Veidlapa Nr. M-3 (8)
Study Course Description

Basics of Family Medicine

Main Study Course Information

Course Code
GMK_009
Branch of Science
Clinical medicine
ECTS
4.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Family Medicine
Contacts

Riga, 26a Anninmuizas boulevard, 2nd floor, Rooms No. 236 and 237, gmk@rsu.lv, +371 29413956

About Study Course

Objective

To gain understanding about competences o a family physician and pecularities of patient management in primary health care. Using clinical cases, to learn: a) communication specifics with individuals under lifelong and wholistic care, as well as their relatives; b) syndromologic and nozologic diagnostics, differentialdiagnostics in primary health care; c) intergration of public and individual health promotion and preventive measures; d) team work specifics in primary health care; e) patient management options in primary health care. To introduce with documentation and legislation in primary health care, as well as use of diagnostic equipment in primary health care clinics.

Preliminary Knowledge

Preclinical theoretical knowledge about the structure and function of the human body (1st, 2nd, 3rd year study subjects), General theoretical knowledge and skills in clinical medicine: propaedetics course, internal diseases, pediatrics, infectious diseases, surgery, neurology, obstetrics-gynecology, psychosomatic medicine and psychiatry-narcology and law basics course.

Learning Outcomes

Knowledge

1.Describe and understand the professional competences, duties and principles of organisation of the family doctor’s practice.

Individual work and tests

Multiple-choice tests before each class • Examination

2.Recognize and use the equipment of the family doctor's practice for the performance of diagnostic manipulations in the family doctor's practice

Individual work and tests

Multiple-choice tests before each class

3.Understands the principles of effective doctor-patient communication and patient-centred care in family doctor practice;

Individual work and tests

Multiple-choice tests before each class

4.Knows principles, indications, contraindications and vaccination schedule for children and adults in family doctor’s practice;

Individual work and tests

Multiple-choice tests before each class

5.Explains the principles of primary, secondary and tertiary prevention of malignant tumours; Understands the importance and types of cancer screening programmes; Describes the most common symptoms of oncological patients and the principles of symptomatic and palliative therapy in family doctor's practice;

Individual work and tests

Multiple-choice tests before each class

6.Understands the principles of care for multimorbid patients, review of drug therapy and deprescribing in family doctor's practice;

Individual work and tests

Multiple-choice tests before each class

7.Knows the basics of reproductive health, family planning and contraception, and explains the principles of family planning, contraception and pre-pregnancy counselling in family doctor's practice;

Individual work and tests

Multiple-choice tests before each class

8.Describes the most common causes of cough and shortness of breath, principles of differential diagnosis and treatment in family practice.

Individual work and tests

Multiple-choice tests before each class

9.Knows the most common causes of elevated body temperature, principles of differential diagnosis, additional examination and treatment in family doctor's practice.

Individual work and tests

Multiple-choice tests before each class

10.Knows the most common causes of chest pain, the principles of differential diagnosis and the signs of life-threatening conditions in a family doctor's practice .

Individual work and tests

Multiple-choice tests before each class

Skills

1.After successful completion of the study course requirements, the student will be able to: *) communicate with primary care patients and their relatives; *) apply examinations, perform diagnostic manipulations to clarify the diagnosis according to the attached skills: *) make recommendations and assess their success in conditions characteristic of real family doctors' practices in Latvia according to the topics included in the course. In the study course "Basics of Family Medicine" GMK-002LV MF 9. , day classes work in family doctors' practices (clinically based class). At the beginning of the course, students agree with the selected family doctors on training in practices at a specific time During the placement, the student prepares one clinical case report and questions for discussion about this case. It is advisable to choose a case on one of the topics indicated in e-studies and discussed in classes (for example, oncology, multimorbidity, patient with fever, chest pain, cough, etc.).

2.Able to assess the vaccination status of a patient and develop an individualized vaccination plan.

Individual work and tests

Post-class multiple-choice tests

3.Able to evaluate symptoms of oncological patients and justify appropriate symptomatic therapy tactics. Able to justify the need for screening.

Individual work and tests

Post-class multiple-choice tests

4.Able to identify the risks of polypharmacy and to assess the appropriateness of drug therapy for a patient with multimorbidity.

Individual work and tests

Post-class multiple-choice tests

5.Able to assess reproductive health risk factors and justify the choice of appropriate contraceptive methods

Individual work and tests

Post-class multiple-choice tests

6.Demonstrates effective communication, active listening, and shared decision-making skills.

Individual work and tests

Post-class multiple-choice tests

7.Able to perform differential diagnosis of cough and shortness of breath and justify appropriate examination and treatment tactics.

Individual work and tests

Post-class multiple-choice tests

8.Can perform differential diagnosis of fever, recognize dangerous conditions and the most common acute diseases in family doctor's practice, as well as justify the examination and treatment tactics.

Individual work and tests

Post-class multiple-choice tests

9.Able to perform differential diagnosis of chest pain, assess the clinical risk of the patient and justify the tactics of further action.

Individual work and tests

Post-class multiple-choice tests

Competences

1.Successful completion of the course will allow student to work in primary health care under a supervision of a family physician.

2.Be able to make evidence-based decisions on the need for vaccination and justify them, taking into account the individual risk factors of the patient and the principles of preventive care.

Individual work and tests

Examination

3.Able to integrate the principles of prevention, early diagnosis and symptomatic care of oncological diseases in developing an individualized patient care plan in a family doctor's practice.

Individual work and tests

Examination

4.Able to integrate knowledge of multimorbidity and polypharmacy to justify the principles of safe, rational and individualized pharmacotherapy.

Individual work and tests

Examination

5.Aable to make informed clinical decisions in reproductive health issues, respecting the individual needs, autonomy and informed choice of the patient.

Individual work and tests

Examination

6.Able to establish professional, empathic and mutually trusting cooperation with the patient, in compliance with the principles of medical ethics and patient-centred care.

Individual work and tests

Examination

7.Able to make informed clinical decisions in the care of patients with cough, identifying life-threatening conditions and the need for emergency care in a timely manner.

Individual work and tests

Examination

8.Able to make informed clinical decisions in the care of patients with fever, assessing the severity of illness, risk of complications and need for urgent care

Individual work and tests

Examination

9.Able to make timely and informed clinical decisions in the care of patients with chest pain, prioritizing the recognition of life-threatening conditions and patient safety.

Individual work and tests

Examination

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Students are refreshing knowledge of previous courses, especially guidelines of most common acute and chronic conditions in primary health care. Students can use available simulators to improve practical skills. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
2.

Attendance

-
Test

Attendance at the study course “Basics of Family Medicine” is mandatory in accordance with the RSU Academic Regulations I.

A student who has missed a class (ABSENT due to a conference, sick leave) approved by the Dean’s Office must justify the absence by completing the prepared worksheets or clinical cases from the class, which can be found on the e-studies website in the section for each class. (Please see the annex on e-studies website for classwork)

An unjustified absence is justified if the student has agreed with the lecturer of the missed class on the format of the missed classwork – preparation of a report or literature review on the topic of the class;

If more than two classes are missed, the Dean’s Office must be informed;

Students who have not completed the missed class (do not have a semester pass) will not be registered for the exam;

The student’s joining another group must be agreed with the Dean’s Office and the group leader of the relevant group.

Examination

Title
% from total grade
Grade
1.

Examination

50.00% from total grade
Test

Clinical task (final examination) in writing with 10 questions according to the topics of the study course "Basics of Family Medicine" (5 points for each question, maximum number of points - 50). 

The time for writing the clinical task - exam is 75 minutes.

Test and exam questions are created according to the topics of the study course "Basics of Family Medicine" GMK_009-the relevant semester lectures and classes.

The final examination of the study course "Basics of Family Medicine" will be held on-site, MITC - electronically, using information technology (hereinafter - IT) tools, in accordance with the study plan.

The exam in the study course "Basics of Family Medicine" will be provided to all students who

  • have participated in practical classes (or submitted a report and work sheets for an unjustified absence/submitted work sheets for a justified absence),
  • completed 10 multiple-choice question tests AFTER the class in the e-study site.

The final assessment is formed as a % sum, not the sum of the points of each test, for example,

If the result for the multiple-choice question tests in the study course "Basics of Family Medicine" is 90%, while the assessment for the written exam part - the clinical task is 82%.

The final assessment in the study course is:

  1.  90 % ( 90 x 0,50= 45)
  2.  82 % (82 x 0,50 = 41)
  3. 45 + 41= 86 %, which according to the RSU Academic Regulations I is graded with a grade 9 (excellent).
2.

Multiple-choice tests before each class

10.00% from total grade
Test

Multiple-choice tests with 4 questions before each practical class in the study course “Basics of Family Medicine” (10 x 4 points, maximum 40 points). (30 minutes for each test);

3.

Post-class multiple-choice tests

40.00% from total grade
Test

Multiple-choice tests with 10 questions as an independent work after each practical class in the study course “Basics of Family Medicine” (10 x 10 points, maximum number of points – 100).

Constitutes 40% of multiple-choice tests. (Time for filling in each test is 60 minutes);

Study Course Theme Plan

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

Vaccination – topicality and daily practice.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

SSNMF Geriatric consequences in family doctors practice
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Multimorbidity and polypharmacy in family medicine
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Reproductive health and family planning in primary health care.
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

The competences, equipment and functionality of a family physician’s practice
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Communication skills of a family physician and patient
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

Cough syndrome in a family physician's practice
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Reproductive health and family planning in primary health care
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

Screening of malignant tumors. Symptomatic treatment of cancer patients in a family physician’s practice.
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

Elevated body temperature in primary care
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Primary, secondary, tertiary cancer prevention in family medicine.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Geriatric consequences in a family physician's practice SSNMF
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

Multimorbidity and polypharmacy in Family medicine
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
4

Topics

Chest pain in primary care
Total ECTS (Creditpoints):
4.00
Contact hours:
48 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Aktuālā informācija estudijāsSuitable for English stream

2.

The European Definition of GP / FM; WONCA TreeSuitable for English stream

3.

WHO Recommendation on immunization – summary tables Nr.1, Nr.2, Nr.3, Nr.4Suitable for English stream

4.

Bates' guide to physical examination and history taking and skills of good interviewing. 12th Ed., 2017Suitable for English stream

5.

UptoDate datubāze

Additional Reading

1.

Katzung, Bertram G. Basic & Clinical Pharmacology. 16th Ed., 2024Suitable for English stream

2.

Clinician's Pocket Reference: The Scut Monkey. 12th Ed., 2022Suitable for English stream

3.

LeBlond, Richard F., Brown, Donald D., Suneja, M., Szot, Joseph F. DeGowin’s Diagnostic Examination, 11th Ed., 2020Suitable for English stream

4.

Klīniskā medicīna. prof. A. Lejnieka redakcijā. 2010

5.

Current Diagnosis & Treatment: Geriatrics. 2nd ed. Brie A. Williams, Editor, A. Chang, C. Ahalt, H. Chen, R. Conant, C. Seth Landefeld, C. RitchieSuitable for English stream

6.

Diagnosis & Treatment: Family Medicine. 3rd ed., by McGraw-Hill Education, 2021Suitable for English stream

7.

Racionālas farmakoterapijas rekomendācijas antibiotiku ambulatorai lietošanai bērniem. 2015

8.

Rekomendācijas empīriskai un etiotropai antimikrobiālai ārstēšanai. 2016

9.

Fever in under 5s: assessment and initial management Clinical guideline [CG160]Suitable for English stream

10.

CVD Prevention in Clinical Practice (European Guidelines on) ESC Clinical Practice GuidelinesSuitable for English stream

11.

Arterial Hypertension (Management of) ESC Clinical Practice GuidelinesSuitable for English stream

12.

2. Tipa cukura diabēta ārstēšanas klīniskās rekomendācijas. Latvijas Endokrinologu asociācija, 2016

13.

GINA Report. Global Strategy for Asthma Management and Prevention. 2017Suitable for English stream

14.

Chest pain of recent onset: assessment and diagnosis Clinical guideline [CG95]Suitable for English stream

15.

MK noteikumi Nr. 330 Vakcinācijas noteikumi (I daļa, 2. un 3. pielikums)

16.

Multimorbidity: clinical assessment and management NICE guideline [NG56]Suitable for English stream

17.

Esherick, Joseph S., Slater, Evan D., David, Jacob A. Practice Guidelines in Primary Care. 2024.Suitable for English stream

18.

Allen, J. Health Law & Medical Ethics for Healthcare Professionals. Boston, 2012 (akceptējams izdevums)Suitable for English stream

19.

Papadakis, Maxine A., McPhee, Stephen J., Rabow, Michael W. Current Medical Diagnosis & Treatment. 2024Suitable for English stream

20.

Murtagh, J. General Practice. 8th ed. Sydney: McGRAW Hill Book Company, 2021.Suitable for English stream

21.

Diagnosis & Treatment: Family Medicine. 5th Ed., 2020Suitable for English stream

22.

Practice Guidelines in Primary Care. 2024Suitable for English stream

23.

LeBlond, Richard F., Brown, Donald D., Suneja M., Szot, Joseph F. DeGowin’s Diagnostic Examination. 10th ed., by McGraw-Hill Education, 2020Suitable for English stream

Other Information Sources

1.

Family Practice Management. American Academy of Family Physicians Practice Management Journal.Suitable for English stream

2.

Likums par prakses ārstiem.

3.

Ārstniecības likums.

4.

Veselības aprūpes organizēšanas un finansēšanas kārtība.

5.

No RSU e-resursiem:

6.

FamilyPractice.comSuitable for English stream

7.

Global Family Doctor. Wonca OnlineSuitable for English stream

8.

Family Practice NotebookSuitable for English stream

9.

AccessmedicineSuitable for English stream