221 the role of family practice in undergraduate medical education trakya university medical...
TRANSCRIPT
![Page 1: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/1.jpg)
/ 221
THE ROLE OF FAMILY PRACTICE IN THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATIONUNDERGRADUATE MEDICAL EDUCATION
Trakya University Medical Faculty,
Edirne, Turkey
Zekeriya Aktürk, MD
Nezih Dağdeviren, MD
Erkan Melih Şahin, MD
Cahit Özer, MD
Title
and
Staff
![Page 2: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/2.jpg)
/ 222
Why Famiy Practice in Medical Education ?
• Medical education: 90 % hospital
• Turkish doctors: 60 % primary careİntroduction
Primary
Secondary
Tertiary
Education Practice
![Page 3: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/3.jpg)
/ 223
Current Condition in Turkey
• Population: 65.000.000
• Medical faculties: 47
• Family practice departments involved in education: 7 (15 %)
• This year Family Practice Department at Trakya University has started lectures to phase I.
Current State
![Page 4: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/4.jpg)
/ 224
Introduction to Clinical Practice (ICP)
• Phase I: 135 students
• First semester– 16 hours theory– 16 hours practice
• Second semester– 16 hours theory– 32 hours practice
ICP
![Page 5: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/5.jpg)
/ 225
First Semester Lectures
Lecture Load• Needs assessment 1• Medicine as a profession 2• Health and Illness 1• The effect of community on health 1• Cultural factors and health 1• Quality in health services 1• Health promotion 1• Preventive health care 2• Communication skills 2• Interviewing methods 1• Patient education and counseling 1• History taking skills 1• Evaluation 1
Curriculum
![Page 6: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/6.jpg)
/ 226
First Semester Practices
Lecture Load (h)
• National internet resources 2• IM and IV injection techniques 2• Arterial blood pressure measurement 2• Health unit observation (services) 2• Health unit observation (policlinics) 2• Approach to the trauma patient: 2• Evaluation 4
Curriculum
![Page 7: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/7.jpg)
/ 227
Second Semester Lectures
Lecture Load (h)
• Principles of physical examination 1• Periodical health examination 1• Functional health status 2• Clinical problem solving 2• Consultations 2• First aid 4• Common diseases at primary care 2• Tobacco and other harmful substances 2
Curriculum
![Page 8: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/8.jpg)
/ 228
Second Semester Practices
Lecture Load (h)
• Urethral catheter insertion 4• Communication (History taking) 4• Communication (Examination) 4• Communication (Drama) 4• CPR 4• Sterile dressing 2• Suture techniques 2• Evaluation and feed-back 8
Curriculum
![Page 9: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/9.jpg)
/ 229
Staff and Setting
Staff and Setting
• Lecturers– Family medicine– Public health– Anesthesiology
• Theory: large group education
• Practice: groups of 30-35 students
![Page 10: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/10.jpg)
/ 2210
Teaching Materials and Methods
Teaching Method
• Lectures– Lecturer– Slides– Video– Discussion
![Page 11: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/11.jpg)
/ 2211
Teaching Materials and Methods
Teaching Method
• Practice– Communication
• Small group education: 3-4 students
– CPR, blood pressure etc• Simulators
• Health unit observation– 3-4 students for each service or policlinic– Guided by an educator
![Page 12: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/12.jpg)
/ 2212
Student Evaluation
Evaluation
• Lectures– Two interval exams– One final exam for each semester
• Practice– OSCE
![Page 13: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/13.jpg)
/ 2213
Curriculum Evaluation
• SETh course rating scales– Didactic– Interactive
Feed-back
![Page 14: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/14.jpg)
/ 2214
Our Experiences
• Primary care should be involved in all phases of medical education
• The role of family practice is limited with phase I• Some of the topics shoul be tought to higher
classes• We had to prepare a curriculum to cover as
much areas as possible. • Some practices necessitate baseline medical
knowledge.
Experiences
Curriculum
![Page 15: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/15.jpg)
/ 2215
Our Experiences
• Lecture load should be enough to cover all necessary areas
• The lecture load reserved for ICP was not enough to cover all headings of primary care.
• Some important topics like fever measurement and wound care had to be omitted.
Experiences
LectureLoad
![Page 16: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/16.jpg)
/ 2216
Our Experiences
• Enough teaching material should be available
• Suture techniques, IV injection, urethral catheterization
• Simulators • Abdominal palpation • Heart auscultation
Experiences
Material
Quantity
![Page 17: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/17.jpg)
/ 2217
Our Experiences
• Teaching material should be of high quality
• Firm structure of the simulators disable– abdominal palpation – urethral catheter insertion.
• Leakage from the simulator reservoirs.
Experiences
Material
Quality
![Page 18: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/18.jpg)
/ 2218
Our Experiences
• Enough educators should be available
• Teaching staff – 5 educators for the lectures – 3 educators for the practices.
Experiences
Educators
![Page 19: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/19.jpg)
/ 2219
Our Experiences
• Effective Feed-Back should be taken
• We obtained overall good feed-back results. • SETh
– Didactic 3,76 ± 0,73– Interactive 4.02 ± 0.66
Experiences
Feed-back
![Page 20: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/20.jpg)
/ 2220
Our Experiences
• Accurate evaluations should be done
• Multiple choice questions as well as OSCEcould be applied successfully.
• Faculty regulations: mean score above 60 %• All students passed• Mean passing score: 62.6 ± 14.89.
Experiences
Evaluation
![Page 21: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/21.jpg)
/ 2221
Our Experiences
• In General
• Medical students have difficulties in making a picture in their mind about what medicine is and what they will face after 6 years when theygraduate.
• ICP is a good means to make things clear and maintain the motivation of students to become a good doctor.
Experiences
General
![Page 22: 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,](https://reader034.vdocuments.net/reader034/viewer/2022051401/56649e9f5503460f94ba15f1/html5/thumbnails/22.jpg)
/ 2222
Conclusion
• Implementing family medicine in medical educations is an inevitable step in order to educate doctors who are able to respond the needs of the population.
• To achieve this goal – An experienced staff
(sufficient in quality and quantity)– Lecture series continuing troughout all
phases of medical education, – Teaching material
Conclusion