PCM3 Family Medicine
Kazuhito Mori, MS-II Matias Hipolito Aznar Memorial College of Medicine, Inc. Southwestern University
Plat du Jour ~Today¶s Menu~
1. What is Family Medicine? 2. Characteristics of Family Medicine 3. ³Declaration of Alma-Ata´, Int¶l Conference on Primary Health Care, 1978 4. Family Medicine as a Specialty 5. What is Family Physician? 6. Traits for Family Physicians 7. Family Physician¶s Faces 8. Basic Knowledge on Families 9. Effects of Family on the Health of Members
What¶s Family Medicine?
A discipline of medicine with a distinct core knowledge & characteristics of care which refers to individuals, family, community & functions within economic, cultural & social environments & resources. (WONCA, 1979) Year of 1979 has a special meaning for this definition of Family Medicine (discussed later)
FOOTNOTE: "WONCA" is an unusual, yet convenient acronym comprising the first 5 initials of the World Organization of National Colleges, Academies & Academic Associations of General Practitioners/Family Physicians. It¶s short name is World Organization of Family Doctors.
Characteristics of Family Medicine
Primary: 1st contact care at Ambulatory, ER, Home Continuing:
± Chronological, Geographical, Interdisciplinary, Interpersonal
± Social, Cultural, Economic, Educational
± All levels with Emphasis on Health Education
± Relieve symptoms, early Diagnosis & Rx
± Assist patients to go back to society
You¶ll see where those keywords came from.
³Declaration of Alma-Ata´, Int¶l Conference on Primary Health Care, 1978
³Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination. It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process.´ Scope of Family Medicine well reflects the spirit of Declaration of Alma-Ata !!
Family Medicine as a Specialty
Distinguishable body of knowledge
± Integrates biological, clinical & behavioural sciences
Unique field of action
± Family-oriented; encompasses all ages, both sexes, each organ system, every disease entity
Active area of research
± Clinical problem, healthcare delivery, family practice approach
Training that is intellectually vigorous
± Strong emphasis on continuity, experiences in family care, behavioural sciences, community medicine, inter-departmental cooperation
What is Family Physician ?
A medical practitioner who implements the principles of the discipline & provides healthcare.
± ± ± ± ± ± ± Healer & Physician Teacher Advocate Manager Scientist Counselor Friend
A Versatile, multi-facet, all-round physician is expected here. Challenging, Intriguing & Fascinating enough !!
Traits for Family Physicians
Sense of responsibility over the individual & family during health, illness & rehabilitation Compassion, empathy & sincere interest over the patient & family Constantly inquisitive attitude Interest in the broad spectrum of medicine Ability to deal with multiple problems that occur simultaneously in one patient Desire for frequent & valid intellectual & technical challenges
Family Physician¶s Faces
Pediatrician¶s role Internist¶s role Psychiatrist¶s role Social worker¶s role Health Education Teacher¶s role Preventive Medicine practitioner Integrative/Holistic Medicine practitioner
Very Busy, No?
Basic Knowledge on Family
To understand family structure & function Awareness of how family communicate Skills in observing how family operates Ability to relate to the family or individual Reinforce central function of the family
Family Physicians may be needed most in countries where there are so many ³Dysfunctional Families´.
If you¶re a fan of American sit-com, functional families were depicted still in the 80¶s, however, increment was the number of ³Dysfunctional Families´ on such programs during 90¶s. Then Japan also followed the same path. (personal observation)
Effects of Family on the Health of Members
Health promotion & maintenance as well as illness prevention Coping with stressful life events Family-based health & illness appraisal Family interaction & level of functioning in response to illness Help-seeking behaviour Family adaptation to illness
Thank You For Viewing the Slides, Stay Healthy !!