5-Physician-to-Be (1).pdf

PHYSICIAN-TO-BE Course: Introduction to Physician Roles 1 Facilitator: Ateneo de Zamboanga University Date of Session: August 20, 22-23, 2024...

PHYSICIAN-TO-BE Course: Introduction to Physician Roles 1 Facilitator: Ateneo de Zamboanga University Date of Session: August 20, 22-23, 2024 School of Medicine Legend: COMPETENCIES AS A PHYSICIAN-TO-BE Remember Lecturer Book/ Previous There are four competencies that are expected in ADZU SOM PDF Trans Physicians, which are: ☝  🕮 🗐 1. Physician Clinician 2. Physician Teacher 3. Physician Learner 4. Physician Researcher 🗐 PHYSICIAN-TO-BE 5. Physician Administrator ADZU SOM A 5 Star Physician is a: - Care Provider VISION - Decision Maker - Communicator The ADZU-SOM envisions a medical school whose curriculum - Community Leader combines competency and problem-based instruction and - Manager experiential learning in the community, responsive to the changing patterns of health care development and the needs of the communities, sensitive to the social and cultural realities of HEALTH Western Mindanao, and imbued with the belief that we exist not “Health is a state of complete physical, mental and social only for ourselves but also for others. well-being and not merely the absence of disease or infirmity.” - WHO definition MISSION Individual is healthy if he has no disease and if he has The School of Medicine exists to help provide solutions to the achieved a state of physical, mental and social health problems of the people and communities of Western well-being, and thus he is socially and economically Mindanao, and therefore, it will to strive to produce competent productive graduates, who in the practice of their medical profession, are Family is healthy if majority of family have no disease, self-directing physicians, effective health administrators, health and are socially and economically productive researchers, and committed medical teachers. Community is healthy if the majority of the community has no disease and the community is socially and Good to Know: economically productive. 15-man BOT: 7 doctors, 5 civic leaders, 3 educators 1990: Fr. William H. Kreutz, SJ gathered members of DISEASES medical profession and some civic leaders for Conditions that can kill an individual, a family or a consultations for a medical school in the region community 1994: Zamboanga Medical School Foundation, Inc. Conditions that can cripple individuals, families, and (ZMSF) communities so as to prevent them from being socially 1998: ZMSF graduated 26 medical students and economically productive 2003: ranked 4th among 27 medical schools by PRC 2003: MD-MPH was launched Purpose of Training to Become a Physician Learning Strands Primary duty of a physician is to: 1. Working problem strand Serve the health needs as a medical student Biological perspective Solve health problems as a board-certified physician Behavioral perspective Population perspective Physician’s goals: 2. Professional skill strand Healthy and socially and economically productive Communication skills interviewing, individuals, families, and communities counseling, education Clinical management skills physical The health of each part is dependent on the health of other examination, therapeutic management parts: 3. Population medicine strand The health needs of an individual may be affected by the health needs or problems of the family or of the community Page 1 of 4  Physician-To-Be - AdZU School of Medicine Gallego, Lee, Ismael 2029 Likewise, the health needs or problems of the family and the community may be affected by the health needs or problems of an individual Whether you are still a medical student, or already a board-certified physician, you will go back to a community during and after training. You go back to the community for two big reasons: The health needs and problems of the community are ○ To practice your profession (to earn a living) not limited to those of the community per se. They ○ To be of service to the community include those of the families and individuals living The community may be a municipality, city, province, within the community. region, country, or the world Thus, as a medical student or as a board-certified Whatever you do, it all boils down to being of service physician; you are expected: to the community ○ To know how to serve the health needs and know how to solve the health problems of individuals, families and communities. The health of each part is dependent on the health of The Physician the other parts. ○ The health needs or problems of an individual may be affected by the health Definition: needs or problems of the family or the Human beings with a medical profession who deal with health community. needs and health problems of human beings to make a living, ○ Likewise, the health needs or problems of and to serve the health needs and to solve health problems of the family and the community may be human beings. affected by the health needs or problems of the individual. Deals with individuals and groups as health of individuals will be affected by health of their family and their communities, and vice versa To stay healthy→ health maintenance Overview of Purpose of Training to be a Physician Goal in serving the health needs and solving the A physician will go to a community to practice his health problems of community is to: profession. ○ Develop a healthy community with healthy A physician will serve a community families and healthy individuals who can live Physician’s primary concern: ○ Health needs or problems of the community, a socially and economically productive life on family and individuals. earth. Physician’s goals: What are the health needs of individuals, families and ○ Healthy community communities? ○ Healthy families ○ Healthy individuals They want to stay healthy. In other words, the health need is health maintenance. What is Health or when do you say an individual, family and a community is healthy? HEALTH According to the World Health Organization (WHO), it is the state of physical, mental, and social well-being, and not the mere absence of disease. As a medical student or as a board certified physician, your AN INDIVIDUAL IS SAID TO BE HEALTHY IF: primary duty is to: He has no disease and if he has a physical, mental, ○ Serve the health needs and to solve the health problems of the community. and social wellbeing, i.e., he is socially and economically productive. A FAMILY IS SAID TO BE HEALTHY IF: Majority of the members of the family have no disease and that the family is functioning properly as a Page 2 of 4  Physician-To-Be - AdZU School of Medicine Gallego, Lee, Ismael 2029 whole in the society, i.e., socially and economically INTARMED – it refers to the entire medical school curriculum, it productive. offers 2 years or pre-med, then 4 years of regular medical A COMMUNITY IS SAID TO BE HEALTHY IF: studies, and one year of clinical internship Majority of the members of the community have no Subjects in the Board Examinations disease and that the community is functioning properly Anatomy as a whole, i.e., socially and economically productive. ○ Study of parts of human anatomy ○ Gross anatomy What are the health problems of individuals, families and Macroscopic parts communities? ○ Histology The health problems are diseases, which prevent individuals, Microscopy parts families and communities from being socially and economically Physiology productive. ○ Study of functions of various parts of human body Why does a person study to become a physician? Biochemistry To make a living ○ Study of chemical events going on at cellular ○ Must not overcharge and molecular level in various parts of the ○ Must not charge exorbitant fees human body ○ Must charge usual fees which are reasonable Pathology and will promote goodwill ○ Study of diseases of the human body ○ Must be prepared to charge nominal fee to Microbiology those who cannot afford ○ Study of microorganisms as they affect the ○ Must be prepared to give free services to human body those who cannot afford Parasitology ○ Must have social conscience ○ Study of parasites as they affect human body To serve health needs and to solve health problems Pharmacology and therapeutics ○ Promotes health ○ Study of drugs as they are used in treatment ○ Prevents diseases of diseases of human body and as they affect ○ Treats and promotes cure in persons with the human body disease Legal medicine, ethics and medical jurisprudence ○ Rehabilitates persons after treatment of their ○ Study of medicine as it interacts with law and diseases study of legal and ethical principles as they ○ Develops healthy individuals, families and relate to medical practice communities Preventive medicine and public health ○ Study of health problems in the community How does a person become a physician? and how to solve and prevent them Pediatrics Undergo training to become a physician ○ Study of health problems in children Fulfill government requirements Nutrition ○ MD degree ○ Study of nutrition as it affects human beings ○ One year of internship Internal medicine ○ Certification from PRC, after passing the ○ Study of health problems in adults boards Obstetrics and gynecology ○ Clerkship requirement is at least 2,080 hours ○ Study of pregnancy and the female Acquire competencies expected of a physician reproductive system ○ Solve health problems Surgery ○ Effective, efficient and humane ○ Study of diseases that need operative ○ Self-directed treatment ○ Effective and efficient administrator of health Ophthalmology unit ○ Study of eyes ○ Conduct health research Otorhinolaryngology ○ Conduct health education ○ Study of ear, nose and throat ○ Serve as role model ○ Pass the boards Steps in Accomplishing a Project PREMED – 4 year program course designed to cover all the science and laboratory requirements needed for continued Planning education in medicine. Process of coming up with steps to achieve goal and objectives A blueprint, a course of action Page 3 of 4  Physician-To-Be - AdZU School of Medicine Gallego, Lee, Ismael 2029 Determining what, how, when, why, who Improving Entails organization of different ideas from different To improve the quality, value, and usefulness people Raise to a more desirable quality or condition Establishing procedures and policies Identify hindering factors Steps in Problem - Based Learning Includes assessment Problem Based Learning Steps: A collection of carefully constructed problems is ○ Develop goals and objectives presented to small groups of students (5-8) student Goals – long term, general group Objective – short-term, specific The problem usually consists of description sets of Both must be SMART observable phenomena or events that need Specific explanation. In medical education, it usually takes the Manageable form of a description of a patient presenting Attainable complaints supplemented with some critical signs and Realistic symptoms. Time-bound The task of the student group is to discuss these Consider scope and limitations problems and produce a tentative explanation of the Data gathering and situational phenomena, describing each in terms of some analysis: underlying process, principles or mechanism. Strengths, Weaknesses, Explore the problem Opportunities, Threats Creating hypothesis ○ Strategizing methods Identifying and elaborating issues To achieve goal and objectives Presentation of problem ○ Develop tasks ○ Determine resources Identify what you know ○ Create a timeline Stock knowledge Gantt chart - type of bar chart that Pertinent to current problem illustrates a series of tasks or activities on a timeline ○ Determining indicators for goal attainment Identifying what you don’t know create a tool for evaluation Learning gaps and issues Is the plan effective, efficient? Identifying flaws Set learning goals and objectives Standards and benchmarks for Prioritizing learning needs success and failure Allocating resources ○ Finalize plan ○ Distribute tasks / delegate people Self-directed learning ○ Determining improvement measures in the Independent learning future Preparation for presentation of group Implementing Sharing new knowledge Putting the project plan into action Periodic monitoring Discussions Corrective measures/adjustments (if necessary) Contributing additional informations Questioning facts presented Evaluation Application of knowledge Measure worth and significance of the project using criteria (short term) To solve problem Measure degree of achievement or value with regards Conclusions to the aim and objectives (long term) Follow set of principles/standards in evaluating a Feedback project (tool) Assessing new knowledge Outcome - short term; effects on individuals Reflecting on process Impact - long term; effects on school, community, society, and environment Page 4 of 4