PAFP FOUNDATION COURSES

Instructional Design

Program Outcomes:

1. Demonstrate clinical competence 6. Engage in continuing personal and

2. Communicate effectively
3. Lead & manage health care systems
4. Produce relevant research in family medicine
5. Collaborate within interprofessional team
professional development
7. Adhere to ethical, professional and legal
standards
8. Practice nationalism & global cooperation
9. Practice the principles of social accountability

Foundation Courses with Required Content LEARNING Evaluation PROGRAM

Competencies ACTIVITIES OUTCOME

Residency programs given the

freedom to decide what learning
activities and evaluation tools they will
use based on their available resources.
A. FAMILY MEDICINE PRINCIPLES AND 1,2,5
FAMILY PRACTICE Family Health Care
1) Analyse both biomedical as well as Family medicine as program FHCP
psychosocial needs of the family as specialty 5 families per performance
it goes through the various resident per year rating scale
 transitions of its family life cycle Family systems
2) Analyse family systems and its Written exam
psychodynamics utilizing Family life cycle
appropriate tools of family Family case
medicine Tools of family presentations
3) Identify the various factors that medicine Rating scale
influence family systems utilizing
such knowledge in assisting the Family illness and OSCE
family as it deals with different the Impact of
stages of illness illness on the
4) Prepare and maintain a family family
health record
5) Conduct family meetings for Levels of Family
various reasons from disclosure to Care
education to provision of primary
counseling The family health
6) Promote the wellness of the family record

B. PRIMARY AND SECONDARY CARE [ USE OF 1,2,5

THE BIOPSYCHOSOCIAL APPROACH] Clinical rotations
1) Deal effectively with the Biopsychosocial Clinic/ Rotation
undifferentiated patient and approach to care performance
recognize the various modes of Levels of care rating scale
presentation of an illness Ambulatory care
2) Demonstrate adequate knowledge In patient care Written exams
of diseases of various age groups Care of children
encompassing its epidemiology, Care of adults Clinical case
etiology, pathophysiology and Care for women presentation
symptomatology and reproductive rating scale
3) Manage common medical health
problems of children, adults and Care for the elderly Clinic census
the elderly in various settings : out and tally sheet
patient clinic, in patient wards, Differential
home diagnosis OSCE
 4) Recognize the various factors – Use of lab exams
psychological, socio-cultural, Pharmacologic
economic, political and management
environmental - that impact on the Non pharmacologic
illness of patients management
5) Provide continuing, comprehensive
and personalized care to patients
with chronic conditions
6) Coordinate the care of patients
with other specialists or agencies to
achieve optimum health of the
patient

C. ACUTE CARE 1,2

1) Manage common medical Urgent vs ER rotations ER /Clinic
emergencies of children, adults emergent performance
and the elderly Triaging rating scale
2) Triage patients requiring urgent Management of Written exam
and/or emergent care emergencies : Case reports
pediatric, medical,
surgical, obstetrical
, toxicological
ECG
D. PREVENTIVE CARE AND WELLNESS 1,2,3,5,9
[ CHILDREN, ADULTS, ELDERLY, FAMILY, OPD rotations and
COMMUNITY] preventive
1) Recognize and anticipate the Concept of programs Written exam
specific needs of each population Prevention and OSCE
group - children, women, men, wellness
elderly - to prevent occurrence of Periodic health
disease or its complications Periodic health exam report
2) Cognizant of any existing risk exam : Assessment Family wellness
factors , prepare suitable periodic of lifestyle and reports
health exam package for a patient behavior change Health
 inclusive of lifestyle check, needed promotion
screening tests, immunization and Screening exams – report
chemoprevention must be evidence
3) Promote healthy lifestyle and based
health promoting behaviors to Vaccinations,
patients, families and population Chemoprevention-
groups supplements
4) Prepare a wellness plan for a family
that is appropriate to their lifecycle Family life cycle
stage and existing medical stage
problems Family wellness
5) Prepare a health promotion activity plan
for a given population group
Health promotion
for population
health

E. COMMUNICATION AND RELATIONAL 2

SKILLS Active listening Demo return demo Video/
1) Demonstrate adequacy of skills Counseling in the Audiotape
communication skills in the clinics counseling
following medical situations: Psycho-educational processing
a. Getting the clinical history models of
b. exploration of health counseling Rating scale for
beliefs individual patients counseling
c. disclosure of diagnosis e.g., CEA (Dionisio)
d. clinical decision making etc
e. patient education
f. lifestyle counseling or Motivation
behavior change counseling
g. bereavement
2) Communicate effectively to Grief counseling
patients and their families in
 various stages of illness from onset Disclosure of bad
to its termination news
3) Adopt the correct non-verbal
communication stance in different Dealing with the :
situations : emergencies, angry, anxious,
bereavement, cultural and gender depressed patient
differences, etc
4) Develop the following core values : Dealing with
social responsibility, compassion, colleagues from
genuineness, and integrity different
5) Maintain harmonious relationships specialties or from
with patients and their families as those with
well as with colleagues in the different opinions
profession
6) Present clinical cases or Dealing with
researches to colleagues in small various
group discussions as well as in stakeholders in the
medical conferences community setting
7) Train community health workers to
achieve competencies that will
enable them to function more
capably in their respective
communities

F. COMMUNITY ORIENTED PRIMARY CARE 3,5,8,9

1) Recognize a community as a Community Geographic / Health
“population at risk” Oriented Primary adopted community promotion /
2) Critically analyze the health Care COPC project
situation of a community Care for a
3) Analyze how health systems work Primary Health population group Oral
and the workings of its Care within the base presentation of
components: hospital or outside community
a. Delivery of health services Health systems project
b. Management of health
 information DOH and its Evaluation of
c. Health financing programs residents by
d. Formulation of health community /
policies population
4) Apply the recognized steps of COPC served
to a population group
a. Identification of the Written exam
population group as
community
b. Description of the
community
c. Identification and
prioritization of a health
problem/ health concern
of the community
d. Assessment of the
prioritized health
problem
e. Facilitate intervention to
manage the problem
f. Monitor the impact of the
intervention
5) Utilize participatory strategies in
the conduct of health promotion
activities for the community
6) Promote the education of the
general public on health matters
7) Advocate for mounting efficiency
of the health system resulting in
improvements of health indicators

G. EVIDENCE BASED MEDICINE 1,4,6,9

1) Define Evidence-Based Medicine Evidence Based EBM training series EBM report
and Describe the EBM Process Medicine
 2) Appropriately translate a clinical Searching the EBM sessions Written exam
dilemma into a researchable/ Medical literature/
focused medical question Medical databases Inclusion of EBM in OSCE
3) Search the medical literature for clinical case
the suitable medical information presentations
that will answer the clinical Critical appraisal of
dilemma scientific papers on
4) Critically appraise the evidence of - Therapy
medical research on therapy, - Diagnosis
diagnosis, harm, and prognosis, - Prognosis
clinical practice guidelines and - CPGs
meta-analysis - Meta-analysis
5) Determine criteria for use of any
test to screen for or diagnose a
clinical problem Clinical pathways
6) Appropriately apply obtained
medical evidence to patient care
7) Promote the use of updated and
cost effective medical evidence

H. QUALITY ASSURANCE 1,4,6,9

1) Learn the standards on family CPG appraisal QA Cycle lectures / QA report
practice set by PAFP discussions/
2) Apply the Concepts, Principles and QA cycles workshops
steps of the QA Cycle given a family
practice setting QA project

I. RESEARCH 4,5,6,7
1) Constantly update one’s medical Rationale for Research lecture Written and
knowledge research series oral
2) Demonstrate adequate knowledge presentation of
and skills in research protocol Research question Research protocol the research
development which includes writing workshops
among others: FINER/FINEST
 a. Formulation of the research criteria Supervised research
question
b. Formulation of research IMRAD framework Oral research
objectives presentation
c. Use of different research Research
methodology methodology:
d. Collection and analysis of research design,
data sampling, data
e. Application of research collection and
statistics encoding ,
f. Graphical presentation of statistical analysis
data
g. Correct reference citations Peer review
3) Contribute to the growth of process and
medical knowledge and the publishing scientific
advancement of health care by papers
conducting and publishing
relevant researches

J. INFORMATION TECHNOLOGY 1,6,7

1) Utilize modern technological World wide web Use of computers
advancements that will enhance Medical literature and appropriate
patient care sites apps in the net
2) Appropriately search the internet
to increase knowledge and
facilitate learning

K. MEDICAL ETHICS AND PROFESSIONALISM 1,2,7,9

1) Demonstrate ethical behavior in Principles of ethics Ethics/ legal matter 360 ‘
the management of patients and discussions Performance
their families Ethics in general evaluation of
2) Recognize one’s rights as a practice Discussion about professionalis
physician professionalism/ m,
 3) Document accurately medical Ethics in research mentoring
information on legal documents Professionalism Advocacy
such as medical charts, patient Role modeling by reports
records and certificates Standards of faculty
4) Be consistently mindful of one’s Clinical Practice
own professional conduct Written exam
5) Act appropriately when aware of
unethical conduct by a colleague OSCE
6) Coordinate with an ethics
committee in the conduct of
medical research
7) Be guided by the PMA Code of
ethics in the practice of one’s
profession

L. HEALTH LEGISLATION, ISSUES AND 3,7,8,9

ADVOCACIES
1) Identify important legislation that Health policies and Inclusion in case Written exam
impact on health and the family legislation/ Family discussions relevant Advocacy
2) Become familiar with the various code health legislation, report
policies of DOH especially those policies or potential
that relate to primary / family Current health advocacy projects
care issues and
advocacies

DOH programs and

policies
M. PRACTICE MANAGEMENT AND HEALTH 1,2,5,6,7,9
ADMINISTRATION Preceptorial with a
1) Identify the protocols and Management Family Medicine Career plans
requirements in the establishment principles specialist prior to
of a family practice graduation
2) Manage time for personal activities Family practice in Quality assurance
 as well as organizational ones the Philippines workshops and
3) Work with a health team in the discussions
promotion of health of the family Program/project
practice patients management
4) Work towards the achievement of
goals whether they are those of a Interdisciplinary
project or of an organization management

N. OCCUPATIONAL SAFETY AND HEALTH Four categories of 1,2,7

1) Recognize and control the most work related Lecture series Written exam
basic work related hazards hazards : biological,
2) Recommend and perform chemical, physical
workplace examinations and ergonomics
3) Recognize the work related
hazards of the informal sector ie, Comprehensive
vendors, tricycle drivers, self- occupational
employed businessmen history
4) Understand the legal basis for
occupational safety and health Workplace
5) Provide a comprehensive examinations
management of work related
medical problems 28 OSH standards
Compensation
packages

Employment
Certificates and
sick leaves
O. HOSPICE AND PALLIATIVE MEDICINE Concept of Hospice Hospice rotation 1,2,5,7,9
1) Discuss the concept of hospice / and palliative care
end of life care and palliative Case discussions of
medicine Advanced terminally ill cases
2) Communicate effectively with Directives
compassion to patients and families
 in the following situations: Total Pain
a. Delivery of bad news
b.Getting advanced directives FICA Spiritual
c. Grieving History Tool
3) Assess the health care needs of the
terminally ill patient and their Symptom control
family inclusive of total pain and its in palliative
psychosocial determinants medicine
4) Prepare a plan of care with the
family taking into account the Kubler Ross Stages
patient and families’ values and of Grieving
goals
5) Provide the appropriate The Good death
intervention to address total pain
which includes physical, The palliative care
psychosocial and spiritual team
components.
6) Alleviate the symptoms and Ethical issues in
discomforts that accompany the hospice and
illness of the patient requiring palliative care
palliative care using scientific, cost
effective , evidence based
treatment modalities
7) Empathetically manage the
psychosocial issues and family
dynamics of the hospice patients
and their families from onset of
care until after death
8) Address ethical and legal concerns
that may be present in the medical
situation
9) Work harmoniously with the
palliative care team and with
respect for each other’s role in the
 provision of care

MESSAGE TO RESIDENCY TRAINING OFFICERS:

1. All the competencies stated herein are “MUST”. You may add to the competencies , content or even courses if you think your
program can expand or grow some more. This is the core curriculum of the PAFP for ALL its residency training programs - whether
traditional or practice based. This is what should be written on your Residency Training Manual

2. Design appropriate learning activities and evaluation tools that you think are suited to the conditions present in your program. Some
evaluation tools have been developed for some activities and they have been written here as suggestions. You may get copies from
the secretariat of the residency committee. CONTENT spells out what needs to be learned and maybe categorized – if you so desire –
into knowledge , attitude and skills. EVALUATION must describe how the competency will be evaluated.

3. The competencies are presented as “VERBS” and therefore are actions that maybe observed and measured. You may use the tools
developed by PAFP or use your own formulated tools. You may also seek help from such websites as the Society of Teachers of Family
Medicine http://www.stfm.org/Resources/ResourcesforResidencyPrograms/EPAs,Competencies

4. Program outcomes were agreed upon by all Residency Training Officers during the FAMED Convention in Cebu and eventually
approved by the PAFP Board in 2016. This was done in accordance to the call for Outcomes based Training by CHED and later by the
PRC. The Foundation courses that best promote particular outcomes were indicated in the last column.