1. Community orientation – Social problems

2. Social problems – background One of the main problems High percentage of patients in our practice with these problems Difficult to manage Insufficient support services other medical Consequences on: individual, family and community health status

3. Social problems – timetable Learners – GP trainees Time period – 3 days course

4. At the of this module the trainee will be able to Social problems – objectives - Define “social problem” - Recognize the community social problems what are the problems? - Measure the major problems how serious are they? - Be aware of the consequences on health why is it important? - Know his role on SP management

5. Scenario Female abused by her husband Family violence – Role-Play Participants Actor or another person Trainee Observers (trainer, other trainees..) Material Vignette Video camera

6. Patient Role You are a 45 years old housewife woman, married 15 years ago Two children Your husband is 48 years old, lorry driver, alcoholic Every week, when he arrives home, he is very drunk and beats you and hurts your feelings swearing and cursing He makes you feel useless, under valuated, incompetent, unattractive, not desired Physical appearance Sun glasses, bruises covered with make-up, hands trembling, one word, short hardly audible answers Looks ashamed Family violence – Role-Play

7. Physical appearance Sun glasses, bruises covered with make-up, hands trembling, one word, short hardly audible answers Looks ashamed Open problems Headache, insomnia Wants a sleeping pill Family violence – Role-Play

8. Criteria for assessment Failing grade: the trainee fails to recognize family violence and gives medication Passing grade: the trainee recognizes the signs Distinction: the trainee assesses patient safety, refers patient to shelter, raises issue of reporting to police and interviews in a non judgemental manner Role-Play assessment