Family Physicians

Family physicians deliver a range of acute, chronic and preventive medical care services. In addition to diagnosing and treating illness, they also provide preventive care, including routine checkups, health-risk assessments, immunization and screening tests, and personalized counseling on maintaining a healthy lifestyle. Family physicians also manage chronic illness, often coordinating care provided by other sub-specialists. Family medicine and family physicians play a very important role in the healthcare system of a country. In the USA, for example, nearly one in four of all office visits are to family physicians. A general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and comorbidities. Family medical practitioners must then complete three to four years of additional residency in family medicine. Three hundred hours of medical education within the prior six years are also required to be eligible to sit for the board certification exam; these hours are during residency training. Family physicians will see anyone with any problem and are experts in common problems. Many family physicians deliver babies in addition to taking care of patients of all ages. In order to become board certified, family physicians must complete a residency in family medicine, possess a full and unrestricted medical license, and take a written cognitive examination. The American Board of Family Medicine, as well as other specialty boards, is requiring additional participation in continuous learning and self-assessment to enhance clinical knowledge, expertise and skills. Family physicians may pursue fellowships in diverse topics including adolescent medicine, geriatric medicine, sports medicine, sleep medicine, and hospice and palliative medicine.

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Physician Ownership and Other Transparency

SEC. 6001. LIMITATION ON MEDICARE EXCEPTION TO THE PROHIBITION ON CERTAIN PHYSICIAN REFERRALS FOR HOSPITALS.
(a) IN GENERAL.—Section 1877 of the Social Security Act (42
U.S.C. 1395nn) is amended—
(1) in subsection (d)(2)—
(A) in subparagraph (A), by striking   and’’ at the end;
(B) in subparagraph (B), by striking the period at the
end and inserting   ; and’’; and
(C) by adding at the end the following new subparagraph:
(C) in the case where the entity is a hospital, the hospital
meets the requirements of paragraph (3)(D).’’;
(2) in subsection (d)(3)—
(A) in subparagraph (B), by striking   and’’ at the end;
(B) in subparagraph (C), by striking the period at the
end and inserting   ; and’’; and
(C) by adding at the end the following new subparagraph:
(D) the hospital meets the requirements described in
subsection (i)(1) not later than 18 months after the date of
the enactment of this subparagraph.’’; and
(3) by adding at the end the following new subsection:
(i) REQUIREMENTS FOR HOSPITALS TO QUALIFY FOR RURAL
PROVIDER AND HOSPITAL EXCEPTION TO OWNERSHIP OR INVESTMENT
PROHIBITION.—
(1) REQUIREMENTS DESCRIBED.—For purposes of subsection
(d)(3)(D), the requirements described in this paragraph
for a hospital are as follows:
(A) PROVIDER AGREEMENT.—The hospital had—
(i) physician ownership or investment on December
31, 2010; and osection 10601(a)(1) amended this
clause by striking ‘February 1’ and inserting ‘August 1’;
section 1106(1) of HCERA further amended this clause
by striking ‘August 1, 2010’ and inserting ‘December
31, 2010’; shown to reflect probable intent.
(ii) a provider agreement under section 1866 in
effect on such date.
(B) LIMITATION ON EXPANSION OF FACILITY CAPACITY.—
Except as provided in paragraph (3), the number of
operating rooms, procedure rooms, and beds for which the
hospital is licensed at any time on or after the date of the
enactment of this subsection is no greater than the number
of operating rooms, procedure rooms, and beds for
which the hospital is licensed as of such date.

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