King Saud UniversityKing Saud UniversityCollege of MedicineCollege of MedicineDepartment of Family and CommunityDepartment of Family and CommunityMedicineMedicine

PRIMARY HEALTH CARE ROTATIONPRIMARY HEALTH CARE ROTATION

COMM-421COMM-421Course SpecificiationsCourse Specificiations

Female StudentsFemale Students

Learning How to LearnLearning How to Learn

Student Objectives and expectationsStudent Objectives and expectations

1.1. What do you hope to gain from this course?What do you hope to gain from this course?1.1. ..............................................................................................................................................................................................2.2. ..............................................................................................................................................................................................3.3. ..............................................................................................................................................................................................4.4. ..............................................................................................................................................................................................5.5. ..............................................................................................................................................................................................6.6. ..............................................................................................................................................................................................7.7. ..............................................................................................................................................................................................8.8. ............................................................................................................................................................................................9.9. ..............................................................................................................................................................................................

2.2. Ideas about how to achieve these goals.Ideas about how to achieve these goals.1.1. ............................................................................................................................................................................................2.2. ............................................................................................................................................................................................3.3. ..............................................................................................................................................................................................4.4. ..............................................................................................................................................................................................5.5. ..............................................................................................................................................................................................6.6. ..............................................................................................................................................................................................7.7. ............................................................................................................................................................................................8.8. ..............................................................................................................................................................................................

AIMS:AIMS:

1.1. To gain an overview of PHC specialty e.g., its To gain an overview of PHC specialty e.g., its philosophy and philosophy and features, its methods and its features, its methods and its holistic approach to patient care.holistic approach to patient care.

2.2. To help students become familiar with the To help students become familiar with the knowledge, attitudes and skills necessary to become knowledge, attitudes and skills necessary to become sensitive communicators and educatorssensitive communicators and educators

3.3. To adopt and develop the knowledge and skills To adopt and develop the knowledge and skills already acquired byalready acquired by students during their study and students during their study and attachment to other departments and specialties in attachment to other departments and specialties in the medical school to be utilized in the PHC.the medical school to be utilized in the PHC.

4.4. To provide an appropriate exposure to the To provide an appropriate exposure to the discipline of Family Medicine which will assist student discipline of Family Medicine which will assist student in making career decisions.in making career decisions.

OBJECTIVESOBJECTIVES

I. I. BASIC AND CLINICAL KNOWLEDGEBASIC AND CLINICAL KNOWLEDGE

Be able to list the principles of PHC and demonstrate an Be able to list the principles of PHC and demonstrate an understanding of its role in patient care in Saudi Arabia.understanding of its role in patient care in Saudi Arabia.

Be able to discuss the diagnosis and management of Be able to discuss the diagnosis and management of common Family Medicine problems.common Family Medicine problems.

Recognize different models of consultations.Recognize different models of consultations.

Demonstrate and understand the role of social, Demonstrate and understand the role of social, psychological and psychological and

Environmental factors in the pathogenesis and Environmental factors in the pathogenesis and management plan of illness.management plan of illness.

Recognize the functions of family medical records.Recognize the functions of family medical records.

Demonstrate awareness of community resources and Demonstrate awareness of community resources and appropriate referral.appropriate referral.

Be familiar with the concept and methods of life-long Be familiar with the concept and methods of life-long learning an evidence-based medicine.learning an evidence-based medicine.

IIII.. CLINICAL SKILLSCLINICAL SKILLS

1.1. Interviewing (Consultation) skills:Interviewing (Consultation) skills:a.a. Conduct a focused history, combining appropriate level of detail with efficient use of Conduct a focused history, combining appropriate level of detail with efficient use of time.time.b.b. Elicit and attends to patient's agenda.Elicit and attends to patient's agenda.

2.2. Interpersonal (communication) skills:Interpersonal (communication) skills:a.a. Establish good rapport and apply good affective skills.Establish good rapport and apply good affective skills.b.b. Demonstrate verbal and non-verbal communication.Demonstrate verbal and non-verbal communication.

3.3. Physical examination and problem solving skills:Physical examination and problem solving skills: a.a. Perform physical examination which is accurate and Perform physical examination which is accurate and

appropriate to the presenting problem.appropriate to the presenting problem.b.b. Make selective and appropriate use of investigation ,drugs and time.Make selective and appropriate use of investigation ,drugs and time.

4.4. Application of Knowledge/JudgementApplication of Knowledge/Judgement

a Identify significant issues in patients presenting with undifferentiated problems, a Identify significant issues in patients presenting with undifferentiated problems, including including

differentiation of seriousdifferentiation of serious illness from minor or self-limiting problems.illness from minor or self-limiting problems. b. Demonstrate an ability to deal with uncertainty when the b. Demonstrate an ability to deal with uncertainty when the diagnosis is unclear.diagnosis is unclear. c. Formulate a patient-centred management plan which takes into account c. Formulate a patient-centred management plan which takes into account the physical, psychological and sociological factor identified.the physical, psychological and sociological factor identified.

d.d. Recognise the role of different team members. Recognise the role of different team members.

III.III. ATTITUDES AND RESPONSIBILITIES:ATTITUDES AND RESPONSIBILITIES:

1.1. Be motivated to take on tasks and complete them reliably.Be motivated to take on tasks and complete them reliably.

2.2. Be cooperative and productive member of the health care Be cooperative and productive member of the health care team.team.

3.3. Assume responsibility for own learning (self-directed Assume responsibility for own learning (self-directed learning) and to change behaviour accordingly.learning) and to change behaviour accordingly.

4.4. Demonstrate good professional and ethical standards. Demonstrate good professional and ethical standards. showing respect for patients and co-workers.showing respect for patients and co-workers.

5.5. Demonstrate respect of patient's autonomy and willingness Demonstrate respect of patient's autonomy and willingness to involve people in the responsibility for their own health.to involve people in the responsibility for their own health.

6. Understand the patient's right to confidentiality and 6. Understand the patient's right to confidentiality and respect.respect.

METHODOLOGYMETHODOLOGY

PHC rotation lasts 5 week PHC rotation lasts 5 week 4 clinical sessions per week in the 4 clinical sessions per week in the

PHC centre PHC centre the Family Medicine Department the Family Medicine Department

or will be in SDLor will be in SDL

LEARNING PROCESS:LEARNING PROCESS:

Large group tutorials (LGT)Large group tutorials (LGT) Lectures & practicalLectures & practical Training in a PHC centersTraining in a PHC centers Self directed learning (SDL) Self directed learning (SDL)

Large group Large group tutorial(LGT)tutorial(LGT)

Identify and specify the objectives of the Identify and specify the objectives of the session. session.

Agree on how best to achieve these Agree on how best to achieve these objectives.objectives.

Conduct the consultation task as Conduct the consultation task as specified. specified.

Identify a clinical question related to the Identify a clinical question related to the topic presented and apply steps of EBM topic presented and apply steps of EBM

Consultation taskConsultation task

The students are requested to demonstrate The students are requested to demonstrate certain skills according to a specified taskcertain skills according to a specified task..

Role play with peers Role play with peers

Student observations of faculty with simulated Student observations of faculty with simulated or or

real patients real patients

video tapes of student interview with real or video tapes of student interview with real or simulated patients. This will be done under the simulated patients. This will be done under the guidance of the tutor.guidance of the tutor.

Evidence-based medicine taskEvidence-based medicine task

formulate a clinical question formulate a clinical question search for the best available search for the best available

research evidence. research evidence.

A quiz will be distributed by the A quiz will be distributed by the endend

of each tutorial. Be ready!of each tutorial. Be ready!

Other tasks requested at the Other tasks requested at the primary health care centerprimary health care center

Log Diary bookletLog Diary booklet:: end of fourth week. end of fourth week.

problem solving sessionsproblem solving sessions (Log diary)(Log diary)

Practice ProfilePractice Profile end of the fourth weekend of the fourth week Evaluation form filled by clinical supervisorEvaluation form filled by clinical supervisor

Appendix (4)Appendix (4)PRACTICE PROFILE PRACTICE PROFILE

Student's Name: _________________________________ Student's Name: _________________________________ Number: __________Number: __________

1.1. Identification of the health centre.Identification of the health centre.a.a. Name: _______________________Name: _______________________b.b. Address: _____________________Address: _____________________c.c. Telephone: ___________________Telephone: ___________________

2.2. Practice list size. ___________________ Patients/familiesPractice list size. ___________________ Patients/families3.3. Type of practice.Type of practice.

UrbanUrban TeachingTeaching4.4. Type of premises:Type of premises: -Health centre-Health centre -Primary care center -Primary care center

based at based at the hospitalthe hospital

5.5. Total number of doctors practising in the centre.Total number of doctors practising in the centre.Male Female Male Female

Full time:Full time: Part time:Part time:

Male Female Male Female 6.6. Other staff present: (specify titles and numbers)Other staff present: (specify titles and numbers)7.7. Special sessions provided by the centre (e.g. Antenatal clinic, Immunization Special sessions provided by the centre (e.g. Antenatal clinic, Immunization

clinic).clinic).8.8. Appointment system:Appointment system:

Yes/NoYes/NoFull/PartialFull/Partial

9.9. Diagnostic facilities to which direct or open access is available.Diagnostic facilities to which direct or open access is available.10.10. Medical record system:Medical record system:

-- Manual / ComputerizedManual / Computerized-- POMR / TraditionalPOMR / Traditional

11.11. Any special characteristic of your practice to which you wish to draw attention Any special characteristic of your practice to which you wish to draw attention e.g. Geographical features, Social features, Teaching etc.e.g. Geographical features, Social features, Teaching etc.

Workload:Workload:

This table should represent the This table should represent the number of patients seen in your number of patients seen in your centre over one week.centre over one week.

Patients seen per Doctor per Patients seen per Doctor per week?week?

What is the average consultation What is the average consultation time in your centre?time in your centre?

ASSESSMENTASSESSMENT

Continuous Assessment: (40 marks)Continuous Assessment: (40 marks)

1.1.LGT Quizes (10 marks)LGT Quizes (10 marks)

2.2.Midterm Examination Midterm Examination (20 marks) (20 marks)

Multiple Choice Questions (MCQs) Multiple Choice Questions (MCQs) 10 marks10 marks

Modified Essay Questions (MEQs)Modified Essay Questions (MEQs) 10 marks 10 marks

3.3.PHCC Supervisor AssessmentPHCC Supervisor Assessment (10 marks) (10 marks)

Final examination (60 marks)Final examination (60 marks)A.A. Written Examination.Written Examination. (30 marks)(30 marks)

-- MCQs. MCQs. 15 marks15 marks-- MEQs. MEQs. 15 marks 15 marks

B.B. Presentations. (26 Presentations. (26 marks)marks)

--Preparation and conduction of LGT. 10 Preparation and conduction of LGT. 10 marks Consultation task 6 marks Consultation task 6 marks EBM task. marks EBM task. 5 marks Preparation and conduction of Log diary5 marks Preparation and conduction of Log diary 5 marks5 marks

c.c. Practice Profile/and log diary booklet Practice Profile/and log diary booklet (4marks)(4marks)

Evaluation formsEvaluation forms

Lecture session evaluation formLecture session evaluation form Large group tutorial evaluation Large group tutorial evaluation

form:form: Rotation evaluation formRotation evaluation form

GUIDELINES FOR GUIDELINES FOR PRESENTATIONPRESENTATION

Appendix (3)Appendix (3)