Post Graduate Certificate in Family Medicine (PGCFM)
Bangladesh University of Health Sciences in collaboration with Platform of Doctors and Dentists Society
Bangladesh University of Health Sciences in collaboration with Platform of Doctors and Dentists Society
Post Graduate Certificate in Family Medicine (PGCFM)
Certificate in Family Medicine (CFM)
Family Medicine is the backbone of primary health care delivery all over the world
It is yet to be Developed as a Specialist Discipline in Bangladesh.
A short course in Family Medicine can provide the graduates deened to motivate doctors taking up general practice as profession and build up career.
It can enhance their knowledge and skill as improved General Practitioners.
Certificate Course in Family Medicine (CFM) offered by BUHS in collaboration with Platform of Medical and Dental Society.
Mid-Course Survey
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Postgraduate Certificate in Family Medicine (PGCFM)
Family Medicine is the backbone of primary health care delivery all over the world
It is yet to be Developed as a Specialist Discipline in Bangladesh.
A short course in Family Medicine can provide the graduates deened to motivate doctors taking up general practice as profession and build up career.
It can enhance their knowledge and skill as improved General Practitioners.
Certificate Course in Family Medicine offered by BUHS in collaboration with Platform of Medical and Dental Society.
Mid-Course Survey
Preamble
Family Medicine is the backbone of primary health care delivery all over the world and has evolved as a specialised version of traditional general practice. However, it is yet to develop as a Specialist discipline in Bangladesh. Although it is encouraging to note that the government has finally been moving towards restructuring General Practice and streamline a referral system. On the other hand, a vast number of young doctors are unable to get in to the traditionally developed specialities. This created a window of opportunity for the development of Family Medicine as a specialist discipline in Bangladesh. A short course in Family Medicine can provide the aspirant practitioners to step into the discipline before deciding to go for full specialist training. It can enhance their knowledge and skill as improved General Practitioners. To fill the opportunity, a Certificate in Family Medicine (CFM) is offered by BUHS in collaboration with Platform of Medical and Dental Society.
The course is unique in nature as it is not run merely as a multi-disciplinary revision and refreshers course. The programme incorporates foundations of Family Medicine, Practice Management and management of common conditions presented in General Practice among others. This course is the first step towards full specialisation to become a fully skilled Family Physician.
Objectives
To improve knowledge and skills of general practitioners to prepare them for independent Family Practice.
To provide a basic training in the domain of Family Medicine in order to prepare the trainees to enter into full specialisation.
To improve the health outcome of the practice population through upskilling of the trainees.
To provide trainees the skills of practice management to enhance their earning potential without compromising ethical standard.
To minimise the workload of specialist care through improving professional knowledge and skill of the practitioners.
To improve communication and patient management skills in at practice (chamber) level for those doctors who intend to specialise in other discipline but are still engaged in General Practice.
To instil a culture of lifelong learning among the trainee general practitioners.
Sessions
March – August
Duration and course format
October - March
The course is designed as a 6-month part-time programme offered in combination of on-campus and off-campus practice (chamber) based mode. The online classes are focused on the theory of patient management and the practical classes includes hands on experience which is further enhanced by logbook facilitated practice-based learning (in the trainees’ own workplace). The course includes exposure in practice management in established model Family Practices. The course is delivered through 6 modules (one in each month). There is a minimal requirement for on-campus attendance (one Saturday) in each moth, except for the 1st month where the students are required to attend an additional inaugural Saturday). The other parts of the modules are delivered through self-study uploads on Thursday nights and online lectures on Fridays. Practical learning is enhanced by practice-based learning on Saturday in the student’s own workplace (chamber/ hospital) through logbook maintenance.
The assessment is done through submission of assignments and end of course student friendly examination.
Course fees
Total Course Fee = BDT 15,000/- (Fifteen Thousand Taka)
Bank Details:
Nagad Details: - 01550704669
Once payment is done, please send copy of the bank deposit slip or screen shot of Nagad transaction to ccfm@buhs.ac.bd
Bank Name & Branch Mercantile Bank Limited, Darus Salam Branch, Mirpur-1, Dhaka-1216, Bangladesh
Account Name: BUHS Training Programs
Account No: 1111001127421
Bkash Details:
Assignments
Video recording of consultation
Evaluation
Patient studies: 2
The evaluation process consists of:
1. End Course Exam (Written- MCQ, SAQ and OSCE);
2. Marking of the assignments.
Qualification marks would be 50% (in each component).
Home visit record: 1
Consultation record and prescriptions: 5
Practice visits reports: 2 (1 large/ corporate and 1 small practice)
Logbook for practice (hospital/ chamber) based learning
Faculty, Resource and Infrastructure
The course is delivered through The Family Medicine wing of the Community Medicine Department of BUHS through a partnership with Platform of Medical and Dental Society. All on-campus (theory and hands-on practical) sessions take place at the BUHS campus. Renowned faculties from home and abroad has been selected to deliver the lectures and hands-on training.
Potential benefit
Future outlook
Improved knowledge and skills leading to increase patient confidence and increase income potential.
Increase confidence in day-to-day general practice.
Preparing for full specialization in Family Medicine (e.g., MCPS/ FCPS, in Family Medicine, MRCGP)
Enhance employment opportunity in NGOs, Private and Corporate organizations.
Improved ability in patient management skill across all spectra of clinical practice.
Ability to enter into the overseas job market as there is high demand for trained general practitioners in developed and middle-income countries.
Possibility of credit allocation for various relevant post graduate courses offered by BUHS.
To offer Diploma of Family Medicine and Master of Family Medicine degrees.
Module 1: Foundation of Family Medicine (3 credits)
Background & Principles of Family Medicine
Doctor – Patient relationship and consultation skill
Dealing with patient’s psychology
Health promotion and preventive care
Diagnostic and management strategies in family practice
Ethical and Medico-legal considerations
Family in Family Medicine and the Whole Person Approach
Rational prescribing
Telemedicine
Practice Management
Evidence Based Medicine and Epidemiology for family practitioners
Theory
Practical
Consultation technique: Standard & Short consultation
Home visit
Consultation notes
Writing Medical certificate for sick leave
Report writing for common assault
Writing Death certificate
Visit to model practice and writing report on visit
Module 2: Common Management Challenges in Family Practice (3 Credits)
Approach to Headache and light-headedness
Approach to a Febrile patient and PUO
Approach to chronic cough and sore throat
Evaluation and management of shortness of breath and respiratory distress
Approach to Tiredness, Fatigue and anaemia
Evaluation and management of Palpitation, Dizziness, Giddiness and abnormal heart rhythm
Evaluation and management of patients with Dyspepsia and Heart burn
Evaluation and management of common Anorectal conditions and inguinoscrotal swellings
Approach to Sleep disorders in primary care
Obesity and Unintentional weight loss: assessment and management
Supporting Smoking cessation and dealing with drug addiction
Theory
Practical
Examination: General and systemic
Targeted examination of Hip, Knee, Ankle, Shoulder and Back
Injection technique (IM, IV and SC)
Local anaesthetic technique
Injection for tennis elbow
Disposal of sharp items and biohazards
Sterilisation of equipment
ECG recording technique
Module 3: Essentials of Family Care: Child Health, Women’s Health, Men’s Health (3 credits)
Milestones of Development and Childhood Immunisation and Common congenital conditions
Nutritional disorders
Behavioural disorders: Temper tantrum, ADHD, Stammering, Autism spectrum disorders
Rheumatic fever and congenital heart diseases
Pre-pregnancy counselling and Contraception
Menstrual problems and abnormal uterine bleeding
Essentials of Antenatal and postnatal care
Common medical conditions affecting pregnancy
Menopause and HRT
Polycystic Ovarian syndrome and Pelvic Inflammatory Disease, Ectopic Pregnancy
Approach to Infertility in General Practice
Erectile dysfunction and Premature ejaculation
Theory
Practical
Female Pelvic examination
Normal delivery technique
Breast self-examination technique
Pregnancy test, EDD calculator
Taking Pap smear and vaginal swab
Circumcision technique
BMI calculator and Weight for height chart: Adults
Module 4: Emergency Medicine and Primary Care surgery
(3 credits)
Approach and initial management of Trauma, common fractures, and Road Traffic accident
Approach to unconscious patient and CVA
Acute chest pain – approach and management (MI, Acute Coronary syndrome, PE etc)
Approach and initial management of head and spinal injury
Approach and primary care management of acute abdomen and abdominal pain
Acute poisoning: OPC and others, Insect and snake bite management in primary care
Approach and management of shock: anaphylactic shock, Acute allergic reaction, Vasovagal and hypovolemic shock
Epilepsy and seizure disorders
Common childhood emergencies: High fever, Febrile convulsion, Collapse, Near drowning, Meningitis, Croup, Epiglottitis, Bronchiolitis
Benign and Malignant skin lesions
Lower Urinary Tract Symptoms (LUTS): Prostatitis, Prostatism, BEP, Acute urinary retention, Urolithiasis and bladder cancer
Burns
Theory
Practical
BLS (Basic Life Support) and CPR
Examination of Diabetic foot and management of chronic foot ulcer
Abscess drainage, Releasing sub-ungual haematoma
Laceration repair; skin suture, non-suture skin closure
Care for common wounds
Interpretation of X rays of common fractures
Applications of POP, back slab, collar and cuff, arm sling and finger splints
Module 5: Non-Communicable Diseases (3 credits)
Diabetes Mellitus and Metabolic Syndrome
Hypertension and Heart failure
Coronary artery disease, Dyslipidaemia Post Hospital care of MI
Asthma and COPD, Obstructive Sleep Apnoea
Gastro Oesophageal Reflux Disease, Inflammatory Bowel Disease, Irritable Bowel Syndrome
Approach and management of joint pain in family practice: Osteoarthritis, Rheumatoid Arthritis, Gout and other inflammatory arthritis
Chronic Kidney Disease
Common Eye Problems and management approach: Red Eye, Dry eye, Sub-conjunctival
haemorrhage and haematoma, Glaucoma
Refractive error, Strabismus, amblyopia, ectropion and entropion
Common ENT Problems and management approach: Nasal polyp, Allergic Rhinitis and
Deviated nasal septum, Tinnitus, vertigo and Hearing loss, epistaxis, Minier’s Disease
Skin Rash and eruptions: Eczema, Psoriasis and other non-communicable skin conditions
Approach to common geriatric conditions: Dementia, Alzheimer’s Disease, Fall, Parkinsonism and Incontinence
Theory
Practical
Interpretation of common ECGs
Use of Oxygen Cylinder, nebuliser, Peak flow meter, Metered Dose Inhalers and Spacer and glucometer
Overview of targeted ENT examination
Removal of foreign body from eyes, ears and nose
Removal of Ear Wax – ear syringing Nasal packing for epistaxis
Rennie’s and Weber’s test, Use of Otoscope
Snellen and Ishihara chart, cover test, pin hole test, Use of Ophthalmoscope
Interpretations of common X rays, ECGs, CT scan and pathology tests for non-communicable disease those not covered in Emergency Medicine Module)
Chemical cautery of little’s area
Module 6: Miscellaneous: Communicable Diseases, Mental Health and Palliative Care (3 Credits)
Diarrhoeal diseases and food poisoning (Water & food borne diseases), Typhoid and paratyphoid
Approach to and management of Sexually Transmitted Infections
Vector borne diseases (Malaria, Dengue, Chikungunya and Filariasis)
Jaundice, Acute & Chronic liver diseases
Approach to common skin and fungal infections: Scabies, Headlice, Acne, Rosacea, Chickenpox, Herpes Zoster, Tinea and other fungal infections
Acne, Chickenpox and Herpes Zoster
Oro-dental medicine: Sialadenitis, Toothache, Halitosis, Gingivitis, Dental caries
Respiratory tract infections, Pneumonias, Bronchiectasis, Prevention and primary care management of COVID-19
Pulmonary and Extra pulmonary TB – management in the community and referral network
Essentials of palliative care, Care for dying patient including
Common infection of external, middle and inner ear, mastoiditis, sinusitis, throat infection, tonsillitis and peritonsillar abscess
Anxiety, OCD and Somatoform Disorder
Depression, Bipolar Disorder and Schizophrenia
Essentials of Palliative Care, caring for dying patients and chronic pain management
Theory
Practical
Interpretations of common X rays in general practice
Common investigations and their interpretation, Urine dipstick analysis
MMSE (Mini Mental State Examination)
Introduction and usage of Handle analyser (Point of care pathology test)
This survey is meant for students of Certificate Course in Family Medicine. The identity of the participants of this survey will be kept anonymous.
Mid-Course Anonymous Survey
Q12. Mention 5 strengths/positive points about the course:*
Q13. Mention 5 weakness/negative points about the course::*
Q15.General Comments:
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