King Saud University College of Medicine Department of Family and Community Medicine PRIMARY HEALTH CARE ROTATION COMM-421 Course Specificiations Female Students

Learning How to Learn Student Objectives and expectations 1. What do you hope to gain from this course?

2.Ideas about how to achieve these goals

AIMS: 1.To gain an overview of PHC specialty e.g., its philosophy and features, its methods and its holistic approach to patient care. 1.To gain an overview of PHC specialty e.g., its philosophy and features, its methods and its holistic approach to patient care. 2.To help students become familiar with the knowledge, attitudes and skills necessary to become sensitive communicators and educators 2.To help students become familiar with the knowledge, attitudes and skills necessary to become sensitive communicators and educators 3.To adopt and develop the knowledge and skills already acquired bystudents during their study and attachment to other departments and specialties in the medical school to be utilized in the PHC. 3.To adopt and develop the knowledge and skills already acquired bystudents during their study and attachment to other departments and specialties in the medical school to be utilized in the PHC. 4.To provide an appropriate exposure to the discipline of Family Medicine which will assist student in making career decisions. 4.To provide an appropriate exposure to the discipline of Family Medicine which will assist student in making career decisions.

OBJECTIVES

I. BASIC AND CLINICAL KNOWLEDGE Be able to list the principles of PHC and demonstrate an understanding of its role in patient care in Saudi Arabia. Be able to list the principles of PHC and demonstrate an understanding of its role in patient care in Saudi Arabia. Be able to discuss the diagnosis and management of common Family Medicine problems. Be able to discuss the diagnosis and management of common Family Medicine problems. Recognize different models of consultations. Recognize different models of consultations. Demonstrate and understand the role of social, psychological and Demonstrate and understand the role of social, psychological and Environmental factors in the pathogenesis and management plan of illness. Environmental factors in the pathogenesis and management plan of illness. Recognize the functions of family medical records. Recognize the functions of family medical records. Demonstrate awareness of community resources and appropriate referral. Demonstrate awareness of community resources and appropriate referral. Be familiar with the concept and methods of life-long learning an evidence-based medicine. Be familiar with the concept and methods of life-long learning an evidence-based medicine.

II. CLINICAL SKILLS 1.Interviewing (Consultation) skills: a.Conduct a focused history, combining appropriate level of detail with efficient use of time. b.Elicit and attends to patient's agenda. 2.Interpersonal (communication) skills: a.Establish good rapport and apply good affective skills. b.Demonstrate verbal and non-verbal communication. 3.Physical examination and problem solving skills: a.Perform physical examination which is accurate and appropriate to the presenting problem. b.Make selective and appropriate use of investigation,drugs and time. 4.Application of Knowledge/Judgement a Identify significant issues in patients presenting with undifferentiated problems, including differentiation of serious differentiation 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. Recognise the role of different team members.

III.ATTITUDES AND RESPONSIBILITIES: 1. Be motivated to take on tasks and complete them reliably. 2. Be cooperative and productive member of the health care team. 3. Assume responsibility for own learning (self-directed learning) and to change behaviour accordingly. 4. Demonstrate good professional and ethical standards. showing respect for patients and co-workers. 5. Demonstrate respect of patient's autonomy and willingness to involve people in the responsibility for their own health. 6. Understand the patient's right to confidentiality and respect.

METHODOLOGY PHC rotation lasts 5 week PHC rotation lasts 5 week 4 clinical sessions per week in the PHC centre 4 clinical sessions per week in the PHC centre the Family Medicine Department or will be in SDL the Family Medicine Department or will be in SDL

LEARNING PROCESS: Large group tutorials (LGT) Large group tutorials (LGT) Lectures & practical Lectures & practical Training in a PHC centers Training in a PHC centers Self directed learning (SDL) Self directed learning (SDL)

Large group tutorial(LGT) Identify and specify the objectives of the session. Identify and specify the objectives of the session. Agree on how best to achieve these objectives. Agree on how best to achieve these objectives. Conduct the consultation task as specified. Conduct the consultation task as specified. Identify a clinical question related to the topic presented and apply steps of EBM Identify a clinical question related to the topic presented and apply steps of EBM

Consultation task The students are requested to demonstrate certain skills according to a specified task. The students are requested to demonstrate certain skills according to a specified task. Role play with peers Role play with peers Student observations of faculty with simulated or Student observations of faculty with simulated or real patients real patients video tapes of student interview with real or simulated patients. This will be done under the guidance of the tutor. video tapes of student interview with real or simulated patients. This will be done under the guidance of the tutor.

Evidence-based medicine task formulate a clinical question formulate a clinical question search for the best available research evidence. search for the best available research evidence.

A quiz will be distributed by the end of each tutorial. Be ready!

Other tasks requested at the primary health care center Log Diary booklet: Log Diary booklet: end of fourth week. end of fourth week. problem solving sessions (Log diary) problem solving sessions (Log diary) Practice Profile Practice Profile end of the fourth week end of the fourth week Evaluation form filled by clinical supervisor Evaluation form filled by clinical supervisor

Appendix (4) PRACTICE PROFILE Student's Name: _________________________________ Number: __________ 1.Identification of the health centre. a.Name: _______________________ b.Address: _____________________ c.Telephone: ___________________ 2.Practice list size. ___________________ Patients/families 3.Type of practice. UrbanTeaching 4. Type of premises: -Health centre -Primary care center based at -Health centre -Primary care center based at the hospital the hospital

5.Total number of doctors practising in the centre. Male Female Full time:Part time: Male Female Male Female 6.Other staff present: (specify titles and numbers) 7.Special sessions provided by the centre (e.g. Antenatal clinic, Immunization clinic). 8.Appointment system: Yes/NoFull/Partial 9.Diagnostic facilities to which direct or open access is available. 10.Medical record system: -Manual / Computerized -POMR / Traditional 11.Any special characteristic of your practice to which you wish to draw attention e.g. Geographical features, Social features, Teaching etc.

Workload: This table should represent the number of patients seen in your centre over one week. This table should represent the number of patients seen in your centre over one week. Patients seen per Doctor per week? Patients seen per Doctor per week? What is the average consultation time in your centre? What is the average consultation time in your centre?

ASSESSMENT Continuous Assessment: (40 marks) 1.LGT Quizes (10 marks) 2.Midterm Examination (20 marks) Multiple Choice Questions (MCQs) 10 marks Modified Essay Questions (MEQs) 10 marks Modified Essay Questions (MEQs) 10 marks 3.PHCC Supervisor Assessment (10 marks)

Final examination (60 marks) A.Written Examination. (30 marks) -MCQs. 15 marks -MEQs. 15 marks B.Presentations. (26 marks) -Preparation and conduction of LGT. 10 marks Consultation task 6 marks EBM task. 5 marks Preparation and conduction of Log diary 5 marks c.Practice Profile/and log diary booklet (4marks)

Evaluation forms Lecture session evaluation form Lecture session evaluation form Large group tutorial evaluation form: Large group tutorial evaluation form: Rotation evaluation form Rotation evaluation form

GUIDELINES FOR PRESENTATION GUIDELINES FOR PRESENTATION Appendix (3) Appendix (3)