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PCM3

Family Medicine

Kazuhito Mori, MS-II

Matias Hipolito Aznar Memorial

College of Medicine, Inc.Southwestern University

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Plat du Jour ~Todays Menu~

1. What is Family Medicine?2. Characteristics of Family Medicine

3. Declaration of Alma-Ata, Intl Conference on

Primary Health Care, 1978

4. Family Medicine as a Specialty

5. What is Family Physician?

6. Traits for Family Physicians

7. Family Physicians Faces

8. Basic Knowledge on Families

9. Effects of Family on the Health of Members

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Whats Family Medicine?

A discipline of medicine with a distinct coreknowledge & characteristics of care whichrefers to individuals, family, community &functions within economic, cultural & socialenvironments & resources. (WONCA, 1979)

Year of1979 has a special meaning for this

definition of Family Medicine (discussed later)

FOOTNOTE: "WONCA" is an unusual, yet convenient acronym comprising the

first 5 initials of the World Organization of National Colleges, Academies &

Academic Associations of General Practitioners/Family Physicians. Its short

name is World Organization of Family Doctors.

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Characteristics of Family Medicine

Primary: 1st

contact care at Ambulatory, ER, Home Continuing:

Chronological, Geographical, Interdisciplinary, Interpersonal

Comprehensive: Social, Cultural, Economic, Educational

Prevention: All levels with Emphasis on Health Education

Curative: Relieve symptoms, early Diagnosis & Rx

Rehabilitative: Assist patients to go back to society

Youll see where those keywords came from.

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Declaration of Alma-Ata, Intl Conference

on Primary Health Care, 1978

Primary health care is essential health care based on practical,scientifically sound and socially acceptable methods andtechnology made universally accessible to individuals andfamilies in the community through their full participation and at acost that the community and country can afford to maintain atevery stage of their development in the spirit ofself-reliance

and self-determination. It forms an integral part both of the country's health system, of

which it is the central function and main focus, and of theoverall social and economic development of the community. Itis the first level of contact of individuals, the family andcommunity with the national health system bringing health careas close as possible to where people live and work, andconstitutes the first element of a continuing health careprocess.

Scope of Family Medicine well reflects the spirit of Declaration of

Alma-Ata !!

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Family Medicine as a Specialty

Distinguishable body of knowledge Integrates biological, clinical & behavioural sciences

Unique field of action

Family-oriented; encompasses all ages, both sexes,each organ system, every disease entity

Active area of research

Clinical problem, healthcare delivery, family practice

approach Training that is intellectually vigorous

Strong emphasis on continuity, experiences infamily care, behavioural sciences, community

medicine, inter-departmental cooperation

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What is Family Physician ?

A medical practitioner who implements the principlesof the discipline & provides healthcare.

ROLES: Healer & Physician

Teacher Advocate

Manager

Scientist

Counselor

Friend

A Versatile, multi-facet, all-round physician is expected here.

Challenging, Intriguing & Fascinating enough !!

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Traits for Family Physicians

Sense ofresponsibility over the individual &family during health, illness & rehabilitation

Compassion, empathy & sincere interest over

the patient & family Constantly inquisitive attitude

Interest in the broad spectrum of medicine

Ability to deal with multiple problems that occursimultaneously in one patient

Desire for frequent & valid intellectual &

technical challenges

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Family Physicians Faces

Pediatricians role Internists role

Psychiatrists role

Social workers role

Health Education Teachers role

Preventive Medicine practitioner

Integrative/Holistic Medicine practitionerVery Busy, No?

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Basic Knowledge on Family

To understand family structure & function Awareness of how family communicate

Skills in observing how family operates

Ability to relate to the family or individual Reinforce central function of the family

Family Physicians may be needed most in countries

where there are so many Dysfunctional Families.

If youre a fan of American sit-com, functional families were

depicted still in the 80s, however, increment was the number of

Dysfunctional Families on such programs during 90s. Then

Japan also followed the same path. (personal observation)

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Effects of Family on the Health

of Members

Health promotion & maintenance as well as

illness prevention

Coping with stressful life events

Family-based health & illness appraisal

Family interaction & level of functioning in

response to illness

Help-seeking behaviour

Family adaptation to illness

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Thank You For Viewing the Slides,

Stay Healthy !!