HOW TO TEACH COMMUNITY ORIENTATION IN PRIMARY CARE

1. HOW TO TEACH COMMUNITY ORIENTATION IN PRIMARY CARE Group B Bled, 2006

2. CONTENT • Aims of the teaching module • Teaching content • Learning objectives – two examples • Target audience and methods • Faculty • Case vignettes

3. Aims of the teaching module • To improve effectiveness of our work • To learn how to set priorities • To recognise needs and resources of the community • To identify lack of resources or health problems • To develop strategies • To find ways to implement strategies

4. Teaching content • How to make a community diagnosis • socio – demographic data • prevalence of problems • social context • biological markers (genetic predisposition) • community resources • unmet needs • How to obtain relevant data

5. Teaching content – cont. • Needs assessment • Health care system and legal requirements • Different criteria for setting priorities • Overview of possible interventions • Implementation of community oriented activities • Assessment and evaluation of CO interventions

6. Learning objectives 1. Community diagnosis - to define the main items of a CD - to present a short report (1000 words) of a community overview - to value and apply the results of a CD as a tool in the daily practice

7. Learning objectives 7. Assessment and evaluation of an intervention - to explain the importance of assessment and evaluation in relation to interventions - to find the criteria relevant for assessment and evaluation - to summarize concrete conclusions of evaluation results

8. Target audience and methods S lest – short lecture C diagn – community diagnosis SG – small groups Data – data collection Role – role play HNA – health needs assessment Field – field work Prior – setting priorities Field work Interv - interventions Self st self study Ev/ass – evaluation/assessment Case – case study FG – focus groups WS – workshops POL – problem oriented learning BME – basic medical education VT – vocational training CPD continuing professional development

9. Faculty

10. Case vignette 1 A former employee of the Health Center calls the GP and tells that her 99y old mother is living under terrible and dangerous conditions and insists to send her to a nursing home. During the home visit the GP sees that the old lady is living in a dirty apartment with her 53y old grandson who is an alcoholic. The neighbours are feeling endangered. The GP also finds out that they are helping each other and are depending on each other; both refuse the offered help and further GP’s visits.

11. Case vignette 1 – Questions • Should the old lady be sentto the nursing home? • Which members of the community and the primary care team should be involved to handle this situation? • Consider: • Ethical aspects • Medical aspects • Community aspects • Legal aspects

12. Case vignette 2 Within 1 week, 10 patients presented at the GP with pruritus, which was unusual in frequency. Referral to the dermatologist didn’t yield any diagnosis. More patients from the same area presented with the same problem. A common aetiology was suspected.

13. Marija Petek-Šter Tadeja Čerin Mirjam Zemljak Davorina Petek Irena Vatovec-Progar Vlasta Vodopivec-Jamšek Tamara Fras Stefan Manfred Maier Ana Mateus Kornel Hintalan Grzegorz Margas Carlos Martins Valentina Moldovan Snežana Janković