/ 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren, MD Erkan Melih Şahin, MD Cahit Özer, MD Title and Staff

/ 222 Why Famiy Practice in Medical Education ? Medical education: 90 % hospital Turkish doctors: 60 % primary care İntroduction Primary Secondary Tertiary EducationPractice

/ 223 Current Condition in Turkey Population: Medical faculties: 47 Family practice departments involved in education: 7 (15 %) This year Family Practice Department at Trakya University has started lectures to phase I. Current State

/ 224 Introduction to Clinical Practice (ICP) Phase I: 135 students First semester –16 hours theory –16 hours practice Second semester –16 hours theory –32 hours practice ICP

/ 225 First Semester Lectures LectureLoad Needs assessment1 Medicine as a profession2 Health and Illness1 The effect of community on health1 Cultural factors and health1 Quality in health services1 Health promotion1 Preventive health care2 Communication skills2 Interviewing methods1 Patient education and counseling1 History taking skills1 Evaluation1 Curriculum

/ 226 First Semester Practices Lecture Load (h) National internet resources2 IM and IV injection techniques2 Arterial blood pressure measurement2 Health unit observation (services)2 Health unit observation (policlinics)2 Approach to the trauma patient: 2 Evaluation4 Curriculum

/ 227 Second Semester Lectures Lecture Load (h) Principles of physical examination1 Periodical health examination1 Functional health status 2 Clinical problem solving2 Consultations2 First aid4 Common diseases at primary care2 Tobacco and other harmful substances2 Curriculum

/ 228 Second Semester Practices Lecture Load (h) Urethral catheter insertion4 Communication (History taking)4 Communication (Examination)4 Communication (Drama)4 CPR4 Sterile dressing2 Suture techniques2 Evaluation and feed-back8 Curriculum

/ 229 Staff and Setting Lecturers –Family medicine –Public health –Anesthesiology Theory: large group education Practice: groups of students

/ 2210 Teaching Materials and Methods Teaching Method Lectures –Lecturer –Slides –Video –Discussion

/ 2211 Teaching Materials and Methods Teaching Method Practice –Communication Small group education: 3-4 students –CPR, blood pressure etc Simulators Health unit observation –3-4 students for each service or policlinic –Guided by an educator

/ 2212 Student Evaluation Evaluation Lectures –Two interval exams –One final exam for each semester Practice –OSCE

/ 2213 Curriculum Evaluation SETh course rating scales –Didactic –Interactive Feed-back

/ 2214 Our Experiences Primary care should be involved in all phases of medical education The role of family practice is limited with phase I Some of the topics shoul be tought to higher classes We had to prepare a curriculum to cover as much areas as possible. Some practices necessitate baseline medical knowledge. Experiences Curriculum

/ 2215 Our Experiences Lecture load should be enough to cover all necessary areas The lecture load reserved for ICP was not enough to cover all headings of primary care. Some important topics like fever measurement and wound care had to be omitted. Experiences LectureLoad

/ 2216 Our Experiences Enough teaching material should be available Suture techniques, IV injection, urethral catheterization Simulators Abdominal palpation Heart auscultation Experiences Material Quantity

/ 2217 Our Experiences Teaching material should be of high quality Firm structure of the simulators disable –abdominal palpation –urethral catheter insertion. Leakage from the simulator reservoirs. Experiences Material Quality

/ 2218 Our Experiences Enough educators should be available Teaching staff –5 educators for the lectures –3 educators for the practices. Experiences Educators

/ 2219 Our Experiences Effective Feed-Back should be taken We obtained overall good feed-back results. SETh –Didactic 3,76 ± 0,73 –Interactive 4.02 ± 0.66 Experiences Feed-back

/ 2220 Our Experiences Accurate evaluations should be done Multiple choice questions as well as OSCE could be applied successfully. Faculty regulations: mean score above 60 % All students passed Mean passing score: 62.6 ± Experiences Evaluation

/ 2221 Our Experiences In General Medical students have difficulties in making a picture in their mind about what medicine is and what they will face after 6 years when they graduate. ICP is a good means to make things clear and maintain the motivation of students to become a good doctor. Experiences General

/ 2222 Conclusion Implementing family medicine in medical educations is an inevitable step in order to educate doctors who are able to respond the needs of the population. To achieve this goal –An experienced staff (sufficient in quality and quantity) –Lecture series continuing troughout all phases of medical education, –Teaching material Conclusion