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MI vil. TABLE OF CONTENTS Family Medicine: History And Perspective Family As A Unit Of Care Family Life Cycle Impact Of Iliness On The Family Tools In Family Assessment Family Medicine: State Of The Art Family Wellness Program THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC. FAMILY MEDICINE: HISTORY AND PERSPECTIVE FAMILY HEALTH & GUIDANCE CENTER 2846 MARCONI STREET, MAKATI CITY ZIP CODE 1234 TEL 8442135 TELJPAX NO. 4465436 FAMILY MEDICINE: HISTORY & PERSPECTIVES BotatDa Eee eM wo twsTomcaL sxckanouN© A merwaTionns renapecTwes tne pats "tonas” the ‘Sager at 0 SAGE Pee ape ae Se ee ere et eee oe eee ees Rest Seen rer earecnrnie neers ‘Seta species athe snarana ‘ola nasa meal ters ar he Es, Reeve ile Oona ene SS ee See 2 casect earn 180 laste emaraenso Fan Madre 1862 Tha wo Expr Commit on roeetona and Eis ta leer Ary Poser nt Sea 1862 Folsom Conmliee Raper tne Heath Counc and APHA) 18 itr port Counc on Mee! Eaton, AMA 1. rw eppruy fe pasa ovr serio scent Prop ar fem prtee Seas coeaten 'Fety acpi econ fo psc ho tare Seeeeeseneemes a 3 Ered ieee ae ret aS 1 “ape ep see a npn oe Seep of Fart Pace, exon IONE a at sine cent pipe fan Sd ‘SELI“Ee nda lr ansy tama net osecd nto gop Coton mas ‘he, owas. kay el 0 mat of grt patter ant somarbter Bendis joe pache site “fasotiors, of gecra” Sucre a, et it he Word Corsace eld n Mabe Aira in Teme gsm arora lear smemey w wamraners cere Seine stor eee ae ree ci 'p'ws fr Pose ae SBeaeg Serco Stat Spee apie * ones oun excurooneoe natin een ‘Figueira yn % GeeaT omitangn” 1 lamar piraang Webre her wot ‘Space cotthed len a se Rage Sonsencs es haa Bhigpeas” a TamiMESne Scere Penske ‘terete pet ceo Tevet taggers ey rp 2 eamnte are eet eth annette sopra ‘¢ Comrohanahe ‘Soot rh animal ees ‘ttt ‘enaoweave ™*'" siSpaneio setae cy 1. PHILIPPINE PERSPECTIVES: ‘rontt Famly Medere nie Pps 801 Poypine Acasa of rac! Pracitiana was oranied te mae Fear ec otafa canna musa eacnon ano bas | ood el ce by { i be : i 1970 xg Soahy Soca by cic ‘scene pgs Sct min 12 Shogednapase PAF ein Acre fay © Sredos od Erange Commission Set) a Eiincamenns* 1 men Serre raya Fenlr Watcess Progam FR gt ance ae aaa * Salting msl easasn pope 19 pgm te tie enn et vem 5 Gana Ana tases 122 Remand (08 eahtonasn we Swe Tomee Urry sa Sey 950 Recaption of Family Modine spciatyby Maar 1357 cognition ny Pa se ona spaciy soi the ‘Sareea Corman ose FAMILY MEDICINE ISA SPECIALTY £2 on 8 Meteney, ae ae ofFaryMsos orn a caster coat Paty Nese sip +: Saramago 2 Fada SR taka vr ‘ese citrate Fam Pyseons ep wlh cw sects ie'cireuir tarmac dear a cme of acon doc ‘Sepine erat Moser Suey Osten Pade & Payehan) ‘Fonaaegene ty rereginet nce w= Zhotare or povrton, mower epamoy. payrelogeal madi, ‘in tuned asmeintuatncwe teem 18 Renin youn tote reson oo pokand mga 2 uMQUE FELD OF ACTON ‘inate Pc Cai we unaerated uh enagrsea R 2. AGTWE AREA OF RESEARCH 1b For none a an acneme azcping crengmanod by eoaot o 3 EceatRerst reson Busona noah re Sry iy ‘chien ir tema = aa ta ora cppets sane Sor “Fay Pater Aemonch toy Gen Fat ec Eveatn 4. TRANG wri IS HTELLECTUALLY MaOROUS 1 ocyerptaet cna erence any ore aman ocone froteqahrea Speen ‘gare roves a rake Eset o chang sindton on ‘+ Sts tong conrurg mal daton CM) ration” We Soretent ee ‘pew ad oer me orlowen So pean cmpotrcice we ergsoces of Family Physicians end ‘CONTINUING MEDICAL EDUCATION ‘ePstaatve che spec gtoups inns nese" Someneian ev content| faassen of emakeg unas on res oe FaGean? te ‘ue eeu eet Se Bape Pogue Poy FAMILY MEDICINE: cota i zaten ae {SPSSSES'SSSET cra Snot Sr doceeg srt bul Swarts wach “cruphabices on he imporance of ciseese provertion, heel mardarance and curative: FAMRLY SEBO RECN a sae? cat SSR Ree 8 SARE Ear Se a ee amy pracrice: SS ce tatna nee fons we re Sais Laer wersagseerscn Sects —| | mm Sitar ee Fae ed SE hea. ese fe ene TIRUNG MEDICAL EmLioaTiON. Fe L [eins mein. Sauer OF PERRO tees! Saceten 6 einem, ney ae mesa sen, ea sng aa eauatin x na Pigg Pony Sw Cancale Ce pga, THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, Inc. FAMILY AS A UNIT OF CARE "NELSON RODRIGUEZND 1987 PHILIPPINE CONSTITUTION orden 1878: ‘Te tani inte unt rade ef sul opener io by toot hunoge we owrtaite ot eo agri een eapoeb ty oeres nerd, 6, wana preoione 1 Epmconatat mercer 1 Mecaatalecieat! avoherant 0. Thaler ech epe ct petone t tihcar 1 aan mre ctesponstiy FAMILY STRENGT ‘A Tho att prod fort tary. PRIA Spcaanaprnr pte bendeas gro tae ARIE Wi we re em ay = CULTURAL Sharrget base bolt nd cutest eaer 1. Ch conring paces ad eiptne Te copay of clerk ob caret end + ARR SR cg 2 te ee ee nt 1. Suopen Sauty # Encouragement Fant uity, Layty we tata Cooperation 1 Yany monb ably soprce and ueetamly vacean anareval ot eat apes FAMILY HEALTH CARE “Yair exellent on #8 by 20 bas Dean wm metus crps crearagenert 1 letunci family meors change flow alecing each iia FAMILY AS THE UNIT OF CARE tarstison of laine fearmanatie ducer 5 hentnomredo’ronierera not 5 Seco icon emren eeae 1 teat aosuore | gposchesandsraper 2] TWEPATIENTS PROBLEMIS THE FAULTS PROBLEM ‘Dory ond McCun Da war owner eye ® hash pranoson/martaraee arene Fey povrton ‘ningun ere fe eens iy bass net ord roe appease ‘arty ieecin ander! of atenirg in eeponse to specie lp ssctng a dosing on he uel ang redial pron ‘Sty aaiatn 7cfngom hae wn cre ono. wet “Tatami meee ten gral uly cater, es tpsner prowane tpt Gog “We trough fe buanp toot THE | PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC. FAMILY LIFE CYCLE HEALTH & GUIDANCE CENTER 2546 MARCONI STREET, MAKATI CITY ZAP CODE 1238 TEL 82135 TELJFAX NO, B46 LiFe CYCLE |ISABELITA SAMANIEGO, MD Furies go righ svebpretal rome “THE FAMILY LIFE CYCLE: cpeeae come oe a tne ou 1 Rstensepcdovscpam se evolng erty ant vo 00 WE STD THEFAMLY LF ELE? oer apse cna tel cen cm neon eet SE 1 EE ee pale etmenzre Eisler emer hee 1 reel em “TWO LEVELS OF ORDERS OF MAGNITUDE OF CHANGE 1 RET ORDER cHaNSeS GOVE NOSEVENTS OF MASTERY AND ADEFTATION Sinan change tana aucine te Gly sete clos assay he nl ary weber orang TER PRU nvRaarurecyde Ue Asmnge tienen when “faniy nove ose rasan 2, SeeoND ORDER MANGES Se Re ee SRWATION OF 28 MEMGUAL'S. STATUS. AND sero Toe 1 SHEED TOSe sovetng new Fee getey tacaoeset telat enton Ange a ead tary norte SPEccon sna ie Pari eee Serene tages crecciness £8 Acree ait oon ee ac pone tae woz oe bt he nla ssiaesna‘es test fe sconce tu rot 13 coset STAGES OF THE FAMILY LIFE CYCLE 1. Unatached Young Aa “oopenFemles” tie 8 Sat ofthe amy occ wee poset ERS lta StHwy seg To eres ei ri on sre sh wrnee 2 The Rew More Coule Jing f Fame Oro Mage wor nun m he Pobepese, Put STAGES OF MARRIAGE case | wroromnoums | SHOFOTEN TONG ‘roms amare» on|* Styagar= © Manta aeiabeas” > hain > katy mariage Sane TERS |uaungoraastreno [a Keppra romance ine | > Seema 2. wes etacs tse |ronicas Review ars | fiaeptomaie eno tanay | FenyaantPenea [OE cseyenny * Geirtane |e. cxpnaiei nah ot 2. The Famty wath Young Charon tr tara ite eran Sarat beeen org iouckenk wh 4. The Fay at Ateacore fA bn min aaescns Nas getly seached a sage whan tne ronrts 32 pheasant Seat atone protractor ence (8 eto tot Soc ae ceoeigieo eo “esi with pat. al hit ad cnn ough cise ‘beatin Baaite ith daparkrs of baal hall and ign ‘one or ‘nie STAGES OF THE FAMILY UFE CYCLE nation! o her ene Inpemiy Stee roses lato PURER + ena cat tayo 2. isepmetct boners! eee 1 Paptnenate ety, rs Teton panty ns ree Raga Si" | Sate sour Fen et oes iors emt iar ere Tred ant tay cents, Cate Rect inepedon 2 tepray| Se eer 2 Sbane 2 esto emcble regreargt agua Re Noe Ee enna 4B Beare 9 Ree thew” pie ong * Foon ! Get ses eee Secnconns”” = Patan a ae an 7 Pies ‘Pte matat 2 or 2 Feces IMPACT OF LLNESS ZORAYOA E. LEOPANDO, MD Jaca. Mee el sows (uy or beaten of Seiee geeas See eter Gegly iat Cate ae Sess Ulapar mfboncs Staten SsaudBerevked poate nes Hy STUDY IMPACT OF ILLNESS? 1 floc of exten caer ancoag sea canine pies YES SR Sag aE SROs 2 fate erst ach etnte el Seve cf ely £ gst mak dF fami rote 2 et ose OS RSE * Rgpaee ea £ EE womnancinenaim can apt 5: sna ores rized ype cn ek i rae sae, rc copa, nt i tl oe Seti BERRA ht ST Dihee os poole & coca ofods on te family ef 8 Sospomten iemaates 2 Retectcdsoapnes intent ESSENSE etecbensony x pean OVGEARE VS. LINES “Tato pete rmhenoneranbul specs ise Hysasoe sade Pigcjern oie ssegae & he THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC. IMPACT OF ILLNESS ON THE FAMILY ib PAMILY HEALTH & GUIDANCE CENTER £2896 MARCONI STREET, MAKATI CITY ZIP CODE 1234 ‘TRL. 8402138 ‘TELJRAX NO. 8145436 DISCOVERING THE MEANING OF ILLNESS FOR THE FAMILY vesgte tess: De oo © ER Ear tt HOWIS INVESTIGATION DONE? THEPHYSIN * Bolsa eae ey ce oes vteg eft fetowngioesee akcSte his hess + apres te sates recent, weaton torent om By he sets SER holiom gr 6 esha Tae sa + Son nt sons cnc tae by ns oi, sre ‘igen botws snout haley enon ponder secu loses + ‘erosion te beady set cl exuiaees an comers fat pats Send teapatoowrennwth trey fs Nelrrg tec irater rarer te tent ke ninety ‘THE FAMILY ILLNESS TRAJECTORY - PASSAGE THRU ‘SUFFERINGS eager at amenesoet apace eat for a pate le of icin alg the phscin ped atin 8d FBS aT BaRege Rbpree arenas ay pyecore 9 maicR 1ANEESES MVOLVRG LOBE OF: | SERA Ey cs orata veananaatiter 2 ESPYs rte ptgr mtn com ‘THE STAGE IN FAMILY ILLNESS TRAJECTORY ARE: 2, Se Bt BE rere oman ff MMR lo rabbi brea ‘Stage L- ONSET OF ILLMESS * + Tagging se et mae wi ites retin £590 be reve * cisions cxloces rae nana a meta aie oo + ‘fe tens en rte rec ater ona fs 6 Tago ORECAST coker | nah “er | pemeer|s seme = a" |: Se See, aie RESPONBIBLITIES OF THEPHTSISAN phe roubwy ear & ara pate ig 2 SERS onl olson einonise & ears ent he 2, Eee ef Sred ere cgranipasnct pater Atomiee STAGE II- REACTION TO DIAGNOSIS: IMPACT PHASE 1 patient taut napre cone geet Ge Dap tence Ca We Wong Sed 2 brea og sepa sre! by deed eccagng we UigBhnasnveivmey Sete mimattrs s6tcastoag 9 peace gotemterny rs adres geacey “goon stat wee ster, Scan Beas Seed 2 LPN a eaEles moze beatae oss * 2. pen a mip te 2PLANES ON AAS YUN FLY PRINT RBA MD ADA: Pape ES PRESSE Sch est by oa ators HOTIONAL PAE coowrve nave © Bey ataes rmprenen e rome tocrnaetat Se STAGE MAJOR THERAPEUTIC EFFORTS “Bact og | ECTS * exert tt, mom et ao dana weg See + pyran nacre wae mig nnerryaite "enc deaemeat |e nuccy nese plve, } Sana Sinaee me i Ee ‘CRICAL ISSUES CHOOSING THERAPEUTIC PLAN feet eer TEES wae arena rete * Benin JI opt = Canin 8 nt remeete aa Gebeaveiies |* gata SS ae Ra ual me eee, | Se Ses Sas para pamerysenrestat > parent wesc Re eee ERS oe esmacncis Tee as ASS cogs Cap TT ee Babes mio suoneg or ed ' feiove'me cStaan! ci ier eaenaeeeurs ee \ eee eth Leap teaioenea, Saecsdtria teas Ass mem, te Ee on 4 Ftc aston ew tam 2 Gee EE in. eedon (© Mesptatz a nerber-rasrv 0 TS eee aaramaeter in seseonsiamE60F THE PHYSICA PO vet aman atow ren on ie" iste pene ose tne Mp Sara re farhgee erpanes (Suchrospansas ffm peta Sitholta feacton ‘end ogane satptany oohaseee " i Biches leecion ard Suave pipaae cetera STAGE EARLY ADJUSTMENT TO OUTCOMES - RECOVERY * Recast at cde tes cu cto putes SSRIS BES aan hate * Raeernsat is absorp W the pe aon “REE cA pica ger teen » moa ney pn ate an tare (ean oer hae ca ay Seca eae + tyr ge doen 7 edie mcpce 8 ton aetna resronsmurns oF Heb | Seutemrremaatc SERRE CEE UTES each wcentrore oe © eee rere ar es tl ti SSS sarees oper ERRV eR oarsmen onal sche 1+ Casing rechan dele dg mri age tat ast ie Poot a see comrune isha tenedoe sek Bho wae o3 Perret oan a ee a EG RGN Uniics Rite ay oie Raniercneeenernoeme pears stata Shirenber nen prowl eu, ear acca’ REE eons craig ona ba Seats’ Puente NpIbsrg eset Suen ad sx net at + ForTormeal tines: Ths shy epoca posal cevaiatng. Tho fnovut of ays ter cebeaing earn Seats cet ‘tebetcty pare foe tami ete os dent toe ve ‘eta lines ocerenas, Ara acon Suowingdegese be pee InSfaniy artes gia! reasenW Retamiy a funcicnn mene wl ot (dann stsotoyphert parce cra dsunatie tm pat sche, TSeysknetana ton bee soso ee fy ood ed psgamrartaeessmeser Ee nant nd one esaeaaigels uanvenve Za. wy crits EVALUATING FAMILY IN CRISIS PAB ieapretal atc guages gee eycemrmet + EAs cpp. og cee I er snc ier 2 ne aS ig td wn > tr Scans cre, + ag nmin for Pe teat 18 SLURS persian y paar any, THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC, TOOLS IN FAMILY ASSESSMENT FAMILY HEALTH & GUIDANCE CENTER 2336 MARCONI STREET, MAKATI CITY ZIP CODE 1234 TEL suns ‘TEL/FAX NO, 5145436 a {TOOLS FOR FAMILY ASSESSMENT ‘ALEJANDRO V, PINEDA, JR Eaten agains gutted dae restores Socal Cay Oh eae ata Whoo sear tet Re brighton direntaememmen iss SSE reais eaten Garr au See eae |e ae teaao oa aac oeee ne (Overview of Family Systoms Medicine atone ee cuneate cre td senescence net Foc ra a erates, any sla ieee Vash peg sera ce nee Seven aga ees firuy year srptoach ve commen cneal stan can facie a Me ae CE ote esters Mumboerenme eis ‘Wc andturcten of Pe orn INCORPORATING A FAMILY SYSTEHS APPROAGH INTO CLINICAL PaREHICE ‘STEP ONE: RECOGNIZE FAMILY STRUCTURE ELST Lar aah eters es Sa eee eee 1 aot way ena eho whe oy ches i Siberian peor pede & “mi and hay porceaeels oS “The Famy Genogram. “hua 2. gaptoropeosortaten ofthe eloung comgcrenis ota Fay Tee ts doscrition 1. mit const of 2a moe generate and oath grec ie conten by 2 Reif neh geri trea 80 Ww ge losin 4 The ay ramos loved abors onc eit faye. 4 Gira taoa ti apse ace son sense, 3 Gi nents of fry oe ron eres boca for Giessen conus ders so at ss ma fe ate Fat guee's mee cyamis mage of ofan, pec serge, Pues cs ne nti abe Sey wets er ce BRen delegates eek tengo na teeho, Sita rte ote ese ofan tence cates pe tec ‘Step Two: Unetstendng Normal Family Function ” 1. 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Ye nal tw eaten avs penn saves here ‘STEP TWEE: LEAR To ASSESS FAMILY STRUCTURE AND FUNCTION ecg me tant aa unt tas tear the sandr weed pacen te ‘ied Iratsus raven doth c's Panty urea” Hover, plowsee Puc ‘SAGs oes nen ese leat et geek nea feeeranerg sarin mie SS ee epee cere TParnber Gur the doce ret Guar he tary pryseoan fo Use tush ool eon, Ketihiy atten HRs SO EE a eee fart fealtynd Capen Guan Sale) Sennen DRAFT [raw Fant ex) ‘ Teeoas ares lent eachnansa eta 4 deamon odesletere sa est het, f seiagemar Sib Momohen coon he ean” rT GREED 9 ey eee lt i ame et fy boxe fori) Senowtam 10-15 rans or needed retina irpacieal rane cn PEEL roto tae se sre OS Conn nce TProwe hs desta th fanty asses acvigue ET a Fay erie ae cal el twehade Stay tar sand gOS pepe oe at rete Divi ana sa ee cr Space fae sna sn ef ac Clee sof teehee mrunreueeia, cheno Efurarie rier Wn eere roan inyour tobe yay cide pulinem in. intal acer wontecron ene ad oe eee i ieee Oe eee es et eat ‘DRAW A CRRCLE TEST: alti 7 rare ea + aan mao Da 7 aE Eiesrory sacred mace ee vans soon, aE ISS exes tr ty eager tara 6 ; Sey eee a oer cee 1, rank Seek esi yo iy ee At i rt rtd inn FytnalatlOrerne nei tetagese 8 Ee 2 aN teas snr msc + acne im ey as in een Weneeryarone? ——_Hoveatag? 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(ondbe paras cing sawn 0 era ar ‘pedis ear fain a ecvtanean orga ann edad ga ange 9 be i ay aaa oe oe het ay cela | Sinaloa Sinan terest Pan anon PANGALAN | RELASYON | RASARAN | WABUTT | — HDI "| TRB ; | Sager | 2 - Soytetieemeenirgs Mewneertaet aaa ae -ANGBEAN | RECASYON | RAGARAR [WET] AGT] FR FACES (Fariy Adana ondGoheslon Evaluation Sele) “Te tape ot tie senanert ti the Cats curt mel of Fay FES Fenty Envronment Scale) corsair a genes rsa onan Te Sang te a afeech Wa congas Fats ccltatnyrcrat. ‘CUNEAL stooRAPHIES AND UFE CHART SRELSES ms. 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Songs fi stew nee pean ana ihe al otae Tre DRAFT dos ntrowsve Weasue a pts nares oi ht toa na etre ne amy morse tem conturnon fre loter noe ane Slog. fe Seance of sacason aly of nes ae seit Ces Ihe Snusens ot sare pane wo stepotsrt he avalanar Se ireten Iceni negotiate ae eat ener he ea INsstenng seven fs amare PAMELY ASSESOMENT MODEL {Sn Jae Sate Univers 9024] peotayamcrnn cer rn bet ae 8, SOON. METONY ast ct asin fea entrant 5, COUMLITY 8 REIGIEORNGOD - whet © te sere wee ot seb Naracts non noe clot ot song eal See Sandra goy vi srendeds cba nabearord bees " nowauteeguoae SAMO alecedinba ean fen sua sndct omens aes Bence sergcomte, Pee ania dusts. meses 5 Mevpchnn Ws poacasee the power and gr whl ra? ee "SF elite regercng health are less: rors, wives les, and Gutta cremains ‘A Family Asmesreet Toot Seohoed by alecer Wrath, © Peyovae er haape nt por eas ts cntmuresto of oven ‘houlalomi ystert lence 2 na oy can encores A dota tna catcen to piale estes =. Ancol |____Ashalotnawtnateck nite wo nce chet, eznen wa purple donses an ovens vive tployet Peto, 1. Asoitn perendcuerts te rtaborin ne ymociae ange Sita afar tnendes se dea tt eos |Abotontne papers ih lsornip tw yectone 3 day has clereutneptte H Adee inn parent ter he Bones» ‘anda alias oun Aras compara sara pope rons me presen (1 Gaiden mane eveenrese peop << _ Aeron pansng any ome ston stat escepn fa ssn 4 An cgen ened row win ts open endertnong vo nde EAR Sie ta peraeg’ ic nea syntoe be bd re bang argue ty ae Dawe hee wo THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC. FAMILY WELLNESS PROGRAM FAMILY HEALTH & GUIDANCE 2336 MARCONI STREET, MAKATI CITY ZIP CODE 1234 TRL. 42135 TELJFAX NO, 8449436 ‘rye Leopnah O nn yun et te peor Asay of aqly Pscans, es te enon oops oot ny en Rory sie Freee teisin tor eveved en e268 Fan wear Dope 3 ‘iat roy runny Meat Cte yin by UNE, Fee ae 8 eS cei ant erent ran ns, men» In 124, te end meth Ogatekn emotes Be ostrTe ol rots hay Meee eat ssn nin 14 fe Depress OOH) hae ceo te en sn coat nee" sere stce on Prenr Nepesy. Pree sg fe nnn ac we ct ee acieted pao e malian Fay estore Prope onde Commit ‘sonrsg oan est gual as aripotart acinomae fe cite any ela Yes Sceees re ery are ees ‘nwo asap decane ee? Carano the Fry Gade seftrecs er creatad Tic tsa adem rg ani craton = oe (SiaiFtomoe,Hisevr na en aot nae watel ha rigmos wnoneace ‘ese areas wa fmm weak ee gs ore Suen, ney ay arian among Fs 1h yc gt yor ear nem (hos epee poe nary cos 4 Toten sane seh teenie Ree ecty ‘memrctoneo ipa antes one ber had sed 1. 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Pansies cose ates 1 Sapp abess acto, fami urengie are esouten Pg Sas od secrete aus ar saatuegariceng Fam enn Cae pena BEEN? Cot tr cata tnd nto oe are oteerercoreet aod ar ain ey whe maura cee tea sewer eran sanah 2 the ha fet acre heath sear thd wah Pence Casa Rangoia Paha Pog Te tee tnt wr nny mia cep ncn ante, sysname ir wn one eany adah e. ‘carina or Cutten Pegi Potton Pega ‘Shes queen ine ope tne ntatand acon naceean tt Pee im i a ype St es wanna ae ah an a cere mpont rte ir ww gen cheren re commana yew pres. 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A ce senda mo ate patcp tea ne TB Cnt gr, mt omy ane ical as yea sora do ret is haat at man nod apparent oy bo ave may Sout erence: oan ewe mag ora oe Depamnet of Fay 8 Conrmty Moser inuyasha "Tw Ace Me'Gttsn's Syanata atures Coe ars Meg ain Paging ‘Sinuan tours artarrn The fate coy renee Phen ce -ak Sintra fonts Semi ernest hi al ones te poet er a th at oy sca Boar nay tor ene Sarre hae "deeknnrtioncn meal aan cae pera Sezer pogo vis amc ny mes te coseutaoN rn cs rao arty rca neon Riteachewaerae te Fava feharsPogee Ther tr roaster osc bites be ate Fon 1 etn ot he andi department, apn, pyesane 2 pce pee ae caret eerie amantta agents he pepo eee stoop race nage ep ese ary site an ego abana ey nrty ea an pA ‘hn tin te anor ReeceesaPsen THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC. FAMILY MEDICINE: STATE OF THE ART FAMILY HEALTH & GUIDANCE CENTER 2336 MARCONI STREET, MAKATI CITY ZIP CODE 1734 TEL. 8442135, ‘TELIFAX NO, 8443436 "om MEDI: SATE OF Te ART vege tas an can cnn sb begring at eae Semis sore npg ceo os Wher moon ue ne 10 coke, ew ws toa Parts ma an fen Ly Sas nf wet ine weno ‘en posse eta cnmuny end cer ens os woes Soon pytoor mite upp thee Phen Stes and pee SSeppyanird tne. Ths mabe ne nucle peda ian teen tm sranee ena Oy angen Bt Shipper iy Saas ste ance panes (FAMLY MEDICINE, STATE OF THE ART Pcp Covsnng ens Fay Radios Pt ag Me ery, Pr Fan Nein a tne psc guapins epanenes foro Ue pete ba pan ean ‘Soran secre ‘sepa ee ake a pce ara ote rare Eonar ebyscera Turse staoee 1 Te tady pyc contin th pean ber wpa ayo owtig gue oaseene ses Se Fbetanans tay: © Besa ate Sepa fan os rer 4 Relay hyena afr pact Meenbet Paoc rcs ote applet, + meta gnc nm scree deny ne ey pyuns aie ear soe htt oe arate. THe vietutb hm risa altempeens “he ttomyptcin se nes ame cr. nero, re hon + Te fans psd eu ngeance he abject age of mains, "Syste ine coum tests enferecon “ne le pan a manage ena tenay le mene ote enon acon icra vas n Fenty meine ‘sm sth tac of ty ten be ay een Mer whet ty sits nonaar's te rps bs nagar cotton Muara rensne Rheem rent septic Fl Wisy Feb, Cis of Seat Gea fe Wert Oneznon of ant Eton petri vane Yes uc neat. ‘Tecra paint ae ct doer qatar etna. ‘eee ene cewtes sn ce + Aiptek yo ri rig be rl tte (Sry stecaiptoal cal sevome crtaty aha vrei fone esa se eatin ne nt 4 he er Conrail andy Wedne ny 500 ty Sse wae cet Me poate Se vw be etl fr sn hel pen Prada ere Denil ears gre Oe ‘tc lamin ary Sorisan ss nese soar sigess an i Te auton ond rpty of are ads to ster een bloat ype we he petulant Senate sora aren ae et SRE coc npn try tty pee neat he ‘Sowmapr spout sone ar pen 2 conan opth ty e epi rn etn a Se Se _shysiian change perenechver bo n909080. ry ef pts py neato vb, pean sce lt eens eri pons, veal wobec eto ‘Siueteratecnr rer Sets ay corte 4 te mine comming ad pata ston 1 suing amty deco in erty ef Parfit: ate, gute, somata "pacebwapr sere. nid) foyberon “pscoe ‘astern ocaetera ewer 4 repre orator {tetas pang ursenemarans nome + A.besey ee ectog matte ata ae ae sane Sa sepeyenn resin ‘+ Afeoy ote et mea rei cant ppp pe, ‘ohare sae etc ‘+ Aveamy sete hg arya aa moaning tana we ment Sts nary osteo: Taha estes pies arc aves any acer, Pe Fa ‘ott nscs son ore hse oan 1+ Sammncaion an cnt sa sou ware pees ‘a orte'a canary poten oatnen hoe * She Vereen hh neo dca atop eae hla perme carat rence kere seem ‘Source fotoeairinptenl stows ins ste Pes + cee merge le sree nr sore tm Sopeartsoaes ih cantunt ar he aioe san th ent a heats as eri tenor setae beceterane Scns eco ee nro rte care gen smcane ese, seozot nin een seen apetae, eime aSae Sepaeey artc "Tac me miata ence ere la cf pega by a mate pt. ‘Miata tar s tuo! Toe ns wong ane mata if tr ry beet gsc ns ong Cui etree andy rc shat Inn ghey or ric ‘Pinot pun Ts ha obo soom'o ecaasVoert 6 weeh ‘The aunty sancti 2 Pt cond opr ‘osu pal ott kre cam ot encng Conan ss te eae SU aecrguee amg ue ae pee mma en, a of te 96 ye na pn rw an 4. Clo eanptnt ce ‘Te.ate shane oeund ong ra condon ane ce taal th Sa wt ip at gens ogee Tinea mri nb ane wot va many Sane et tal opener con gs ap nce ara ru EEE a et San te tan een Te ptt ew docs te Tas brewed ane ny Tesi Seton of autem Sb ne na a oy Pate In Bulges ane oar cine, dade eeprnghipng Tei wihtcenhon ones onegiatectomet tage oe este rato tnreed an much 29 tal pats pubs ‘Seinegasie mst pearwesngte any ayn cmon tsoane Shute Sto mest torso tec leh etsy hog (prs cpane org tae peo, ge cuca a 1 Coot sche cae seen grote em exe rag ne rena uta ‘he fm ting etre gags aaa bla pn ed 1 enspny eran mat marr: Fal piss ge nts care fo ma part Ines 12 areal anene hyseren ee ang etna at ‘Shertrs ne tae soe sa iether tok agen suatecu ve se eang” Pvanve eee 94 SARS Gatae incon Semi me Saieuen borer rer ‘Femrem aneremponeane ne Suan eat it es ER sere ce ee men Sauna eneraninenocee te See ees ee “hefty pienso od retary 2 oe yl matatent le oy ‘Wercea iced cco uptaoets sry, wan proces Rye oes SE Rance oe {arco tin gn of yee i nD hee irr eSRe ee es ‘recoea, who hes gotel cure of hw psian, Ow tari 0 Comey Senin io! a Fey Pans 16, aang ty wenn 9 “era Cuma ot Famuy Moene ut tn Sl Fas a Rae ety son Erk nan end shpnps Ths ws taerasd be nem By fnsane In te cei of rua pater He ay ane exo e, Veteeg ets toatl tetmcrroce be ani ending erg te ec rnoadg nee tein sng. tanhytuia We crs ict pion sles 8 ee (Soper fi acatnaingpooss selene eae als cs ech ennan fee teewonsedueacacn repent bs pends fniy scarry to ctordhaes cae eae sxe cn sewomaitigncaebren ne spe ar teay Magan venient pooie ee aes ere Nomat sxe pce rise inten te ‘ibmnencnin tad by pect heh a ora roprehy pee fete fey grten era of Os aroused hak, ite be marty. te nats abe easter andre rena cna * Sretnereantheaaetsts.¢ teel sient oes Eorpeerce, mut alg, rece os canivence eae 2. Eieeeresaeo von then br gener Nea autores, rss a fete wh cesar ‘Sy eatomen mrtg sel oces wom Leaning erence rg ao soe bey cance aniy mad andthe (rane pnt tty he eae ge ele aio ny ern haa, Wonder re wie rico pyscars tentang a nacgdna Sctgsecns rang masher ede erence ma Ds the MONCA vn Oxfnay i Feretre 1955 Dr Retr: ke Seren eto orc Fs re ge wh Pasevcertees communal ia tent iers erstp rn manedsin perenne aneten care {Goan eu'niemhbrn eget mgt ath Sayfa guts novi win ene vst ion aaa + Usbconetesandoberconmuneten mwas ‘Selvnnatlatty ppsaoninpacrormim nonce nt nate ‘art ae ipo tena. —hs pa rte Set ey ae ft emery ne 1 Rabgntr of Pay oe Coward ata of mae oan of esc cma of te ie estar Foy Pyare ee ow toe Gree gina ehlerge: Wht snes bo sey ‘Stuer ante evseped ws per os ang Nepean ‘cto hain ng iee ames" ne HENAN frags antcr ra orgs ob otal tm fue peers, Ep toaoe wf wanrg cca he Soing seve took mei est pada REFERENCES, TEXTBOOKS Essen of Fart Wedine / FD. Sana WD, Una M.Sat Es ae Ih Slo, MO) Wiis 4 Wine Dainw Hogan Loon Ser Funly Modine: Presto Ad Pract, Fouts Eton {Ratr 8. Tapa MO, SSty” Seine este, aR Daud Uo Thonae A chron MO, OMeleee Fos and ons Shares WO. MP Sng oey ote Now Yo ary Meat trees And Frac, Tle Kaen / Reber Bayer MD, ‘St ecosaa ators kre -Oucrenar MO, EP Sonate VO, Than A ‘Eeracn 3 MD a ph €, Scherr MD: Spge-varey New Yor Bal alae arcon rate Tago, a8 ara Teraoy ond Fam Meine: tencr the Pay Care Gon, WO UBS, fart el CUPS are rca, MO WEBS Mat M FRAG Ps Pibisting Sgscrs Horgkeng New Dob ists Textcok of Fenty Practice, 4" Eaton | Riker E Reel MO. WD. Sands lepers Lensan aaa rod syne Tox 0 ‘Hom I Daney and Macaron A Bars, Te Gute Pest New Yom 3 Linton PROCEEDINGS: staung etc! Practice and Eaton More Ravan te Paopis Naw: The Cowtbuton ot the Famay oct. & ibhing Paper of te. Ws Henly Segunceton and te Mae Grgonszton et Fam boca Fam the Jot RO Motos Conran nontr, Cxeetovonbere, 184 ting Macca Pratien and Educaon Mere leva o Pepi’ Neat: Tne ‘Soran ot te Forty Doctor £1953 Propane rj ons 85, Woke Faxtthaiprifiant ys te Me Oananton of Panty Deere eng Part burrs. ‘The PAFP Orenstin Cours i Fanly Uedclne Proceedage | Zrardo & TeE.rdo io. cvor Redan VD, alta. Semaregy MO. UP Agere {natn es oa tone Fst tigen, MD, Fer eth ard Gunes Serertat Phigeres Te PAFP Stati Parnng Yosh: et Bachar Papers | ‘aso ty yeh Pitan Ine Oache 266,105 eye Soreg, Lo aros Tees Pnieeree JOURNALS: Lis cermon cearag, MO ar aan Pa 2 MD. Fay APA: Vatdston Areva Pci Fame, Emergency Room, Quai! Depart, ‘Site Tomar Unvertay Howl Janomy to Agel 38. The Feano Far hrstan he Septonbo 1508 lame St ube 500 Refos Cre. MD and Alen V. Peay, 3, MD Ornetfamly Tet (ORAF-T) Commanty-Daned Fomly Aseeosmont Teal The Fina Fam eearsiyceporser, oe), vaune 37 Runa 3 80 “ama betterco MO, Eafeng te Doct ater Relinshp by Irena Paina Perspective. Aoi tama egcin, TEAV@-Ag, 7 Maren 302 ‘eronR Ha HO, So. Finer MO ard xan H. Stn ME me Doct. amiy tetas A Compensatory Ales. Pras cf bral Weng, ‘reer fm OB 8 ‘Noerd V, Pad, MD, Fant Maine Amie und Concats a Fino Pir ti pet To Fon Pen hur Sere, Goran ret mo The Fy Doster 8 WONCA wit get fam Gl Grup Feveueh ined, 185 Dvd H, Them #9 PRD and Brice Canal PO. Patane-mysian Tot An {Spicy Sudy Th rel ot Fey Prcion, Vans 4 ube 2 Foe Scr ogee 1096, PAFP GROWTH ‘THE PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC. Gtom of Fanty Medicine in te Prtepines: 1861 Phalppine Academy of Genera Practtionars was orton e™Y a br. Ramen Argols, Founcng President wrote Is coneniiment + ee pre ete career age EP etules dae : ae SSS ENS 7 ee Cage ey poe Wr ihatsele srg tecars the oper honding a seo gin angi 0 oe eat SY Seon Pt im page ra tet ARIE IARDE ET NG tem ot Se el ee TPN 2 PS A Barun rea + Pegi ageimmae BH ene aay ore vouch " gegieseh sent ot tee arenroa arose + SHEE sere rece Tan seo seleanfia engng neese.) SMO FW «Sepang acoebte ard televat fringed advccabon program 197 Feat ve, vase residency sraing progrem was Seibnidhe ote ene wane proar 1076 rg Speciaty Board quatying examinaton was bo e aoe fait of Heat (0019 recognvon 1983 Research Contest start 2 1960 ‘987 Fesagnen ofr frmapaine Sota iy Dy APE (Assocltion of Phlippine Nediea Colages) * EEE Tae : federline eae fe EE eet = ee 2 speclaty by Srmemiiinig nacre aca PHILIPPINE ACADEMY OF FAMILY PHYSICIANS. OFFICERS 2002-2003 President Winnie P.Slao, MD. Vice-President Reynalio A Olsz0, MD. Exeoutve Secretary ‘Alejandro V.Pineds, J, MLD. Treasurer Imelda Maret F, Goren, MO. National Directors Ruben 0. Go, MO. Ricardo §. Guarzon, M.D. Nona C. (o0-tan, 10. Roberto L. Rule, MD. Jose T- Sanchez, MEL Regional Directors Mania Anton'a 0. Yamamoto, V.D. Inocontos A Lauvone, Je. MD. {Luzon} (Wesayas) Ruben 0. Go, #0. (Mindanao) (Cynthia Lezaro-Hipol, MD, inmediate Past President ‘Sub-Committee on Orientation Coureo In Family Medicine herman ‘Aejandro V. Pineda, Jt, MD. Cothaiman Eva Irene YurMaglonzo, MD Soraya P. Abubakar, M.D, Raul S. Acantara, MO. EVAR. Belaimno, MO. Romuaie C. Gabalona, MD. nvie A Francisco, D. PAFP CHAPTERS (20022003) ‘Agusan delNore 18.Coiatatocty 35. Clbngapo Cey 1. 2 Agusan del Sur 19.0a20cty 35, Onental nendoro 3 Allon 20.Davao del Nore 37. Ozamis Cty 44 Albey-Sorsogon 24.Gen. Santos Gly 9. Pagan Cy 5 Angeles Ciy 22 locos Norte 38, Peewan 8 anique 23 cos Sur 40. Pampanga 7. Bago Bonguet 24 ioio 41. Pansasinan & easton 25)szbela 42. Qusz0n 8. Gotaen 28.Lemuna 45. Rows Giy & Capiz 10 Eotangas ZT-Leneo delNorte 44, Sea Pablo City ‘1. Bohal 2B.Lereodel Sur 45. Suan Kudarat 12,Bukron, 28.L2 Uricn 46, Sudgao del Norte 19, Bulsean 30.Misamis Oren! 47. Tacban City 14. Cagayan SI.Negios Cccidantal 48, Tatas v6.Camaines Sor 32.Nogres Onontal 49. Zambales 16.Cavie Sa.Nueva Eeha 50, Zamboanga Ciy 17. ebu 34. Nueva Vizcaya‘ 51, Zamboange del Norte ‘Accredited Farlly Madicine Residency Program (Saisie || Sine orentcs eahandeae rar Coane aoe Siena Soesomesieaeymadd rerreaainesemmset ree eee epamreciemnns scans soceccae | nena foaors mime roman ae oar Serena a is aes ‘Tel Nos, SO4SDES: 524-60.61 13. Dept ol arty & Communi WedkFre: veeteaicca nie apamemicmene te ica ieee ae recat ags,. Tete sniaiea io inate orate oman me, Seria, get as Ta Ne guaeh meee “eet eo ero eal cor {DeletfeniyNedcre8Corrunyheath fe Saen tse Cay eee ieee Sen cme Meme guerre . cmnevanl a“ James L Gordon Mamortal taaemenes eerie, oxaie sheen oni, cena as ses cera B-oupsties ny Mose nea Tg een sonrereniene Se enn arisen chee Sane snvenues FB ousenm toast FecteMeiyT Someci Seueiuee ene mee ri aay cong Tas 71-045 7.001. 18 op Fant ana ine eet ota Seo. 224 be 45:56 Mcasarazceos bop Fem nocers ‘ean te. “ear Dae Se, Sms 8 Mail Sa Wen aboot 12) 2.09 et Famydorrne store Ls Se Unesiy alga Nena Dame Case Tet (dA 4D CE 2.DatalFanh ere aren covaun era nah LapoLacly cu Ts Seer wOsTA 1 Del fant Netire Neti dagats| er Raster Cly oars Soe A ys, 0 (a) 80 canner 2 DepalFanh Nive Noel ohtet e essay La Spas area Mano TT 1 Cet Fay ee Vase isn Mea Cour he Vr ‘casey ‘We 0- eo], Rae Fact "ent Fy ese evens toe etc EposnakernicW2Osee ot) ML A 56,275.08 Fox anya ep Fay of Cerny Wade Salwesen sien dol Cer (Foret Sceleto, ligt een ctu y B.DtfFantesere es acne Sieh Sees Cpeanectbe Pres oo). chr es Ca See, Dasani Trae B12 Dotnet ctFant econo sn Setar ‘pod Det Fe tone anbonga Cts Sere emt Zanes SDL aFemi ce ay Chat a Ditapae iy 2 egos ra Tai 5205 FACS R.Dostretel Fant Megane in Un se cara Drage {0 ays Chet Teba R-DIH 750673 B.DoatnetaFanh vesene earn Ucn Cue 0K) Caer moe St gtateany uasene ‘Dr Fedallun ae ee Farainn ‘Bee Ss, Que ty nares 55. Owpatnt Fam Vetana anata une aya Tora, He, {8 Deptt Foy Vane ence oda Der ene oe Depts any ek ees Reealtoel ‘an. Duane 8 eputren Fay sine Cet Cos Veter oral gs Sit ioneged ae ane Niqrendsict Capea C1y209 {8 Dane Fat eke Sta ten See ets eaamecy

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