During this time the birth of a new medical discipline, Family Practice (now Family Medicine), the specialty of generalism
, was marked by an unusual attribute in the culture of medicine.
is the most important attribute needed for primary care, but "what we've created is a system of subspecialization, so at a time when we need a complex skill set to be able to handle problems, we've micro-detailed our physicians into looking at the left kidney," Dr.
is the most important attribute needed for primary care, but "what we've created is a system of subspedaliza-tion, so at a time when we need a complex skill set to be able to handle problems, we've micro-detailed our physicians into looking at the left kidney" Dr.
The superior success of more variable groups is therefore expected in part due to greater generalism
(summed across individuals) with regard to thermal requirements, dietary preferences, or life-history characteristics (Forsman et al 2008; Forsman et al.
By grounding a functionally specific specialization in the advanced, elite generalism
that provides executives and politicians with a mandate to command consumers, subjects, and citizens, the professional ideology creates a basis for claiming legitimacy that goes beyond the technical.
Part IV synthesizes the work of the preceding two parts, drawing on both to further refine the analysis while introducing the suggestion that the choice between specialization and generalism
is likely to have rule-of-law consequences.
It is worthwhile, then, to reflect upon a foundational issue that receives surprisingly little attention here: the poverty of Generalism
, the view that thought is, by its very nature, general (alternatively, 'descriptive' or 'purely qualitative').
explores a connection between generalism
and holism, on the one hand,
and specialism revisited: the case of neurology.
You have got to make the best fit without the numbers, more generalism
, less specialism, economies of scale.
Failed Health minister Mike O'Brien, MP for North Warwickshire, said: "There is no professional organisation that oversees managers because it is a generalism
, not a profession.
At the margin, one could now expect the pool of aspiring judges to slant toward generalism
See also by the same author, referring to the twentieth century, but of special interest for Australian references, The Crisis of the Democratic Intellect: The Problem of Generalism
and Specialization in Twentieth Century Scotland (Edinburgh: Polygon, c1986.
Principled Ethics: Generalism
as a Regulative Ideal.
I was fortunate to train at a center with a strong presence of FPs--role models of generalism
who were excellent in ambulatory, hospital, obstetric, and pediatric settings within their chosen range of practice.