Preparation For Oral Exam In Family Medicine

PREPARATION FOR ORAL EXAMINATION in Family Medicine

PREPARATION FOR ORAL EXAMINATION in Family Medicine

DR/ KHALID D. AL-HARBYMBBS,ABFM,SBFM

DR.KHALID D. AL-HARBY 2

Areas to be assessedAreas to be assessed

1) Problem definition:• Application of knowledge• Recognizing the whole problem• Applying probabilities• Considering options• Critical thinking2) Management :• Whole patient care• Life threatening problems



• Chronic disease• Psychological problems• Use of resources• Prescribing3) Prevention:• Preventive medicine• Health education4) Practice organization:• Accessibility



• Team work• Time management• Priorities5) Communication:• Doctor –patient relationship• Patient’s health beliefs 6) Provisional values:• Respect for life• Responsibility and reliability



• Respect for people• Empathy and sensitivity• Integrity and ethics• Enjoyment and enthusiasm7) Personal and professional growth:• Self-awareness• Personal/professional balances• Self-assessment• Reading and literature• CME


Evidence-based medicineEvidence-based medicine

Topic – wise : Def, steps,difficultiesNegotiation: do you like it (again,pros and cons)Case – wise : e.g. a 77 y. female with non-

rheumatic AF/mild LVF and well-controlled HTN would you offer her warfarine?


Appointment systemAppointment system

What is the type of your clinic? : walk-in, referral, mini-clinic (its pros and cons!!!)

Do you belief in having an appointment system for you as a G.P.? (pros and cons)


Modern health systemModern health system

• Health Economics? Best health with least coast• Health insurance in Saudi Arabia, your opinion!!


CMECME

Are you a regular reader of a special magazine? Know general information about BMJ, JAMA, Saudi Annals (number of volumes/year, country, type, usual contents)

Last article you have read? Its applicability?How to keep up update?Important websites


Prescribing and referringPrescribing and referring

Blank paperWrite personal data, generic name, form, dose,

route, duration (or check resources)Date, time, your name and signature.Referral : clear concise information, from where,

to where, reason for referral, and suggestions.


Compliance and Satisfaction

Compliance and Satisfaction

A case of right diagnosis and right therapy but no improvement? Could be low compliant!

How to know? No improvement, counting the pills, asking about S.E, confrontation.

How to prevent? Increase satisfactionHow? Give information, improve communication

skills


Management and audit cycles

Management and audit cycles

You are the new general director (or the manager of PHCC). Tell me about your plan.

You want to establish a new clinic (e.g. well-man clinic) what you will do?

How to evaluate and improve your clinic? (audit)What is audit?Time managementPaper management


File systemFile system

What type of files you have in your practice?Family file, POMR (pros and cons)Limitations : hand writing, space, time….New advances: electronic card (pros and cons)Keeping the file with the patient (mobile file):

pros and cons!!!


Be a safe doctorBe a safe doctor

A case of life-threatening condition. ManagementRed flags of common presentationsSafety netting and follow upUse of referral and consultation properly


Euthanasia Euthanasia

Def Types : active, passive, assisted suicideYour opinion (know the religious view)


Miscellaneous Miscellaneous

Child abuse: a case(diagnoses), types, prevalence, available actions

Spouse abuse, and elderly abuse.Breaking bad news: a practical case


MiscellaneousMiscellaneous

Therapeutic dilemma: e.g. sore throat and antibiotics (viral vs. bacterial)

Physician and his family: uncertainty, duty hours, burn out, family burden, emotions


Education-interestedEducation-interested

Health education: practical case (e.g. obesity), pros and cons( e.g do you it is cost-effective to spend money in health education about smoking although it is still increasing)

How to deliver a message (arc of distortion)Johari’s windowAcademic activities in your program (lectures vs.

workshops, and data show vs. board)


Community medicine QsCommunity medicine Qs

Def, concepts, and applications of:• Screening• Immunization and new advances• Studies (and your own study!!)• Vital rates• Incidence and prevalence• Sensitivity, specificity, positive predictive, negative

predictive, LR


Community doctorsCommunity doctors

• P value, type I,II errors• Odds ratio and relative risk• Absolute and attributable risks• Surveillance• Control of communicable disease• Control of occupational hazards• Investigation of an epidemic• Epidemiology ( and epidemic vs. endemic)• Current public interest (anthrax!!!!)

Preparation For Oral Exam In Family Medicine

Health & Medicine

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