Study-Unit Description

Study-Unit Description


CODE FME5001

 
TITLE Principles and Practice of Family Medicine

 
UM LEVEL 05 - Postgraduate Modular Diploma or Degree Course

 
MQF LEVEL Not Applicable

 
ECTS CREDITS 6

 
DEPARTMENT Family Medicine

 
DESCRIPTION The principles and application of family medicine and its role in the Health Care System will be explored. Generic skills that help Family Doctors work with individuals and their families will be discussed in the hope that the practitioner will develop the skills and knowledge base of best practice.

Their application in the psychosocial milieu of modern medicine is a very important skill. The unique elements that characterize the practice of Family medicine will be viewed from a general perspective and challenged within the local context. The basic premises of a wider Primary Care system will also be integrated in this study-unit. This is relevant especially because Family Doctors also practice in different contexts particularly in their roles of Occupational Health and Travel Medicine practitioners.

Family doctors need to develop the awareness, know how and skills help persons with chronic illness to make lifestyle changes to effectively manage their chronic illness, and to avoid or delay complications. Teaching patients to make lifestyle changes requires an understanding of the effective models of motivating patients using different behaviour change models.

Objectives:

- Compare and contrast medical and sociological perspectives on disability.
- Distinguish and discuss relationship between Primary Care and Family Medicine
- Recognise the different levels of involvement in the family by Family Medical Practitioners.
- Interpret the effects of family life cycle changes on illness in the individual in the community.
- Extrapolate the basic behaviour change theory to real practice situations.
- Recognise the parenting issues related to child development in the community.
- Identify areas in family medical practice where brief counselling can benefit the patient in the community.
- Identify and plan the use of resources within families.
- Distinguish the differences between the disease and illness models of health problems in the community.
- Identify and plan for the special needs of families with issues of disability.
- Identify and interpret the practice population as a distinct number of patient lists with specific needs.
- Identify the strengths and different styles and levels of Teamwork in the community.
- Discover and plan to deal with domestic violence in the community.
- Analyse the interrelationship between a productive professional life and personal development for the Family Medical practitioner.
- Acquire and interpret the basic principles of Occupational Health and Travel medicine.

Content:

- Family Medicine and Primary Care.
- Profile of Family Medicine: Malta & abroad. Bio-psycho-social model of care. System theory.
- Levels of Family Doctor involvement with families.
- Individual and Family Life Cycles. (Erikson)
- Resources within and for Families.
- Behaviour Change. (Prohaska and Bordin).
- Brief Counselling in Family Practice.
- Dealing with Parenting Issues.
- Disease versus illness.
- Families with special needs. Disability issues.
- The Community as a discrete population.
- Team work in the Community.
- First contact, continuous & comprehensive care.
- The Doctor - Patient relationship. Trust.
- Abuse in Families. Sexual and domestic violence.
- The Balancing Act. Profession and own space. Family.
- Basic Principles of Occupational Health
- Travel medicine

Reading and Reference Material:

1. Ian R McWhinney, A Textbook of Family Medicine, 1989 2nd Ed OUP ISBN-10: 019511518X
2. Health and Illness in the community" by Taylor, Smith and van Teijlingen ISBN 0-19-263168-3
3. Doherty WJ, Baird MA: Developmental levels in family-centered medical care. Fam Med 1986, 18:153-156.
4. Grol R, Wensing M, Mainz J, Ferreira P, Hearnshaw H, Hjortdahl P, Olesen F, Ribacke M, Spenser T, Szecsenyi J: Patients' priorities with respect to general practice care: an international comparison. European Task Force on Patient Evaluations of General Practice (EUROPEP). Fam Pract 1999, 16:4-11.
5. Campbell TL, McDaniel SH, Cole-Kelly K, Hepworth J, Lorenz A: Family interviewing: a review of the literature in primary care.
6. Medalie JH, Zyzanski SJ, Langa D, Stange KC: The family in family practice: is it a reality? J Fam Pract 1998, 46:390-396.
7. Family-oriented primary care: A Manual for Medical Providers SH McDaniel
8. Behavioural Medicine in Primar Care. Mitchell D. Feldman John F. Christensen McGraw-Hill Professional 2003 ISBN 0071383360.
9. The Practice of Counselling in Primary Care. Robert Bor, Damian McCann,
10. Oxford Textbook of Primary Medical Care, Roger Jones; Nicky Britten; Larry Culpepper; David A. Gass; Richard Grol; David Mant; Chris Silagy, 2003, ISBN-10: 0192632191

 
STUDY-UNIT TYPE Lecture

 
METHOD OF ASSESSMENT
Assessment Component/s Sept. Asst Session Weighting
Examination Yes 100%

 
LECTURER/S Denis Soler

 

 
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The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2023/4. It may be subject to change in subsequent years.

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