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

FAMILY MEDICINE

By

Dr. Eiad Al-Faris

Professor & Consultant

Department of Family Medicine

King Saud University

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

A. What is 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

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 PRACTICE1. C = Caring2. C = Clinically Competent3. C = Cost-Effective Care4. C = Continuity of Care5. C = Comprehensive Care6. C = Common Problems Management7. C = Co-ordination of Care8. C = Community-based Care & Research9. C = Continuing Medical Education10. C = Communication & Counseling

Skills`

1. C = CARING

Caring/Compassionate care

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

Responsibility for every problem a patient presents with

Holistic approach with triple diagnosis

6. C = COMMON PROBLEMS MANAGEMENT

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

Patient’s 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 patient’s 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? Requirements to apply for a program Who is the better candidate during the

interview? Marks distributions during the selection)

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

Dates of application and how to do it?

Written on 18th May diplomaThe SCFHS website

50 MCQs 60% For diploma or the SCFHS

Marks weight during the selection:

 SLE :50% GPA: 10% Written exam ( 50 MCQ) : 20% Interview : 20%

Interview

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

“How many years does it take? It’s demand and popularity 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 In medicine 7/ month Promotion each year 50 mcq Written Check-list Part 1

How many years?

Four years

Rotations First two years4 months introduction to Fam Med4 months pediatrics3 months obstetrics $ gynecology2 months surgery1 month orthopedicsTwo months emergency medicineTwo months vocations

Third and fourth years training

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

Fourth year training

Family medicine

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

D. Postgraduation

Postgraduate fellowships and subspecialties Number of residents and graduates in the

last few years Number of specialists in the kingdom

Graduates till 2008 230On 2008 39+189On 2008 in Riyadh 81 applied

41 military 41 national program

Postgraduate fellowships and subspecialties

No subspecality Fellowships

EMSleepRehabilitationMedical education or Academic fellowship

programGeriartric medicine

CONCLUSION

Family Medicine is greatly needed in Saudi Arabia and worldwide.

Training is essential for enabling the graduating doctors to the practice of family medicine