vast majority of physicians are internal medicine, pediatrics, obstetrics and gynecology, surgery and other departments of all physicians. In the past half century, with the development of medical science and the division of medical specialization, only 18% of graduates of medical schools were willing to become general practitioners in 1960. By 1980, 85% of specialists had appeared. Unbalanced state.