Family Medicine
©2023 Accreditation Council for Graduate Medical Education (ACGME) Page 26 of 63
IV.B.1.b).(1).(a).(ii) diagnose, manage, and integrate the care of
patients of all ages in various outpatient
settings, including the FMP and home
environment, to include common chronic
medical conditions and acute medical
problems;
(Core
IV.B.1.b).(1).(a).(iii) diagnose, manage, and integrate the care of
patients of all ages in various inpatient
settings, including hospitals, long-term care
facilities, and rehabilitation facilities;
(Core)
IV.B.1.b).(1).(a).(iv) diagnose, manage, and integrate care for
common mental illness and behavioral
issues, including substance use disorders,
in patients of all ages;
(Core)
IV.B.1.b).(1).(a).(v) identify risk level of patients in panels and
connect with appropriate preventive care
coordination through team-based support;
(Core)
IV.B.1.b).(1).(a).(vi) identify the need for a higher level of care
setting and/or subspecialty referral in the
undifferentiated patient;
(Core)
IV.B.1.b).(1).(a).(vii) apply the biopsychosocial model of health to
patients, specifically to assess behavioral,
community, environmental, socioeconomic,
and family influences on the health of
patients, and integrate those with
biomedical influences, appropriately
acknowledging racial categories as social
constructs as opposed to biologically
distinct determinants of health;
(Core)
Specialty-Specific Background and Intent: Family physicians simultaneously attend to the
biological, psychological, and social dimension of illness. This includes the competence
necessary to address racial and ethnic health disparities experienced by their patients. Family
physicians should understand that race is a social construct, that racism is a fundamental
cause of health inequities, health disparities and disease, and the sources of these disparities
include differences in geography, lack of access to adequate health coverage, communication
difficulties between patient and clinician, cultural barriers, clinician stereotyping, and lack of
access to care. An example of this maybe understanding that common skin cancers present
differently across the spectrum of skin types. Competence would include knowledge that
racial and ethnic minority groups experience higher rates of illness and death across a wide
range of health conditions, including diabetes, hypertension, obesity, asthma, and heart
disease; that Black, indigenous, and other people of color experience inequitable access to
health care services; and that race-based care guidelines are not biologically based.