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

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

3. 2. Ideas about how to achieve these goals.

4. AIMS:
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
3. To adopt and develop the knowledge and skills already acquired by students 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.

5. OBJECTIVES

6. 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 discuss the diagnosis and management of common Family Medicine problems.
Recognize different models of consultations.
Demonstrate and understand the role of social, psychological and
Environmental factors in the pathogenesis and management plan of illness.
Recognize the functions of family medical records.
Demonstrate awareness of community resources and appropriate referral.
Be familiar with the concept and methods of life-long learning an evidence-based medicine.

7. 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
illness from minor or self-limiting problems.
b Demonstrate an ability to deal with uncertainty when the
diagnosis is unclear.
c Formulate a patient-centred management plan which takes into account
the physical, psychological and sociological factor identified.
d. Recognise the role of different team members.

8. III. ATTITUDES AND RESPONSIBILITIES:
Be motivated to take on tasks and complete them reliably.
Be cooperative and productive member of the health care team.
Assume responsibility for own learning (self-directed learning) and to change behaviour accordingly.
Demonstrate good professional and ethical standards. showing respect for patients and co-workers.
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.

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

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

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

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

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

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

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

16. 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.
Urban Teaching
Type of premises:
-Health centre Primary care center based at
the hospital

17. 5. Total number of doctors practising in the centre.
Male Female
Full time: Part time:
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/No
Full/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.

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

19. ASSESSMENT 1. LGT Quizes (10 marks) 2. Midterm Examination (20 marks)
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
3. PHCC Supervisor Assessment (10 marks)

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

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

22. GUIDELINES FOR PRESENTATION
Appendix (3)