osteopathic medical school seniors select family medicine as their specialty. The initiative is termed the “25 x 2030 Student Choice Collaborative,” and the following eight family medicine organizations have committed resources to reaching this goal: American Academy of Family Physicians American Academy of Family Physicians Foundation American Board of Family Medicine American College of Osteopathic Family Physicians Association of Departments of Family Medicine Association of Family Medicine Residency Directors North American Primary Care Research Group Society of Teachers of Family Medicine The waning interest in family medicine in the U.S. is likely due to several factors, including the lesser prestige associated with the specialty, the lesser pay, and the increasingly frustrating practice environment. Salaries for family physicians in the United States are lower than average for physicians, with the average being $225,000. However, when faced with debt from medical school, most medical students are opting for the higher-paying specialties. Potential ways to increase the number of medical students entering family practice include providing relief from medical education debt through loan-repayment programs and restructuring fee-for-service reimbursement for health care services. Family physicians are trained to manage acute and chronic health issues for an individual simultaneously, yet their appointment slots may average only ten minutes. In addition to facing a shortage of personnel, physicians in family medicine experience some of the highest rates of burnout among medical specialties, at 47 percent. Current practice Most family physicians in the US practice in solo or small-group private practices or as hospital employees in practices of similar sizes owned by hospitals. However, the specialty is broad and allows for a variety of career options including education, emergency medicine or urgent care, inpatient medicine, international or wilderness medicine, public health, sports medicine, and research. Others choose to practice as consultants to various medical institutions, including insurance companies. United Kingdom History of general practice services The pattern of services in the UK was largely established by the National Insurance Act 1911 which established the list system which came from the friendly societies across the country. Every patient was entitled to be on the list, or panel of a general practitioner. In 1911 that only applied to those who paid National insurance contributions. In 1938, 43% of the adult population was covered by a panel doctor. When the National Health Service was established in 1948 this extended to the whole population. The practice would be responsible for the