120501 FCHM Rotation Writeup

8/2/2019 120501 FCHM Rotation Writeup

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YEAR LEVEL 9 CURRICULUM

Family and Community Health Management

Course Description

The Family and Community Health Management rotation of the Internship Program (Year Level 9) is an

integration of the knowledge and skills acquired from Year Levels 5 to 7 and an extension of the core

experience from Year Level 8 with particular focus on the application of the bio-psychosocial patient care

management and public health geared towards achieving sustainable health goals in both hospital and

community-based facility.

The primary training objectives of the program are focused on the development of core competencies

identified as being essential to the practice of family medicine and public health in both hospital and community

settings. Likewise, the rotation will also allow the interns to have an active participation in the strategic

management of the community from which they will be assigned. The integration of the three disciplines:

family and community medicine, public health, and management, is a unique experience crafted to develop a

physician who have a holistic view of an individuals medical condition and its impact to his family and

community using the biopsychosocial approach and applying the demographic profile of combine patient data

to address the concern of the community, not only of health but its association with education, environment and

livelihood towards a sustainable community-managed program.

Course Pre-requisite

The student must have sufficiently fulfilled the course in family medicine and public health at Year

Level 8. Likewise, the student must have passed the requirements for the MBA program and have achieved a

satisfactory rating.

Course Duration

The Family and Community Health Management is a two-month rotation that will be conducted in three

sites (Trese, Molave and Lupang Pangako) in Barangay Payatas in Quezon City. During this period, the student

will be required to undergo clinical rotation either in Payatas B Health Center or Lupang Pangako Health Center

at specified schedule interspersed with group-based intervention activities and strategic management sessions

on flexible schedules. An average of 80 hours will be spent by an intern at the Health Center while an average

of 240 hours combined will be spent for the immersion at his/her respective area of assignment.

ATENEO SCHOOL OF MEDICINE AND

PUBLIC HEALTH


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Grouping

There will be at least 10 interns rotating at any given period. The interns will be divided into three (five

interns) and will be assigned either in Trese, Molave or Lupang Pangako in Barangay Payatas. Each group wil

be further subdivided into two or three interns per subgroup to facilitate the tasking in the health center duty and

the assignment of clusters in the community. While one group is at the clinic, the other group will be assigned

either to a field work (group-based intervention or strategic management) or conduct home visits.

Learning Activities

A. Facility-based Patient Consult

The Facility-based Patient Consult will allow the intern direct patient care, performing a complete

clinical history and focused physical examination, developing a primary working impression and initiating

appropriate and cost-effective diagnostic and therapeutic (pharmacologic and non-pharmacologic) management

Continuity of care is also emphasized as the intern will have enough time to have the patient come for follow-up

consult. There will be two areas to facilitate this activity the local health center (Payata B Health Center or

Lupang Pangako Health Center) and the health hub in their respective areas of assignment.

A1. The Local Health Center

The intern will undergo clinical rotation at a local health unit during the duration of his/her rotation

He/she will attend to clinic consults following the prescribed schedule. The intern will be required to sign in at

7:30 am and sign out at 5:00pm in the Attendance Logbook.

Using the biopsychosocial framework, he/she will conduct clinical interviews and fill up completely the

patient data base (may use the Patient Encounter form in Appendix K). The intern must be able to perform acomplete clinical history and physical examination. Based from the information he/she had obtained, the intern

must be able to arrive at a primary working diagnosis and recommend the appropriate management (diagnostic

and therapeutic, including non-pharmacologic advises and follow-up). The intern will have to affix his/her name

and signature at the end of the chart. The intern will then instruct the patient to stay at the waiting area until

his/her name be called for checking by the medical officer and final disposition.

For patients on follow-up consult, the intern is required to evaluate the patients condition with a

complete clinical history and physical examination, noting new symptoms or improvement of complaints and be

able to interpret laboratory results as needed. The intern is expected to write the patients present working

diagnosis and give recommendation for management.

Table 1. List of symptoms that must be seen by the intern.

Cough Low back pain Loose bowel movement

Colds Joint pains Sleeping difficulty

Elevated blood pressure Difficulty of breathing Blurring of vision

Abdominal pain Dysuria Hemoptysis

Headache Weight loss Ear discharge

Dizziness Vomiting Fever

Chest pain Skin rashes Seizure


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It is suggested that filing of the patient data base forms follow the heads of the family. The student will

be required to fill up the daily census and file accordingly.

Interns are also encouraged to perform clinical procedures as needed, initially to be assisted by the nurse

or midwife. This will enhance their clinical skills that are essential in the primary health care.

Table 2. List of clinical procedures that may be performed by an intern at the health center.

Taking blood pressure Prostate examination Cerumen extractionFundoscopy Skin testing Simple ear irrigation

Visual acuity testing Vaccination Circumcision

Otoscopy Blood extraction Incision and drainage

Tuning fork test Foley catheter reinsertion Wound dressing

Breast examination Nasogastric tube reinsertion Cyst excision

Internal examination Torniquet test Suturing

Digital rectal examination Pap smear Suture removal

The interns assigned in the clinic may be assigned to (1) attend to the regular patient consult, (2) attend

to outreach activities of the clinic (immunization at satellite clinics, etc.), (3) facilitate public health lectures or

(4) partner with a barangay health worker as assigned by the MHO and conduct field visits.

All interns report to the municipal health officer of the local health unit and endorse all patients seen for

final disposition. The intern will also be responsible in providing and filling of the laboratory request forms and

prescriptions that will be given to the patient with proper instructions. The interns may be requested to conduct

emergency cases as accompanying medical personnel to the referral hospitals and endorse properly to the

receiving physician. The interns can also assist in the preparation of monthly health reports.

The interns are expected to maximize their learning opportunities through discussions with the MHO

and the HC staff. Interns are expected to learn and understand the processes involved in the management of a

barangay health unit, the administrative and operational issues of concern and the relationship of allstakeholders in relation to health care delivery and its referral system.

A2. The Health Hub

A health hub is a facility provided in each of the areas in the community. The intern will be required to

sign in at 8am and sign out at 4:00pm in the Attendance Logbook.

He/she will attend to clinic consults following the prescribed schedule (recommended is 9am-12noon)

Using the biopsychosocial framework, he/she will conduct clinical interviews and fill up completely the patient

data base (may use the Patient Encounter form in Appendix K). The intern must be able to perform a complete

clinical history and physical examination. Based from the information he/she had obtained, the intern must be

able to arrive at a primary working diagnosis and recommend the appropriate management (diagnostic and

therapeutic, including non-pharmacologic advises and follow-up). All prescriptions and laboratory requests

should be properly filled-up and signed. The intern will have to affix his/her name and signature at the end of

the chart. If a faculty is present, he/she may be required to present the case prior to discharge.

For patients on follow-up consult, the intern is required to evaluate the patients condition with a

complete clinical history and physical examination, noting new symptoms or improvement of complaints and be

able to interpret laboratory results as needed. The intern is expected to write the patients present working

diagnosis and give recommendation for management.


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B. Home Visit

The home visit will be conducted either at the GK-Trese, GK-Molave, or GK-Cox, depending to where

the intern will be assigned. Both areas are established GK-Ateneo villages. Each intern are required to have

three families all thru out his/her rotation. The home visit will be conducted on a once a week basis per family,

unless where a more regular schedule is needed.

The following is a suggested template of activities in relation to the conduct of home visits:

Weeks 1-2: Family profile (biomedical)Weeks 3-4: Family assessment toolsgenogram, SCREEM, etc

Weeks 5-6: Family wellness plan

Weeks 7-8: Endorsements

The intern will fill up the family profile charts and update it every follow up visit.

Table 3. Template of schedule of home visits.

Monday Tuesday Wednesday Thursday Friday

Week 1 Subgroup B Subgroup C Subgroup D Subgroup A Subgroup B

Week 2 Subgroup C Subgroup D Subgroup A Subgroup B Subgroup C

Week 3 Subgroup D Subgroup A --- Subgroup C Subgroup D

Week 4 Subgroup A Subgroup B --- Subgroup D Subgroup A

Week 5 Subgroup B Subgroup C Subgroup D Subgroup A Subgroup B

Week 6 Subgroup C Subgroup D Subgroup A Subgroup B Subgroup C

Week 7 Subgroup D Subgroup A Subgroup B Subgroup C Subgroup D

Week 8 Subgroup A Subgroup B Subgroup C --- ---

The intern may also perform clinical procedures as needed and facilitate referral to the health center if

the case requires.

Table 4. List of clinical procedures that may be performed by an intern during a home visit.

Taking blood pressure Breast examination Vaccination

Fundoscopy Internal examination Nasogastric tube reinsertion

Visual acuity testing Digital rectal examination Torniquet test

Otoscopy Blood extraction Wound dressing

Tuning fork test Foley catheter reinsertion

C. Teaching-Learning Conferences

All Wednesday afternoon (230-5pm, except the first Wednesday 1-5pm) of the rotation are reserved for

the teaching-learning conference. This provides an opportunity for the faculty preceptors to discuss with the

rotating interns their experiences during the rotation. The topics for discussion are categorized into two: the

biopsychosocial rounds and thepublic health and management rounds.


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The suggested template of the topics as per week is as follows:

Week 1 Skills session (CEA, facilitating skills, active listening skills,etc)

Week 2 Mentoring/Coaching

Week 3 Project cycle management and Impact monitoring/impact chains


Week 5 Clinical case discussion (cases seen at the health center and home visits)


Week 7 Family case presentationsWeek 8 Endorsements

Interns are also expected to attend the staff conference facilitated by the municipal health officer every

second and fourth Mondays of the month. They are also encouraged to provide feedback on the health programs

and health status in their assigned communities.

D. Community Field Visits

The interns will be assigned either in GK-Trese, GK-Molave or GK-Cox.

Table 5. Template of schedule of community field visits.

Monday Tuesday Wednesday Thursday Friday Saturday

Week 1 Subgroups C/D Subgroups A/D Subgroups A/B Subgroups B/C Subgroups C/D Subgroups

A/B/C/DWeek 2 Subgroups A/D Subgroups A/B Subgroup B Subgroup C Subgroup D

Week 3 Subgroups A/B Subgroups B/C Subgroups C/D Subgroup D Subgroup A/B

Week 4 Subgroups B/D Subgroups C/D Subgroups A/D Subgroup A Subgroups B/C

Week 5 Subgroups C/D Subgroups A/D Subgroups A/B Subgroups B/C Subgroups C/D

Week 6 Subgroups A/D Subgroups A/B Subgroup C Subgroup C Subgroup D

Week 7 Subgroups A/B Subgroups B/C Subgroup D Subgroup A Subgroups A/B

Week 8 Subgroups B/C Subgroups C/D Subgroup D Subgroups A/B Subgroups A/B/C

Activities for community field visits will be guided by the strategic plan or health agenda that will be

developed with the partner community. Hence, they may observe and assist in the conduct consultative

meetings with stake holders (i.e. Gawad Kapitbahayan of each community, Gawad Kalinga-Ateneo, local

government units especially the barangay council, etc). The interns are encouraged to contribute their thoughts

in community development such as in the design and implementation of group-based and skills-based education

intervention. The interns are also expected to mobilize the community to participate in these interventions.

The interns are also to review data source, gather and analyze information regarding the prevailing

health status of the community. This will be interspersed with the information they obtain from the home visits

that they conduct. They are expected to generate recommendations that will be consistent with the strategic

plans of the community and the organization.

E. Public Health Awareness Lectures

Interns are encouraged to facilitate and conduct public health awareness lectures either in the Payatas B

Health Center or in the respective areas where they are assigned (Purok Molave or Purok Trese). Topics for the

lectures should be based on the community needs and information they have obtained during their community

field visits. Interns should also be able to involve the community health workers in facilitating the lectures.

Materials for the lectures will be on the discretion of the interns.


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F. Strategic Management Activities

As such that the strategic management activities is anchored in the strategic plan of the community and

the organization, the interns are expected to participate in the on-going strategic assessment and planning and

programs. The interns are expected to apply principles of change management and leadership in the

implementation of community based programs. They are also encouraged to utilize basic management

functions, such as planning, organizing and leading, in implementing these programs.

The interns may conduct community focused group discussions (FGDs), join meetings with leaders andkey stakeholders as well as interview key informants. They may also facilitate communication and marketing

activities as necessary but still anchored in the strategic plan.

The interns will be required to write a journal of learning and reflections regarding their experiences on

the activities that they are involved in. The interns are required to accomplish the Report of Activity forms and

submit it at the end of their rotation.

Course RequirementsAt the beginning of the rotation, all interns are required to fill up two (2) copies of the Personal Data

Sheet and attach two (2) pieces of their recent 2x2 ID pictures. One copy will be submitted to the Medica

Health Officer during the clinic orientation while the other copy will be submitted to their respective facultypreceptors.

A. Case Presentations

The interns will be required to present two case presentations during their rotation: case discussion andfamily case.

For the case discussion, each subgroup will present a case that they have seen during their health centerduty and/or home visits. They will discuss the assessment and management of the case using the

biopsychosocial approach. Each group will be given 20 minutes for the oral presentation and a 10-minutediscussion will follow. The group will be required to submit a written report at the end of the session.

For the family case, each group (Trese, Molave and Cox) will present one family using thebiopsychosocial approach. The group must highlight the family profile, the family assessment tools used and

the family wellness plan. Each group will be given 30 minutes for the oral presentation and a 10-minutediscussion will follow. The group will be required to submit a written report at the end of their rotation

incorporating the comments and feedback during the open forum.

B. Patient Census LogAll patients seen during the health center duty, health hub, outreach clinics and home visits should be

logged. The patients name, age, sex, address, chief complaint, present working impression and summary ofmanagement should be logged following the format provided. It will be submitted as a course requirement at the

end of their rotation.

Table 6. Patient Census Log.Date seen Name Age/Sex Address Chief Complaint Present Working

Impression

Summary of

Management

Signature


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C. Family Profile ChartsEach intern will be assigned five families under their care for the two-month rotation. The intern is

required to accomplish the Family Profile Chart (Appendix __) and update necessary information during hishome visits. The Family Profile Charts will be arranged based on the head of the family. Each intern will make

recommendations and provide a Family Wellness Plan for each of the family he/she is assigned. The charts willbe collated in a filing cabinet provided at the Payatas B Health Center.

D. Journal/Report of ActivityEach intern will accomplish a Journal and Report of Activity form that will detail their learning and

experiences in the activities they have been involved during their rotation. This will be used as part of theprocessing during the teaching-learning conferences as well as a feedback form that will be collated as

accomplishment report to be submitted at the Quezon City Health Office and the Payatas B Health Center.

E. End-of-Rotation ExaminationAt the end of the rotation, the interns will have a 100-points written Objective Structured Clinical

Examination. Topics covered will be based on common diseases seen during clinic consults and home visits

(including clinical practice guidelines, EPI, NTP, IMCI, etc), family and community medicine concepts, public

health principles and management concepts. MPL for the examination is 70.

Course Evaluation

Interns will be evaluated based on their performance at the health center; involvement in the strategic

planning and program planning and implementation; oral presentations and written reports requirements; theend-of-rotation examination; behaviour and attitude evaluation; and attendance.

Performance evaluation (MHO, faculty preceptor, CO) 30%Participation and involvement in the strategic planning and implementation 25%Case report requirements 15%

End-of-rotation examination 15%Behaviour and attitude evaluation 10%Attendance 5%

Suggested Readings1. Expanded Program for Immunization2. National Tuberculosis Program 20103. Integrated Management of Childhood Illnesses4. National Compendium 2011


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PERSONAL DATA SHEET

Group Number: ______

Date of Rotation: ___________________

Name: ________________________________________

Attach latest 2x2/passportsize photo here.

Nickname: __________________________

Age : ___________ Birthday: _________

Contact information:

CP number: ___________________________________

Email: ___________________________________

Address: __________________________________________________________________

__________________________________________________________________

Educational background:

High school: _______________________________________________________

College/Course: _______________________________________________________

Hobbies/Skills/Special interests: _________________________________________________

Person to notify in case of emergency

Name: _______________________________________________

Contact number: _______________________________________________

Specimen signature: 1. ___________________________________________

2. ___________________________________________


PUBLIC HEALTH


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PATIENT CENSUS LOG

Name of Intern: ____________________________ Group No.: _____ Date of Rotation: ____________________

Date seen Name Age/Sex Address Chief Complaint Present Working

Impression

Summary of

Management

Checked by


PUBLIC HEALTH


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FAMILY CHART FORM

Name of Intern: _________________________ Group No.: _____ Date of Rotation: ___________

Name of Family : _____________________________________

Address: ______________________________________ Contact No. : __________________

Family Profile

Name of Family Member Age/Sex Occupation

Genogram

Family Structure:____________________________________________________

Family Life Cycle Stage:_______________________________________________

Issues to be anticipated:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________


PUBLIC HEALTH


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Family Map

Indicate the following: Index Patient, Primary Breadwinner, Primary CaregiverFamily APGAR

Family

Member 1

Family

Member 2

Family

Member 3

ADAPTATION I am satisfied that I can turn to my family for help whensomething is troubling me.Akoy nasisiyahan dahil sa nakakaasa ako ng tulong sa

aking pamilya.

PARTNERSHIP I am satisfied with the way my family talks over thingswith me and shares problems with me.

Akoy nasisiyahan sa paraaang nakikipagtalakayan sa

akin ang aking pamilya tungkol sa aking problema.

GROWTH I am satisfied that my family accepts and supports mywishes to take on new activities or directions.

Akoy nasisiyahan at ang aking pamilya ay tinatanggap

at sinusuportahan ang aking mga nais gawin patungo

sa mga bagong landas para sa aking ikauunlad.

AFFECTION I am satisfied with the way my family expresses

affection and responds to my emotions, such as anger,sorrow or love.

Akoy nasisiyahan sa paraang ipinadadama ng aking

pamilya ang kanilang pagmamahal at nauunawaan ang

aking damdamin katulad ng galit, lungkot at pag-ibig.

RESOLVE I am satisfied with the way my family and I share timetogether.

Akoy nasisiyahan na ang aking pamilya at ako ay

nagkakaroon ng panahon sa isat isa.

OVERALL ASSESSMENT

Score: 0 hardly ever (halos hindi) 1 some of the time (minsan) 2 almost always (palagi)

Interpretation: 0-3: severely dysfunctional 4-6: moderately dysfunctional 7-10: highly functional

SCREEM

PARAMETER RESOURCE PATHOLOGY

Social

Cultural

Religious

Economic

Educational

Medical


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FAMILY HEALTH CARE PLAN

Family Member Screening TestsImmunizations/

Chemoprophylaxis

Lifestyle

ModificationCounseling Needs


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EPISODIC CONSULT SHEET

Name of Family: _______________________________________

Date of visit Name Chief complaint Course of Illness/PE Assessment Management


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FAMILY AND COMMUNITY HEALTH MANAGEMENT

Performance Evaluation (Health Center Duty)

Name of Intern: ____________________________________________

Date of Rotation: __________________________________________

Health Center (encircle one): Payatas B Lupang Pangako

Rate according to the frequency with which the competency is manifested by the

intern as observed by the evaluator

5 = 90% of the time (Outstanding)4 = 75% of the time (Very Satisfactory)

3 = 50% of the time (Satisfactory)

2 = 25% of the time (Fair)

1 = very rarely seen, (Unsatisfactory)

NO = not observed (No opportunity for observation)

COMPETENCIES

AS A DOCTOR

1. Got a pertinent clinical history. _____

2. Performed a thorough physical examination. _____

3. Gave a complete biopsychosocial diagnosis and differential . _ ____

4. Utilized a cost effective laboratory procedures. _____

5. Prescribed the most cost effective treatment intervention. _____

6. Gave medical advice and other non pharmacologic

intervention to patients.

_____

7. Referred appropriately when necessary. _____

8. Gave particular importance to preventive care and health

promotion e.g., lifestyle modification and screening

_____

9. Provided specific follow-up date. _____

AS A RESEARCHER

Utilized the most current and best research on

diagnosis and treatment.

_____

AS COUNSELOR

Showed empathy to patients who are physically and/or

emotionally in pain.

_____

AS EDUCATOR / LEARNER

1. Educated patients on the nature of their illness, its

causation, management and prognosis.

_____

2. Taught barangay health workers. _____

3. Actively participated in case discussions of cases. _____

AS MANAGER AND PUBLIC HEALTH ADVOCATE

1. Managed time and resources wisely. _____

2. Worked harmoniously with a team. _____

3. Maintained pertinent and updated patient records. _____

4. Recorded the most common causes of mortality and

morbidity of the clinic.

_____

5. Screened for diseases that can pose a threat to the family

and community.

_____

6. Reported notifiable diseases to proper authorities.

7. Recommended appropriate family or community

intervention in relation to the diseases encountered.

_____

REMARKS:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

__________________________________________________________________________________________________________________________

_____________________________________________________________

_____________________________________________________________

___________________________ Name and Signature of Evaluator

Date : ________________

ATENEO SCHOOL OF MEDICINE

AND PUBLIC HEALTH


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YL9 SKILLS RATING SCALE FORM

Date: ______ Rotation: ___________________

Name of Intern: _____________________________________

Lowest Highest

Made sure that the correct procedure

was being done to the correct patient at

the correct site.

N/A 0.25 0.5 0.75 1.0 1.25 1.5 1.75 2.0

Maintained good rapport with thepatient, including making an effort to

put the patient at ease and to minimize

discomfort and pain.

N/A 0.25 0.5 0.75 1.0 1.25 1.5 1.75 2.0

Paid meticulous attention to basicasepsis and antisepsis techniques.

N/A 0.25 0.5 0.75 1.0 1.25 1.5 1.75 2.0

Paid strict and meticulous attention to

basic techniques throughout theprocedure.

N/A 0.25 0.5 0.75 1.0 1.25 1.5 1.75 2.0

Correctly used the proper instruments

during the entire procedure.

N/A 0.25 0.5 0.75 1.0 1.25 1.5 1.75 2.0

FINAL SCORE

Evaluated by: ________________________________________

Name and Signature of Evaluator

Date: _______________


PUBLIC HEALTH


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YL9 RATING SCALE FOR PROFESSIONALISM

Date: _______________________ Name of Intern: _________________________________

Rotation: ____________________ Hospital: _______________________________________

Lowest Highest

Has good working relationship with other team

members, enhances the value of the team0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Shows proper respect for patients, peers, faculty, and

allied health personnel

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Shows sensitivity and compassion to patients culture,

age, gender, and disabilities

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Maintains honesty and integrity at all times 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Demonstrates a commitment to ethical principles

(confidentiality of patient information, informed

consent, provision or withholding of clinical care, and

business practices)

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Demonstrates initiative and a desire for excellence 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Accepts limitations and failings, open to feedback and

criticism, shows desire for self-improvement

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Maintains a professional demeanor in manner, dress and

action, and excludes self-confidence

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Demonstrates organizational ability, responsibility,

dependability

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

Punctual and complete attendance 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0

FINAL SCORE

Evaluators Signature ________________________________

Evaluators Name ________________________________

Evaluators Position Consultant

Resident

Faculty


PUBLIC HEALTH


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PEER EVALUATION FORM

Group Number: ______ Date of Rotation: ___________________

INSTRUCTIONS: Rate your co-interns under each criterion according to the following rating scale:

5 = 90% of the time (Outstanding)

4 = 75% of the time (Very Satisfactory)

3 = 50% of the time (Satisfactory)2 = 25% of the time (Fair)

1 = very rarely seen, (Unsatisfactory)

Name of Co-interns A B C D E F G H I J

Evaluated by: ________________________________________


Date: _______________

CRITERIA DESCRIPTION OF PERFORMANCE

5 4 3 2 1

A. ABILITY TO

APPLY

KNOWLEDGE IN

CLINICAL

SITUATIONS

Has an unusual fund of knowledge

which is applied effectively and

promptly in clinical problems.

Average knowledge which is

usually applied appropriately

without gross effort.

Lacks/minimal

fund of

knowledge.

Unable to apply

knowledge in

clinical

situations.

B. ABILITY TO

OBTAINHISTORY

Exceptional case histories.

Complete clinical history.Asks the right diagnostic questions.

Clearly and logically records data

on chart.

Careful history with most

significant issues covered.Reasonable clarity and

organization in recording in

chart.

Incomplete

histories.Disorganized

recording.

C. ABILITY TO

PERFORM

ACCURATE

PHYSICAL

EXAMINATION

Asks permission to the patient.

Excellent, careful thorough

physical examination.

Detects most pathological findings

and assesses their importance

accurately.

Treats patient with utmost respect

Careful physical examination.

Most pathologies detected and

significance usually

understood.

Superficial or

incomplete

physical

examination.

Misses

pathological

findings or fails


PUBLIC HEALTH


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and explains procedures. to understand

their

significance.

D. QUALITY OF

DIAGNOSTIC

AND

THERAPEUTIC

MANAGEMENT

Appropriate diagnostic and

therapeutic management guided by

evidence and treatment guidelines.

Cost-effective.

Considered patients capacity to

conform with the recommendedmanagement.

Suggested management is

acceptable.

Recommended

management is

variable.

E. COMMUNITY

ORIENTATION

Highly community-oriented,

showing excellent analysis of the

social conditions and deep

understanding of root causes of

community problems.

Sees self as part of the community

he/she is working with.

Compassionate towards the

community.

Sees self separate from the

community and its effort at

improving its lifestyle.

Fair analysis of the situation.

Does activities assigned to

him/her.

Apathetic.

Underinterested

in working for

or with the

community.

F. LEADERSHIP Able to elicit active participation

from the people in the community

and together initiate appropriate

solutions to identified problems.

Adequate performance

expected of the student.

Needs prodding

and constant

urging to do

assigned tasks.

G. CHOICE OF

TOPIC FOR

DISCUSSION

DURING

LECTURES

Chooses the most important topics

needed by the community.

Uses simple language.

Excellent ability to integrate with

topics previously discussed.

Performs adequately.

Sometimes include topics

which are unclear or irrelevant

to the audience.

Poor

performance.

Talks about

topic without

regard for the

participants or

the community

context.

H. USE OF VISUAL

AIDS INLECTURES

Uses appropriate and clear visual

aids, more for the lay audiencerather than as visual cues for

himself.

Well-prepared and creative.

Adequate visual aids with

occasional lapses in language.

None or

haphazardlydone visual

aids.

I. ABILITY TO

ELICIT AUDIENCE

PARTICIPATION

Audience lively and highly

participative.

High enthusiasm among the

participants.

Moderate participation from

the audience.

Audience

silent, lacks

enthusiasm.

J. RELATIONSHIP

WITH

PRECEPTORS

Exceptionally cooperative.

Open to teaching efforts.

Accepts constructive criticism

well.

Good attitude.

Average receptiveness to

teaching efforts.

Displays little

interest in the

subject.

Defensive.

Resistant or

passive-

aggressive.


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YL9 RATING SCALE FOR PERFORMANCE

(Small Group Discussion/Case Presentation)

Date: ______ Rotation: ___________________

Name of Intern: ____________________________ Group: __________

Lowest Highest

Did the intern carry out a rationaldiagnostic approach?

Obtained pertinent data and also sought

to exclude other possible diagnosis.

Obtained accurate and complete historyin a logical manner.

Performed a complete and systematic

physical exam.

5 6 7 8 9 10 11 12

Did the intern describe the patients

clinical manifestations clearly, concisely

and accurately?

5 6 7 8 9 10 11 12

Did the intern arrive at a good clinicalimpression?

Was the intern able to recognize salient

features and correlate data to make adiagnosis?

8 9 10 11 12 13 14 15 16

Did the intern rule in/out pertinent and

plausible differential diagnosis?

Did the intern recommend/requestappropriate tests?

Was the intern able to rationalize the

use of such test?

5 6 7 8 9 10 11 12

Was the intern able to explain theunderlying pathophysiology of the

patients illness?

1 2 3 4 5 6

Was the intern able to discuss/suggest/carry out a rational and appropriate

treatment plan for the patients?

8 9 10 11 12 13 14 15 16

Was the intern able to analyze the

patients clinical course/response totreatment?

5 6 7 8 9 10 11 12

Was the intern able to explain appropriate

preventive health care measures that maybe recommended to the patient andfamily?

5 6 7 8 9 10 11 12

Was the intern able to make a concise yet

fairly complete contextual analysis of thepatients over-all biologic, physiologic,

socioeconomic and spiritual status?

1 2 3 4 5 6

FINAL SCORE

Evaluated by: ________________________________________



PUBLIC HEALTH


20/21

YL9 Rating Scale for Family Case Presentation

Date: _________ Rotation: _________________Name of Interns: ____________________________ Group: __________

5 = Fulfills task beyond expectation

4 = Fulfills tasks; no deficiency

3 = Fulfills with minimal deficiency

2 = Needs improvement

1 = Unable to fulfil task

CONTENT

Presented the patient and profile of his/her family. 1 2 3 4 5

Provided a rationale why it was chosen for presentation. 1 2 3 4 5

Analyzed appropriately the family dynamics of the patient as it relates to the

biopsychosocial concern identified.

1 2 3 4 5

Analyzed the impact of illness in the family. 1 2 3 4 5

Utilized appropriately family interventions in the biopsychosocial problems of

the family.

1 2 3 4 5

Evaluated the effects of the family interventions done. 1 2 3 4 5

PROCESS

Organized the content and presented it systematically. 1 2 3 4 5

Held attention of audience by making voice loud and clear. 1 2 3 4 5

Used relevant and properly proportioned audiovisual aids. 1 2 3 4 5

Adequately answered questions asked during the open forum. 1 2 3 4 5

Evaluated by: ________________________________________



PUBLIC HEALTH


21/21

Family and Community Health Management

Activity Report: _______________________________

Name of Intern: _________________________________

Site Assignment: ________________________________

Name of Activity:______________________________________________________________

Date and Venue: _______________________________________________________________

Activity Objectives:

Sponsoring and Partner Agencies: _____________________

Task as Intern:

Program of the Activity:

Key Issues Identified:

Comments on the Activity:

Personal Learning:

Next steps/recommendations:


PUBLIC HEALTH

120501 FCHM Rotation Writeup

Documents

Transcript of 120501 FCHM Rotation Writeup