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FM Introduction

8 min read

Family Medicine Course

FAM530

Orientation

Tutors

  • Dr. Khalid Al Quamaizi
    Dean College of Medicine

  • Dr. Yousif Elgezoli, MRCGP-UK/ JMHP- Maastricht.
    Consultant in Family Medicine. 0567234117
    ygezoli1954@gmail.com

  • Dr. Osama Al-Nafesa

Family Medicine Course: FAM 530

  • Course Learning Outcomes
  • Contents of the Course
  • Topics
  • Schedule
  • Objectives
  • Teaching & Learning Strategies
  • Assessment

Course Learning Outcomes (CLOs)

  • Knowledge
    & Understanding

  • Skills

  • Values

Ground Rules for the Course

  • What factors made this activity a success or more effective?

    ❖ Brainstorming:-

    • Starting and finishing on time
    • Coming prepared
    • Listening to others without interruptions
    • Participating

Group Guidelines

  • Saying when you don’t understand
  • When anyone is speaking, addressing the whole group and not just the teacher
  • Switching off mobile phones
  • Treating others’ contributions with respect
  • Keeping personal issues out of the session
  • Maintaining confidentiality within the group.

Three Weeks Plan

  • Week-1: Tuesday-Thursday (Basic Principles).
  • Week-2: Clinical
  • Week-3: Clinical / OSPE/OSCE – REVISIONS & EXAMS.

First Week

  • PART-1: FM First Three days (Tuesday - Thursday)
  • FM Principles & Concepts (Six Topics).
  1. Communication / BBNs.
  2. Consultation
  3. PHC System
  4. Prescribing/Referrals
  5. EBM &
  6. Prevention in Primary Care.

2nd & 3rd Weeks

PART-2: Clinical Topics (Approach to the following clinical topics: Theory & Clinical Skills)

  1. HTN
  2. Sore throat
  3. Chest pain
  4. Child Well Care
  5. Thyroid disorders
  6. LBP
  7. B. Asthma
  8. Anemia
  9. DM
  10. Dyslipidemia
  11. Headache
  12. Osteoarthritis
  13. Abdominal pain
  14. BPH
  15. Comprehensive Geriatric Care
  16. Depression & Anxiety
  17. Smoking
  18. ANC
  19. Obesity
  20. Dizziness
  21. UTI

PART-3: Revision, Consolidation and Exam

The Schedule

FAM 530 – Schedule – G 2 – Semester 241

Date1st Session 08-10 AM2nd Session 10-12 AMBREAK3rd Session 12:30-02 PM4th Session 02 – 04 PM
Tue. 05/111. Introduction (Y).11. Comm Skills/BBNs (Y).111. PHC in S.A. (Kh.).1V. Consultation Skills (Kh.).
Wed. 06/111V. Prevention in P.C. (Kh).V. Prescribing/Referrals in (Kh).3. ANC (Y).2. Obesity (Kh.).
Thu. 07/11V1. EBM. (Kh).1. WBC (Y).
Fri. 08/11
Sat. 16/11
Sun. 17/114. Depression/Anxiety (Kh).5/6. Sore throat/Dyslipidaemias (Os.).Sore throat – Case (Os.).
Mon. 18/117. DM (Kh).8. O.A. (Kh.).Diabetic foot & Knee exam. (Kh.).DM History (Y).
Tue. 19/11PHC VISIT
Wed. 20/11PHC VISIT
Thu. 21/1111. Geriatric Care. (Kh.)12. Abdominal pain. (Y).Abdominal-Case. (Y).

إجازة الخريف

Schedule

  • Sun. 24/11

    • 13. Anaemia (Y).
      1. Smoking.
    • 15/16. Thyroid/Headache (Osama).
    • Headache/Cranial nerves/Neck exam (Os).

  • Mon. 25/11

    • 17. Chest pain (Y).
      1. Dizziness (Y).

  • Tue. 26/11

    • 19. HTN (Y).
    • 20/21. UTI/BPH (Y).
    • HTN-Case (Y).

  • Wed. 27/11

    • OSPE/OSCE (Mock).
    • Clinical Revision (Y).

  • Thu. 28/11

    • Clinical Revision - (Online-Y).

  • Fri. 29/11

    • Free Reading by Students.

  • Sat. 30/11

    • Free Reading by Students.
    • MCQ Exam.
    • OSPE/OSCE Exam.

  • Sun. 01/12

  • Mon. 02/12

A. Basic Principles in PHC

  1. PHC in Saudi Arabia - Khalid
  2. Consultation - Khalid
  3. Prevention in P.C. - Khalid
  4. Communication/Breaking Bad News - Yousef
  5. Evidence-Based Medicine - Khalid
  6. Prescribing/Referrals in PC - Khalid

B. Clinical Topics

  1. DM - Khalid
  2. Geriatric Care - Khalid
  3. Depression/Anxiety - Khalid
  4. Obesity - Khalid
  5. Osteoarthritis - Khalid
  6. Sore throat - Osama
  7. Dyslipidaemias - Osama
  8. Thyroid - Osama
  9. Headache - Osama

UTI/BPH

  • WBC: Yousif
  • HTN: Yousif
  • Headache: Yousif
  • LBP: Yousif
  • Thyroid disorders: Yousif
  • Abdominal Pain: Yousif
  • Chest Pain: Yousif
  • Smoking: Yousif
  • Dizziness: Yousif
  • ANC: Yousif

A. Tutorials

  1. DM - Khalid/Yousif
  2. Dizziness - Yousif
  3. Sore throat - Osama
  4. Headache/Cranial nerves - Osama
  5. Hypothyroidism/Neck exam. - Osama
  6. Chest pain - Yousif
  7. HTN - Yousif
  8. B. Asthma
    • Abdominal pain - Yousif
    • O. Arthritis – Knee exam. - Khalid
    • LBP - Yousif
    • Depression - Yousif

A. OSPE/OSCE

  1. Mock

    • Yousef

  2. Revision

    • Yousef

Teaching & Learning Strategies

We should have strategic teaching from our side (Tutors) and strategic learning from your side (Students)

Very Active and Deep Teaching/Learning

  • All topics are based on specific objectives
  • Interactive presentation, based on the specific questions
  • Your participation and prior reading is very important
  • You will achieve very high in
    • knowledge,
    • skills,
    • competencies
    • as well as in assessment

First Six Topics:

  1. Consultation & Communication.
  2. Breaking Bad News
  3. Primary Health Care
  4. Prescribing/Referrals.
  5. Screening
  6. EBM

Teaching/Learning Strategies (Second 19 Topics)

  • All students will be divided into 4 groups of --- + --- students
  • Daily we will discuss two/three topics all about applied theory.
  • You will be provided with the power points, applied questions, 1-2 reference and a clinical scenario, possibly an article.
  • All topics are based on their specific objectives.
  • Your participation and prior reading is very important, and essential.

EXAMPLE OF A CASE

A 50-year-old gentleman is presented to your clinic with the complaint of hesitancy, urgency and increase frequency of urination for past few months. He is not known to have any medical problem in the recent past. No previous investigation is available.

Discussion Questions:

  1. What are the differential diagnosis of such presentation?
  2. What are the questions to be included in taking history from the patient?
  3. What are the clinical examinations to be performed?
  4. What are the management plan for such case?
  5. What are the complications if this patient has been diagnosed as BPH?

ALL 20 CLINICAL PROBLEMS ARE BASED IN THIS STYLE for theoretical sessions. Same things will be applied for the clinical sessions with simulated patients.

Assessment

Assessment Breakdown

  1. Active clinical participation…30%
  2. OSPE/OSCE …30%
  3. MCQ Paper …40%

First Six Topics by MCQs

I. FM Principles & Concepts (Six Topics)

  1. Consultation.
  2. PHC System
  3. Communication/Breaking Bad News
  4. Prevention in PHC.
  5. Prescribing/Referrals &
  6. EBM.

Second 20 Topics by MCQs & OSPE/OSCE

Clinical Topics: (Approach to the following clinical problems)

  1. HTN,
  2. Sore throat.
  3. Chest pain,
  4. Well child care.
  5. Thyroid,
  6. LBP
  7. SOB,
  8. Anemia
  9. DM,
  10. Dyslipidemia
  11. OA,
  12. Headache
  13. ANC
  14. Abdominal pain
  15. UTI
  16. Comprehensive Geriatric Care
  17. Common psychiatric problems
  18. Smoking
  19. Obesity
  20. Dizziness.

OSPE

…

OSCE

Continuous Clinical Assessment (30%)

  • There will be a continuous assessment, this will score 30% = 30 marks out of the 100 marks.
  • Student will be asked questions individually, to get their assessment.
  • If you are absent even with some valid reasons your mark will be decreased.
  • There are 6 Assessment Specific Domains for attendance:

Attend on Time

  • L1: Come late ≥ 15 minutes
  • L2: Come late ≥ 30 minutes
  • AB: Absent
  • D: Disturb, side talk or use mobile
  • LE: Left Early

First Semester- Group B- Girls

5/11 - 02/12/2024.

  • Absent X
  • Dist. -
  • Partic. P
  • Bonus +
  • Late or early x
  • Att. √
  • الرقم الجامعي
  • الاسم
  • ت
  1. رغد المطيري - 172220380
  2. شروق الهيس - 181220136
  3. نور الحناكي - 181220202
  4. الجوهرة عيسي - 191220013
  5. راما ظاهري - 191220027
  6. دعاء عبد الرحمن - 191220057
  7. رهف ال فريان - 191220146
  8. ميار بالغانس - 191220191

Continuous Assessment

  • Score: -

    • Total: 29√5x2+
    • P: 3P
    • LAST: 12√Xx
    • MID: 14√4x
    • BASIC: 3√2+

  • Score: 30

    • Total: 34√
    • P: 2P
    • LAST: 14√7x+
    • MID: 17√x+
    • BASIC: 3√2+

  • Score: -

    • Total: 23√10X3x
    • P: P
    • LAST: 12√5X 2x
    • MID: 8√5X2x
    • BASIC: 3√x+

  • Score: -

    • Total: 28√7X
    • P: P
    • LAST: 13√2X+ x
    • MID: 12√6X+ x
    • BASIC: 3√2+

  • Score: 30

    • Total: 34√X
    • P: P
    • LAST: 13√Xx+
    • MID: 18√
    • BASIC: 3√+

  • Score: 30

    • Total: 34√
    • P: 3P
    • LAST: 14√+
    • MID: 17√x+
    • BASIC: 3√2+

  • Score: -

    • Total: 28√-5X-2x
    • P: p
    • LAST: 9√-4X-x
    • MID: 17√-x
    • BASIC: 2√-X-x

  • Score: -

    • Total: 16√16X2x
    • P: P
    • LAST: 13√X
    • MID: 13√2X 2x
    • BASIC: 2√Xx

Attendance & Participation

  • Excellent
    • 30 – Achieved 34√
  • Very good
    • Achieved >30√< 34
  • Good
    • Achieved >28√< 30
  • Not sufficient
    • Achieved >20√<28
  • Very Poor
    • Achieved < 20√

Group-Leader Roles

  • Lead & facilitate constructive communication between the tutors and students.

  • Receive and distribute the send materials sent through email (PowerPoint/Questions for discussion/references).

  • Allocating & managing resources including the tools & instruments needed for clinical sessions.

  • Be sure and prepare the smart board, the stability of the net & the needed audiovisual materials.

Tasks

  • Upload the PowerPoint & videos to the smart board.
  • Contact & direct poor attending students.
  • Help in distributing the group into subgroups.

Instruments and Tools Needed for the Course

Clinical - FAM-530

  1. Audiovisual facilities
    • i. Smart Board
    • ii. Projector
    • iii. Loud Speaker
    • iv. Internet facilities
    • v. PPT and Video presentation

Clinical Instruments

  1. Stethoscope
  2. Sphygmomanometer
  3. Placebo Inhaler
  4. Peak Flow Meter
  5. Auroscope
  6. Urine dipstick
  7. Glucometer

Medical Instruments List

  • i. Torch and tongue depressor
  • ii. BMI chart, Blood sugar convertor chart
  • iii. Framingham Risk Calculation Chart
  • iv. Smoking Device Calculator for CO/ NRT patches
  • v. CNS Evaluation instrument
    1. Tuning Fork
    2. Hammer
    3. Cotton and needle
    4. Microfilament to check DM foot

Summary

  • 1. Be on time, active, prepared, and mobile mute
  • 2. Read daily, No absentees
  • 3. Learn how to learn and prepare
  • 4. Outcomes of these hard work will reflect on your knowledge, skills assessment results

PERFORMANCE OF STUDENTS IN FAM 530- NOV EXAM FOR THE ACADEMIC YEAR 1437 - 38 H.

  • ALL STUDENTS
    • A+: 6%
    • A: 10%
    • B+: 20%
    • B: 30%
    • C+: 26%
    • C: 6%
    • D+: 2%
    • D: 0%
    • FAILED: 0%

ANY QUESTIONS OR CLARIFICATION

References

  • Swanson’s / A Problem-Oriented Approach-FAMILY MEDICINE REVIEW- 9th Edition
    (Alfred F. Tallia / Joseph E Scherger / Nancy W. Dickey -2023).

Required Textbooks

Essential References Materials

  • OSCE AID for Family Medicine Saudi Board Program
  • Family Medicine Guide Handbook (Dr. Hadi Alenazy / Dr. Abdulelah Shihab)
  • Methods of Medical Examination (Prof. M. Salah Ibrahem).

Electronic Materials

  • https://amboss.com
  • Links for Videos From Saudi Commission for Health Specialities on
    • BBNs/Well & Bad Consultations/ Dix-Halpike & Epley
    • Cranial nerves exam – Diabetic foot exam – Knee exam – SLR etc.

Other Learning Materials

  • BMJ, American Family Physician, NICE Guidelines, SIGN Guidelines, SHAMS, SINA Guidelines 2024. BMJ Best Practice.

Graph View

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