• "Bangladesh Academy of Family Physicians"
  • "Bangladesh Academy of Family Physicians;

World Family Doctor Day

and It was officially launched on May 19, 2010 by the Wonca President, Professor Richard Roberts, in the opening session of the Wonca World Conference, in Cancun.
More than the application of science and technology, medicine is a special calling, and those who have chosen this vocation in order to serve their fellowman understand the tremendous

responsibility it entails. Referring to the work of physicians, Dr. Elmer Hess, a former president of the American Medical Association, once wrote: "There is no greater reward in our profession than the knowledge that God has entrusted us with the physical care of His people.
The Almighty has reserved for Himself the power to create life, but He has assigned to a few of us the responsibility of keeping in good repair the bodies in which this life is sustained." Accordingly, reverence for human life and individual dignity is both the hallmark of a good physician and the key to truly beneficial advances in medicine.

The first World Family Doctors’ Day was celebrated on 19 May 2010. It has been taken up with enthusiasm around the world and has given us a chance to celebrate what we do to provide recognition to family doctors, to highlight important issues and the work we perform in supporting health care for all people in our local communities, our nations and around the world.

We have much to celebrate as governments around the world have really begun to realize the value of our specialty. In some countries there is work to do, and celebrating World Family Doctor Day will open up many opportunities to highlight the important contributions of family doctors.
This day creates an atmosphere of global solidarity among family doctors and it will be a positive and visible contribution of WONCA’s leadership and contribution to family medicine. World Family Doctor Day provides the opportunity to celebrate the role of the Family Doctor/General Practitioner in health care systems around the world.

Not restricted to doctors alone, their families, their patients and their other colleagues in family medicine/general practice would also be encouraged to take part. It will open up many opportunities to highlight the important contributions of family doctors globally. Most importantly, World Family Doctor Day will provide recognition to family doctors and hopefully lead to increased morale.

The activities Many member organizations accepted the challenge to celebrate World Family Doctor Day. There were many meetings held; media releases to inform the public: Australia, New Zealand, Russian Federation, and the USA ; a poster from Taiwan; a badge designed in the Philippines.
I will request & encourage all Bangladeshi’s especially all family doctors/general practitioners and members of BAFP & BPMPA to observe, celebrate and commemorate this day with appropriate programs and activities.

In our country medical professionals after getting the MBBS degree i.e. graduating as a doctor, passes a difficult period before establishing himself as a medical practitioner. He goes for internship training in different hospitals with so much difficulty. During internship very few can learn the accurate clinical acumen and can hardly approach or face a patient independently for diagnosis and treatment.

They face professional, social, familial, financial, rather psychological setbacks. Although internship/residency is very important part to equip oneself in the journey to be a good professional doctor is mandatory in any field of practice.
So the choice/interest in the study of family medicine specialty at the very outset is also very important. Every student wants to be grade-1 in his class, but very few get it. All can’t be cardiologist or urologist, so one should go according to his/her interest, patience and viscidity or stickiness on that subject or specialty. Doctors of this era want to be the specialist of the subject grabs more earning /money. To become a specialist in family medicine needs more dedication, work, reading, practice time and training.

This subject may not give you enough money or esteem like those subjects but you will get gratitude & pride for the service you render to the community at large throughout your life. Serve as a doctor is a commitment to the society. But it is very interesting field to work in breadth with comprehensive, continuing, all health care for all diseases and both sexes of any ages. They usually start practice immediately after passing as general practitioner.
Then undergo a course/training or residency on family medicine to be a family medicine specialist. Family doctors know that years of learning about the health, strengths and life experiences of each family member enhances the care they give to the family as a whole. Their knowledge of the family as a unit allows them to serve as effective advocates and guides in health-related matters, including the appropriate use of consultants, health services and community resources across the lifespan.

I do write this topic for my fellow colleagues’ general practitioners/ family physicians to enlighten them, to ask and understand who they are and let the community as such the nation and even the government to recognize or understand their rule and need or importance in health care maintenance.
Our BAFP president used to say, “You are to drum yourself” to have/gain something. ‘Know thyself’. Respect, love, know and recognize yourself, the subject and the service you are giving for the people in the society. Then only one may present himself and know others. Our motto is clear; we the family physicians serve the community at large for all health related matters from birth to the cubicle.

I have learnt that President of Philippines has declared 19th May, 2012 as World Family Doctors’ Day and henceforth it is celebrated as such in future also. It is an established fact that Family Doctors / GPs work at the grass root level and provide care to patients day and night at the initial level, which is called Primary Health Care, both in urban and rural areas.

But it is ill luck rather disappointing for Bangladeshi doctors that our government is still inert and shows no interest on this very important subject and the GP/family physicians, though the nation is getting 90% health services from this group of doctors. Now the time has come to grab the recognition from the government to encourage young doctors about family medicine & put this subject in medical curriculum as a special subject entity.

But it needs united effort and movement to achieve recognition and develop awareness to both public & government. So I request all general practitioners to come forward to observe the world family doctors’ day with full enthusiasm, zeal, pompous, memorable day of the year in 2014.
On this day we solemnly pledge that Family Doctors of Bangladesh will fulfill their obligation as laid down by international code of ethics for their country-Bangladesh. Primary care reduces social inequality in health. Overall the stronger the primary care approach in a country’s health system the better the health outcomes. Action is needed, not just rhetoric. Health is limited if health systems are build around hospitals and consultant specialists.

The benefits of primary care: first contact access for each new health need; long term person (not disease) focused care; comprehensive care for most health needs; coordinated care when it must be sought elsewhere. Primary care is best when these four features are fulfilled along with a family and community orientation as relevant. Possible reasons why primary care physician deliver better health outcomes:

A focus on the person rather than managing a particular disease; the overall aspects of the patient’s health rather than a specific disease. Being a first point of contact protects from over treatment. Continuity of care or a relationship over time (the individuals uses their primary care physician, over time, as their primary source of care) generates more accurate diagnoses, greater satisfaction with care, better compliance with management plans, and lower emergency and hospitalization rates. Previous knowledge of patient increases the odds of recognizing psychosocial aspects of care.

Continuity of care and first point of access leads to greater efficiency in using less consultation time, fewer laboratories or rather tests, and fewer prescriptions all leading to cost savings.
People with no source of primary care delay seeking help for longer, and do not receive timely preventative care. Consultant specialists are likely to overestimate the likelihood of illness in patients they see leading to inappropriate diagnostic and management modalities leading to adverse events and medical errors. Patient suffers out of pocket money.

So, as our services are imperative primary health care, the government and public should recognize and appreciate it for the development of family medicine. We the family doctors/ general practitioners are planning to celebrate the WORLD FAMILY DOCTOR DAY on May 19, 2014 as organized by BAFP and BPMPA. All doctors and allied staff should attend and celebrate accordingly.

There is also “Doctors Day- February 21.” Origin of National Doctors' Day is the President George Bush’s “Proclamation 6253 - National Doctors Day, 1991” References: - Feature Stories Newsletter Article June 2012 Global Family Doctor – Wonca Online; Special Feature: World Family Doctor Day .