Scope, training, and systemic challenges of family medicine in South Asia: Perspectives of general practitioners and family physicians
DOI:
https://doi.org/10.12669/pjms.42.(ICON26).15697Keywords:
Career Pathways, Family Medicine, General Practitioners, Primary Health Care, South-Asia, Postgraduate Medical Education, Workforce DevelopmentAbstract
Background and Objective: Family Medicine (FM) specialty central to primary-care and universal health coverage, remains underdeveloped with limited structured training, regulatory support, and career prospects in South Asia. This study assessed perceptions of general practitioners (GPs) and family physicians (FPs) regarding its scope, training opportunities, and systemic challenges.
Methodology: A cross-sectional online survey was conducted between March – December, 2024 amongst physicians of Pakistan, India, Bangladesh, and Sri Lanka. Eligible participants included GPs, postgraduate FM trainees, and FPs from Pakistan, India, Bangladesh, and Sri Lanka. A structured questionnaire gleaned information on demographics, training, continuous medical education (CME) access, clinical guidelines, research, and career opportunities. Data were analyzed using SPSS-version-26.
Results: Of 246 respondents (53% Pakistan, 26% India, 15% Bangladesh, 7% Sri Lanka), 58% were females and 42% males. Overall, 63% reported access to FM training with greater satisfaction illustrated by Pakistan. Access to CME and clinical guidelines was 58% and 23%, respectively. More Pakistani participants perceived improved scope (p<0.001), public awareness (p=0.033), and career opportunities (p=0.038). Majority 87%, suggested reserving the term “Family Physician” for those with postgraduate qualifications.
Conclusion: FM in South Asia despite some progress remains constrained by capacity building and weak career recognition. Strengthening academic departments, postgraduate programs, and career pathways is vital to advance PHC in the region.
