FAMILY MEDICINE By Dr. Eiad Al-Faris Professor & Consultant Department of Family Medicine King Saud University

Contents What is Family medicine? What is Family medicine? The application and selection process The application and selection process The training process The training process Post-graduation Post-graduation

A.What is Family medicine? Why should I specialize in Family Medicine? Why should I specialize in Family Medicine?

Major barriers to equitable health care - WHO Unequal access to disease, prevention & care Rising cost of health care Inefficient health care system Lack of emphasis on Generalists (Family Medicine) training

Problems in the community 75% Self care 25% Consult FP 2.5% Hosp

Concepts of Family Medicine DEFINITION: Family Medicine is a medical specialty of first contact with the patient and is devoted to providing preventive, promotive, rehabilitative and curative care with emphasis on the physical, psychological and social aspects, for the patient and his family and community. The scope is not limited by system, organ, disease entity, age or sex.

The Need For Trained Family Physician In Saudi Arabia The central role of a well trained Family Physician in health care is well recognized in: Developed countries -- UK, USA and Canada Developed countries -- UK, USA and Canada Developing countries -- Sri Lanka and Nepal The need is even greater in Saudi Arabia, where less than 1% of GNP is allocated to Health Care.

10 Cs OF FAMILY PRACTICE 1.C= Caring 2.C= Clinically Competent 3.C= Cost-Effective Care 4. C= Continuity of Care 5. C= Comprehensive Care 6.C= Common Problems Management 7.C= Co-ordination of Care 8.C= Community-based Care & Research 9. C= Continuing Medical Education 10. C= Communication & Counseling Skills`

1.C = CARING Caring/Compassionate care An essential quality in a Family Physician An essential quality in a Family Physician

2.C = CLINICALLY COMPETENT Only caring is not enough Need for 4 years training after graduation and internship

3.C = COST- EFFECTIVE In time and money Gate keeper Use of time as a diagnostic tool

4.C = CONTINUITY OF CARE For acute, chronic, from childhood to old age, and terminal care patients and those requiring rehabilitation.

5.C = COMPREHENSIVE CARE CARE Responsibility for every problem a patient presents with Holistic approach with triple diagnosis

6. C = COMMON PROBLEMS MANAGEMENT EXPERTISE EXPERTISE e.g. Hypertension, Diabetes, Asthma, Depression, Anemia, Allergic Rhinitis, Urinary Tract Infection Common problems in children and women

7.C = CONTINUING MEDICAL EDUCATION (CME) To keep up-to-date Need for breath of knowledge

8.C = CO-ORDINATION OF CARE Patients advocate

9.C = COMMUNITY BASED CARE AND RESEARCH Care nearer patients home Preventive, promotive, rehabilitative and curative care in patients own environment. Relevant research within the patients own surroundings

10.C = COMMUNICATION & COUNSELING SKILLS Essential for compliance of advice and treatment Needed for patient satisfaction

Contents What is Family medicine? The application and selection process The training process Postgraduation

B.The application and selection process Dates of application and how to do it? Dates of application and how to do it? Requirements to apply for a program Requirements to apply for a program Who is the better candidate during the interview? Who is the better candidate during the interview? Marks distributions during the selection) Marks distributions during the selection)

Requirements to apply for a the selection to the SCFHS programs MBBS MBBS SLE SLE Internship Internship Two certificates from two consultants Two certificates from two consultants Others Others

Dates of application and how to do it? Written on 18 th May diploma Written on 18 th May diploma The SCFHS website The SCFHS website 50 MCQs 60% For diploma or the SCFHS 50 MCQs 60% For diploma or the SCFHS

Marks weight during the selection: SLE :50% SLE :50% GPA: 10% GPA: 10% Written exam ( 50 MCQ) : 20% Written exam ( 50 MCQ) : 20% Interview : 20% Interview : 20%

Interview Knowledge of the specality Knowledge of the specality Why is he (she) selecting this specality? Why is he (she) selecting this specality? Professionalism Professionalism Ethics Ethics growth growth

Passing Score? 60% Does it guarentee a residency job? No. Residents have to apply to training centers in Riyadh

Application process Is it application to the SCFHS only? Is it application to the SCFHS only? Application to the institute Application to the institute

Contents What is Family medicine? The application and selection process The training process Post-graduation

C.The training process Workload during training (social life $ on- call frequency, evaluation and progression) Workload during training (social life $ on- call frequency, evaluation and progression) How many years does it take? How many years does it take? Its demand and popularity Its demand and popularity Training description. Training description.

Workload during training (social life $ on-call frequency, evaluation and progression) It varies on average one in four in the first two years It varies on average one in four in the first two years In medicine 7/ month In medicine 7/ month Promotion each year 50 mcq Promotion each year 50 mcq Written Written Check-list Check-list Part 1 Part 1

How many years? Four years Four years

Rotations First two years 4 months introduction to Fam Med 4 months introduction to Fam Med 4 months pediatrics 4 months pediatrics 3 months obstetrics $ gynecology 3 months obstetrics $ gynecology 2 months surgery 2 months surgery 1 month orthopedics 1 month orthopedics Two months emergency medicine Two months emergency medicine Two months vocations Two months vocations

Third and fourth years training psychiatryThree months psychiatryThree months Three months Community Medicine Three months Community Medicine Two months ENT-ophtgalmolgy Two months ENT-ophtgalmolgy Two months dermatology- radiology Two months dermatology- radiology 1 months research 1 months research One month vocation One month vocation The last year faly medici, I em 1 vocation The last year faly medici, I em 1 vocation

Fourth year training Family medicine Family medicine

Contents What is Family medicine? The application and selection process The training process Post-graduation

D.Postgraduation Postgraduate fellowships and subspecialties Postgraduate fellowships and subspecialties Number of residents and graduates in the last few years Number of residents and graduates in the last few years Number of specialists in the kingdom Number of specialists in the kingdom

Graduates till Graduates till On On On 2008 in Riyadh 81 applied On 2008 in Riyadh 81 applied 41 military 41 military 41 national program 41 national program

Postgraduate fellowships and subspecialties No subspecality No subspecality Fellowships Fellowships EM EM Sleep Sleep Rehabilitation Rehabilitation Medical education or Academic fellowship program Medical education or Academic fellowship program Geriartric medicine Geriartric medicine

CONCLUSION Family Medicine is greatly needed in Saudi Arabia and worldwide. Family Medicine is greatly needed in Saudi Arabia and worldwide. Training is essential for enabling the graduating doctors to the practice of family medicine Training is essential for enabling the graduating doctors to the practice of family medicine