Introduction to General Practice and patient centred care Consulting skills – Whose agenda directs the consultation? Approach to making a diagnosis Rational approach to management – investigations and treatment Approach to a patient presenting with jaundice Approach to a patient with pallor Approach to a patient with chronic abdominal pain Introduction to emergency and triaging Approach to a patient with acute abdominal pain Approach to a patient with diarrrhoea and vomiting - WHO plans A,B,C Fluid balance management – how to order, what and why. Shock Acute pain management Major Trauma 1 – primary and secondary survey Major Trauma 2 – head injury and raised ICP Major trauma 3 - spinal injury and spinal shock Major trauma 4 - suspecting and managing hidden injuries Major trauma 5 - bone, joint, tendon and neurovascular injury Triaging sick children Serious illnesses in children – what not to miss Approach to a patient with acute chest pain Making sense of ECG’s ACS Approach to a patient with fits, faints and funny turns- “dizziness” Approach to a patient with altered consciousness Approach to seizure presentations
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28. 29. 30. 31. 32. 33.
Approach to a patient presenting with headaches Approach to a patient with fever Haematemesis and haemoptysis Management of snakebite Management of patients with poisoning , or overdose Management of patients with electrocution injury, drowning Exam preparation
SIS: (VIII Semester) 1. Approach to antenatal assessment 2. Approach to postnatal care and breastfeeding 3. Sorting out breast problems 4. Sorting out PV discharge and bleeding 5. Sorting out pelvic pain – lower abdominal pain in women 6. Well women issues 7. Approach to the management of a patient after sexual assault 8. Assessing infertility – primary care approach 9. Ethical issues related to reproductive health (in cooperation with O&G) 10. Mens’ health issues 11. Male urogenital conditions 1 12. Sorting out bone and joint problems 13. Common musculoskeletal problems presentations in family practice 14. Low back pain 15. Upper respiratory tract presentations 16. Allergy and anaphylaxis 17. Approach to a patient with cough and SOB 18. COPD 19. Asthma 20. Hypertension 21. Managing NIDDM in primary care 22. Managing cardiovascular risk & chronic disease concepts 23. Care of older people 24. Recognising and managing disability
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SIS(VIII Semester) 25. Approach to the acutely disturbed patient 26. Common psychiatric presentations 1 – Anxiety 27. Common psychiatric presentations 2 – Depression 28. Mental health and adolescence 29. Assessing growth and development in children 30. Review IMCI and childhood presentations 31. Review and exam preparation CBL Semester VII Tutorial Topics in GP - Weeks 1&2 1 Introduction to the programme 2. Abdominal pain (non-acute) 3. Fever 4. Cough 5. Headache 6. Breast lumps 7. PV bleeding 8. Back Pain 9. Jumjum laaghyo – nasa ko rog 10. Review and logbooks Tutorial Topics in Emergency – Weeks 1&2 1. Introduction to the programme and to triage 2. Primary survey in trauma 3. Secondary survey in trauma 4. Shock – diagnosis and management 5. Acute pain management 6. Unconscious patients 7. Assessing and managing dehydration in adults 8. Acute abdominal pain 9. Chest pain and ECG’s (ischaemia) 10. Review and logbooks 11. Disasters 12. ………. Of wound management 13. Cardio – pulmonary resuscitation. Weeks 3&4 Students group choice according to the curriculum needs and interest
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VIII Semester, CBL topics 1. Intro & Recognising airway problems and resp failure 2. Chest pain and ECG’s - arrythmias 3. Hypertensive urgency and emergency 4. CVA 5. Cases 6. Neonates in emergency 7. Respiratory problems in children 8. Unconscious child/ seizures/meningitis 9. BLS & ALS 10. Cases 11. Burns 12 Snakebite 13. Poisoning 14. Acutely disturbed patient 15. Cases 16. Endocrine emergencies 17. Acute SOB in adults 18. Sepsis 19. Anaphylaxis 20 Cases SGD VII Semester 1. Sterile technique and Standard precautions 2. Coordination of care and consultation techniques in 3. Consultation techniques in tough situations 4. Motivational counseling 5. Critical thinking 1- reading the literature 6. Critical thinking 2- weighing the evidence 7. Emergency case scenarios 8. Ethical considerations and duty of care SGD VIII Semester 1. Fluid management – review with case scenarios 2. Putting yourself in anothers’ shoescrosscultural consulting and world views 3. Primary and secondary survey stations 4. Medical emergency case scenarios
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SEMINAR (VII & VIII Semester) 1. Snake bite(Fam Med, Anaesthesiology, CM, M, P) Epidemiological aspects Classification of snakes and their venom types Clinical manifestations of snake bite Management – first aid and in hospital Community education 2. Acute gastroenteritis(Fam Med, M, CM, P, Microbiology) Aetiopathogenesis and prevention Clinical manifestations Investigations Managing dehydration Rational treatment including the place of antimicrobials 3. Teamwork and Disaster Management (Fam Med, S, Anaesthesiology, Ortho, CM, OG) Disasters – definition and classifications Preparation for disaster response Disaster triage Management of disasters Possible disaster scenario in Dharan 4. Patient Centred Care and Family(PCC) Practice(Family Medicine) Overview of principles of PCC Integrating the patient and doctor agendas Communication skills (including consultation skills) Integrated care and continuity of care Advocacy, referrals and D:/Topics/2010/Topics/ Family Medicine.doc
