+FAMILY MEDICINE CLERKSHIP MODULE ORIENTATIONAY 2012-2013

Helen S. Sigua, MD, MHA, FPAFP, BFEF

+General Orientation

Bird’s Eyeview of Course– Dr. Sigua (0.5 hr) Smaller Group Sessions-Dr. Martha Umali, Dr. Marilyn

Anastacio, Dr. Papik Oliveros, Dr. Sigua (2 hrs Critiquing of 4 cases on various scenarios on how

tools were used, analyzed, and presented—Plenary ( processing of one intervention tool videotaped role-played family meeting- Dr. Sigua (1 hr)

Planning and doing a family meeting, trying out all the forms and documenting

Planning out a home visit, trying out the forms

+MODULE HOURS

24 classroom HOURS of family skills preceptorials

20 –hospital-based (various clinical rotations)- (in vitro processing)

4- community-based (Ilugin, Pasig)

(in vivo processing)

Should be 40 hours actually- so protected time is 40 minus 24 thinly spread out across other departments-know how to do due subtle ‘seamless integration’

+Learning Framework

CLINICAL SCENARIOSPromotive

AcuteChronic

Hospital-based/community-based

FAMILY DESCRIPTIVE TOOLS (Analysis-

driven : ProfileLifecycle

GenogramTimelineEcomapApgar

Etc

FAMILY INTERVENTION

TOOLS(Activity-driven)

Family MeetingHome Visit

+Family Descriptive (Analytical) Tools Profile Lifecycle Timeline Genogram APGAR Family Map SCREEM/ ECOMAP Others- culturagram, etc

+Family Intervention Tools

Family Meeting

Home Visit

Specific Tools & Techniques ( CEA, risk assessment, safety assessment, advance life directives, etc)

Forms: pre- meeting/visit worksheet

meeting process checklist /home visit checklist

progress notes

evaluation

Reflection- narrative, drawing, bullet thoughts ( personal , creative, affective)

+Family Case Presentation (formal & informal)Documentation

Clarity

Organization

Equity on input

+Family meeting

Can be done in any rotation Document it with permission of all concerned(default is

reenactment of actual event) Accomplish generic forms: pre and outcome Do not forget to get written consent for the activity/

documentation In vitro processing during quarterly preceptorial (using

checklist, outcome & evaluation sheets) Actual group evaluation –only in Ilugin Do not forget to give family a copy of outcome

+Quarterly preceptorials , hospital-based, theme-driven May 12– GENERAL ORIENTATION, REFRESHER,

PRACTICE SESSION July 18—PROMOTIVE CLINICAL SCENARIOS September 29—ACUTE CLINICAL SCENARIOS December 22—CHRONIC CLINICAL SCENARIOS

Individual evaluation will be due at each end.

+Community-based family preceptorials First week (Sat AM) –determine patients for referral to

Family Medicine Clinic from Pediatrics residents; information gathering

Patient Chart

Pre-Family Meeting Worksheet- determine at least 2 foremost agendas

Second week (Tue 1-3 PM)-clinical assessment; group case; present case using tools; first agenda-preceptor demos; second agenda-group performs the family meeting and is graded; processing and feedback; documentation

+SESSION MECHANICS

Plenary didactics on theme SGD -2 LEC per preceptorial group

One case presentation per LEC

family descriptive(analytical) tools

family intervention tools Plenary Wrapping up

+Community-based output

Immediately after the session—group effort

pre-family meeting worksheet

family meeting outcome sheet

One incorporated in Ilugin Health Center chart

One to be submitted to the preceptor

+Preceptorial evaluation-both group & individual scope Family Assessment/Analysis 20 pts

Application of communication

& family intervention skills 40 pts Group discussion participation 20 pts

+Reference materials

Family Medicine Digital Library—www.fmdrl.org

McDaniel Susan. 2005. Family-Oriented Primary Care

Taylor

Rakel

Sloane

All available in the library and online. You can try doing it now in your practice sessions.

Sigua’s Family Skills for Health Care Providers with demo CD– WIP—scholarly project

+GRADED OUTPUTS

Group: minimum of 4 cases

3 hospital-based (adult)

1 community-based (pedia)

1 grand case (can be above) Individual: toolwork for each case

5 activity-end/year-end reflections-each scenario, family meeting, and home visit

+Grand Family Case Conference

Deadline of cases- end of February 5 best will be chosen for presentation for the contest 30-minute presentation 3L x 2W paper poster Winners to be given merits on final grade

+Evaluation of Any Family Case Presented Grasp of presenting biomedical clinical scenario Application of appropriate family descriptive tools and

manner of presentation & analysis Conduct/Critique/Plan of necessary family intervention

tools Conceptualizing appropriate contextual care for patient &

family

+Final Exam

Date to be announced No exemptions One hour 50 MCQs about biopsychosocial approach based on the

learning framework

+House rules

Be original, neat, and legible. Do not disintegrate your workbook for any reason. Put your

name on every hard copy submission, surname first, and first name initial.

Physical absence during preceptorials without valid reason will get zero grade.

Any material submitted beyond announced deadline will not be accepted.

Get in touch with me through email , cellphone for any concern 24/7.

Grades will be posted quarterly for proper self-feedback

+PRACTICE SESSIONS—given your case… Critique the tools used and how they were done and interpreted. Do other tools you deem appropriate. You can surf the web if you need

to. Practice using www.fmdrl. Roleplay a family meeting taking up what you think is the most urgent

issue. Video-tape it. Accomplish all the necessary forms. Design a pre-home visit worksheet. Relax, you need not perfect it; goal is to know you are weak at so we

know where to focus on didactics later; and, you have the years ahead of you to use them!

Give your suggestions for further sharpening & finetuning of these tools Tools are only as good as the thing you create using the right materials.

+Took Kit Inventory (know the what, when, where & how) DESCRIPTIVE (analysis-driven)o Family chart—profile(age, gender,

developmental, occupational)family lifecycle, timeline, genogram , APGAR, SCREEM/ECOMAP

INTERVENTIONAL (activity-driven)o Family meetingo Home Visito Wellness Plan

+Last directives for compliance

Final workbook to be sent for you to download before may 15, 2012.

Have it hardbound with your name, surname first, and LEC number.

It is where you will work on your tools individually even as your case is group.

It is where you will write your individual reflections. It should be brought with you for EVERY PRECEPTORIAL.

Without the signature on it by every preceptor with date, any input will not be declared valid.

+PLENARY

Processing of difficulties, questions