1. A module for teaching community orientation to vocational trainees in Family Medicine Ambrosia Group 15th EURACT Bled Course September, 2006

2. The Ambrosia Group Alberto Carvalho (P) Adam Hintalan (HU) Dijana Filipović (SER) Janko Kersnik (SLO) John Boyd (US/SLO) Katarina Golc (SLO) Katja Pesjak (SLO) Loredana Piloff (RO) Maria José Ribas (P) Mateja Bulc (SLO) Matilda Vojnović (SER) Nadja Pfajfar-Križnič (SLO) Nevena Todorović (BA) Nevenka Šečer-Dolenc (SLO) Peter Strouhal (SLO) Ulrich Busch (A) Yonah Yaphe (IL)

3. Objectives At the end of this module the trainee in Family Medicine will be able to: - state what Community Orientation in Family Medicine is - practice CO in his own practice - value the importance of CO

4. Curriculum Behaviour problems Practice organisation Social problems Health problems Patient education

5. Community Orientation for Behavioural Problems

6. Behaviour problems - Background Behaviour related problems are prevalent in primary care Risky behaviours –E.g. Smoking, alcohol drinking, unhealthy diet, physical inactivity, stress Drug abuse Family violence Unsafe driving Sexual behaviour...

7. Objectives Will know the Prevalence and consequences of risky behaviour Risk management strategies Will be able to Identify and assess risky behaviour Advise behaviour change Will be willing to Openly discuss health behaviours with the patients Offer advice at the right moment Delegate tasks to other professionals if needed

8. Time schedule 1 week intensive teaching –Department of FM –Practices –Field work

9. Teaching Methods Knowledge Literature review, lecture, Small group learning Skills Home visits, Role play, Use of risk assessment scales Attitude Role playing, Video, Vignettes, Home visits, Field work

10. Assessment Knowledge Multiple Choice Questionnaire (MCQ), Modified Essay Question (MEQ) Portfolio learning, Oral examination Skills Objective Structured Clinical Examination (OSCE), Video, Medical records review Atittude Video, Interview