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FAMILY MEDICINE
By
Dr. Eiad Al-Faris
Professor & Consultant
Department of Family Medicine
King Saud University
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Contents What is Family medicine? The application and selection process The training process Post-graduation
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A. What is Family medicine?
Why should I specialize in Family Medicine?
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Major barriers to equitable health care - WHO
Unequal access to disease, prevention & care
Rising cost of health care
Inefficient health care system
Lack of emphasis on Generalists’ (Family Medicine) training
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Problems in the community
75% Self care
25% Consult FP
2.5% Hosp
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Concepts of Family Medicine
DEFINITION: Family Medicine is a medical specialty of first contact with the patient and is devoted to providing preventive, promotive, rehabilitative and curative care with emphasis on the physical, psychological and social aspects, for the patient and his family and community.
The scope is not limited by system, organ, disease entity, age or sex.
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The Need For Trained Family Physician In Saudi Arabia
The central role of a well trained Family Physician in health care is well recognized in:
Developed countries -- UK, USA and Canada
Developing countries -- Sri Lanka and Nepal
The need is even greater in Saudi Arabia, where less than 1% of GNP is allocated to Health Care.
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10 Cs OF FAMILY PRACTICE1. C = Caring2. C = Clinically Competent3. C = Cost-Effective Care4. C = Continuity of Care5. C = Comprehensive Care6. C = Common Problems Management7. C = Co-ordination of Care8. C = Community-based Care & Research9. C = Continuing Medical Education10. C = Communication & Counseling
Skills`
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1. C = CARING
Caring/Compassionate care
An essential quality in a Family Physician
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2. C = CLINICALLY COMPETENT
Only caring is not enough
Need for 4 years training after graduation and internship
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3. C = COST- EFFECTIVE
In time and money
Gate keeper
Use of time as a diagnostic tool
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4. C = CONTINUITY OF CARE
For acute, chronic, from childhood to old age, and terminal care patients and those requiring rehabilitation.
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5. C = COMPREHENSIVE
CARE
Responsibility for every problem a patient presents with
Holistic approach with triple diagnosis
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6. C = COMMON PROBLEMS MANAGEMENT
EXPERTISE
e.g. Hypertension, Diabetes, Asthma, Depression, Anemia, Allergic Rhinitis, Urinary Tract Infection
Common problems in children and women
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7. C = CONTINUING MEDICAL
EDUCATION (CME)To keep up-to-date
Need for breath of knowledge
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8. C = CO-ORDINATION OF CARE
Patient’s advocate
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9. C = COMMUNITY BASED CARE AND RESEARCH
Care nearer patients’ home
Preventive, promotive, rehabilitative and curative care in patients own environment.
Relevant research within the patient’s own surroundings
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10. C = COMMUNICATION & COUNSELING SKILLS
Essential for compliance of advice and treatment
Needed for patient satisfaction
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Contents What is Family medicine? The application and selection process The training process Postgraduation
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B. The application and selection process
Dates of application and how to do it? Requirements to apply for a program Who is the better candidate during the
interview? Marks distributions during the selection)
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Requirements to apply for a the selection to the SCFHS programs MBBS SLE Internship Two certificates from two consultants Others
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Dates of application and how to do it?
Written on 18th May diplomaThe SCFHS website
50 MCQs 60% For diploma or the SCFHS
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Marks weight during the selection:
SLE :50% GPA: 10% Written exam ( 50 MCQ) : 20% Interview : 20%
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Interview
Knowledge of the specality Why is he (she) selecting this specality? Professionalism Ethics growth
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Passing Score?
60% Does it guarentee a residency job?
No. Residents have to apply to training centers
in Riyadh
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Application process
Is it application to the SCFHS only? Application to the institute
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Contents What is Family medicine? The application and selection process The training process Post-graduation
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C. The training process
Workload during training (social life $ on-call frequency, evaluation and progression)
“How many years does it take? It’s demand and popularity Training description.
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Workload during training (social life $ on-call frequency, evaluation and
progression) It varies on average one in four in the first
two years In medicine 7/ month Promotion each year 50 mcq Written Check-list Part 1
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How many years?
Four years
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Rotations First two years4 months introduction to Fam Med4 months pediatrics3 months obstetrics $ gynecology2 months surgery1 month orthopedicsTwo months emergency medicineTwo months vocations
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Third and fourth years training
psychiatryThree months Three months Community Medicine Two months ENT-ophtgalmolgy Two months dermatology- radiology 1 months research One month vocation The last year faly medici, I em 1 vocation
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Fourth year training
Family medicine
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Contents What is Family medicine? The application and selection process The training process Post-graduation
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D. Postgraduation
Postgraduate fellowships and subspecialties Number of residents and graduates in the
last few years Number of specialists in the kingdom
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Graduates till 2008 230On 2008 39+189On 2008 in Riyadh 81 applied
41 military 41 national program
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Postgraduate fellowships and subspecialties
No subspecality Fellowships
EMSleepRehabilitationMedical education or Academic fellowship
programGeriartric medicine
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CONCLUSION
Family Medicine is greatly needed in Saudi Arabia and worldwide.
Training is essential for enabling the graduating doctors to the practice of family medicine
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