1. Course Specifications Female Students First Batch 24.4.1433 – 26.5.1433 (17.3.12 – 18.4.12) Formerly, Primary Health Care Rotation

4. ?

5. Models of Care  Biomedical model  Biopsychosocial model

6. How Wide Is Family Medicine?

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

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

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? Biopsychsocial approach Reactive Vs proactive care Wider scope: Whole-person oriented Family/ community oriented Points to remember…

16. Aims and Objectives

17. Aims  Philosophy  Features  Methods  Holistic approach 1.To gain an overview of FM specialty:

18. Aims 2.To help students become familiar with Knowledge Attitudes skills

19. Aims 3.To advance the knowledge and skills acquired by students during their study in other departments/specialties of the medical school Family Medicine

20. Aims 4.To provide an appropriate exposure to the discipline of FM/PHC Career Decision-making

21. Knowledge 1. List the principles of PHC and demonstrate an understanding of its role in patient care in Saudi Arabia 2. Discuss the diagnosis and management of common family medicine problems 3. Recognize different models of consultations 4. Demonstrate and understand the role of social, psychological and environmental factors in the pathogenesis and management plan of illness Objectives

22. Knowledge (Cont’d) 5. Recognize the functions of family medical records 6. Demonstrate awareness of community resources and appropriate use of consultants 7. Be familiar with the concept and methods of life-long learning and evidence-based medicine Objectives

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

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

25. How to do that?!

26. Methodology

27. DaysT I M E 8:00 - 12:00 12:00-1:00 1:00-4:00 SaturdayClinical Attachment* Prayer and LunchClinical Attachment* SundayDIDACTICS Prayer and LunchDIDACTICS MondayClinical Attachment* Prayer and LunchClinical Attachment* TuesdayDIDACTICS Prayer and LunchDIDACTICS WednesdayDIDACTICS Prayer and LunchDIDACTICS General Weekly Schedule (P 13)

28. Distribution of Learning Opportunities Interactive lectures and practicals 18 Large group tutorial (LGT) 10 Log diary and logbook discussion 5 Primary health care center (PHCC) 16 Self-directed learning 7

29. ….Pages 14 -19

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

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

39. More questions?

40. 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) (25 marks)  Participation in Centers (5 marks)

44. Thank you…