General Practice I

1.1. Primary health care organization / management: - to manage and present facts about epidemiological knowledge, about problems in primary health care, - demonstrate knowledge in regular, continous chronically ill patient care, - demonstrate in-depth knowledge and understanding of preventive work and its organization in a general practice, - demonstrate knowledge about the work organization of a primary health care institution, - demonstrate an understanding of the importance of communication ability, when working with patients or with general practice staff, - demonstrate knowledge about the organization of healh care system and its functioning in relation to primary health care, - to improve knowledge of communication skills, with special emphasis on the doctor - patient cooperation. 2. Person centered care: - demonstrate knowledge of patient centered care, also understand its importance in relation to the patient, his problems and living conditions, - demonstrate knowledge in the understanding of the processes, that are related to the growth, development, adulthood and aging of an individual, - demonstrate knowledge and understanding of a functioning family, its role in society, also the impact of social and cultural peculiarities on family values, - understand the patient centered general practitioners consultation model, communicate with patients as equal partners, - demonstrate knowledge on the process of developing relations with the patient, assess priorities when making decisions, - demonstrate knowledge about formation of a continous, long-term, successive care. 3. Specific problem solving skills: - knowledge in specific problem solving, decision making, skill to evaluate the spread of the disease and the incidence in a given population, - skill to assess a given populations specifity, habits (age, gender distribution, incidence of chronic diseases), - knowledge of how to acquisit and interpret information from anamnesis and from patients physical and labo

1.Skills in six basic family medicine competences. The ability to use theory, methods and problem solving skills, to perform highly qualified professional functions or scientific research. The skills acquired are: 1. Primary health care organization / management: - the ability to apply knowledge, when organising and carrying out preventional work, - the ability to investigate an dto take care for a patient with multiple, yet non differentiated health problems, - the ability to provide emergency medical care and to organise care for patients with acute and chronic illnesses, - the ability to carry out and to organise palliative health care, - skills in the diagnostic process of a disease: obtaining medical history, physical examination of a patient, the use of additional diagnostic tests, - therapeutical skills, that include knowledge of both pharmacological and non-pharmacological therapy, - the ability to group problems according to priority, - good communication skills when working with a patient, staff members of a primary health care institution, also when working with other primary health care doctors and specialists, - the ability to organise work of a primary health care team, - communication skills, the ability to train patients and their family members in the process of diagnostics and treatment, - the ability to organise correct patient data input in ambulatory cards, process information - Practice management skills, ability to carry out the practice of job quality audit, - Skill to act in a patient's interests - The ability to conduct negotiations with the patient in finding a compromise, - The ability to evaluate primary health care from a family physician positions, the patient's ability to understand the uncertainty characteristics, curiosity,

1.Competences of the general practitioner Able independently formulate and critically analyse complex scientific and professional problems. The knowledge and skills of the general practitioner are seen in six key competencies: 1. Organisation of primary health care/management, 2. Person oriented care, 3. Specific problem solving skills 4. Comprehensive approach to problem solving, 5. Community oriented health care, 6. Holistic approach. Acquired competencies allows to justify decisions, if need be, carry out additional analysis: - Is able to explain the effect of environmental change on the spread of disease in a population, understand the use of preventive, diagnostic and therapeutic methods in this regard. - Be able to evaluate the patient complaints, their connection to patient medical condition.Has a broad understanding of the diseases and their risk factors,understanding of common diseases in a population, chronic disease care, diseases causing disability, understanding of the conditions that require urgent assistance. - Has understanding of the use of preventive and diagnostic manipulation in primary health care, which covers practically all specialties (pediatrics, gynecology,surgery, ear-nose-throat diseases, dermatovenerology, ophthalmology, neurology, psychiatry, cardiology). - Ability to provide patient treatment in the primary care level, to organize the rehabilitation, if it is necessary. - Understanding of diagnostic possibilities at primary and secondary health care level, understanding of the opportunities to send patient to a specialist, if need be. - Ability to organize and conduct consultations on matters related to the organization of health care, in particular, for issues related to maternal and child health care, family planning. - Understanding of the issues related to public health. - Ability to understand the importance of positive doctor-patient relationship, ability to teach patient to understand their complaints, learn to live with them.