The Goal of General Practice Training and Course Outline

Dr. Syed Shakeel Ahmad Sr.Instructor, PDC DUHS

The contents are only suggestions and not limitations and the candidates are expected to read extensively keeping in mind the length and breadth of this specialty and the local and international needs and standards. Modular examinations and contact periods are mandatory for those who register for modular tests. Workshops and CMEs are planned to intersperse throughout the period in any sequence and meant to enhance the capacity building of the GPs. CMEs shall be available on DUHS website. Workshops shall be announced in advance.

Dow University of Health Sciences Babae Urdu Road Karachi +922199216107 [Type the fax number] 9/1/2011

Goal of the GP Program

The goal of this program is to prepare GP specialist and consultants from a variety of medical practitioners from across the country and bring about socially acceptable and sustainable change in general medicine and its practice uniformly at the national level. To achieve this goal, the program is expected to do capacity building of participants in all pertinent aspects of General Practice including: Educational Leadership, Adult Learning, Instructions, Assessment, Curriculum, Program Evaluation and Educational Research, so that they are technically equipped to take evidence based decisions when it comes to reforms in practice. These participants will essentially require to:

Identify academic areas of gaps which need further improvement Initiate and maintain evidenced-based change and follow and adopt guidelines Evaluate the outcomes in their practice Carry out a peer review system

The program focuses on the acquisition of competencies relevant in the field of development of medicine so that these health professionals pursuing General Practice as a career could enjoy their rightful place in world of medicine.

Participants of the program will be able to:

Define and appraise the role of General Practice in relation to external and internal forces that influence such programs. Critically analyze literature as it relates to GP for the health professions and stakeholders of health. Plan, implement and evaluate a relevant course for GP professionals based on contemporary principles of learning and instruction in GP. Plan, implement and evaluate processes of student assessment in order to make valid and reliable decisions, which can lead to their choice for GP career. Demonstrate evidence of high quality teaching / facilitation skills at Institutional level. Demonstrate effective leadership and teamwork capabilities. Undertake research on indigenous or international issues related to GP in order to provide evidence-based solutions and suggest implementations. Provide scientific, relevant and practical advice and assistance to health and educational departments and organizations on health issues. Provide constructive feedback to government, organizations and institutions on the basis of scientific evaluation.

Structured General Practice Program for Membership Suggested Curriculum

The actual emphasis in this course is improve contemporary learning by doing, leading to hands on practice at tools and procedures arranged for learners to actually experience the process of solving problems, developing investigational and assessment plans, along with evidenced based knowledge on a case from reliable EBM resource. The curriculum is interspersed with CME lectures, Case-based and problem-based-learning, small group discussions and interactive lectures, workshops as training strategies. Considerable attention is given to real cases as the ability to apply the acquired clinical knowledge is of paramount importance. The 12 months course work, which is specially tailored to the needs of professionals in healthcare services and clinics to pursue this qualification without interrupting the work commitments, and covers manageable periods such as weekends and public holidays. The program will have teaching sessions and assigned distance learning and towards the end of the course one month preparation and self revision for theory; and one-month OSCE,OSPE and TOACS revision and practice shall be scheduled before the final examinations. Periodic intermediate modular assessment tests shall be scheduled and are integral part for determining progress and attendance. During the period the course learning and progress is supported by module guides, hand-outs, CMEs and the participants are expected to complete assignments on time. During this phase, interaction between participants and faculty is face-to-face and web-based.

General Practice Course Outline

Module I

The Basis of General Practice

The nature and contents of General Practice The family The family physician and his role Consulting Skills Communication skills Counseling skills Difficult, demanding and angry patients Elderly patients Palliative care End of life care Prevention in General Practice Nutrition in Health and Illness Health Promotion and Health Education Pain and its management Holistic care Travel and tropical medicine Occupational Health Physical medicine and Rehabilitation Research and EBM Laboratory medicine

1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20

Module II

Diagnostic Perspectives in General Practice

2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19

A safe diagnostic strategy A safe diagnostic strategy Genetic disorders and conditions Depression and Anxiety Diabetes mellitus Anemia Obesity Hypertension Thyroid and other endocrinological disorders Back-pain and spinal dysfunctions Urogenital infections and disorders STDs Baffling bacterial infections Baffling viral infections Baffling Protozoal and Rickettesial infections Chronic kidney disease Malignant disease Connective tissue disorders and vasculitides Neurological dilemmas

Module III

Problem solving in General Practice

Abdominal pain Arthritis Anorectal disorders Low back pain Thoracic back pain Bruising and bleeding Chest pain Constipation Cough Deafness and hearing loss Diarrhea The disturbed patient Dizziness Dyspepsia (indigestion) Dysphagia Dyspnea The painful ear The red and tender eye Pain in the face Fever and chills Faints, fits and funny turns Hematemesis and melena Headache Hoarseness Jaundice Nasal disorders Nausea and vomiting Neck lumps Neck pain Shoulder pain Pain the arm and hand Hip and buttock pain` Pain in the leg The painful knee Pain the foot and ankle 5

3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35

3.36 3.37 3.38 3.39 3.40 3.41 3.42 3.43 3.44 3.45 3.46

Walking difficulty Palpitations Sleep Disorders Sore mouth and Tongue Sore throat Tiredness The unconscious patient Urinary disorders Visual Failure Weight gain Weight loss

Module IV

Child and Adolescent Health

An approach to the child Specific Problems in of children Surgical problems in Children Common Childhood Infections Behavioural Disorders in children Child abuse Emergencies in Children Adolescent Health

4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8

Module V

Womans Health
Sexual characteristics Menarche, Normal Menstruation and Premenstrual tension Lower abdomen and pelvic pain in women Abnormal uterine bleeding Vaginal Discharge Vulval Disorders Pregnancy and Basic Antenatal care Pregnancy and Infections Pregnancy and systemic disease High-risk Pregnancies Postnatal care Family Planning Breast pain Lumps in the breast Cervical and Uterine cancers Violence against women Working women issues

5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17

Module VI

Mens Health

Overview 6.1 6.2 6.3 6.4 6.5 Family Planning 6.6 Disorders of penis Disorders of prostate Scrotal Pain Inguino-scrotal lumps

Module VII

Sex-Related Problems
Sexual Health Sub-fertile couple STIs and HIV

7.1 7.2 7.3

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Module VIII

Chronic Disorders and Continuing care

Asthma COPD Anemia Allergies Anxiety and Panic Disorders Depression and Psychosis End-stage Renal disease and dialyses Epilepsy Hepatitis B and C and CLD Hypertension Ischemic Heart Disease Congestive Heart Failure Dyslipidemias Diabetes Mellitus Obesity TB and leprosy Smoking Drug dependence and substance abuse Alcoholism Palliative care

8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18 8.19 8.20

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Module VIII

Problems of the Skin

Diagnostic approach and management 9.1 Common skin conditions 9.2 Pruritus 9.3 Acute skin eruptions 9.4 Skin ulcers 9.5 Pigmentation disorders 9.6 Hair disorders 9.7 Nail Disorders 9.8 Common lumps 9.9 Cosmetic surgeries 9.10

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Module X

Accident and Emergencies

Emergency Care and Equipment Myocardial Infarction Acute Heart Failure Stroke and TIA Coma Shock Asthma and COPD Bleeding Dyscrasias Thrombosis and Embolism Injuries and wounds Gunshots Fractures and Dislocations MV and sport injuries Accidental and suicidal poisoning Burns Home emergencies

10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 10.14 10.15 10.16

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Module XI

Health Management
Health Plans

11.1 Health Policies and Acts 11.2 Health Systems 11.3 Bioterrorism 11.4 Disaster Management Plan 11.5 Epidemic situations 11.6 Floods, famine and wars 11.7

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