Basics of Family Medicine

Study Course Description

Course Description Statuss:Approved

Course Description Version:3.00

Study Course Accepted:19.08.2021 12:08:42

Study Course Information
Course Code:		GMK_008		LQF level:		Level 7
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Vija Siliņa
Study Course Implementer
Structural Unit:		Department of Family Medicine
The Head of Structural Unit:
Contacts:		Riga, 26a Anninmuizas boulevard, 2nd floor, Rooms No. 236 and 237, gmkrsu[pnkts]lv, +371 67060826
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		6	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		12
Classes (count)		5	Class Length (academic hours)		4	Total Contact Hours of Classes		20
Total Contact Hours								32
Study course description
Preliminary Knowledge:
Theoretical knowledge of preclinical courses. General theoretical knowledge and practical skills in clinical medicine (internal diseases, infectious disases, pediatrics, surgery, neurology, gynaecology and obstetrics, psychosomatics, especially, diagnostics, differential diagnostics, treatment and prevention).
Objective:
To gain understanding about competences of a family physician and pecularities of patient management in primary health care. Using clinical cases, to learn: a) communication specifics with individuals under lifelong and wholistic care, as well as their relatives; b) syndromologic and nozologic diagnostics, differentialdiagnostics in primary health care; c) intergration of public and individual health promotion and preventive measures; d) team work specifics in primary health care; e) patient management options in primary health care. To introduce with documentation and legislation in primary health care, as well as use of diagnostic equipment in primary health care clinics.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Patient-oriented problem solving principles in family medicine			Lectures		1.00	auditorium
2	Teamwork principle in primary healthcare			Lectures		1.00	auditorium
3	Multimorbidity and polypharmacy in family medicine			Lectures		1.00	auditorium
4	Cancer prevention and cancer patient care in family medicine			Lectures		1.00	auditorium
5	Reproductive health and family planning in primary health care			Lectures		1.00	auditorium
6	Gerontological consequences in a family physician’s practice			Lectures		1.00	auditorium
7	The competences, equipment and functionality of a family physician’s practice			Classes		1.00	METC
8	Screening of malignant tumours. Symptomatic treatment of cancer patients in a family physician’s practice			Classes		1.00	METC
9	Peculiarities of the elderly care 6th year students // Family planning issues. Reproductive health in family medicine 5th year students			Classes		1.00	METC
10	Elevated body temperature in primary care. Vaccination in family medicine			Classes		1.00	METC
11	Polymorbid patients in a family physician’s practice			Classes		1.00	METC
Assessment
Unaided Work:
Students are refreshing knowledge gained in previous study courses, especially the guidelines of most common acute and chronic conditions in primary health care. Students use provided worksheets to prepare themselves for discussion of clinical cases in the workshops. Students use available simulators to improve their practical skills.
Assessment Criteria:
1) Participation in all workshops and/or submission of worksheets to get access to the exam. 2) Cumulative assessment (50%) consisting of at least 10 multiple choice questions per theme. 3) A written exam (50%) consisting of a clinical case with ten open questions related to themes included in workshps and lectures.
Final Examination (Full-Time):		Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Successful completion of the course will allow student to: • understand the role of family physician in health care; • define syndromologic and nozologic diagnosis in primary health care; • draw up investigation and/or treatment plan for a patient in primary health care; • organize individual health promotion and preventive measures, including immunization and cancer screening; • understand team work in primary health care and cooperation options with secondary and tertiary care specialists; • know and apply some of diagnostic manipulations often used in primary health care.
Skills:		Successful completion of the course will allow student to communicate with primary health care team, patients and their relatives, as well as to use diagnostic equipment, draw-up treatment and examination plan of a patient of all ages in primary health care.
Competencies:		Successful completion of the course will allow student to work in primary health care under a supervision of a family physician.
Clinical Skills:
No.	Skill					Level
1	12-Lead Electrocardiogram (ECG) recording , result interpretation					B1 - Basic level
2	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B1 - Basic level
3	Otoscopy					B1 - Basic level
4	Peak expiratory flow (PEF) measurement, result interpretation					B1 - Basic level
5	Rectal examination / prostate palpation					B1 - Basic level
6	Swab sampling from anterior nose cavity					B1 - Basic level
7	Swab sampling from nasopharynx					B1 - Basic level
8	Swab sampling from throat					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Veselības aprūpes pakalpojumu organizēšanas un samaksas kārtība (MK 28.08.2018. noteikumi Nr. 555): 3.3. punkts. Ģimenes ārsta sniegtās veselības aprūpes organizēšana 1.pielikums. Profilaktiskās apskates (izmeklējumi) un sirds un asinsvadu slimību riska noteikšana 11.pielikums. Primārās veselības aprūpes finansējuma plānošana 15.pielikums.Ģimenes ārsta gada darbības novērtēšanas un maksājuma sadales metodika
2	THE EUROPEAN DEFINITION OF GENERAL PRACTICE / FAMILY MEDICINE, WONCA EUROPE, 2011 Edition
3	WHO, primary health care: Overview; Fact sheets; Key documents: Astana Declaration and Alma-ata Declaration
4	Current Diagnosis & Treatment: Family Medicine, 4e
5	Current Practice Guidelines in Primary Care 2019
6	Current Practice Guidelines in Primary Care 2017 Joseph S. Esherick, Evan D. Slater, Jacob A. David
7	Allen J. Health Law & Medical Ethics for Healthcare Professionals. - Boston, 2012.
8	Current Medical Diagnosis & Treatment 2019 .Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow
9	DeGowin’s Diagnostic Examination, 10e Richard F. LeBlond, Donald D. Brown, Manish Suneja, Joseph F. Szot Copyright © 2015 by McGraw-Hill Education
10	John Murtagh. General Practice. 6 edition. Sydney: McGRAW_Hill Book Company,
11	Bates' guide to physical examination and history taking and skills of good interviewing. 11th edition, 2017
12	Racionālas farmakoterapijas rekomendācijas antibiotiku ambulatorai lietošanai bērniem, 2015
13	Rekomendācijas empīriskai un etiotropai antimikrobiālai ārstēšanai, 2016
14	Fever in under 5s: assessment and initial management Clinical guideline [CG160]
15	Multimorbidity: clinical assessment and management NICE guideline [NG56]
16	MK noteikumi Nr. 330 Vakcinācijas noteikumi (I daļa, 2. un 3 pielikums)
17	WHO Recommendation on immunization – summary tables Nr.1, Nr.2, Nr.3, Nr.4
18	IDF Clinical Practice Recommendations for managing Type 2 Diabetes in Primary Care. International Diabetes Federation - 2017
19	2. tipa cukura diabēta ārstēšanas klīniskās rekomendācijas, Latvijas Endokrinologu asociācija, 2016
20	ESC guidelines: CVD Prevention in Clinical Practice, Dyslipidaemias, Guidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases developed in collaboration with the EASD, Atrial Fibrillation, Chronic Heart Failure, Chronic coronary syndromes
21	Chest pain of recent onset: assessment and diagnosis Clinical guideline [CG95]
22	GINA Report, Global Strategy for Asthma Management and Prevention, http://ginasthma.org
23	GOLD 2017 Global Strategy for the Diagnosis, Management and Prevention of COPD, http://goldcopd.org
24	Health in the Baltic Countries 2015.
Additional Reading
1	Basic & Clinical Pharmacology, 14e. Bertram G. Katzung
2	Clinician's Pocket Reference: The Scut Monkey, 11e
3	DeGowin’s Diagnostic Examination, 10e,Richard F. LeBlond, Donald D. Brown, Manish Suneja, Joseph F. Szot
4	Klīniskā medicīna prof. A. Lejnieka redakcijā, 2010.
5	Muguras lejas daļas sāpes primārajā veselības aprūpē, 25.02.2016. Nr. KV 01 - 2016
6	Current Diagnosis & Treatment: Geriatrics, 2e. Brie A. Williams, MD, MS, Editor, Anna Chang, MD, Editor, Cyrus Ahalt, MPP, Editor, Helen Chen, MD, Editor, Rebecca Conant, MD, Editor, C. Seth Landefeld, MD, Editor, Christine Ritchie, MD, MSPH, Editor,
Other Information Sources
1	Family Practice Management. American Academy of Family Physicians Practice Management Journal
2	Likums par prakses ārstiem. http://www.likumi.lv/doc.php?id=43338
3	Ārstniecības likums. http://www.likumi.lv/doc.php?id=44108&from=off
4	FamilyPractice.com
5	Global Family Doctor - Wonca Online
6	http://accessmedicine.mhmedical.com
7	Family Practice Notebook