FAMILY MEDICINE

SYSTEM
UNDERGRADUATE MEDICAL DEGREE PROGRAM
FACULTY OF MEDICINE
UNIVERSITAS PADJADJARAN
2012

Rasionalisasi

KIPDI
II

KIPDI
III
Kurikulum
berbasis
kompetensi

Kurikulum Berbasis
Kompetensi
Standar Kompetensi dokter yang disusun
mengacu pada gambaran dokter yang dibutuhkan

7 AREA KOMPETENSI
1.
2.
3.
4.

5.
6.
7.

Keterampilan komunikasi efektif

Keterampilan klinik dasar
Keterampilan penerapan dasar-dasar ilmu biomedik, klinik,
perilaku & epidemiologi dalam praktek kedokteran keluarga
Keterampilan pengelolaan masalah kesehatan individu, keluarga
ataupun masyarakat dengan cara yang komprehensif, holistik,
bersinambung, terkoordinir & bekerja sama dalam konteks
pelayanan kesehatan primer
Keterampilan pemanfaatan, penilaian secara kritis dan
pengelolaan informasi
Mawas diri dan pengembangan diri/belajar sepanjang hayat
Etika, moral & profesionalisme dalam praktek

4 Pengelolaan Masalah Kes.

Individu, Keluarga & Masy.
Kompetensi Inti:

Diagnosa, pengelolaan & pencegahan mslh

individu yg umum dlm konteks hub. keluarga &
masy. scr komprehensif, holistik,
berkesinambungan serta dg bekerja sama
Mengelola mslh kes. individu mll keterampilan
clinical reasoning utk menjamin hsl maksimal

Educational Objectives of Medical

Doctor Program
(at Unpad)
1. to communicate effectively with
patient, family, community, and
other health professionals
2. to perform basic clinical skills
3. to apply principles of basic
biomedical, clinical, behavioral
sciences and epidemiology in
the practice of medical profession

Educational Objectives of
Medical Doctor Program
(at Unpad) (contd)
4. to manage professionally and
ethically common health problems at
individual, family and community level in a
comprehensive, holistic, and continuous
manner
5. to access, critically appraise and
manage medical and health
information to improve his/her quality
professional task leading to be a lifelong
learner
6. to be self-aware, self-care and selfdeveloped professional.

Curriculum Structure 2008

I
FBS I
(4)

II
RPS
(10)

III

IV

VII

EMS
(7)

DMS
(8)

NBS
(10)

HIS
(8)

RS
(7)

GIS
(7)

FM
(7)

CSP I
(2)

CSP II
(2)

CSP III
(2)

CSP IV
(2)

CSP V
(2)

CSP VI
(2)

PHOP I
(1)

PHOP II
(2)

PHOP III
(1)

PHOP IV PHOP V
(1)
(1)

PHOP VI
(2)

PHOP
VII (1)

CRP I
(1)

CRP II
(2)

CRP III
(1)

CRP IV
(1)

CRP V
(1)

CRP VI
(2)

CRP VII
(2)

BHP I
(2)

BHP II
(3)

BHP III
(1)

BHP IV
(1)

BHP V
(1)

BHP VI
(1)

BHP VII
(1)

20

19

22

FBS II
(4)
FBS III
(4)

CVS
(8)

VI
GUS
(7)

TM
(7)

FBS IV
(4)

21

20

21

20

FAMILY MEDICINE APPROACH TO

MANAGE THE CASES

Personal

A care delivered with a close

rapport b/w patient and the
doctor

Primary

First contact care

Continuing

Care of chronic medical

problem, care of complications

Comprehensive

Preventive, promotive, curative

and rehabilitative

The Principles
DEDICATED TO
THE PERSON
MANAGER OF
RESOURCES
SUBJECTIVE ASPECTS
OF MEDICINE
(SENSITIVITY TO
FEELINGS,
EMOTIONAL ETC)

UNDERSTAND THE
CONTEXT OF
ILLNESS

FAMILY
PHYSICIAN

HOME VISITS (SEES

PATIENTS AT HOME)
LIVE IN COMMUNITY/ A
PART OF THE COMPLEX
OF FAMILY
RELATIONSHIP

ALL CONTACT WITH

PATIENTS AN
OPPORTUNITY FOR
PREVENTION &
HEALTH EDUCATION
THE PRACTICE AS A
POPULATION AT RISK

DOES COMMUNITY
NETWORKING

THE HEALTH
OF THE
FAMILY AS
AN UNIT

BIO PSYCHO
SOCIAL ECONOMY
MODEL OF ILLNESS

INDIVIDU IS A PART OF
THE FAMILY, AND FAMILY
AS A PART OF THE
COMMUNITY
LIFE
LIFECYCLE
CYCLE
CARE
CARE

FAMILY DOCTOR

Culture
Community

The Mandala of Health

A model of human ecosystem

lifestyle
Personal
behavior
Sick
care
system

spirit

body

Human
biology

Psycho-socioEconomic
Environment

work

mind

Physical
environment

Human-Made Environment
Biosphere

The health enhancement continuum

Before man is involved

The course of the disease in man

Interrelation of the various:

- AGENT
- HOST
- ENVIRONMENT factors

DEATH

Chronic state
Defect
Disability
Illness
Signs & symptoms

(known & unknown)

which
bring AGENT & HOST
together, or
produce a disease-provoking
STIMULUS

Tissue & physiologic

changes
STIMULUS & AGENT becomes
established & increases by
multiplication or increment

RECOVERY

in the
Interaction of
human HOST & STIMULUS
HOST
Discernable early
Early pathogenesis
lesions

Pre-pathogenesis
Health promotion &
Spesific protection

Immunity &
resistance

HOST reaction
Advanced
disease

Convalescence

Pathogenesis
Early detection & prompt
treatment
PROMOTIVE
PREVENTIVE

PROMOTIVE

Disability Th/ &

Rehabilitation
CURATIVE
REHABILITATIVE

PREVENTIVE
CURATIVE

REHABILITATIVE

Aspek
personal

Pasie
Pasie
n
n

Aspek klinis
Aspek risiko
internal
Aspek risiko
eksternal

Anamnesis
Anamnesis
patient
patient
centered
centered
anamnesis
anamnesis

Intervensi
Intervensi
Medis
Medis

Dinamik
a
Keluarg
a

LE S
B
I
U
S
O
O
Diagnosis
Diagnosis
D
N
G
A
HOLISTIK
HOLISTIK
DI

Penatalasanaan
Penatalasanaan
KOMPREHENSI
KOMPREHENSI
F
F

Family
Map
Family
life cycle
Family
APGAR
Family
SCREEM

Pemeriksaan
Pemeriksaan
fisik
fisik
Pemeriksaan
Pemeriksaan
penunjang
penunjang

Diagnosis
Diagnosis
Medis
Medis

Genogra
m

Lingkunga
n

Rumah
Pekerjaan

Diagnosis
Psikososial
Intervensi
psikososia
l

BMP: Preclinical phase

- Molecular
- Cellular
- Tissue

Normal
Structures

- Organ

Normal
Functions

- System
Organ

Principles
of
diagnostic
Complicatio
n

Congenital
Infection/
Abnormali
Inflammati ty
on

Pathogenes
is
Patophysiolog
y

Signs-Symptoms

S-S

Neoplasm
Trauma
Others

Principles of
manageme
nt
S-S

Family Medicine approach

Normal Functions

Normal Structures
Congenit
al
Infection/
Inflammatio
n

Principles of
diagnostic

Abnormali
ty

Neoplasm
Trauma
Others

Family
Medicine
approach

Pathogenesis

Patophysiolog
y

Complicatio
n
Signs-Symptoms

S-S

S-S

APPLIED
PRINCIPLE

Scenario

Problems
(1st page/s)
generat
e

Hypotheses
(un-implemented

theory
week theme diseases or
psychosocial problems).

Mechanism
direction to meet with
embedded-Learning
Issues of Fam Med

Concept mapping

Implementation of the
concept
BMP

Bioscience
Pathogenesis
Pathophysiology
Clinical aspect
Management

FM
Review Clinical aspect
Risk factor
Family as a unit of care
Biopsychosocial approach
Health care maintenance for
individual and family
Screening
Counseling
Immunization
Chemoprophylaxis
Curative and rehabilitative

Stroke
BMP

Kedokteran keluarga

Describe the cause

Describe the pathogenesis
Explain risk stratification
Describe PE
Explain the principles of clinical
and laboratory assessment
Give basic treatment (non and
pharmacology)
Describe MOA

Review the diagnosis of stroke

Describe the impact of illness
to the family
Describe the monitoring for
patient
Describe the care for caregiver
Describe the concept for home
care
Describe health care
maintenance for elderly
(screening, counselling,
immunization and
chemoprophylaxis)

Week-theme
Lifecycle

Theme

Newly married and Preventivecare

Infancy,childhood

Topic
Pre-conception

care

and

Familyplanning
Preventivecare

Failuretothrive

Adolescence/ teenagers Preventivecare

Weight management and

nutrition

Adult

Biopsychosocialapproach

Behavioralproblemsin
teenager

Biopsychosocialapproach

Insomnia

Week-theme
Lifecycle

Theme

Topic

Adult

ChronicDiseases

Hypertension

ChronicDiseases

Cataract

Elderlycare

Stroke

Elderlycare

Osteoporosis

Elderly

Palliative and domiciliary 10

care

Cervicalcancer

The activities
Tutori
al

Pre-conception
care and Family
planning
Failure to thrive
Weight
management and
nutrition
Refraction error
Behavioral
problems in
teenager
Somatic disorder
Hypertension
Stroke
Osteoporosis
Cervical cancer
Tuberculosis
Hearing Loss

Mini
lectur
e

-Overview of the
system
-Good parenting
-The right to
sight
-Overview of
behavioral
problems
-Complementary
and alternative
medicine
-Management of
physical activity
for various
diseases
-Rational
prescribing

The activities
Skills
lab

Breast care for

pregnant
women, post
delivery
General physical
examination
Direct
ophthalmoscope
examination
Detection for
mental health
problems
Counseling skill
Bed turning and
bed positioning
Breaking bad
news

Lab
activi
ty

Create a
genogram
Meal planning
and food
replacement
Writing referral
letter
Health care
maintenance
Create physical
activity
Medical audit
Prescribing
Develop
medical record