Basics of Family Medicine

Study Course Description

Course Description Statuss:Approved

Course Description Version:9.00

Study Course Accepted:12.08.2024 13:36:29

Study Course Information
Course Code:		GMK_002		LQF level:		Level 7
Credit Points:		3.00		ECTS:		4.50
Branch of Science:		Clinical Medicine; Health Care		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Vija Siliņa
Study Course Implementer
Structural Unit:		Department of Family Medicine
The Head of Structural Unit:
Contacts:		Riga, 26a Anninmuizas boulevard, 2nd floor, Rooms No. 236 and 237, gmkrsu[pnkts]lv, +371 29413956
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		4	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		8
Classes (count)		10	Class Length (academic hours)		4	Total Contact Hours of Classes		40
Total Contact Hours								48
Study course description
Preliminary Knowledge:
Preclinical theoretical knowledge about the structure and function of the human body (1st, 2nd, 3rd year study subjects), General theoretical knowledge and skills in clinical medicine: propaedetics course, internal diseases, pediatrics, infectious diseases, surgery, neurology, obstetrics-gynecology, psychosomatic medicine and psychiatry-narcology and law basics course.
Objective:
To gain understanding about competences o a family physician and pecularities of patient management in primary health care. Using clinical cases, to learn: a) communication specifics with individuals under lifelong and wholistic care, as well as their relatives; b) syndromologic and nozologic diagnostics, differentialdiagnostics in primary health care; c) intergration of public and individual health promotion and preventive measures; d) team work specifics in primary health care; e) patient management options in primary health care. To introduce with documentation and legislation in primary health care, as well as use of diagnostic equipment in primary health care clinics.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Geriatric consequences in a family physician's practice SSNMF			Lectures		1.00	E-Studies platform
2	Primary, secondary, tertiary cancer prevention in family medicine.			Lectures		1.00	E-Studies platform
3	Multimorbidity and polypharmacy in family medicine			Lectures		1.00	E-Studies platform
4	Reproductive health and family planning in primary health care.			Lectures		1.00	E-Studies platform
5	Screening of malignant tumors. Symptomatic treatment of cancer patients in a family physician’s practice.			Classes		1.00	METC
6	Reproductive health and family planning in primary health care			Classes		1.00	auditorium
7	Elevated body temperature in primary care			Classes		1.00	METC
8	Communication skills of a family physician and patient			Classes		1.00	auditorium
9	Chest pain in primary care			Classes		1.00	METC
10	Cough syndrome in a family physician's practice			Classes		1.00	METC
11	Vaccination – topicality and daily practice.			Classes		1.00	METC
12	The competences, equipment and functionality of a family physician’s practice			Classes		1.00	METC
13	Multimorbidity and polypharmacy in Family medicine			Classes		1.00	METC
14	SSNMF Geriatric consequences in family doctors practice			Classes		1.00	auditorium
Assessment
Unaided Work:
Students are refreshing knowledge of previous courses, especially guidelines of most common acute and chronic conditions in primary health care. Students can use available simulators to improve practical skills. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
Assessment Criteria:
Active participation in all classes. The final assessment of the study course "Fundamentals of Family Medicine" will be provided as a cumulative assessment consisting of: Multiple-choice question tests make up 40% of the final assessment of the study course: • 5% consists of 10 x tests with 4 questions before each practical lesson in the study course "Fundamentals of Family Medicine" (10 x 4 points, maximum number of points – 40) • 35% consists of 9 x tests with 10 questions after each practice session The examination (Clinical case) accounts for 60% of the final assessment of the study course. • Clinical Case - the written part of the exam with 10 questions, according to the topic of the study course Taking the final examination of the study course "Fundamentals of Family Medicine" in 2024/2025. will be held in person, METC - electronically, using information technology (hereinafter - IT) tools, according to the study plan
Final Examination (Full-Time):		Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		Successful completion of the course will allow to: • understand the role of family physician in health care; • define syndromologic and nozologic diagnosis in primary health care; • draw up investigation/ treatment plan for a patient in primary health care; • organize individual health promotion and preventive measures, including immunization, cancer screening and lifestyle changes; • understand team work in primary health care; • know and apply the equippment most often used for diagnostics in primary health care.
Skills:		Successful completion of the course will allow student to communicate with primary health care team, patients and their relatives, as well as to use diagnostic equipment, draw-up treatment and examination plan of a patient of all ages in primary health care.
Competencies:		Successful completion of the course will allow student to work in primary health care under a supervision of a family physician.
Clinical Skills:
No.	Skill					Level
1	12-Lead Electrocardiogram (ECG) recording , result interpretation					B2 - Intermediate level
2	Evaluation of newborn reflexes					A - Beginner level
3	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B2 - Intermediate level
4	Otoscopy					B2 - Intermediate level
5	Peak expiratory flow (PEF) measurement, result interpretation					B2 - Intermediate level
6	Rectal examination / prostate palpation					B2 - Intermediate level
7	Swab sampling from anterior nose cavity					A - Beginner level
8	Swab sampling from nasopharynx					A - Beginner level
9	Swab sampling from throat					A - Beginner level
Bibliography
No.	Reference
Required Reading
1	Diagnosis & Treatment: Family Medicine. 4th ed.
2	Practice Guidelines in Primary Care. 2019
3	Esherick, Joseph S., Slater, Evan D., David, Jacob A. Practice Guidelines in Primary Care. 2017
4	Allen, J. Health Law & Medical Ethics for Healthcare Professionals. Boston, 2012
5	Papadakis, Maxine A., McPhee, Stephen J., Rabow, Michael W. Current Medical Diagnosis & Treatment. 2019
6	LeBlond, Richard F., Brown, Donald D., Suneja M., Szot, Joseph F. DeGowin’s Diagnostic Examination. 10th ed., by McGraw-Hill Education, 2015
7	Murtagh, J. General Practice. 6th ed. Sydney: McGRAW Hill Book Company
8	Diagnosis & Treatment: Family Medicine. 4th ed., by McGraw-Hill Education, 2015
9	Bates' guide to physical examination and history taking and skills of good interviewing. 11th ed.
10	Racionālas farmakoterapijas rekomendācijas antibiotiku ambulatorai lietošanai bērniem. 2015
11	Rekomendācijas empīriskai un etiotropai antimikrobiālai ārstēšanai. 2016
12	Fever in under 5s: assessment and initial management Clinical guideline [CG160]
13	Valsts organizētais vēža skrīnings, 7.pielikums MK noteikumiem 1529 Veselības aprūpes organizēšanas un finansēšanas kārtība
14	Ļaundabīgo audzēju primārā diagnostika noteiktām lokalizācijām, 34. pielikums MK noteikumiem 1529 Veselības aprūpes organizēšanas un finansēšanas kārtība
15	Multimorbidity: clinical assessment and management NICE guideline [NG56]
16	CVD Prevention in Clinical Practice (European Guidelines on) ESC Clinical Practice Guidelines
17	Arterial Hypertension (Management of) ESC Clinical Practice Guidelines
18	IDF Clinical Practice Recommendations for managing Type 2 Diabetes in Primary Care. International Diabetes Federation, 2017
19	2. Tipa cukura diabēta ārstēšanas klīniskās rekomendācijas. Latvijas Endokrinologu asociācija, 2016
20	GINA Report. Global Strategy for Asthma Management and Prevention. 2017 http://ginasthma.org
21	Chest pain of recent onset: assessment and diagnosis Clinical guideline [CG95]
22	Global Strategy for the Diagnosis, Management and Prevention of COPD. 2017 http://goldcopd.org
23	MK noteikumi Nr 152, 2001.gada 3.aprīlī Darbnespējas lapu izsniegšanas un anulēšanas kārtība
24	MK noteikumi Nr. 330 Vakcinācijas noteikumi (I daļa, 2. un 3 pielikums)
25	WHO Recommendation on immunization – summary tables Nr.1, Nr.2, Nr.3, Nr.4
Additional Reading
1	Katzung, Bertram G. Basic & Clinical Pharmacology. 14th ed.
2	Clinician's Pocket Reference: The Scut Monkey. 11th ed.
3	LeBlond, Richard F., Brown, Donald D., Suneja, M., Szot, Joseph F. DeGowin’s Diagnostic Examination, 10th ed.
4	Katzung, Bertram G. Basic & Clinical Pharmacology. 14th ed.
5	Rudņeva, A., Zepa, D., Slokenberga, A. Plaušu simptomu diferenciālā diagnostika.
6	Health in the Baltic Countries 2008. Riga, 2010
7	Klīniskā medicīna. prof. A. Lejnieka redakcijā. 2010
8	Kumar & Clark's. Clinical Medicine. Edinburgh, 2009
9	Muguras lejas daļas sāpes primārajā veselības aprūpē, 25.02.2016. Nr. KV 01, 2016
10	Current Diagnosis & Treatment: Geriatrics. 2nd ed. Brie A. Williams, Editor, A. Chang, C. Ahalt, H. Chen, R. Conant, C. Seth Landefeld, C .Ritchie
Other Information Sources
1	Family Practice Management. American Academy of Family Physicians Practice Management Journal.
2	Likums par prakses ārstiem. http://www.likumi.lv/doc.php?id=43338
3	Ārstniecības likums. http://www.likumi.lv/doc.php?id=44108&from=off
4	Veselības aprūpes organizēšanas un finansēšanas kārtība. http://www.likumi.lv/doc.php?id=150766
5	No RSU e-resursiem:
6	FamilyPractice.com
7	Global Family Doctor. Wonca Online
8	Family Practice Notebook
9	http://accessmedicine.mhmedical.com