FAMILY MEDICINE SYSTEM

UNDERGRADUATE MEDICAL DEGREE PROGRAM FACULTY OF MEDICINE, UNIVERSITAS PADJADJARAN 2011

The Principles
DEDICATED TO THE PERSON MANAGER OF RESOURCES SUBJECTIVE ASPECTS OF MEDICINE (SENSITIVITY TO FEELINGS, EMOTIONAL ETC) HOME VISITS (SEES PATIENTS AT HOME) LIVE IN COMMUNITY/ A PART OF THE COMPLEX OF FAMILY RELATIONSHIP UNDERSTAND THE CONTEXT OF ILLNESS ALL CONTACT WITH PATIENTS AN OPPORTUNITY FOR PREVENTION & HEALTH EDUCATION THE PRACTICE AS A POPULATION AT RISK DOES COMMUNITY NETWORKING

FAMILY PHYSICIAN

THE HEALTH OF THE FAMILY AS AN UNIT

BIO PSYCHO SOCIAL ECONOMY MODEL OF ILLNESS

INDIVIDU IS A PART OF THE FAMILY, AND FAMILY AS A PART OF THE COMMUNITY

LIFE CYCLE CARE

FAMILY DOCTOR

The health enhancement continuum Before man is involved Interrelation of the various: - AGENT - HOST - ENVIRONMENT factors (known & unknown) which bring AGENT & HOST together, or produce a disease-provoking STIMULUS
Tissue & physiologic changes STIMULUS & AGENT becomes established & increases by multiplication or increment

The course of the disease in man

Chronic state Defect Disability Illness Signs & symptoms Immunity & resistance

DEATH

RECOVERY

in the Interaction of human HOST & STIMULUS HOST Discernable early Early pathogenesis
lesions

HOST reaction
Advanced disease Convalescence

Pre-pathogenesis
Health promotion & Spesific protection

Pathogenesis
Early detection & prompt treatment
PROMOTIVE

Disability Th/ & Rehabilitation

CURATIVE REHABILITATIVE

PROMOTIVE PREVENTIVE

PREVENTIVE

CURATIVE

REHABILITATIVE

BMP: Preclinical phase

- Molecular - Cellular - Tissue

Normal Structures

Normal Functions

- Organ
- System Organ Congenital Infection/ Abnormality Inflammation Neoplasm Trauma Others

Principles of diagnostic

Pathogenesis
Patophysiology

Principles of management

Complication
Signs-Symptoms S-S S-S

Family Medicine
Normal Structures Congenital Infection/ Inflammation Normal Functions Neoplasm

Trauma

Abnormality

Others

Principles of diagnostic

Pathogenesis

Patophysiology

Family Medicine approach

S-S

Complication Signs-Symptoms S-S

APPLIED
PRINCIPLE

Scenario.

Problems
(1st page/s) generate

Mechanism direction to meet with embedded-Learning Issues of Fam Med

Hypotheses
theory week theme diseases or psychosocial problems).
(un-implemented

Implementation of the concept

BMP Bioscience Pathogenesis Pathophysiology Clinical aspect Management FM Review Clinical aspect Risk factor Family as a unit of care Biopsychosocial approach Health care maintenance for individual and family Preventive and promotive Screening Counseling Immunization Chemoprofilaksis Curative and rehabilitative

Course Description
The course will focus on the biopsychosocial approach in

managing the health problems and focus in the processes of care (theme) such as;
Good preventive care Good acute care

Good chronic disease care management

Good step down care Good elderly care Good domiciliary care and

Good palliative care

Week-theme
Lifecycle Newly married Theme and Preventive care 1 Topic Pre-conception care and

Infancy, childhood
Preventive care Adolescence/ teenagers Preventive care 2 3

Family planning
Failure to thrive Weight nutrition Biopsychosocial approach 4 Behavioral teenager problems in management and

Adult

Biopsychosocial approach Chronic Diseases

5 6

Somatic disorder Hypertension

Chronic Diseases Elderly care

Elderly Elderly care Palliative and

7 8
9 domiciliary 10

Cataract Stroke
Osteoporosis Cervical cancer

care

Learning objectives
General learning objective

Upon successful of this course the students will be able to analyse patient problems based on family medicine approach. Specific learning objectives Listed in the case

Activities

Tutorial Lab activity Mini lecture

Skills lab

Tutorial
Pre-conception care and Family planning Failure to thrive Weight management and nutrition Behavioral problems in teenager Somatic disorder Hypertension Cataract Stroke Osteoporosis Cervical cancer

Mini lecture

Overview of the system Complementary and alternative medicine Overview of behavioral problems Good parenting The right to sight Management of physical activity for various diseases Rational prescribing

Skills lab

Breast care for pregnant women, post delivery General physical examination Counseling skill Detection for mental health problems Direct ophthalmoscope examination Bed turning and bed positioning Breaking bad news

Lab activity

Create a genogram Meal planning and food replacement Create physical activity Prescribing Writing referral letter Medical audit Develop medical record