A module for teaching community orientation to

vocational trainees in Family Medicine

Ambrosia Group

15th EURACT Bled Course

September, 2006

The Ambrosia GroupAlberto Carvalho (P)Adam Hintalan (HU)Dijana Filipović (SER) Janko Kersnik (SLO)John Boyd (US/SLO)Katarina Golc (SLO)Katja Pesjak (SLO)Loredana Piloff (RO)Maria José Ribas (P)Mateja Bulc (SLO)Matilda Vojnović (SER)Nadja Pfajfar-Križnič (SLO)Nevena Todorović (BA)Nevenka Šečer-Dolenc (SLO)Peter Strouhal (SLO)Ulrich Busch (A)Yonah Yaphe (IL)

Objectives

At the end of this module the trainee in Family Medicine will be able to:

- state what Community Orientation in Family Medicine is

- practice CO in his own practice

- value the importance of CO

Curriculum

• Behaviour problems• Practice organisation • Social problems• Health problems• Patient education

Community Orientation for Behavioural Problems

Behaviour problems - Background

• Behaviour related problems are prevalent in primary care• Risky behaviours

– E.g. Smoking, alcohol drinking, unhealthy diet, physical inactivity, stress

• Drug abuse• Family violence• Unsafe driving• Sexual behaviour...

ObjectivesWill know the• Prevalence and consequences of risky behaviour• Risk management strategies

Will be able to• Identify and assess risky behaviour• Advise behaviour change

Will be willing to• Openly discuss health behaviours with the patients• Offer advice at the right moment• Delegate tasks to other professionals if needed

Time schedule

1 week intensive teaching– Department of FM– Practices– Field work

Teaching Methods

Knowledge

Literature review, lecture, Small group learning

Skills

Home visits, Role play, Use of risk assessment scales

Attitude

Role playing, Video, Vignettes, Home visits, Field work

Assessment

Knowledge• Multiple Choice Questionnaire (MCQ), Modified Essay

Question (MEQ)• Portfolio learning, Oral examinationSkills• Objective Structured Clinical Examination (OSCE),

Video, Medical records reviewAtittude• Video, Interview