Domain of Family Medicine - FM Flashcards

1
Q

Who is a family physician, and what is their role?

A

A family physician is a generalist responsible for comprehensive care for unselected patients with undifferentiated problems, regardless of age, gender, or illness.

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2
Q

What are the core principles of family practice?

A

The core principles include being person-centred, evidence-based, family-focused, and problem-oriented.

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3
Q

What does the scope of family medicine include?

A

The scope includes managing acute and chronic illnesses, addressing psychosocial issues, and providing health promotion and disease prevention.

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4
Q

How do family physicians address psychosocial concerns?

A

By uncovering hidden conditions and exploring patient concerns using tools like FIFE (Feelings, Ideas, Function, Expectations).

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5
Q

What are the critical clinical competencies of family physicians?

A

Recognition, integration, prioritisation of multiple concerns, and synthesis of solutions.

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6
Q

Define primary care and its main characteristics.

A

Care provided by trained physicians skilled in comprehensive, first-contact, and continuous care for undifferentiated patients.

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7
Q

What types of services are included in primary care?

A

Health promotion, disease prevention, patient education, diagnosis, and treatment in various settings.

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8
Q

Who are considered primary care providers?

A

Primary care physicians, non-physician providers, and other healthcare professionals offering supportive care.

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9
Q

Describe the patient-centred nature of primary care.

A

It focuses on patients’ needs, effective communication, and partnership in healthcare decisions.

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10
Q

How does primary care promote cost-effective healthcare?

A

Through coordination of healthcare services and advocacy within the system.

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11
Q

What role does a primary care physician play in the healthcare system?

A

They provide definitive care at the first point of contact and take continuing responsibility for comprehensive care.

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12
Q

How does primary care serve as the entry point for healthcare?

A

By organising care for undifferentiated problems and maintaining a focal point for healthcare needs.

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13
Q

How do non-primary care physicians contribute to primary care services?

A

By offering specific services but requiring consultation with fully trained primary care physicians.

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14
Q

What is the role of non-physician providers in primary care?

A

They meet specific patient needs using standing orders and collaborate with primary care physicians.

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15
Q

How does family medicine operate at the primary care level in Nigeria?

A

Through supervision, training of CHOs, and providing primary medical care in PHCs and facilities.

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16
Q

What services do district hospitals provide in family medicine?

A

Services include general ward care and procedural skills in obstetrics, surgery, and anaesthetics.

17
Q

What role do family physicians play in teaching hospitals?

A

They receive training in core specialties and offer district-level hospital care.

18
Q

How is community-based care integrated into family medicine?

A

By supervising ward-based facilities and providing support to community healthcare teams.

19
Q

What does home-based care in family medicine involve?

A

Home visits, family conferencing, and functional hospice care for institutionalised support.

20
Q

What are the subspecialties approved in family medicine?

A

Acute care, lifestyle medicine, generational medicine, palliative care, rural and remote medicine, and travel medicine.