History of General Practice in the United States

The American Board of General Practice (ABGP), the American Academy of General Physicians and the American College of General Medicine are making this information, about the History of the General Practice of Medicine in the United States, available to you. The American Board of General Practice, the American College of General Medicine and the American Academy of General Physicians have been referred to as the General Practice Organizations. The American Academy of General Physicians is a national professional association of general practice physicians. The American College of General Medicine provides the General Practice Training Program. The American College of General Medicine is recognized and accredited by the American Academy of General Physicians. The American Board of General Practice certifies general-practice physicians, who have met the standards of the American Board of General Practice, as having excellence in the General Practice of Medicine. The American Board of General Practice is recognized and accredited by the American Academy of General Physicians. The American Board of General Practice utilizes the General Practice Training Program of the American College of General Medicine as an educational resource.

For additional information about the American Board of General Practice, the American Academy of General Physicians and the American College of General Medicine, click on the links below.

History of the General Practice of Medicine in the United States

The origins of the General Practice of Medicine are in England. For information about the origins of the General Practice of Medicine, go to the following link: Origins of the General Practice of Medicine

The traditions that had been established for the training and practice of general practitioners in England were carried over to the United States as a result of the colonization of the United States by England.

Until the late 1800’s, many of the general practitioners in both England and the United States were trained as apprentices. However, in the late 1800’s many of the general practitioners obtained university training. In the early 1900’s, with the development of university centers for educating physicians, almost all of the general practitioners, in the United States, were university trained.

In the 1930’s, more than 80 percent of practicing physicians in the United States were general practitioners.

In 1947, general practitioners in the United States, formed the American Academy of General Practice.

In 1957, the Board of the American Academy of General Practice, set up a committee to develop membership standards for general practitioners. In 1958, this committee issued a report which stated that medical school graduates were discouraged from entering residencies in general practice because of the lack of a certifying board in general practice. This committee was one of the first to formally use the terms “family physicians” and “family practice”.

In 1959, a movement started within the American Academy of General Practice, to develop a specialty known as “Family Practice”. Many general practitioners did not like this development. Roger Tusken of Kansas City, Missouri, who served on the Academy’s staff from 1957 to 1984 and was the Academy’s Chief Executive in 1971, was quoted in “Family Practice: Creation of a Specialty” as saying: “the big fear was that this specialty would set the outer boundaries of general practice and do nothing but limit people”.

In 1965, the Congress of the American Academy of General Practice voted to initiate the process for establishing a “certifying mechanism”.

In 1969, those, who were part of the movement to establish a specialty in “Family Practice”, were successful in establishing the American Board of Family Practice. Nicholas Piscano, M.D. was the first executive director of this new board. In that same year, fifteen residencies in family practice were created. In 1970, the first examination of the American Board of Family Practice was administered.

In 1971, the movement to establish a specialty in “Family Practice” became very influential in the American Academy of General Practice and the academy changed its name to the “American Academy of Family Physicians”.

Many general practitioners felt that, in 1971, the American Academy of General Practice left its general practice roots and became something totally different – something that no longer represented general practice and/or general practitioners – something, as Roger Tusken had feared, would limit physicians (a concept antithetical to the historical roots of the general practice of medicine, which by definition is non-specialization). However, since many of these general practitioners did not have another professional society, in which to participate, most retained their memberships in the American Academy of Family Physicians (previously the American Academy of General Practice). Many of these physicians also sought and obtained a status of “Fellow” of the American Academy of Family Physicians.

TODAY'S GENERAL PRACTICE ORGANIZATIONS

In 1995, the American Academy of General Physicians was founded. In that same year, the American Board of General Practice was founded. Several years later, the American College of General Medicine was founded.

Collectively, these organizations have been referred to as the General Practice Organizations.

The American Academy of General Physicians is a 501(c)(6) non-profit professional society.

The American Board of General Practice is a 501(c)(6) non-profit examining and certifying board. The Determination Letter from the IRS granting the American Board of General Practice non-profit status can be viewed at the following link to the official website of the American Board of General Practice: IRS Determinationn Letter for Board.

The American College of General Medicine is a 501(c)(3) non-profit educational organization. The Determination Letter from the IRS granting the American College of General Medicine non-profit status can be viewed at the following link to the official website of the American College of General Medicine: IRS Determinationn Letter for College.

The American Board of General Practice is recognized and accredited by the American Academy of General Physicians. The American Board of General Practice has received a Certificate of Accreditation from the American Academy of General Physicians. This Certificate of Accreditation can be seen on the website of the American Board of General Practice at: Certificate of Accreditation for the American Board of General Practice.

The American College of General Medicine is recognized and accredited by the American Academy of General Physicians. The American College of General Medicine has received a Certificate of Accreditation from the American Academy of General Physicians. This Certificate of Accreditation can be seen on the website of the American College of General Medicine at: Certificate of Accreditation of the American College of General Medicine.

The American Board of General Practice is a Pennsylvania Corporation. A copy of a Certificate of Subsistence (Good-Standing) for the American Board of General Practice can be seen on the website of the American Board of General Practice at the following internet link: Certificate of Subsistence (Good-Standing) of the American Board of General Practice.

The American College of General Medicine is a Virginia Corporation. A copy of a Certificate of Good-Standing for the American College of General Medicine can be seen on the website of the American College of General Medicine at the following internet link: Certificate of Good-Standing of the American College of General Medicine.

FOR MORE INFORMATION ABOUT THE HISTORY OF THE GENERAL PRACTICE OF MEDICINE, CLICK ON THE FOLLOWING LINKS

Origins of General Practice Click here to obtain additional information about how General Practice began.

FOR ADDITIONAL INFORMATION ABOUT GENERAL PRACTICE AND OTHER GP ORGANIZATIONS, CLICK ON THE FOLLOWING LINKS

American Board of General Practice Click here to go to the website of the American Board of General Practice.

American Academy of General Physicians Click here to go to the website of the American Academy of General Physicians.

American College of General Medicine Click here to go to the website of the American College of General Medicine.

The Physicians who make up the Membership of the American Academy of General Physicians The American Academy of General Physicians is a non-profit professional society of members. General Practitioners are the type of physicians, who primarily make up the membership of the American Academy of General Physicians.

General Practice Board Certification Click here for information about General Practice Board Certification.

American Board of General Practice Applications For general information about American Board of General Practice Applications, click here.

A Professional Society for General Practitioners Click here to learn about a professional society for general practitioners which is accepting applications for membership.

American Academy of General Physicians Annual Meetings of the Members Since the founding of the American Academy of General Physicians, Members of the American Academy of General Physicians have held Annual Meetings. Click here to get details.

General Practice Physicians Click here for information about General Practice Physicians.

Pathway of the American Board of General Practice called Previous Experience Pathway The Previous Experience Pathway of the American Board of General Practice primarily involves the process by which an applicant challenges the American Board of General Practice by oral examination for immediate Board Certification. Click here for more information about the Previous Experience Pathway of the American Board of General Practice.

Research organization for General PractitionersThere is a research organization, in which general practitioners can participate. Click here for information.

General Practice Training Program Click here to learn about the General Practice Training Program of the American College of General Medicine.

General Practice of Medicine Click here to obtain information about what constitutes the General Practice of Medicine.

Information pertaining to the Recognition of the American Board of General Practice Click here to learn about information pertaining to the recognitions of the American Board of General Practice.

Another GP BoardThere is another board which certifies competency in General Practice. Click here for information.

The History of the American Board of General Practice For important information about the History of the American Board of General Practice, click here.

How the American Board of General Practice originated For information about how the American Board of General Practice originated, click here.

Board Eligible Status of the American Board of General Practice If you would like to know more about the Board Eligible Status of the American Board of General Practice, then click here.

The American Academy of General Physicians and Opinions Adopted by the Members The Opinions of the Members of the American Academy of General Physicians provides the authoritative basis for the existence and actions of both the American Board of General Practice and American College of General Medicine. For more information, go to this link on the internet.

American Board of General Practice and what Board Certification Means Click here for the Meaning of Board Certification by the American Board of General Practice.

Pathway of the American Board of General Practice called Standard Primary Pathway Physicians, who decide to go down the path of the Standard Primary Pathway of the American Board of General Practice, primarily are engaged in the General Practice Training Program of the American College of General Medicine.

How the American Academy of General Physicians Began If you are interested in learning how the American Academy of General Physicians began, then click here.