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King Saud University

College of Medicine

Department of Family and Community Medicine

 

 

 

 

PRIMARY HEALTH CARE ROTATION

COMM-421

Course Specificiations

Female Students

Second Batch

 

 

 

 

 

 

20.4.1429 – 23.5.1429

  (26.4.08 – 28.5.09)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TABLE OF CONTENTS

 

Introduction: ...........................................................................................         3

 

Aims. ......................................................................................…………..         3

 

Objectives. .............................................................................................           3

 

Methodology: ........................................................................................           5

 

Learning Processs. …………………………………………………….               5

 

Assessment. ..........................................................................................            7

 

Evaluation Forms. .................................................................................          8

 

Important Remarks. ………………………………………………….               9

 

Weekly Schedules. ..................................................................................          10

 

Distribution of students into groups. ……………………………………           13

 

Appendix (1)  Learning How to Learn  ................................................           18

 

Appendix (2) Suggested Reading List. ................................................             20

 

Appendix (3) Guidelines for Presentation. ……………………………             21

 

Appendix (4) Practice Profile. …………………………………………             22    

 

Appendix (5) Log of Patients seen in the PHCC. …………………….             25

 

Rotation Evaluation. …………………………………………………….            26

 

Supervisor Assessment Form. ………………………………………….            27

 

Student Rating Forms. …………………………………………………..            28

 

People you may meet. ……………………………………………………           30

 

 

 

 

 


 

INTRODUCTION

We are pleased to welcome you in the cycle of primary health care (PHC).  PHC or Family Medicine is an essential element of the health services of any country that aims at providing a good health care for its community. It is a diverse discipline that deals with the whole patient and his or her family. Students who intend to pursue Family Medicine as a career will have an introduction to the discipline and practice during this rotation. For those who will specialize, the rotation provides exposure to different aspects of medicine where patients enter the system, and where most care takes place. We hope that you will find this rotation useful and enjoyable. To achieve the maximum benefit; hard work and appropriate methods of learning are the keys for that target.

AIMS:

1.        To gain an overview of PHC specialty e.g., its philosophy and      features, its methods and its holistic approach to patient care.

 

2.       To help students become familiar with the knowledge, attitudes and skills necessary to become sensitive communicators, physicians, educators and effective good team member in PHC centre.

 

3.        To adopt and develop the knowledge and skills already acquired by

            students during their study and attachment to other departments and      

             specialties in the medical school to be utilized in the PHC.

 

4.       To provide an appropriate exposure to the discipline of Family Medicine  which will assist student in making career decisions.

 

OBJECTIVES:

At the completion of the attachment each student will be expected to:

I.        BASIC AND CLINICAL KNOWLEDGE

1.       Be able to list the principles of PHC and demonstrate an       understanding   of its role in patient care in Saudi Arabia.

 

2.       Be able to discuss the diagnosis and management of common Family  Medicine problems.

 

3.                 Recognise different models of consultations.

 

4.                 Demonstrate and understand the role of social, psychological and environmental

          factors in the pathogenesis and management plan of illness.

5.     Recognise the functions of family medical records.

 

6.     Demonstrate awareness of community resources and appropriate use of consultants.

 

7.     Be familiar with the concept and methods of life-long learning and evidence-based medicine.

 

II.        CLINICAL SKILLS

1.        Interviewing (Consultation) skills:

           a.   Conduct a focused history, combining appropriate level of                 detail with efficient use of time.

           b.   Elicit and attends to patient's agenda.

 

2.        Interpersonal (communication) skills:

           a.   Establish good rapport and apply good affective skills.

           b.   Demonstrate verbal and non-verbal communication.

 

3.        Physical examination and problem solving skills:

           a.   Perform physical examination which is accurate and                                      appropriate to the presenting problem.

           b.   Demonstrate concern for patient.

           a.   Make selective and appropriate use of drugs, investigation and time.

 

4.        Application of Knowledge/Judgement

           a.   Formulate an assessment appropriate to the clinical setting.

 

           b.   Identify significant issues in patients presenting with undifferentiated problems, including differentiation of serious illness from minor or self-limiting problems.

 

c.        Apply the biopsychosocial model and contrast it with the biomedical model.

 

d.       Demonstrate an ability to deal with uncertainty when the                   diagnosis is unclear.

 


 

III.      ATTITUDES AND RESPONSIBILITIES:

1.        Be motivated to take on tasks and complete them reliably.

 

2.        Be cooperative and productive member of the health care team.

 

3.        Assume responsibility for own learning (self-directed learning)      and to change behaviour accordingly.

 

4.       Demonstrate good professional and ethical standards. showing respect for patients and co-workers.

 

5.       Demonstrate respect of patient's autonomy and willingness to        involve    people in the responsibility for their own health.

 

6.      Understand the patient's right to confidentiality and respect.

 

METHODOLOGY

The attachment to PHC rotation lasts 5 week, each student is expected to spend 4 clinical sessions per week in the PHC centre. The rest of the time will be spent in the Family Medicine Department or will be devoted to self-directed learning (the details are shown in the attached timetable pages 10-12).

 

LEARNING PROCESS:

The learning process in this primary care rotation is centred around group work in the form of large group tutorials (LGT). Other learning activities include: lectures, practicals, and training in a PHC center. Self directed learning is an important element in our rotation and a self study time is available for the students (see Appendix I).

 

 


 

Large group tutorials (LGT):

Eleven large group sessions are distributed throughout the cycle. In each LGT a team of 3-5 students are expected to conduct the session along with the tutor. The students are expected to meet with the tutor in advance to:

1.      Identify and specify the objectives of the session.

2.      Agree on how best to achieve these objectives.

3.      Formulate the consultation task as specified .

4.      Identify  a clinical question related to the  topic presented and apply steps of EBM

Problem based learning (PBL) is actively encouraged during these tutorials.

 

        - Consultation task

The students are requested to demonstrate certain skills according to a specified task.

Role play with peers , student observations of faculty with simulated or real patients and video tapes of student interview with real or simulated patients. This will be done under the guidance of the tutor.

 

        - Evidence-based medicine task:-

The students are encouraged  to put the steps of EBM in to practice. They are supposed to formulate a clinical question related to their topic and search for the best available research evidence. This will be done under the guidance of the tutor.

 

A quiz will be distributed by the end of each tutorial. Be ready!

 

Other  tasks requested at the primary health care center:

(i)        Log Diary:

Each week every student must complete a log diary of patients observed receiving care. This must be signed by the assigned PHC supervisor (see appendix 5, page 20).

 

The students have to deliver these forms to the secretary of the Department by the end of fourth week.

 

During problem solving sessions, cases from log diary as well as other cases will be discussed (4-5 cases/session). Every student is expected to participate in the discussion while only about 10 students will be responsible to prepare the cases each session.

 

(ii)     Practice Profile:

The attached form helps the student to describe and evaluate the PHCC that she is attached to (Appendix 4, pages 17-19).

 

The student is expected to become involved gradually and actively in each consultation. Discussion, if possible, should follow each case. Students are also expected to participate in other activities of PHC center e.g. health education, Immunization well-babies clinic, Antenatal care. ….. etc.

The practice profile should be delivered to the Secretary by the end of the fourth week.

 

 (iii)  Evaluation form

 

completed by the supervisor at the PHC Centre (see page 22).

 

 

 

ASSESSMENT:- 

 

I.       Continuous Assessment: (40 marks)

 

1.     LGT Quizes. ………………………………….    (10 marks)

2.     Midterm Examination…………………………   (20 marks)

                Multiple Choice Questions (MCQs). …………..    ( 10 marks)

                 Modified Essay Questions (MEQs). ………….       ( 10 marks)

        3.     PHCC Supervisor Assessment. ……………….. ( 10 marks)

 

 

II.    Final examination   (60 marks)

 

        A.    Written Examination. …………………………….  (30 marks)

                -      MCQs. .................................................…..  (15 marks)

               -      MEQs. .................................................…… (15 marks)

 

        B.    Presentations.

               i.     Preparation and conduction of LGT. ……….   (10 marks)

                ii.     Cosultation task……………………………..  ( 6  marks)

               iii.    EBM   task. ……………................................  (5 marks)

               iv.     Preparation and conduction of  Log diary        (5 marks)

        D.    Practice Profile/and log diary book. …………….    (4marks)

                                                                                           _____

               Total:.                                                                 (100)

                                                                                           _____

 

 

N.B.: Log diary book and the practice profile should be delivered to the Secretary by the end of the fourth week.

 

 

 


 

 

III.      EVALUATION FORMS:

  Different evaluation forms will be distributed to evaluate the process and outcome of teaching in this course.

          

           These include:-

 

           A.  Lecture session evaluation form:

This should be filled directly after each lecture and delivered to the       lecturer. (See page 28)

 

           B.  Large group tutorial evaluation form:  

This should be filled directly after each LGT and delivered to the tutor. (see page 29).

 

           C.  Rotation evaluation form:

This evaluation form will give us a feedback about your level of   satisfaction with this PHC course and your own comments for further improvement.  (see page 26).

 


 

 

Important Remarks:

 

1.        Attendance:

           According to the University regulations and instructions, we would like to inform you that, each student has to cover at least 75% of the attendance in lectures. Those who do not achieve this percentage will not be allowed to attend the FINAL EXAMINATION.

 

2.        Warning:

           As it is not a sign of courtesy and keenness, in addition to its bad effect on the teaching course plan, please try not to enter the class if you arrived late after teacher starts his lecture. You should never enter the class if you arrived 15 minutes or more later.

 

3.        Courtesy:

           If you have problems with getting to a session, please discuss it with your tutor in advance or with the organiser.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department of Family and Community Medicine

COMM-421  (Females)

Second Batch

Schedule for week 1

 

   Day

  Time

             Title

  Tutor

Saturday

20.4.1429

(26.4.2008)

 

8:30-:10:00

 

10:30-12:00

 

1:30-3:00

 

Orientation and Introduction

 

Learning how to learn

 

The diagnostic process in PHC

 

Dr. Norah Al-Rowais

 

Dr. Joharah Al-Quaiz

 

Dr. Norah Al-Rowais

 

Monday

22.4.1329

(28.4.2008)

 

 

8:00-9:30

 

10:00-12:00

 

1:00-4:00

 

 

Concept of PHC and PHC in Saudi Arabia

 

Dr – Patient communication

 

Introduction to EBM, sources of Evidence on the Internet

Dr. Basema al-Khudair

 

Dr. Joharah Al-Quaiz

 

Dr. Norah Al-Rowais

Wednesday

24.4.1429

(30.4.2008)

8:00-9:30

 

10:00-12:00

 

1:00-4:00

Anticipatory Care

 

The consultation (1)

 

SDL

Dr. Basema Al-Khudair

 

Dr. Joharah Al-Quaiz

 

-----

 

 

Schedule for week 2.

 

   Day

  Time

             Title

  Tutor

Saturday

27.4.1429

(3.5.2008)

8:00-9:30

 

10:00-12:00

 

1:00-3:30

Medical records

 

MEQ

 

Consultation (2)

Dr. Ayda Al-Dugaither

 

Dr. Norah Al-Rowais

 

Dr. Joharah Al-Quaiz

 

Monday

29.4.1429

(5.5.2008)

 

8:00-9:30

 

10:00-12:30

 

1:00-4:00

Morbidity in PHC

 

Organization and management in PHC

 

SDL

 

Dr. Amani Al-Muallem

 

Dr. Laila Al-Khayal

 

-----

Wednesday

2.5.1429

(7.5.2008)

 

8:00-10:00

 

10:30-12:00

 

1:00-4:00

Patient management in PHC

 

Log diary (1)

 

SDL

 

Dr. Amani Al-Muallem

 

Dr. Norah Al-Rowais

 

-----

 

            SDL:     Self-Directed Learning.

            LGT:     Large Group Tutorial.

 

 

 

 

 

Schedule for week 3

 

   Day

  Time

             Title

  Tutor

Saturday

5.5.1429

(10.5.2008)

8:00-9:30

 

10:00-12:00

 

1:00-4:00

 

LGT (1) Care of patients with DM in PHC

 

LGT (2) Women’s Problems

 

SDL

Dr. Norah Al-Rowais

 

Dr. Laila Al-Khayal

 

------

Monday

7.5.1429

(12.5.2008)

8:00-10:00

 

10:30-11:00

 

11:00-12:30

 

1:00-4:00

LGT (3) Prescribing and compliance in PHC

 

Feedback from students

 

LGT (4): Difficult patient

 

SDL

 

Dr. Amani Al-Muallem

 

Dr. Norah Al-Rowais

 

Dr. Norah Al-Rowais

 

------

Wednesday

9.5.1429

(14.5.2008)

10:00-12:00

 

 

Mid Term Examination

 

 

 

 

 

 

Schedule for week 4

 

   Day

  Time

             Title

  Tutor

Saturday

12.5.1429

(17.5.2008)

 

8:00-10:00

 

10:30-12:30

 

1:00-4:00

LGT (5) Headache

 

LGT (6) Ethics in PHC

 

SDL

Dr. Laila Al-Khayal

 

Dr. Norah Al-Rowais

 

-------

Monday

14.5.1429

(19.5.2008)

 

8:00-9:45

 

10:00-12:00

 

1:00-4:00

 

LGT (7): Modification of cardiovascular risk

 

LGT (8): Hypertension

 

Log Diary (2)

Dr. Hussain Amin

 

Dr. Joharah Al-Quaiz

 

Dr. Laila Al-Khayal

Wednesday

16.5.1429

(21.5.2008)

8:00-10:00

 

 

10:30-12:30

 

1:00-4:00

LGT (9): Psychological Problems and Counseling in PHC.

 

Log Diary (3)

 

SDL

Dr. Laila Al-Khayal

 

 

Dr. Joharah Al-Quaiz

 

------

 

            SDL:     Self-Directed Learning.

            LGT:     Large Group Tutorial.

 

 

 

Schedule for week 5

 

   Day

  Time

             Title

  Tutor

Saturday

19.5.1429

(24.5.2008)

8:00-10:00

 

10:30-12:30

 

 

1:00-3:00

LGT (10):  Osteoporosis

 

Log Diary (4)

 

 

LGT (11): Breaking bad news

Dr. Ayda Al-Dugaither

 

Dr Ahmed AlTaweel

 

 

Dr. Joharah Al-Quaiz

 

Sunday

20.5.1429

(25.5.2008)

8:00-10:00

 

10:30-12:30

 

1:00-3:00

Log Diary (5)

 

SDL

 

SDL

Dr. Hussain Amin

 

Tuesday

22.5.1429

(27.5.2008)

 

9:30 -12:00

Final Examination

 

 

 

 


The distribution of students into

Large Group Tutorials (LGTs)

LGT (1)

Care of diabetic patients.

Tutor:       Dr. Norah Al-Rowais

Presentors :

1. Wiaam Suleiman Al-Mayman

2. Afaf Lufyan Al-Salami

3. Nirmin Al-Bishrawi

4. Ahood Al-Ahmad

5. Noora Al-Khraygi

 

Consultation task : Explanation of diagnosis and options of treatment and how to avoid complications.

 

EBM task : To be specified by tutor and group

LGT (2)

Women's problems

Tutor:       Dr. Layla Al-Khayal

Presentors :

1. Sawsan Al-Batati

2. Daniya Kurdi

3. Asma Al-Humrani

4. Jawahir Al-Subhi

5. Abrar Bukhari

 

Consultation task : Discuss different options ( O.C , IUD … etc, ) for contraception , demonstrating the pros and cons of each and helping patient to choose the most appropriate for her.

 

EBM task : To be specified by tutor and group

LGT (3)

Prescribing and compliance.

Tutor:        Dr. Amani Al-Muallem

Presentors :

1. Reem Allam

2. Basamat Al-Mualim

3. Iman Al-Mogasila

4. Dannah Al-Mabar

 

Consultation task : Demonstrate different strategies to improve compliance through consultation write a prescription.

 

EBM task : To be specified by tutor and group

LGT (4)

Difficult Patients.

Tutor:        Dr. Norah Al-Rowais

Presentors :

1. Zeinab Saliah Al-Towaylib

2. Zeinab Al-Awami

3. Nadera Ali

4. Rabab Abdulla Lagami

5. Alya Alsafar

 

Consultation task : Recognise and respond to difficult patients.

 

EBM task : To be specified by tutor and group

LGT (5)

Headache.

Tutor:        Dr. Layla Al-Khayal

Presentors :

1. Lubna Al-Ahmad

2. Mashayel Al-Burgawi

3. Amal Al-Jlaood

4. Nowal Al-Otaibi

 

Consultation task : Demonstrate relevant medical and biopsychosocial history with special attention to ideas , fears, concerns and expectations.

 

EBM task : To be specified by tutor and group

 

LGT (6)

Ethics in PHC.

Tutor:      Dr. Norah Al-Rowais

Presentors :

1. Hind Sallam

2. Wud Al-Shalawi

3. Asma Al-Ghamdi

4. Khdraa Al-Sumali

5. Hanadi Al-Bakheit

 

Consultation task : Demonstrate ability to discuss pros and cons of each decision

 

EBM task : To be specified by tutor and group

LGT (7)

Modification of Cardio vascular risk dyslipidemia.

Tutor:       Dr. Hussain Amin

Presentors :

1. Omayma Ali

2. Walaa Al-Shihah

3. Noaf Al-Rowayly

4. Maryam Al-Amar

5. Alaa Al-Shammari

 

Consultation task : Demonstrate ability to negotiate therapeutic goals and treatment plans.

EBM task : To be specified by tutor and group

LGT (8)

Hypertention.

Tutor:      Dr. Al Joharah Al-Quaiz

Presentors :

1. Rowda Al-Jadar

2. Huda Al-Awami

3. Sanaa Al-Shurfa

4. Fatima Al-Abd Al-Ali

5. Zeinab Al-Jugri

 

Consultation task : Demonstrate ability to educate patient about non-pharmacological treatment and envolve them in treatment plans.

 

EBM task : To be specified by tutor and group

LGT (9)

Psychological problems and Councelling.

Tutor:       Dr. Layla Al-Khayal

Presentors :

1. Doaa Al-Bulawi

2. Ahood Al-Grabou

3. Rima Tulbah

4. Maha Al-Mukaynizy

 

Consultation task : Demonstrate active listening empathic responding ( summarization, use of silence, refection , and use of facilitative responses and body language.

 

EBM task : To be specified by tutor and group

LGT (10)

Osteoporosis.

Tutor:       Dr. Ayda Al-Dugaither

Presentors :

1. Nagla Yamani

2. Sanaa Yamani

3. Jameela Al-Bakri

4. Butheina Al-Hakami

5. Deema Harakati

 

Consultation task : Demonstrate ability to negociate life style changes and treatment plans.

 

EBM task : To be specified by tutor and group

LGT (11)

Breaking bad news.

Tutor:       Dr. Al Joharah Al-Quaiz

Presentors :

1. Fatma Al-Biraycan

2. Hayfaa Al-Otaibi

3. Sarah Al-Sulaimani

4. Ahood Al-Zahran

 

Consultation task : Demonstrate the ability to convey bad news sensitively, and clearly.

 

EBM task : To be specified by tutor and group


 

 

The Distribution of Students into

Problem Solving Groups

 

Group 1:

Dr. Norah Al-Rowais

1. Nagla Yamani

2. Sanaa Yamani

3. Jameela Al-Bakri

4. Omayma Ali

5. Hind Salman

6. Alya Alsafar

7. Lubna Al-Ahmad

8. Mashayel Al-Burgawi

9. Butheina Al-Hakami

10. Rowda Al-Jadar

 

Group 2:

Dr. Laila Al-Khayal

1. Wiaam Suleiman Al-Mayman

2. Afaf Lufyan Al-Salami

3. Basamat Al-Mualim

4. Iman Al-Mogasila

5. Dannah Al-Mabar

6. Reem Allam

7. Noaf Al-Rowayly

8. Maha Al-Mukaynizy

9. Amal Al-Jlaood

10. Nowal Al-Otaibi

 

Group 3:

Dr. Joharah Al-Quaiz

1. Walaa Al-Shihah

2. Maryam Al-Amar

3. Sarah Al-Sulaimani

4. Rima Tulbah

5. Rabab Abdulla Lagami

6. Zeinab Saliah Al-Towaylib

7. Zeinab Al-Awami

8. Nadra Ali

9. Alaa Al-Shammari

10. Nirmin Al-Bishrawi

 

Group 4:

Dr. Ahmed AlTawel

1. Doaa Al-Bulawi

2. Deema Harakati

3. Susan Al-Batati

4. Daniya Kurdi

5. Asma Al-Ghamdi

6. Khdraa Al-Sumali

7. Zeinab Al-Jugri

8. Huda Al-Awami

9. Sanaa Al-Shurfa

10. Fatima Al-Abd Al-Ali

 

Group 5:

Dr. Hussain Amin

1. Hanadi Al-Bakheit

2. Ahood Al-Grabou

3. Ahood Al-Ahmad

4. Jawahir Al-Subhi

5. Fatma Al-Biraycan

6. Hayfaa Al-Otaibi

7. Wud Al-Shalawi

8. Abrar Bukhari

9. Noora Al-Khraygi

10. Ahood Al-Zahran

11. Asma Al-Humrani

 

 

 

 

 

 

 

                                                             COMM-421

Females

Choose one of the following symptoms presented in the clinic to use in the problem solving sessions( Log diary).

Symptom

Sore throat/inflamed tonsils

Cold/blocked nose/sinus

AOM/Glue ear

Dysurea/Children/Women/Men

Red eye

Pallor /anemia

Back pain

Breathlessness/wheezing

Chest pain

Headache

Vaginal discharge

Joint pain

Breast Lumb

Irregular periods

Swellings and lumbs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appendix  (1)

Learning How to Learn

 

Student’s Name: _______________________________ No.: ________________

 

Student Objectives and expectations

1.       What do you hope to gain from this course?

           1.   ...............................................................................................

 

           2.   ...............................................................................................

 

           3.   ...............................................................................................

 

           4.   ...............................................................................................

 

           5.   ...............................................................................................

 

           6.   ...............................................................................................

 

           7.   ...............................................................................................

 

           8.   ..............................................................................................

 

           9.   ...............................................................................................

 

2.        Ideas about how to achieve these goals.

           1.   ..............................................................................................

 

           2.   ..............................................................................................

 

           3.   ...............................................................................................

 

           4.   ...............................................................................................

 

           5.   ...............................................................................................

 

           6.   ...............................................................................................

 

           7.   ..............................................................................................

 

           8.   ...............................................................................................


 

3.         Opportunities for learning.

 

(A)      At the University

The sessions include interactive lecturing, large group tutorials and student presentations on topics known to you beforehand. The tutorial will be given to the whole class or the class will be divided into small groups (each with a tutor). Transparencies, slides, role playing and video display (presentation) will each be used. Reading and thinking about the topic (and possibly discussing it) before attending the class are the keys for active learning. This will make it possible for you to identify difficult areas and learning needs to be solved during the class. Participation and involvement in discussions and debate are essential for learning.

 

(B)      In the PHC Centre:

           (I)       Observation and discussion with the PHC physician while      consulting their patients. Make notes about what you observe.

           (II)      Interviewing certain selected patients alone.

           (III)     Attachment and discussion with different team members (one     session each). 

           (IV)     Lecturing in the centre.

           (V)      Design a health education material for the practice.

           (IV)     Free time in your schedule should be made use of e.g. by reading in the library or discussion with colleagues or any other useful activity.

           (VI)     A good deal of learning in the practice is one to one.

 

Clinical and non-clinical materials faced in the centre will raise certain learning needs. You are expected to respond by careful and critical thinking, reading from the PHC literature and discussion with clinical tutors, colleagues or teachers during the tutorials.

 

 

(C)      Outside formal and clinical sessions.

           (i)  Reading from books and journals.

           (ii) Thinking about the experiences and incidents you have seen.

           (iii) Group discussion with your colleagues, teachers and trainers.


 

Appendix (2)

 

SUGGESTED READING LIST

Course Textbooks:

 

1.     Clinical methods: A General Practice Approach - Robin Fraser. 1999 3rd edition Butterworth Heinemann Medical Press.

 

2.         A text book Family Medicine - Ian R McWhiney. 1997 2nd edition Oxford University Press.

 

3.         Tutorials in General Practice – Mead and Patterson 1999 3rd edition.

 

4.         Essentials  Family Medicine Fundamentals and Case Studies – Rakel. 2006 3rd  edition WB Saunders Co.

 

Further reading:

 

5.                    "فن الممارسة الطبية العامة" د.يفيدمورريل (ترجمة د. لبنى عبدالرحمن الأنصاري) 1418هـ

                    (1997م) مطابع جامعة الملك سعود

6.                  General Practice: John Murtagh 2003 3rd ed McGraw Hill Professional.

7.                  الأسس العلمية للإستشارة الطبية : تحليلات وتدريبات د. فايزة الريس 1424هـ (2000م) –

          مطابع السروات.


 

                                       Appendix (3)

 

GUIDELINES FOR PRESENTATION/LECTURE

I.         SPEAKER

           *    Be relaxed and confident with clear voice and language.

           *    Good eye contact do not speak to your screen.

           *    Sense of humor, if you are good at it.

           *    Changing style, bodily actions and gestures will help you.

           *    Stick to your time and break in between if longer.

           *    Know about your audience and level of knowledge and keep them         attentive.

           *    Rehearse your presentation in advance, well prepared and up-dated     topic.

 

II.        TECHNIQUE AND FACILITIES:

           *    Choosing appropriate facilities according to time and presentations.

           *    Arrange before and check audio-visual aids.

           *    If using overhead transparencies:-

 

                 [a]        Must be legible and not more than 8 lines in a sheet and not    more than 8 words per line.

                 [b]        Letters must be large and bolder than can be seen at the

                            back of a lecture theater.

                 [c]        Correct spelling and avoid unknown abbreviation.

                 [d]       Sequentially releasing the matter in a single transparency if         possible.

 

III.      CONTENT OF A TOPIC  [THE FORMAT]

           *    Title brief, clear and projection

           *    Introduction what you are going to do, give an overview of whole      subject.

           *    Objectives

           *    Subject Proper

           *    ?? Questions/Discussion

           *    Summary/Conclusion

                 - Your last words may be best remembered

                 - Summarize important ideas which stimulate the audience to believe and action.


 

Appendix (4)

Department of Family & Community Medicine,COMM-421

 

PRACTICE PROFILE 

 

Student's Name: _________________________________ Number: __________

 

1.     Identification of the health centre.

 

        a.     Name: _______________________

 

        b.     Address: _____________________

 

        c.     Telephone: ___________________

 

2.     Practice list size. ___________________ Patients/families

 

3.     Type of practice.

               Urban                  Teaching    

 

4.     Type of premises:

               Health centre      Primary care center 

                                                based at the hospital

 

 

5.     Total number of doctors practising in the centre.

                              Male                                            Male    

        Full time:                                             Part time:

                              Female                                        Female        

 

6.     Other staff present: (specify titles and numbers)

 

 

 

 

 

 

7.     Special sessions provided by the centre (e.g. Antenatal clinic, Immunization        clinic).

 

 

 

 

 

8.     Appointment system:

              

               Yes/No

               Full/Partial

 

9.     Diagnostic facilities to which direct or open access is available.

 

 

 

 

 

10.   Medical record system:

               -      Manual / Computerized

               -      POMR / Traditional

 

11.   Any special characteristic of your practice to which you wish to draw attention e.g. Geographical features, Social features, Teaching etc.


 

12.   Workload:

 

This table should represent the number of patients seen in your centre over one week.

 

Days

Date

No. of

Patients

       General Clinic

Morning     Afternoon

Other Clinic(s)

 

Saturday

 

 

    M

    F

 

 

 

 

 

Sunday

 

 

    M

    F

 

 

 

 

 

Monday

 

    M

    F

 

 

 

 

 

Tuesday

 

 

    M

    F

 

 

 

 

Wednesday

 

 

    M

    F

 

 

 

 

 

Total

 

    M

    F

 

 

 

 

How many patients are seen per Doctor per week?

 

 

 

 

What is the average consultation time in your centre?


 

Appendix (5)

Patient Log

Name: _________________________________________________ Number: ___________

 

Day: ……………… Date: ……………….. (Morning/Afternoon) Week No. ……………….

Sr.

No

Sex

M

F

Age

                     Chief

                 Complaint

Diagnosis

                 MANAGEMENT

 

R&A*      RX**     Investigation  Referral

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*   R & A = Reassurance and advice    **  RX = Treatment

 

Name of the Doctor:- ………………………………………………

Signature: ……………………….. Date: …………………………


STUDENT RATING FORM

Dept. of Family and Community Medicine

Rotation Evaluation

Comm-421

 

Rotation Starting Date: _____________________

 

Content of Family Medicine

 

 

Excellent

   5

V.Good

    4

Good

   3

Fair

  2

Bad

  1

1.

Course:

Objectives (Clear, understandable)

 

Recommended Textbooks (References)

 

(Updated, available, use-friendly)

 

Content Vs Duration (Allocated time covers

most topics of contents)

 

Theoretical Vs Clinical Practice

 

(Theoretical part targeted for clinical and

practice applications)

 

------------

 

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2.

Teaching Format:

 

Regular Lectures (% & contents)

 

Clinical Session (% & contents)

     A. PHCC

     B. KKUH

 

Tutorial Classes (% & contents)

 

Supervision in LGT

 

 

 

------------

 

 

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------------

 

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                LGT = Large Group Tutorial

 

Comments

1.         What aspects of the rotation were most valuable for your learning?

            ....................................................................................................................

            ....................................................................................................................

 

            ....................................................................................................................

            ....................................................................................................................

 

2.         What aspects of the rotation would you like to change?

            .................................................................................................................

            ....................................................................................................................

            ....................................................................................................................

            ....................................................................................................................

            ………………………………………...........................................................

Thank you. Your input is valued.

 

 

 

 

 

 

King Saud University

College of Medicine

Department of Community and Family Medicine

Comm-421 - Females

 

SUPERVISOR ASSESSMENT

 

 

Health Centre: __________________________

 

Student's Name: ________________________

 

Computer No. ____________________

 

 

 

Excellent

V.Good

Good

Fair

1.

Attendance

 

 

 

 

 

2.

Friendliness

 

    -  Supervisor

    -  Patients

 

 

 

 

 

3.

Co-operative manner

 

 

 

 

 

4.

Fund of knowledge

 

 

 

 

 

5.

Treatment plans

 

 

 

 

 

6.

Over all assessment

 

 

 

 

 

 

Supervisor Name: ______________________

 

Signature: _________________________

 

Date: _______________________


 

COMM-421 (Females)

Student Rating Form

"Lectures" *

 

Instructor: ______________________ Subject: _________________________ Date: ____________

 

Purpose:

This form is designed as an observation tool to rate the performance of each instructor in the different sessions. It is intended to provide a diagnostic profile for teaching improvement.

 

Directions:

Using the anchors below, check (ü) your rating for each teaching behaviour that's applicable for the specific class observed. Check "NA" for items that do not apply.

 

E:  Excellent      VG:  Very good       G:  Good       NI:  Needs improvement       NA: Not applicable

 

 

 

E

VG

G

NI

NA

1.

Started and ended class on time.

 

 

 

 

 

2.

Presented overview of class content/objectives.

 

 

 

 

 

3.

Presented information in an organized manner.

 

 

 

 

 

4.

Demonstrated accurate knowledge of content.

 

 

 

 

 

5.

Used relevant examples and illustrations to explain major ideas.

 

 

 

 

 

6.

Used alternative explanations when necessary.

 

 

 

 

 

7.

Made efficient use of class time.

 

 

 

 

 

8.

Covered class content/objectives.

 

 

 

 

 

9.

Instructor's enthusiasm was:

 

 

 

 

 

10.

Encouragement given to students to express themselves.

 

 

 

 

 

11.

Answers to students' questions were:

 

 

 

 

 

12.

Amount you learned in this class was:

 

 

 

 

 

* Adapted from John Hopkins University School of Nursing: Peer Observation Scale.

 

Strengths:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Areas for improvement:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Your name (optional) ____________________________________________


 

Student Rating form:

Large Group Tutorial

 

Name: _____________________________ Date: _____________

 

Subject: ______________________ Tutor: __________________

 

Student speaker(s): _________________________________

 

1.           Please comment on the things you liked most in this tutorial and which you would like to see again in future tutorials.

 

………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..

2.           Please comment on the things that happened in this tutorial but you do not want to see again in future tutorials.

 

………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

 

3.           Any suggestions to improve on this tutorial in the future.

………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

 

 


PEOPLE YOU MAY MEET:

You will meet some of the Doctors from the Department of Family and Community Medicine and other sectors.

 

(1)   Dr. Norah Al-Rowais,    MBBS, MSc,  KSUF              Associate Professor/Consultant   

                                                                                     (Course director)

                                                                                                                                 

(2)     Dr. Laila Al-Khayal, MBBS, MSc, KSUF             Consultant Family Physician

                                                                                     (Assistant director)  

 (3)    Dr.Al Johara AlQuaiz, MBBS,MSc,MRCGP               Associate Professor/Consultant

             

 (4)    Dr. Basema Al-Khudair, MBBS, ABFM            Consultant Family Physician

 

 (5)    Dr. Ayda Al-Dughaither,  MBBS,ABFM                   Consultant & Trainer,

                                                                                               King Abdul-Aziz Medical City

 

 (6)    Dr. Amani Al-Muallem, MBBS,    SBFM          Consultant – Department of Family

                                                                                               Medicine, KFNGH

  ( 7)     Dr. Ahmed   AlTaweel, MBBS, ABFM                 Assisstant professor/ Consultant

 

   (8)  Dr Hamz Abdulghani, , MBBS, ABFM, MRCGP   Assisstant professor/ Consultant

   

   (9)  Dr Husain saad Amin, MBBS,  MRCP            Consultant Family Physician

 

Clinical Supervisors:

A)        MOH Primary Health Care Centers:            Supervisor’s Name

1.       Al-Olaya and Sulaimaniah PHCC         Dr. Salwa M. Ali

2.       Al-Malaz PHCC                                    Dr. Nesreen Jelani

3.       Salah Al-Din PHCC                              Dr. Folla Ibrahim

4.       Al-Morsalat PHCC                               

5.       Al-Naseria PHCC                                 

6.       Al-Muhammadiyya PHCC                    Dr. Salwa Abdul-Fattah

7.       Al Rabwah PHCC                                 Dr. Basema Al-Khudhair

8.       Al-Moroj PHCC

9.       Al-Raed. PHCC

 

 

 

B)      Military Hospital Primary Health Centers:

          Dr. Hisham Khashan, Director of Family & Community Medicine.

 

C)     King Fahad National Guard (KFNGH) Primary Health Care Centres:

          Dr. Abdullah Al-Owayed, Director of Family Medicine

 

D)     King Khalid University Hospital (KKUH) Primary Care Clinics:

          Dr. Yousef Al-Turki, Medical Director of the PCCs.

 

 

The distribution of students

In to training center(s) (2)

Training in KKUH

KKUH                                                                            

1.

Nagla Yamani

-

2.

Sanaa Yamani

-

3.

Jameela Al-Bakri

-

4.

Omayma Ali

-

5.

Hind Salman

-

6.

Alya Alsafar

-

7.

Rabab Abdulla Lagami

-

 

King Fahad National Guard Hospital

1.

Wiaam Al-Mayman

-

2.

Afaf Al-Salami

-

3.

Sarah Al-Sulaimani

-

4.

Reem Allam

-

5.

Noaf Al-Rowayly

-

6.

Maha Al-Mukaynizy

-

 

Military Hospital

1.

Walaa Al-Shihah

-

2.

Rima Tulbah

-

3.

Zeinab Saliah Al-Towaylib

-

4.

Zeinab Al-Awami

-

5.

Nadra Ali

-

6.

Alaa Al-Shammari

-

7.

Nirmin Al-Bishrawi

-

 

Al Mohammadiya PHCC:

1.

Asma Al-Humrani

Weeks 2

2.

Dannah Al-Mabar

Weeks 2

3.

Iman Al-Mogasila

Weeks 2

4.

Basamat Al-Mualim

Weeks 2

 

Al-Malek Fahad PHCC

1.

Amal Al-Jlaood

Weeks 2

2.

Nowal Al-Otaibi

Weeks 2

 

Salah Al-Din PHCC:

1.

Lubna Al-Ahmad

Weeks 2

2.

Mashayel Al-Burgawi

Weeks 2

3.

Butheina Al-Hakami

Weeks 2

4.

Rowda Al-Jadar

Weeks 2

 

Al Morsalat  PHCC:

1.

Doaa Al-Bulawi

Weeks  3

2.

Deema Harakati

Weeks  3

 

Al-Malaz PHCC:

1.

Susan Al-Batati

Weeks  3 

2.

Daniya Kurdi

Weeks  3 

3.

Asma Al-Ghamdi

Weeks  3

4.

Khdraa Al-Sumali

Weeks  3

 

 

 

 

Al-Naseria  PHCC:

1.

Zeinab Al-Jugri

Weeks 4

2.

Huda Al-Awami

Weeks 4

3.

Sanaa Al-Shurfa

Weeks 4

4.

Fatima Al-Abd Al-Ali

Weeks 4

 

West Arayga  PHCC:

1.

Hanadi Al-Bakheit

Weeks 4

2.

Ahood Al-Grabou

Weeks 4

3.

Ahood Al-Ahmad

Weeks 4

4.

Jawahir Al-Subhi

Weeks 4

 

Al-Rabwah PHCC:

1.

Fatma Al-Biraycan

Weeks 3

2.

Hayfaa Al-Otaibi

Weeks 3

3.

Wud Al-Shalawi

Weeks 3

4.

Maryam Al-Amar

Weeks 3

 

Al-Moroj   PHCC:

1.

Abrar Bukhari

Weeks 2

2.

Noora Al-Khraygi

Weeks 2

 

Al-Raed.  PHCC:

1.

Ahood Al-Zahran

Weeks 4

 

 

Wk   2         27/4 – 2/5/1429     

        Wk   3         5/5 – 9/5/1429     

        Wk   4           12/5 – 16/5/1429     

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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