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Family Medicine

(Concepts& Principles)

Rabwa Postgraduate Center

PO Box 27121Riyadh 11417

Tel: 4912326Fax: 4970847

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Objectives

To know the definitions of family medicine.

To know the principles of family medicine.

To know the different competencies/ characteristics

of family physician.

To understand functions and structures of family.

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What Is Family Medicine?

According to American Academy of Family Physicians

AAFP(USA), Family Medicine is defined as the medical

speciality which provides continuing and comprehensive

health care for individuals and family. It is the speciality which

integrate thebiological, clinical andbehavioural sciences.

The scope of family practice includes (all ages,both sexes, all

organs , all systems and all diseases.

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Family Practice

Family Practice: is used to indicate the services part

of the specialty ( practical more than the academic

aspect).

Family physician :is the specialist trained to practice

in the front line of the health care system and to take

initial and continuing care for healthy & ill persons.

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What are the principles of FM?

Continuity of care.

Comprehensive care.

Coordinated care.

Community & family based care. Central Patient doctor relationship.

Evidence based health care.

Accessibility care.

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History of Family Medicine

1823 the term of general practitioners mentioned bylancet .

1960 ,specialty of family medicine started in USA

1969, American Board of Family Medicine was

founded. 1997 , Saudi board of family medicine was founded

2007, Saudi diploma of family medicine started.

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Competencies of Family Physician

Ability to manage acute health problems.

Ability to manage chronic health problems.

Ability to Provide health promotion services.

Ability to Provide emergency services.

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Competencies of Family Physician (cont...)

Ability to provide counselling services.

Ability to provide home care services.

Ability to provide preventive care services(1,2,3).

Ability to provide terminal and palliative care

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Where to practice FM?

OPD/Clinics .

PHCC.

Family Practice Centres.

Hospitals.

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Characteristics of Competent FP

Competency in (Dx ,Rx )of common healthproblems.

Improving quality of care.

Rationalized utilization of health facilities.

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Characteristics of competent FP

Motivation of community to practice healthy

behaviours.

Identify the needs of community .

Working within health team as member and leader

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Characteristics of Competent FP

Ability to communicate efficiently.

Ability to carry out studies and research.

Ability to plan and implement action plan.

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Characteristics of competent FP

Ability to educate and train his/her colleagues .

Ability to refer patients when it is needed.

Ability to activate community participation.

Ability to coordinate with other sectors.

Ability to update himself regularly

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How does FP differ from other physicians ?

The first contact and gate of health care system.

Provide continuity of care.

Provides comprehensive care.

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How does FP differ from other physicians?

Use holistic approach.

Shared care.

Patient centred approach

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How does FP differ from other Physicians ?

Care for all.( ages. problems, organs, sexes, races).(wide spectrum)

Care at all time.

Care at any place.

Proper utilization of services.

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How does FP differ from other physicians ?

Early diagnosis & management( screening).

Deals with uncertainty.

Live among his/her clients .

Clinical exam is targeted

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Family ( functions & structures)

Family is defined as the structural & functional unitof the community.

Two related persons live together for> 6 months.

Nuclear family= parents +- children.

Extended family= couples + parents + children.

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Characteristics of Family

Living in the same house.

Share values &norms.

Share similar social activities.

Having similar schooling.

Have similar experience of success and failure

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Functions of Family

Care (support). (emotional, psycho, social)

Affection. (love, warmth)

Providing status. (education, economic)

Reproduction.

Socialization.( communication, talking, values)

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Family in Family Practice

Family is the unit of health care in FP.

Family could be source of health.

Family could be the source of illnesses.

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Family in family practice

Family has important role in prevention andpromotion of health in the community.

Family has important role during illness.

Family could be a source of stress.

Family could be good source of stress management

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The End