Family Medicine Rotation COMM-421

1. Formerly, Primary Health Care Rotation Course SpecificationsFemale Students First Batch 24.4.1433 – 26.5.1433 (17.3.12 – 18.4.12) Family Medicine RotationCOMM-421

2. A Couple of thanks……

4. ?

5. Models of Care • Biomedical model • Biopsychosocial model

6. How Wide Is Family Medicine?

7. How Wide Is Family Medicine?

8. ‘An Incomplete Picture’

9. ‘The Complete Picture’

10. Ultra-specialist Hospital-based care General specialist Community-based care General practitioner Threshold of care Self-care phase of symptoms Undetected disease Pre-symptomatic phase Preventive care Health Clinical iceberg and levels of care

11. 9 admitted to DH 1000 5 referred to other doctor 1 went to tertiary 750 250 9 5 1 (Renewed) primary health care paradigm In Europe, >90 % of encounters are at Primary Care level [BMJ, 2009] Kerr White, NEJM, 1961

12. Have you ever seen an iceberg from tip to bottom?

13. Approach to Care • Reactive • Proactive

14. Family Medicine Any other specialty

15. Any questions? Points to remember… Biopsychsocialapproach Reactive Vsproactive care Wider scope: Whole-person oriented Family/ community oriented

16. Aims and Objectives

17. Aims • Philosophy • Features • Methods • Holistic approach • To gain an overview of FM specialty:

18. Aims • To help students become familiar with • Knowledge • Attitudes • skills

19. Aims • To advance the knowledge and skills acquired by students during their study in other departments/specialties of the medical school Family Medicine

20. Aims • To provide an appropriate exposure to the discipline of FM/PHC Career Decision-making

21. Knowledge Objectives • List the principles of PHC and demonstrate an understanding of its role in patient care in Saudi Arabia • Discuss the diagnosis and management of common family medicine problems • Recognize different models of consultations • Demonstrate and understand the role of social, psychological and environmental factors in the pathogenesis and management plan of illness

22. Knowledge (Cont’d) Objectives • Recognize the functions of family medical records • Demonstrate awareness of community resources and appropriate use of consultants • Be familiar with the concept and methods of life-long learning and evidence-based medicine

23. Skills Objectives Interviewing skills Physical exam skills Problem-solving skills Evidence-based medicine skills

24. Attitudes Objectives Responsibility for own learning Motivation Critical thinking Teamwork Good professional & ethical standards Respect

25. How to do that?!

26. Methodology

27. General Weekly Schedule (P 13)

28. Distribution of Learning Opportunities

29. ….Pages 14 -19 Review Schedules and Dates…..

35. How to learn in this rotation? • “Participate”in the lectures • “Search, gather, present patient-oriented material”-Large group tutorials • “Think”- your practice profile

36. How to learn in this rotation? (Cont’d) • “Express your ideas and comments about patients”- Log diary discussion (page 25- Appendix 6) • “Ask, search and critically appraise”-EBHC presentation and report • “Communicate”- Evaluation forms (see pp 27-30)

37. Large Group Tutorials Log Diary / EBHC Groups PHCC lists Locate your Name!

38. Other Matters…. • Venue • Plenaries • Small groups (log diary sessions) • PHCC • Reading material • Punctuality and attendance

39. More questions?

40. What Do You Need?

41. What Do You Need?

42. Assessment Continuous assessment (40 marks) • Group tutorials on common health problems in Family Practice (Practical Session) (10 marks) • EBM Presentation and Report (10 marks) • Problem based presentations (Log Diary) (10 marks) • Data Interpretation (Scenario) (10 marks)

43. Assessment Final assessment (60 marks) • Multiple Choice Question (60 MCQ ) (30 marks) • Objective Simulated Clinical Examination (OSCE) (25marks) • Participation in Centers (5 marks)

44. Thank you…