Family & Community Medicine PDF

FAMILY & COMMUNITY MEDICINE MODULE 1.1 LE Introduction to Family Medicine Leslee A...

FAMILY & COMMUNITY MEDICINE MODULE 1.1 LE Introduction to Family Medicine Leslee Anne P. Herrera, MD, DFM, MHM | September 6, 2024 | Trans #1 v3 1 TABLE OF CONTENTS WHAT IS FAMILY AND COMMUNITY MEDICINE? I. Family and Community IV. Family Medicine Vs. Medical Specialty Medicine A. Medicine Community Medicine A. Community Medicine 💬 Broad and Diverse field; made up of a variety of things Approach patient in a comprehensive and holistic manner → Comprehensive meaning complete all elements and all aspects II. History of Family Medicine B. Family Medicine A. International Perspective V. What is the Future in Family should be taken into consideration when dealing with the B. Philippine Perspective Medicine Practice patient III. Family Medicine Education A. Family And Community → Holistic meaning we do not only look at the biological aspect, in the Philippines Medicine Practice but also the social and mental factors of the illness A. Output on the VI. Importance of Family Healthcare is encompassed within the context of the individuals’ Standardization of Doctors, Medicine in Health environment, including their family, vocation, culture, beliefs and Preventive, Family, and Care (From CNN) community, providing first-contact, comprehensive, continuing Community Medicine VII. Why Do We Need to Study Curriculum in the Basic FCM? → 💬 care across all age groups We are the gatekeepers therefore the approach must be comprehensive continuous care across all ages Medical Education VIII. Review Questions Towards Outcome Based IX. Post-test → “Womb to tomb” Education X. References WHAT DO WE DO IN FAMILY AND COMMUNITY MEDICINE? B. Core Values of the Combines the traditional biomedical disciplines with particular Profession skills in the analysis and use of community resources, C. Conceptual Framework knowledge and experience of organizational and management 💬 D. The Roles of the Five-Star techniques for the delivery of medical care. Doctor → holistic approach; we do not look at them as an individual only, but we look into the context of their family and the LEGEND community to be able to treat the patient Must Lecturer Book Prev. YouTube PPT An awareness and ability to recognize, assess and utilize the ❗️ Know 💬 📖 Trans 📋 🔺 Video 🖥️ biological (physical), psychological (emotional and intellectual) and social determinants of health and disease as well its environmental (occupational) and spiritual components. APMC SUMMARY OF ABBREVIATIONS Association of the Philippine Medical Colleges 🖥️ II. HISTORY OF FAMILY MEDICINE FCM GP Family and Community Medicine General Practitioners → 💬 How did it start? Before a field of medicine becomes a specialty, there should be an accrediting body, bylaws, standard of care FP Family Physician PAFP Philippine Academy of Family Physicians procedures, rules and regulations to be followed PSTFM Philippine Society of Teachers of Family Medicine Oldest medical specialty Coined as “general practice” in the 1900s. WONCA World Organization of National Colleges, Academies, A majority of graduates from medical schools in America chose a and Academic Associations career in general practice where they became skilled in WHO World Health Organization childcare, maternal care as well as surgery. DOH Department of Health This field of medicine grew in popularity after World War II PMA Philippine Medical Association It wasn’t long after that family medicine– as we know it today – PHIC Philippine Health Insurance Philhealth was acknowledged as a unique medical specialty. LEARNING OUTCOMES ○ But the road to making family medicine a recognized specialty wasn’t easy. ✓ Know the importance of Family and Community Medicine ✓ Understand the history of Family Medicine both from international and local perspectives 🖥️ A. INTERNATIONAL PERSPECTIVE 1962: WHO Expert committee on Professional and Technical ✓ Learn the basis of Family Medicine education in the Philippines Education and Medical Auxiliary Personnel ✓ Identify the importance and scope of Family Medicine as a medical specialty ✓ Enumerate and explain the roles of a five-star physician → care 💬 → Need to train family doctors: first contact with the patient Family Doctors are the gatekeepers or the first contact of ✓ Differentiate Family Medicine and Community Medicine 1962: Folsom Committee: every individual should have a personal ✓ Know the opportunities in Family Medicine practice 🖥️ physician I. FAMILY AND COMMUNITY MEDICINE 1966: Citizens commission on Graduate Medical Education 💬 A. MEDICINE → Specialty board examination 1972: WONCA: World Organization of Family Doctors Both an art and science → International body which represents the Family Physician → Science: It is based on the factual knowledge, phenomena, WONCA ❗️ laws, proximate causes gained and verified by exact observation; factual knowledge includes the basic and clinical World Organization of National Colleges, Academies, and sciences such as pathophysiology and anatomy Academic Associations (WONCA) → Art: It is a skillful systematic means for the attainment of some International body which represents the GPs (General hand; skill on how to deal with patients Practitioners) and FPs (Family Physician) 💬 → Patients must be treated as a whole; one must be able to apply Founded in 1970 both the art and science of medicine in dealing with patients → In Chicago → 💬 → Currently has 126 members all over 102 countries 2001 world council agreed for its shorter name World Organization of Family Doctors LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 1 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes FCM 1.1 Introduction to Family Medicine | Leslee Anne P. Herrera, MD, DFM, MHM LE 1 💬 What is the role of WONCA? → It is organized to improve the quality of life of the people of 1974 First residency program was established in UP-PGH world by defining and promoting the organization's values 🖥️ Including respect for universal human rights and gender equity High standard of care in General Practice/Family Medicine 1976 💬 Undergraduate Family Medicine Program in UPCM Family medicine also started to teach in Medical school is being fostered by WONCA through: → Promoting personal, comprehensive, continuing care for the individual and the family in the context of community and society → Promoting equity through the equitable treatment, inclusion 1979 💬 First specialty board examination Workshop in a developing standards in Family Medicine which led the introduction of and meaningful advancement of all groups of people, the qualifying examination for diplomates and particularly women and girls, in the context of all health care recognition of Department of Health (DOH) and other societal initiatives; that family medicine is a specialty. → Encouraging and supporting the development of academic organization of general practitioners/family physicians; 1984 Research contest started → Providing a forum for exchange of knowledge and information between member organization and between GPs 1986 Residency training at UST and FPs; and → Representing the policies and the educational, research, and service provision activities of GPs/FPs to the world 1987 PSTFM (Philippine Society of Teachers of Family organization and forums concerned with health and medical Medicine)- Medical education, teacher training and ❗️ care. curriculum development was formed. WONCA World Conference in Singapore (2007) In charge of the medical education, teacher training and curriculum development of 2 resolutions were made by WONCA in Family Medicine: medical schools. → Family Medicine should be taught in Medical Schools in the Recognized by the APMC(Association of the world. → All families should have a family physician May 19, 2010 - declared as “World Family Doctor’s Day” by → 💬 Philippine Medical Colleges San Beda is part of the APMC Chris Van Weel, President of WONCA 1988 Family Medicine participated in inter-hospital ❗️ B. PHILIPPINE PERSPECTIVE Philippine Academy of Family Physicians (PAFP) 💬 Clinico-Pathologic Conference. They proved that they could compete with → 💬 Body that represents the discipline of Family Medicine Society of Family Medicine also known as PAFP Recognized by: other medical specialties. → PMA (Philippine Medical Association) → DOH (Department of Health) 2010 💬 Health Agenda: UNIVERSAL HEALTH CARE Family medicine and Family Physicians → 💬 → PHIC (Philippine Health Insurance Philhealth) Here in the Philippines, all specialties must be recognize by the Philippine Medical Association play a great role in Universal Health Care, since they are the gatekeepers or first contact of care TIMELINE [Lecture PPT] Table 1. Timeline – International Perspective 1960 💬Philippine Academy of General Practitioners Revolutionized the Health Care Delivery System in the Philippines 15 general practitioners led by Dr. Ramon Angeles → 💬 Out of Pocket Most Filipino people usually pay out of pocket since they don't have medical insurance or a government subsidiary to registered with the securities and exchange support their healthcare cost/expenses (e.g. checkups, commission on April 30, 1960. It is a hospitalizations, etc.) non-stock/non-profit organization First office was at the clinic of the founding member, Dr. Ramon Angeles in Quiapo, → 💬 Philippine has a Highly Specialized practice of medicine Filipinos usually go to family doctors or general practitioners for common diseases, however if the disease or illness needs Manila specialized treatment they usually refer them to gastroenterologist, pulmonologist, etc. 1961 💬 First Annual Convention In the collaboration with the Medical Schools in National Science Development Most FIlipinos are poor → About 21% Most common cause of morbidity and mortality are Communicable board was organize → 💬 and non-communicable diseases. Can be addressed through prevention and lifestyle change 1963 💬 ”The Filipino Family Physician” Journal Holding of the quarterly postgraduate courses in Manila by promotion of wellness which is a specialty of Family Medicine. Universal Healthcare → The Philippines lags behind other Southeast Asian countries in 💬 1970 Recognition as a Specialty Society by PMA Universal Healthcare due to the Philippine’s healthcare delivery the membership increase to 286 member system being highly specialized. and the first chapter was organize in Cebu 1972 💬 Membership in WONCA WONCA recognizes the Philippine Academy of Family Physician (PAFP) as a member of WONCA Name change to Philippine Academy of Family Physician (PAFP) LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 2 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes FCM 1.1 Introduction to Family Medicine | Leslee Anne P. Herrera, MD, DFM, MHM LE 1 III. FAMILY MEDICINE EDUCATION IN THE PHILIPPINES to service A. OUTPUT ON THE STANDARDIZATION OF PREVENTIVE, FAMILY, AND COMMUNITY MEDICINE CURRICULUM IN THE BASIC MEDICAL EDUCATION TOWARDS OUTCOME BASED 10. Practice the principles of Adhere to the principles of 🖥️ EDUCATION social accountability relevance, equity Joint endeavor of the Quality and cost effectiveness → Philippine Academy of Family Physicians (PAFP) in the delivery of healthcare to → Foundation for Family Medicine Educators, Inc. (FAMED) patients, families and → Philippine ACademic Society of Community Medicine communities (PASCOM) PROGRAM OUTCOMES SPECIFIC TO THE DOCTOR OF Table 2. The 10 Programs Outcomes Specific to the Doctor of [Lecture PPT] MEDICINE PROGRAM Medicine Program CHED MO: 18 Series 2016 ❗️ CONTINUUM OF FAMILY MEDICINE EDUCATION PROGRAM OUTCOMES OPERATIONAL DEFINITION Bachelor’s Degree, 4 years OF PROGRAM OUTCOMES Doctor of Medicine, 4 years Postgraduate Internship, 1 year 1. Demonstrate clinical Competently manage clinical Specialty Training in Family Medicine, 3-5 years competence conditions of all patients in ○ traditional program, 3 years various settings. ○ innovative program 4-5 years 2. Communicate effectively Convet information, in written → → 💬 Continuing Professional Development, Lifetime Commitment 📋 You have to update all the learnings Earn CPD Points or attend conferences, lectures, and and oral formats, across all types of audiences, venues and conventions media in a manner that be CORE CURRICULUM OF INTEGRATED FAMILY AND easily understood COMMUNITY MEDICINE UNDERGRADUATE PROGRAM LEADING TO DOCTOR OF 3. Lead and manage health Initiate planning, organizing, MEDICINE DEGREE care teams implementation and evaluation of programs and health General Recommendations: facilities 1. The core values and characteristics of the approach to care should be prioritized Provide clear direction, 2. The professional responsibilities which medical students inspiration and motivation to will be trained should be aligned with the roles of the the healthcare team/community five-star doctor 3. Realizing that medical schools have different types of curricula, the terminal competencies should be made 4. Engage in research activities Utilize current research applicable to any kind of curriculum evidence in decision making as 4. The course Integrated Family and Community Medicine practitioner, eductor or will be given during the four years in medical school and researcher during medical internship. Medical schools can make adjustment to make the course relevant to changes in 💬 Participate in research activities healthcare needs → In San Beda: 5. Collaborate within Effectively work in teams in 1st year: Family Medicine Principles inter-professional teams managing patients, institutions, 2nd year: Prevention and Epidemiology projects and similar situations 3rd year: Public Health Campaign and Community 4th year: Application of all the learning (Community rotation, 6. Utilize systems-based approach to healthcare Utilize systems-based approach in actual delivery of care → 💬 outpatient rotation) After graduating from your internship, you will also have your Family and Community medicine rotation Network with relevant partners B. CORE VALUES OF THE PROFESSION in solving general health Integrity problems Ethical behavior Compassion Love of the country or nationalism 7. Engage in continuing Update oneself through a A holistic approach personal and professional variety of avenues for personal Commitment to lifelong learning development and professional growth to Resourcefulness ensure quality health care and Competence patient safety Sensitivity to the health needs of the people and, Gender sensitivity 8. Adhere to ethical, Adhere to national and professional and legal international codes of conduct standards and legal standard that govern the profession 9. Demonstrate nationalism, Demonstrate love for one’s internationalism, and dedication national heritage, respect for to the service other cultures and commitment LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 3 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes FCM 1.1 Introduction to Family Medicine | Leslee Anne P. Herrera, MD, DFM, MHM LE 1 C. CONCEPTUAL FRAMEWORK MULTIFACETED ROLES OF A FAMILY PHYSICIAN [Lecture PPT] Figure 1. Conceptual Framework, and Core Curriculum on Integrated Figure 3. Multifaceted Roles of a Family Physician [Lecture PPT] 💬 Family and Community Medicine , ROLES OF THE FIVE-STAR DOCTOR This is the conceptual framework of the core curriculum on the integrated family and community medicine. It starts with encounter or interaction between the doctor and the patient, the family, its Care Provider The Family Physician is expected to community and the population group. It explores the experiences provide continuing, personalized, through your history taking interviews and surveys taking into cost-effective, optimal, and consideration the various determinants of health in the different comprehensive care. context. This understanding of this conceptual framework among the patient, family and community enables the doctor to determine Researcher/ The Family Physician must be whether the target population is in a normal condition or at risk of any Information Manager enthusiastic in gaining new knowledge, health diseases or any problems. Together with the target group, they critically appraise medical literature, can look for common problems, agree on common rules and evaluate evidence from such appraisals, delineate rules to arrive at a mutual decision. Very important also the appropriately apply clinical practice is follow up and the monitoring are essential for continuing determinants and standards, and make assessment and management use of all these in decision-making. D. THE ROLES OF THE FIVE-STAR DOCTOR Presented by the WHO in the early 1990s Manager/Leader The Family Physician is expected to Adopted in the Philippines with modification refer cases appropriately to coordinate Became the framework by which medical doctors were to be patient care, establish linkages and trained networks whenever necessary, and efficiently handle own practice. Educator/Teacher The Family Physician empowers their patients and their respective families through health education, lifestyle modifications, and includes health promotion, disease prevention, early diagnosis and treatment, disability limitation, rehabilitation, and palliation. Social Mobilizer The Family Physician embraces the CHAMPION vision and mission of the PAFP. Counselor The Family Physician is expected to analyze family psychodynamics and take it into account when providing advice. [Trans of Previous Batch] Table 3. Roles of the Five-Star Doctor [Lecture PPT] Figure 2. Comparison of the Five-Star Doctor 💬 The latest is the recommendation of CHED as of 2006, a five-star doctor includes being a Care Provider, Researcher/Information Manager, Manager/Leader, Educator/Teacher and Social Mobilizer LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 4 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes FCM 1.1 Introduction to Family Medicine | Leslee Anne P. Herrera, MD, DFM, MHM LE 1 CONCEPT MAP SBU-COM B. FAMILY MEDICINE is a specialty of medicine concerned with providing comprehensive care to individuals and families. It integrates: → Biomedical → Behavioral [Lecture PPT] → Social Sciences Figure 4. Concept Map SBU-COM 💬 This is the concept map of being a San Beda College of Medicine graduate should be aligned to be a five-star physician, so a FAMILY MEDICINE AS AN ACADEMIC DISCIPLINE As an ACADEMIC MEDICAL DISCIPLINE, it includes: → Comprehensive health care services Researcher, Leader & Manager, Primary Healthcare Provider, Social → Research 💬 advocate & Mobilizer and Educator. This is the basis and terminal → Education competency of teaching family medicine in medical school. It is also a branch of medicine that is broad in scope. IV. FAMILY MEDICINE VS. COMMUNITY MEDICINE Centered on the Family as the Basic Social Unit Twin Forces in Primary Health Care Health oriented: disease prevention, maintenance and curative 2009, World Health Assembly: train health workers with medicine appropriate skill-mix, including primary health care nurses, CHARACTERISTICS AND ASPECTS OF CARE IN THE → 💬 midwives and allied health professionals and family physicians It was issued after the the World Health Report in 2008 was released Characteristics: PRIMARY HEALTHCARE → Primary Able to work in multi-disciplinary context, in cooperation with → Continuing/Continuous non-professional community workers → Comprehensive To respond effectively to people’s health needs Aspects: 💬 A. COMMUNITY MEDICINE Is a specialty of medicine concerned with the health of a → Prevention → Curative 💬 specific population or group. → Rehabilitative It focuses on the health of community as a whole rather than FAMILY MEDICINE AS A SPECIALTY the health of individuals Distinguished body of knowledge Unique Field of Action Active area of Research Training is intellectually vigorous FAMILY PRACTICE How the body of knowledge is dispersed to the community Primary, Continuing, comprehensive, preventive, curative Individuals, Family and Community V. WHAT IS THE FUTURE IN FAMILY MEDICINE PRACTICE A. FAMILY AND COMMUNITY MEDICINE PRACTICE UNIVERSAL HEALTH CARE LAW (UHC) The Philippine UHC Law aims to prioritize primary care, mandating that each citizen must be empaneled to a primary care Includes: → Epidemiology → 💬 provider within a health care provider network (HCPN). This means that an individual patient must have a family physician or a primary healthcare provider. → Screening To ensure the quality of health care services, health professional → Environmental Health training curricula will be redesigned to emphasize focus on Concerns: primary care. → Promotion of health, In the interim, a certification process for primary care providers → prevention of disease, and will be implemented to encourage health care providers to practice 💬 → disability primary care following established competencies. → Rehabilitation through social action → This means that all doctors must have a certification as a primary healthcare provider. After passing the Licensure Exam, the doctor has to go to training under DOH to get a certification as a primary healthcare provider 1998 – PAFP conducted a second workshop → to identify the growth areas in family medicine → competencies of Family Physicians LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 5 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes FCM 1.1 Introduction to Family Medicine | Leslee Anne P. Herrera, MD, DFM, MHM LE 1 → identified the sub-specialty training in family medicine 💬 HOW TO BE A FAMILY MEDICINE SPECIALIST? SUB-SPECIALTY FOR FAMILY MEDICINE SPECIALISTS Sub-specialty training offered for Family Medicine Physicians: → Hospice and Palliative Care → 💬 → Academic Family Medicine Toxicology also offered to internal medicine graduates → 💬 → Geriatric Medicine Occupational Medicine once you graduate from medical school, you can get training for basic occupational medicine training leads to a certification that you are a occupational medicine specialist has a board exam → 💬 pushing for the existence of diplomate and fellowship Infectious and Tropical Medicine → 💬 also offered to internal medicine graduates Emergency Medicine under the umbrella of PFAP can go directly into training in this specialty without going through family medicine → Community and Preventive Medicine (Public Health) → 💬 → Mental Health New sub-specialty offered Lifestyle Medicine − new society Nutrition − any specialty training can go into nutrition because it is under PFAP Figure 5. Pathways for Specialization in Family Medicine from 2005 [Lecture PPT] Once you passed the Physician Licensure Exam (PLE), you are accepted as a regular member in the Philippine Academy of Family Physicians (PAFP), and you can choose between 2 paths of training: → Traditional (Conventional Hospital-based Training) 3 years Residency Training − hospital setting − duty: 8-30-6 (everyday) → Innovative Program (Innovative Practice-based Training) 4 - 5 years Practice-based = you will only go to the hospital/training for 40 hours a week Figure 1. Implementing Rules and Regulations of the Universal Once you finished the training program, you are identified as a Health Care Act (Republic Act no. 11223) [PPT Lecture] Certified Family Physician (CFP) = who finishes family medicine training and submitted their research Primary Healthcare Apply for a Diplomate Board Exam, wherein you need to pass → refers to the initial-contact accessible, continuous, both the oral and written Exam. comprehensive and coordinated care that is accessible at the → You are identified as a Diplomate once you passed the time of need including range of services for all presenting Diplomate Board Exam conditions, and the ability to coordinate referrals to other health After a few years, you can apply as a Fellow of a Society care providers in the health care delivery system, when → In Family Medicine, you can undergo a sub-specialty training necessary to become a fellow and apply for it. Primary care provider → refers to a health care worker, with defined competencies, who 🖥️ FAMILY MEDICINE SPECIALIST PAFP MEMBERS as of January has received certification in primary care as determined by the PAFP MEMBERS 1979 Department of Health (DOH) or any health institution that is 2023 → 💬 licensed and certified by the DOH As per last meeting with the PAFP, family physicians no longer need to undergo certification since they are trained to Active Members: 5,187 Inactive Members: 3,236 New Members: 209 Number of members: 💬 be primary health care providers Certified Family Physician: 15 to 513 → PAFP: one of the institutions that will give certification for a 3,143 Number of Chapters: doctor to become a primary health care provider Diplomates: 792 from 1 in 1972 to 30 Fellows: 554 Fellow-life Members: 337 Senior Members: 309 [Lecture PPT] 💬 Table 4. Family Medicine Specialist These numbers say that with the passage of the Universal Healthcare Law (UHC), it is enticing to go into Family Medicine as a specialty, because we need more family medicine specialist and more primary healthcare providers. LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 6 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes FCM 1.1 Introduction to Family Medicine | Leslee Anne P. Herrera, MD, DFM, MHM LE 1 🔺 VI. IMPORTANCE OF FAMILY DOCTORS, MEDICINE IN HEALTH CARE (FROM CNN) c. d. UP-PGH Dr. Ramon Angeles Important points from the interview of Dr. Cheridine Oro-Josef (a e. PAGP Family Medicine Specialist) f. Dr. Zorayda Leopando Family Medicine is considered the center of primary care and is a g. UST medical specialty that provides comprehensive health care for all ANS: individuals and members of the family regardless of age and 1. B. FAMILY MEDICINE. Recall, Family medicine is a specialty of medicine gender concerned with providing comprehensive care to individuals and families. What makes family medicine unique? What makes this vital to our Community medicine is a specialty of medicine concerned with the health of a health care system? specific population or group. It focuses on the health of the community as a → “Family medicine specialists are doctors who underwent whole, rather than the health of individuals. training in family medicine in different institutions all over the 2. A. COMMUNITY MEDICINE. Community medicine focuses on the health of country” the community as a whole, rather than the health of individuals. 3. I - A. WONCA is the international body that represents GPs and Family → These doctors are trained to handle cases “from womb to Physicians, founded in 1970. II - B. PAFP is the society that represents the tomb” (meaning that they can handle patients from a young Family Medicine specialist in the Philippines. III - C. UP-PGH is the first training age to elderly adults) institution for Family Medicine Residency Training program in the Philippines, in → They are also trained to refer patients to other specialists 1974. IV - D. DR. RAMON ANGELES is the founder of Philippine Academy of → Sometimes, there are cases with vague symptoms. For General Practice. example, a patient comes in with chest pain and they don't IX. POST-TEST know where they will go or to which kind of doctor/specialist 1. Which of the ff is not a quality of a 5-star physician? they should consult. But if they go to a primary care physician a. Social mobilizer or a family medicine physician, she/he will be able to find the b. Educator right doctor for the patient or manage them already. c. Role model → Also, family physicians manage patients in a family context d. None of the choices → Family physicians believe that a disease is affected or influenced by the family dynamics 2. The day World Family Doctor’s Day was declared on? → They also believe that many diseases can be treated if the a. May 18, 2010 whole family is helping out or if everyone is involved in the b. May 19, 2011 treatment of the patient c. May 18, 2011 → Family medicine offers a comprehensive management from d. May 19, 2010 womb to tomb, and basically manages families as well How important is it that Filipino families see their doctors on a ANS: regular basis or to go to follow up checkups? 1. C. ROLE MODEL. Roles of a 5-star Physician: Teacher/Educator, → It is very important for Filipino families to regularly see their Researcher, Social Mobilizer, Manager/Leader, Counselor doctors for checkups as "prevention is better than cure" 2. D. May 19, 2010 was declared as World Family Doctor’s Day by Chris Van → That's why family physicians strongly advocate lifestyle Weel, President of WONCA changes, prevention, and regular screenings (preventive X. REFERENCES maintenance like what cars also need) Leopando et. al (Eds). 2014. Textbook of Family Medicine: → It is important to consult a doctor regularly, not necessarily a Principles, Concepts, practice and context. C & E Publishing, Inc. family physician but any doctor Leopando et. al (Eds). 2015. Textbook of Family Medicine: → You need a family doctor to take care of your family and for you Enhancing the performance of a Five-Star Family Physician. C & E to be able to prevent diseases from coming in. 🖥️ Publishing, Inc. Eva Irene Yu- Maglonzo, M. (2008). The Filipino Physician Today. VII. WHY DO WE NEED TO STUDY FCM? Manila: UST Publishing House. Practice the principles of public health Philippine Academy of Family Physicians, Inc. Proceedings of the Help lessen out-of-pocket expenditures of patients Orientation Course in FamilyMedicine. Makati City, Philippines: Excellent primary care provider Family Health and Guidance Center. Manage not only the patient but also the family and community 1. 📋 VIII. REVIEW QUESTIONS What branch of medicine is concerned with providing care Allan R. Dionisio, MD (2006). Counseling Skills for Caring Physicians Book 2: Family Interventions. Manila: UP-PGH Department of Family and Community Medicine. to individuals and families? Robert E. Rakel, MD. (2002). Textbook of Family Practice. W.B. a. Family Medicine Saunders Company. b. Community Medicine c. All of the choices 2. What branch of medicine is concerned with the health of a specific population or group of people? a. Community Medicine b. All of the choices c. Family medicine 3. Match the choices to its corresponding description: I. International Body that represents GPs and Family Physician II. Society that represents the Family Medicine specialist in the Philippines III. First training institution for Family Medicine Residency Training Program in the Philippines IV. Who is the Founder of Philippine Academy of General Practice? a. WONCA b. PAFP LE 1 Carbonel, Cardina, Cardinez, Carido, Castellano, Trans Head | Castillo, V. PAGE 7 of 7 TRANS 1 Castillo, M., Catapang, Catingco, Cauton, Cervantes