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FAMILY MEDICINE SYSTEM

FAMILY MEDICINE SYSTEM. UNDERGRADUATE MEDICAL DEGREE PROGRAM FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN 2012. Rasionalisasi. Kurikulum berbasis kompetensi. Kurikulum Berbasis Kompetensi. Standar Kompetensi dokter yang disusun mengacu pada gambaran dokter yang dibutuhkan.

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FAMILY MEDICINE SYSTEM

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  1. FAMILY MEDICINE SYSTEM UNDERGRADUATE MEDICAL DEGREE PROGRAM FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN 2012

  2. Rasionalisasi Kurikulumberbasiskompetensi

  3. KurikulumBerbasisKompetensi • StandarKompetensidokter yang disusunmengacupadagambarandokter yang dibutuhkan

  4. 7 AREA KOMPETENSI • Keterampilankomunikasiefektif • Keterampilanklinikdasar • Keterampilanpenerapandasar-dasarilmubiomedik, klinik, perilaku & epidemiologidalampraktekkedokterankeluarga • Keterampilanpengelolaanmasalahkesehatanindividu, keluargaataupunmasyarakatdengancara yang komprehensif, holistik, bersinambung, terkoordinir & bekerjasamadalamkontekspelayanankesehatan primer • Keterampilanpemanfaatan, penilaiansecarakritisdanpengelolaaninformasi • Mawasdiridanpengembangandiri/belajarsepanjanghayat • Etika, moral & profesionalismedalampraktek

  5. 4 – PengelolaanMasalahKes. Individu, Keluarga & Masy. KompetensiInti: • Diagnosa, pengelolaan & pencegahanmslhindividuygumumdlmkonteks hub. keluarga & masy. scrkomprehensif, holistik, berkesinambunganserta dg bekerjasama • Mengelolamslhkes. individumllketerampilan clinical reasoning utkmenjaminhslmaksimal

  6. Educational Objectives of Medical Doctor Program (at Unpad) • to communicate effectively with patient, family, community, and other health professionals • to perform basic clinical skills • to apply principles of basic biomedical, clinical, behavioral sciences and epidemiology in the practice of medical profession

  7. Educational Objectives of Medical Doctor Program (at Unpad) (cont’d) • to manage professionally and ethically common health problems at individual, family and community level in a comprehensive, holistic, and continuous manner • to access, critically appraise and manage medical and health information to improve his/her quality professional task leading to be a lifelong learner • to be self-aware, self-care and self-developed professional.

  8. Curriculum Structure 2008

  9. FAMILY MEDICINE APPROACH TO MANAGE the CASES

  10. A care delivered with a close rapport b/w patient and the doctor Personal First contact care Primary Care of chronic medical problem, care of complications Continuing Comprehensive Preventive, promotive, curative and rehabilitative

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

  12. 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

  13. Culture The Mandala of Health A model of human ecosystem Community lifestyle Personal behavior Psycho-socio- Economic Environment spirit Sick care system work mind body Physical environment Human biology Human-Made Environment Biosphere

  14. The health enhancement continuum Before man is involved The course of the disease in man DEATH Interrelation of the various: - AGENT - HOST - ENVIRONMENT factors (known & unknown) which bring AGENT & HOST together, or produce a disease-provoking STIMULUS Chronic state Defect Disability Illness Signs & symptoms Tissue & physiologic changes Immunity & resistance STIMULUS & AGENT becomes established & increases by multiplication or increment RECOVERY Interaction of HOST & STIMULUS in the human HOST HOST reaction Advanced disease Discernable early lesions Early pathogenesis Convalescence Pre-pathogenesis Pathogenesis Early detection & prompt treatment Disability Th/ & Rehabilitation Health promotion & Spesific protection PROMOTIVE CURATIVE PREVENTIVE PROMOTIVE REHABILITATIVE PREVENTIVE CURATIVE REHABILITATIVE

  15. Genogram Aspek personal Pasien Family Map Aspekklinis Dinamika Keluarga Family life cycle Anamnesis – patient centered anamnesis Aspekrisiko internal Family APGAR Aspekrisikoeksternal Family SCREEM Pemeriksaanfisik Rumah Pemeriksaanpenunjang Lingkungan Pekerjaan DOUBLE DIAGNOSIS Diagnosis HOLISTIK Diagnosis Psikososial Diagnosis Medis PenatalasanaanKOMPREHENSIF IntervensiMedis Intervensipsikososial

  16. BMP: Preclinical phase • Molecular • Cellular • Tissue • Organ • System Organ Normal Structures Normal Functions Congenital Neoplasm Infection/Inflammation Trauma Abnormality Others Principles of diagnostic Pathogenesis Principles of management Patophysiology Complication Signs-Symptoms S-S S-S

  17. Family Medicine approach Normal Structures Normal Functions Neoplasm Congenital Trauma Infection/Inflammation Abnormality Others Family Medicine approach Principles of diagnostic Pathogenesis Patophysiology Complication Signs-Symptoms S-S S-S APPLIED PRINCIPLE

  18. Hypotheses (un-implemented theory –week theme – diseases or psychosocial problems). Problems (1st page/s) Scenario Mechanism direction to meet with embedded-Learning Issues of Fam Med generate

  19. Concept mapping

  20. Implementation of the concept

  21. Stroke

  22. Week-theme

  23. Week-theme

  24. The activities

  25. The activities

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