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THE TRAUMA
HEALTH PROBLEM
AN INSTRUCTIONAL PROGRAM FOR PRIMARY HEALTH CARE PHYSICIANS
DESIGNED FOR:
PROBLEM-BASED LEARNINGCOMPETENCY-BASED LEARNING
IN- AND OFF- CAMPUS LEARNING
Author:Reynaldo O. Joson, MD, MHPEd, MS Surg
1999
THE TRAUMA
HEALTH PROBLEM
GOALS IN THE MANAGEMENT
In all patients with a TRAUMA HEALTH PROBLEM,
the primary health care physician must be able to:
RESOLVE the TRAUMA HEALTH PROBLEM
THE TRAUMA
HEALTH PROBLEM
GOALS IN THE MANAGEMENT
RESOLVE the TRAUMA HEALTH PROBLEM
in such a way that the patient does NOT end upDEADWITH ANY KIND OF COMPLICATION
AND DISABILITY
THE TRAUMA
HEALTH PROBLEM
GOALS IN THE MANAGEMENT
RESOLVE the TRAUMA HEALTH PROBLEM
and in such a manner that the patient
IS SATISTFIEDDOES NOT FILE A MALPRACTICE SUIT
THE TRAUMA
HEALTH PROBLEM
STRATEGIES
RATIONALE, EFFECTIVE, EFFICIENT, HUMANE MANAGEMENT
IN THE TASKS OF
RAPPORT, DIAGNOSIS, TREATMENT, ADVICE
THE TRAUMA
HEALTH PROBLEM
Content
Title Goals and Strategies
Content ................................................................................. A
About the Author .................................................................. B
Preface................................................................................... CThe Course Pack - Content and How to Use ........................ D
THE TRAUMA
HEALTH PROBLEM
Content ...Folder 1: Instructional Design............................................... I
Folder 2: Hypothetical and Actual Patient Management…. II
Folder 3: Problem-based Learning Issues - Form ....…..... III
Folder 4: Learning Objectives ...........................…..….… IV
General Learning Objectives ....................... IVAClinical Competencies ................................. IVBBiological Foundation and Basis of Clinical
Management ……............................ IVC
THE TRAUMA
HEALTH PROBLEM
Content ...
Folder 5: Learning Resource Materials and References ...... V
List of Recommended References ............... VA
Learning Resource Materials
Folder 6: Evaluation .......................................................… VI
THE TRAUMA
HEALTH PROBLEM
Content …Folder 7: Details and Format .......................…….........… VII
Guidelines and FormatOverview and Personal Perspective .… VIICPublic Health Education ..........……… VIIDCommunity Health Management .....… VIIECase Presentation and Discussion ....…VIIFHypothetical Patient Management .......VIIG
THE TRAUMA
HEALTH PROBLEM
Content …Folder 7: Details and Format .......................…….........… VII
Guidelines and Format Psychosocial Issues ..............................VIIH
Bioethical Issues ..................................VII-IMedicolegal Issues ...............................VIIJResearch Issues ..............................…..VIIKGlossary ...............................................VIILSelf-Evaluation ....................................VIIM
Presentation in a Symposium ....................…. VIIN
About the Author
Present Academic Positions
Dr. Reynaldo O. Joson is presently a permanent professor at the Department of Surgery of the University of the Philippines, College of Medicine.
He is at the same time an affiliate associate professor of the University of the Philippines Open University as well as a faculty in the University of the Philippines College of Public Health.
About the Author
Present Academic Positions
He is currently the Chief of the Division of Head and Neck, Breast, Esophagus, and Soft Tissue Surgery at the Philippine General Hospital.
About the Author
Academic Degrees
He obtained his Doctor of Medicine from the University of the Philippines College of Medicine in 1974; his Master in Hospital Administration from the UP College of Public Health in 1991; his Master in Health Profession Education from the UP National Teachers Training Center for Health Profession in 1993; his Master of Science in Clinical Medicine (General Surgery) from the UP College of Medicine in 1998.
About the Author
Academic Degrees
His finished his residency in General Surgery at the Philippine General Hospital in 1981 after which he became a Diplomate of the Philippine Board of Surgery.
About the Author
Education for Health Development in the Philippines
One of his missions in life is to contribute to the health development in the Philippines through education. This mission started in 1990 when, as Director of the UPCM Postgraduate Institute of Medicine, he designed a structured Department of Health-UPCM Postgraduate Circuit Courses in four provincial hospitals in the Philippines (Ilagan, Isabela in Luzon; Aklan in the Visayas; and Koronadal, South Cotobato and Oroquieta, Misamis Occidental in Mindanao).
About the Author
Education for Health Development in the Philippines
In 1994, he helped established the Zamboanga Medical School Foundation. He helped designed a community-oriented, competency-based, and problem-based learning medical curriculum for the school. This curriculum was adopted by a medical school in Legazpi, Albay in 1995 and by another medical school in Cebu in 1996.
He is presently preoccupied with the full development of this curriculum as well as designing a telehealth program.
About the Author
Hospital Administration
He is currently an assistant medical director at the Manila Doctors Hospital in charge of its quality assurance program.
About the Author
Writings
He started writing books, primers, self-instructional programs, and course packs in medicine, surgery, hospital administration, and medical education in 1985. As of December of 1998, he has about 20 finished products.
About the Author
Family
He is married to Jacqueline Judith Ick who obtained her Doctor of Medicine from the University of the Philippine-Ramon Magsaysay Memorial Foundation College of Medicine in 1986. His wife is presently pursuing a Doctorate in Molecular Biology and Biotechnology at the University of the Philippines in Diliman, Quezon City.
Rey Benjamin I. Joson, 10 years old, his only son, is presently studying at Xavier School while his only daughter, Camille Marie Therese I. Joson, 9 years old, is enrolled at the Poveda Center.
About the Author
Contact Numbers
Dr. Reynaldo O. Joson’s email address is [email protected]
His telephone number is 523-2774.
Preface
Dear Learner,
Mabuhay!
Welcome to a learning experience in becoming a health professional.
This program has been especially designed with you, the learner, and the principles of effective teaching and learning in mind.
As you go through this learning program, please bear in mind the following:
Preface1. I am treating you as an adult learner which
1.1 Assumes you have learning aspirations and expectations and therefore, are motivated;
1.2 Gives you the privilege to use other learning strategies in achieving the objectives inthis program;
1.3 Welcomes you to go beyond the learning package as you so desire; and
1.4 Expects discipline, honesty, and maturity in fulfilling your learning activities.
Preface
2. We shall define learning as a positive observable change (for the better or improvement) inhuman behavior, disposition, attitude, performance, or capability which persists over a period of time.
3. Active learning strategies and activities will be utilized as much as possible.
4. The program will contain learning materials which I think will be relevant to your being an
effective, efficient, and humane health professional.
Preface
5. The ultimate goal of the learning program is to produce health professionals who willcontribute to the health development in the Philippines.
6. When I made this program, I tried my best to facilitate your learning. Bear in mind, however, that I am not infallible. Thus, analyze carefully everything in this program. Don’t hesitate to offer disagreements and constructive criticisms for own learning and for the improvement of the program.
Preface
Best wishes for a fruitful learning with the help of this program.
Reynaldo O. Joson, M.D.1999
The Course Pack Content and How to Use
Content
The Course Pack on TRAUMA HEALTH PROBLEM consists of seven (7) folders:
Folder 1: Instructional DesignFolder 2: Hypothetical and Actual Patient
ManagementFolder 3: Problem-based Learning IssuesFolder 4: Learning ObjectivesFolder 5: Learning Resource MaterialsFolder 6: EvaluationFolder 7: Details and Formats
The Course Pack Content and How to Use
Content
Folder 1: Instructional Design This folder contains the course plan.
The Course Pack Content and How to Use
Content
Folder 2: Hypothetical and Actual Patient ManagementThis folder contains hypothetical patient management
exercises which in turn consist of sequential patient management cases and case studies.
It also contains an instructional plan on Actual Patient Management.
The Course Pack Content and How to Use
Content
Folder 3: Problem-based Learning IssuesThis folder contains the instructions and a form on
which a student can write down problem-based learning issues.
The Course Pack Content and How to Use
Content
Folder 4: Learning Objectives This folder contains general and specific learning
objectives of the course.
The Course Pack Content and How to Use
Content
Folder 5: Learning Resource MaterialsThis folder contains a list of recommended learning
resource materials and selected andprepared manuscripts.
The Course Pack Content and How to Use
Content
Folder 6: EvaluationThis folder contains test blueprints and pretest
examinations.
The Course Pack Content and How to Use
Content
Folder 7: Details and FormatsThis folder contains details and formats of learning
and evaluating activities.
The Course Pack Content and How to Use
How to Use
Initial Steps:
Start by reading Folder 1 on Instructional Design.
For details on specific learning and evaluating activities encountered in Folder 1,
refer to Folder 7 on Details and Formats.
Then, scan the rest of the Folders (2-7).
The Course Pack Content and How to Use
How to Use
Subsequent Steps:This consists of the study and learning proper.
Start with the Overview and Personal Perspective on the TRAUMA HEALTH PROBLEM. (see Folder 7 for the guidelines.) Note down learning issues. Use the form
provided in Folder 3.Take note that a formal report is needed for
purposes of presentation in the symposium and evaluation.
The Course Pack Content and How to Use
How to Use
Then tackle the Pretest examinations.Note down learning issues. Use the form provided in
Folder 3.Take note that 50% of the questions in Posttest written
examinations will be derived from the Pretest.Take note also that the Pretest gives a guide on where
to focus when studying the course.Studying the Pretest can also facilitate discussion in
the Hypothetical and Actual Patient Management.
The Course Pack Content and How to Use
How to Use
Then tackle the Hypothetical and subsequently, the Actual Patient Management.
Note down learning issues. Use the form provided in Folder 3.
Take note that the exercises on Hypothetical and Actual Patient Management
areuseful in preparing for the
written examinations oral-practical examinationsproject on case presentation and
discussion
The Course Pack Content and How to Use
Overall Advice:
During the study proper, be constantly guided by the instructional design, especially the learning objectives, which shall serve as the steering wheel in whatever that should be done in the course. This includes the evaluation.
Reynaldo O. Joson, MD, MHPEd, MS Surg1999