In Latin America, covering many countries, family medicine was established within the range of 1972-2007. In becoming a family physician, one must attend high school, on average 6-years of medical school, as well as in between 2-4 years of residency. Many of these countries are recognized by Family Medicine Associations and demonstrate a mixed healthcare system. The institutions that train individuals in becoming a family physician, also train other primary care deliverers, such as pediatricians, obstetrics and gynecologists, internists, as well as nurses.