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

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Presentasi berjudul: "FAMILY MEDICINE SYSTEM UNDERGRADUATE MEDICAL DEGREE PROGRAM FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN 2012."— Transcript presentasi:

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

2 Rasionalisasi KIPDI IIKIPDI III Kurikulum berbasis kompetensi

3 Kurikulum Berbasis Kompetensi Standar Kompetensi dokter yang disusun mengacu pada gambaran dokter yang dibutuhkan

4 7 AREA KOMPETENSI 1.Keterampilan komunikasi efektif 2.Keterampilan klinik dasar 3.Keterampilan penerapan dasar-dasar ilmu biomedik, klinik, perilaku & epidemiologi dalam praktek kedokteran keluarga 4.Keterampilan pengelolaan masalah kesehatan individu, keluarga ataupun masyarakat dengan cara yang komprehensif, holistik, bersinambung, terkoordinir & bekerja sama dalam konteks pelayanan kesehatan primer 5.Keterampilan pemanfaatan, penilaian secara kritis dan pengelolaan informasi 6.Mawas diri dan pengembangan diri/belajar sepanjang hayat 7.Etika, moral & profesionalisme dalam praktek

5  4 – Pengelolaan Masalah Kes. Individu, Keluarga & Masy. Kompetensi Inti: Diagnosa, pengelolaan & pencegahan mslh individu yg umum dlm konteks hub. keluarga & masy. scr komprehensif, holistik, berkesinambungan serta dg bekerja sama Diagnosa, pengelolaan & pencegahan mslh individu yg umum dlm konteks hub. keluarga & masy. scr komprehensif, holistik, berkesinambungan serta dg bekerja sama Mengelola mslh kes. individu mll keterampilan clinical reasoning utk menjamin hsl maksimal Mengelola mslh kes. individu mll keterampilan clinical reasoning utk menjamin hsl maksimal

6 Educational Objectives of Medical Doctor Program (at Unpad) 1.to communicate effectively with patient, family, community, and other health professionals 2.to perform basic clinical skills 3.to apply principles of basic biomedical, clinical, behavioral sciences and epidemiology in the practice of medical profession

7 4.to manage professionally and ethically common health problems at individual, family and community level in a comprehensive, holistic, and continuous manner 5.to access, critically appraise and manage medical and health information to improve his/her quality professional task leading to be a lifelong learner 6.to be self-aware, self-care and self-developed professional. Educational Objectives of Medical Doctor Program (at Unpad) (cont ’ d)

8 Curriculum Structure 2008 IIIIIIIVVVIVII FBS I (4)RPS (10)EMS (7) DMS (8) CVS (8)GUS (7) TM (7) FBS II (4)NBS (10) HIS (8) RS (7)GIS (7) FM (7) FBS III (4)CSP I (2)CSP II (2) CSP III (2) CSP IV (2) CSP V (2) CSP VI (2) FBS IV (4) PHOP I (1) PHOP II (2) PHOP III (1) PHOP IV (1) PHOP V (1) PHOP VI (2) PHOP VII (1) CRP I (1)CRP II (2)CRP III (1) CRP IV (1)CRP V (1)CRP VI (2)CRP VII (2) BHP I (2)BHP II (3) BHP III (1) BHP IV (1) BHP V (1) BHP VI (1) BHP VII (1)

9 FAMILY MEDICINE APPROACH TO MANAGE THE CASES

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

11 The Principles FAMILY PHYSICIAN DEDICATED TO THE PERSON 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 LIVE IN COMMUNITY/ A PART OF THE COMPLEX OF FAMILY RELATIONSHIP HOME VISITS (SEES PATIENTS AT HOME) SUBJECTIVE ASPECTS OF MEDICINE (SENSITIVITY TO FEELINGS, EMOTIONAL ETC) MANAGER OF RESOURCES

12 BIO – PSYCHO –SOCIAL ECONOMY MODEL OF ILLNESS THE HEALTH OF THE FAMILY AS AN UNIT INDIVIDU IS A PART OF THE FAMILY, AND FAMILY AS A PART OF THE COMMUNITY FAMILY DOCTOR LIFE CYCLE CARE

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

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

15 Pasien Anamnesis – patient centered anamnesis Pemeriksaan fisik Pemeriksaan penunjang Diagnosis HOLISTIK Penatalasanaan KOMPREHENSIF Aspek personal Aspek klinis Aspek risiko internal Aspek risiko eksternal Dinamika Keluarga Lingkungan Genogram Family Map Family life cycle Family APGAR Family SCREEM Rumah Pekerjaan Diagnosis Medis Diagnosis Psikososial Intervensi Medis Intervensi psikososial DOUBLE DIAGNOSIS

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

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

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

19 Concept mapping

20 Implementation of the concept BMPFM Bioscience Pathogenesis Pathophysiology Clinical aspect Management Review Clinical aspect Risk factor Family as a unit of care Biopsychosocial approach Health care maintenance for individual and family Screening Counseling Immunization Chemoprophylaxis Curative and rehabilitative

21 Stroke BMPKedokteran keluarga Describe the cause Describe the pathogenesis Explain risk stratification Describe PE Explain the principles of clinical and laboratory assessment Give basic treatment (non and pharmacology) Describe MOA Review the diagnosis of stroke Describe the impact of illness to the family Describe the monitoring for patient Describe the care for caregiver Describe the concept for home care Describe health care maintenance for elderly (screening, counselling, immunization and chemoprophylaxis)

22 Week-theme LifecycleTheme Topic Newly married and Infancy, childhood Preventive care1 Pre-conception care and Family planning Preventive care2Failure to thrive Adolescence/ teenagersPreventive care3 Weight management and nutrition Adult Biopsychosocial approach 4 Behavioral problems in teenager Biopsychosocial approach5Insomnia

23 Week-theme LifecycleTheme Topic Adult Chronic Diseases6Hypertension Chronic Diseases7Cataract Elderly care8Stroke ElderlyElderly care9Osteoporosis Palliative and domiciliary care 10 Cervical cancer

24 The activities Pre-conception care and Family planning Failure to thrive Weight management and nutrition Refraction error Behavioral problems in teenager Somatic disorder Hypertension Stroke Osteoporosis Cervical cancer Tuberculosis Hearing Loss Tutorial -Overview of the system -Good parenting -The right to sight -Overview of behavioral problems -Complementary and alternative medicine -Management of physical activity for various diseases -Rational prescribing Mini lecture

25 The activities Breast care for pregnant women, post delivery General physical examination Direct ophthalmoscope examination Detection for mental health problems Counseling skill Bed turning and bed positioning Breaking bad news Skills’ lab Create a genogram Meal planning and food replacement Writing referral letter Health care maintenance Create physical activity Medical audit Prescribing Develop medical record Lab activity


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