International Family Medicine physicians are family physicians that specialize in working with under-served populations in resource-poor environments, often in developing nations . These physicians face the challenge of diagnosing patients without advanced laboratory or imaging techniques. Because of limited access to medications and specialists, International Family Medicine physicians must have flexible treatment strategies and a broad scope of practice.
15-496: Peter Parker , MD was one of the earliest full time American medical missionaries in 1834. He opened an ophthalmology hospital in China. Many physicians have worked in developing nations over the years. Surgeons and primary care physicians alike have donated their time or their entire lives to needy populations in the world. Modern Organizations such as Doctors Without Borders ( Médecins Sans Frontières ) organize physicians from around
30-606: A B.A. degree from Yale University in 1831, and his M.D. degree from the Yale Medical School , then called Medical Institution of Yale College, in 1834. In January 1834, he completed his theological studies at Yale and was ordained as a Presbyterian minister. In February 1834, Parker (phoneticized in Cantonese: 伯駕) traveled to Canton , where he had the distinction of being the first full-time Protestant medical missionary to China. In 1835, he opened in that city
45-463: A foreigner's house, rendered it most suitable for the purpose." In 1840, on the occurrence of hostilities between England and China, the hospital was closed, and Parker returned to the United States. He met and married Harriet Colby Webster during this time period. Returning to China with his new wife in 1842, he reopened the hospital, and it was thronged as before. He served as president of
60-488: Is greatly needed, especially in areas with large refugee populations. Family physicians that practice in the United States have the broadest scope of all of the specialties. Family physicians frequently treat illnesses related to obstetrics , pediatrics , adult medicine, orthopedics , outpatient and inpatient care . International Family Medicine physicians must also manage tropical medicine , surgery , anesthesia , burn care, HIV , and even dentistry . In addition to
75-800: Is known today as the Peter Parker House . From here the couple regularly hosted notable figures in Washington, including Supreme Court justices, members of Congress, and President Abraham Lincoln . Parker became a regent of the Smithsonian Institution in 1868, a corporate member of the American Board in 1871, and was a delegate of the Evangelical Alliance to Russia the same year to memorialize Tsar Alexander II on behalf of religious liberty in
90-699: The Medical Missionary Society of China after his mentor Thomas Richardson Colledge . John Glasgow Kerr followed Parker in running the Medical Missionary Society Hospital. In 1844, Parker worked as Caleb Cushing 's main interpreter during the negotiations of the Treaty of Wanghia with the Qing Empire. In 1845 he became a secretary and interpreter to the new embassy from the United States, still keeping
105-672: The Ophthalmic Hospital, which later became the Guangzhou Boji Hospital ( the Canton Hospital ). Parker specialized in diseases of the eye, including cataracts , and also resected tumors . Parker also introduced Western anesthesia in the form of sulphuric ether . Although the hospital was intended particularly for the treatment of eye diseases, it was soon found impracticable to exclude patients with other maladies. Over 2,000 patients were admitted
120-731: The Peter Parker Collection at the Harvey Cushing/John Hay Whitney Medical Library at Yale University. Parker left these portraits to the Pathology Department of the Yale Medical School, which later gave them to the library. After his final return to the United States, Parker and Harriet had one son, Peter Parker Jr., in 1859. In the 1860s, the couple moved to the townhome on Lafayette Square that
135-575: The delivery of healthcare by International Family Medicine physicians. Peter Parker (physician) Peter Parker (June 18, 1804 – January 10, 1888) was an American physician and a missionary who introduced Western medical techniques into Qing dynasty China, at the city of Canton . It was said that Parker "opened China to the gospel at the point of a lancet." Parker was born in Framingham, Massachusetts , in 1804 to an orthodox Congregational family. His parents were farmers. Parker received
150-446: The first year. Parker often preached to the patients, and trained several Chinese students in the arts of medicine and surgery, some of whom attained considerable skill. Merchant David Olyphant of Olyphant & Co. allowed Parker to use one of his warehouses as a hospital "so that patients could come and go without annoying foreigners by passing through their hongs , or excite the observations of natives by being seen to resort to
165-519: The hospital in operation. In the absence of the minister, Parker acted as chargé d'affaires . In 1855, finding his health seriously impaired, he again returned to the United States. The 1844 treaty stipulated that it could be renegotiated after 12 years, and in 1856, president Franklin Pierce sent Parker to China in order to revise the treaty and gain more concessions from the Qing Empire. Parker
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#1732780224065180-465: The medical challenges, International Family Medicine physicians must often act as hospital administrators as well. The issues faced often range from obtaining local pharmaceuticals and supplies to repairing broken medical equipment. Engaging the public health issues of communities relating to sanitation and clean water is yet another task that falls on the wide shoulders of the physician. Cultural differences and corrupt governments also add impediments to
195-480: The varied conditions of the developing world versus the training environment there is often a very steep learning curve for Western trained family physicians. In response to improving the preparedness for American Family Physicians International Family Medicine Fellowships have emerged recently. These fellowships aim to better prepare Family Medicine graduates for the challenges that they will face overseas. The need for physicians well suited for international challenges
210-592: The world to provide disaster medicine and relief work during times of extreme need or natural disasters. Interest in international medicine among medical students and residents has been increasing. Many medical schools and residencies are offering global health tracks. Family Medicine physicians, because of their broad scope, are particularly well suited for practicing in areas where specialists are not readily available. For those family physicians that desired full time careers in international medicine would generally begin their work immediately after residency. Because of
225-420: Was unsuccessful in this endeavor. He worked in this capacity until Pierce left office. In 1857, his health again failing, he returned to the United States. While in China, Parker met Lam Qua , a Western-trained Chinese painter. Parker commissioned Lam Qua to paint patients at the Canton Hospital with large tumors or other major deformities. Some of the paintings are part of a collection of Lam Qua's work held by
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