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42 nd STFM Annual Spring Conference April 29 – May 1, 2009 Denver, Colorado
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“How STFM changed our lives” SOBRAMFA (Brazilian Society of Family Medicine)
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Presenting ourselves...
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More of us
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Where do we come from?
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Here is Brazil Population: 190.ooo million 176 medical schools
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São Paulo Population: 19.900 people 4th biggest metropolis of the planet
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Celebration! STFM & Ten years of inspiration
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WHO ARE WE?
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SOBRAMFA Academic Society founded in 1992 (17 years old) by a group of specialists To promote the humanistic dimensions of doctoring and establish the proper basis and scientific methodology for family medicine
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SOBRAMFA Something was missing Brazilian Health Care and medical educational system: - Based in hospital care - Highly fragmented - Focused in specialties and irrational use of technology - Desease centered approach - Impersonal practice Began teaching humanistic medicine Bigger mission: To advance Family Medicine in Brazil First contact with STFM: Orlando, FL - 2000 First big step: STFM Annual Meeting 2001 in DENVER, CO Sobramfa group of physicians and students
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Objectives of this presentation: To present and discuss what we (SOBRAMFA) have learnt from the STFM meetings in ten years To show how SOBRAMFA applied the Family Medicine core values from STFM to the Brazilian scenario To be an example for the development of family medicine in other countries How STFM changed our lives
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What did we learn to foster the development of Family Medicine in Brazil?
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What is in fact Primary care Putting in practice this concept of PC Trust and respect/ Family Medicine identity Feed back from population and other doctors Fostering PC, we are responding to the demand of brazilian health care system
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“ I ’ ve always wanted that kind of doctor ”
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WHAT we should do to empower Family medicine 1. Establish family medicine as an academic discipline 2. Be involved in Medical Education 3. Establish Departments of FM 4. Keep close to the medical students 5. Build leadership among medical students How STFM changed our lives
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team work How STFM changed our lives
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WHAT we should do to empower Family medicine 1. Establish family medicine as an academic discipline 2. Be involved in Medical Education 3. Establish Departments of FM 4. Keep close to the medical students 5. Build leadership among medical students How STFM changed our lives
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Establish Family Medicine as an academic discipline It ’ s not a reality in Brazil t seems to be why FM is not a well definined specialty Our “ Quality ” concern
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Lack of good generalists
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WHAT we should do to empower Family medicine 1. Establish family medicine as an academic discipline 2. Be involved in Medical Education 3. Establish Departments of FM 4. Keep close to the medical students 5. Build leadership among medical students How STFM changed our lives
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Family doctors MUST be involved in medical education Specialized faculty in medical schools to spread its core values Role model T The only way to generate life long carreers in Family Medicine Our experience
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Jundiai Medical School
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WHAT we should do to empower Family medicine 1. Establish family medicine as an academic discipline 2. Be involved in Medical Education 3. Establish Departments of Family Medicine 4. Keep close to the medical students 5. Build leadership among medical students How STFM changed our lives
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We need to establish Departments of Family Medicine in medical schools I In Brazil, FM is attached to social medicine or public health departments; virtually there ’ s no FM department No prepared faculty or proper background Integrated thinking and acting Power to propose educational changes Stroger representation in the national educational scenario
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WHAT we should do to empower Family medicine 1. Establish family medicine as an academic discipline 2. Be involved in Medical Education 3. Establish Departments of Family Medicine 4. Keep close to the medical students 5. Build leadership among medical students How STFM changed our lives
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We need do be close to medical students Teaching while practicing Engaging students into family medicine core values What do we do? - Mini Fellowship in Family Medicne (MF2 program) - Monthly meetings at the SP medical association - Regular invitations
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WHAT we should do to empower Family medicine 1. Establish family medicine as an academic discipline 2. Be involved in Medical Education 3. Establish Departments of Family Medicine 4. Keep close to the medical students 5. Build leadership among medical students How STFM changed our lives
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We need do build leadership among medical students “ “ We cannot build something special with second line people. We need the best ones ” Pablo G. Blasco
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Step forward Identification, courage & determination Future
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team Work How STFM changed our lives
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Patient centered care Illness is much more than disease Our mission is to take care of our patients: however and wherever they are (integrity, continuity, Pacient centered) The needs of the patients require an approach of their various problems within a broad perspective Action based in the patient ’ s needs “ Resolutive medical group ” Our experience
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Our experience Integrated Medicine in 3 Community Hospitals in São Paulo Integrated Medicine in 3 Community Hospitals in São Paulo - Inpatient - Inpatient - Outpatient - Outpatient - Home visits - Home visits Nove de Julho Hospital São Cristovao Hospital Cruz Azul Hospital How STFM changed our lives
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team Work How STFM changed our lives
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The personal doctor figure Reminds the old traditional medicine/ Health specialist In the teaching scenario, we stimulate the student to feel as THE patient ’ s doctor A powerful role model for medical students Students experience a chance to make the difference in someone ’ s life
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team Work How STFM changed our lives
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Reflective practicing Who are you ? What do you want ? Is what you are doing going to take you where you want to go ? Actions - values - principles Instilling in students the permanent habit of reflection Innovative methods in affective education by using humanistic resources
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team Work How STFM changed our lives
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LOVE MEDICINE COMPASSION UNDERSTANDING
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Humanism Family physician: a specialist in Humanistic Medicine ? It has in FM a proper field for educating doctors Be updated with the scientific advances keeping the focus on the patient ’ s feelings Sobramfa ’ s aim: balance building technical and humanistic skills Attractive practice for medical students of Brazil Our annual meetings ’ themes
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SOBRAMFA ANNUAL MEETINGS
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team Work How STFM changed our lives
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Practical idealism The pleasure of making our idealism a way of earning life Medical insurance agencies Family doctor is required in a variety of settings: - Outpatient service - Inpatient service - Home visits - Nursing homes New paradigm of care
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HOW we apply the FM core values in education 1. Patient centered care 2. The personal doctor figure 3. Reflective practicing 4. Humanism 5. Practical Idealism 6. Team Work How STFM changed our lives
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Team work Sobramfa = family team Working and living together the dream of turning Family Medicine into a reality in Brazil Challenges become easier and the victories come earlier Global family of FM (friends from STFM)
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We ’ re still painting our way, but you ’ re more then welcome to share this challange with us!
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Thank you! henriquerego@sobramfa.com.br
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