JONATHAN C.
PACUNAYEN, RMT, MD
Department of Family and Community Medicine
Family Medicine: is a recognized academic                       development through constant
discipline and clinical specialty and, as such, its             research on existing laws
inclusion in the basic medical education with its               affecting the family and the
own specialty training is necessary.                            community
                                                            g. Manifest a healthy lifestyle and
Five-Star Doctor:                                               appropriate behavior
    a. Health Care Provider:                          c. Leader/Manager:
            a. Apply the biopsychosocial                    a. Work harmoniously with
                approach in health care;                        individuals inside and outside
                Evidence-based, patient-                        the health system to meet the
                centered, and community-                        needs of patients and
                oriented care, and validated                    communities and/or manage
                complementary/alternative                       projects in the community
                healthcare practice                         b. Deal with other health
            b. Provide care covering health                     providers through collaborative
                promotions, disease prevention,                 endeavors and teamwork
                early diagnosis and treatment,              c. Identify and establish linkages
                disability limitation,                          with government organizations,
                rehabilitation and palliation                   non-government organizations,
            c. Make appropriate use of                          and other people.
                available health data                       d. Meet with community leaders
            d. Practice self-directed learning                  and be involved in health
            e. Manage health care facilities                    policies and legislation
    b. Teacher/Educator:                                    e. Conduct research generation
            a. Show sensitivity to health                       and financial management and
                beliefs, reinforce positive                     assist in the development of
                knowledge and practices,                        leaders when applicable
                bridge gaps, and correct                    f. Plan and propose projects and
                misconceptions                                  identify indigenous materials as
            b. Apply effective communication                    well as appropriate community
                by showing sensitivity to                       resources in their
                feelings, articulating health                   implementation
                concepts, and giving advice                 g. Discuss basic concepts and
            c. Advocate a healthy lifestyle,                    methods of quality assurance
                thereby empowering                    d. Researcher:
                individuals and groups to                   a. Search relevant medical
                enhance and protect health                      literature and critically
            d. Utilize effective health teaching                appraised journals
                strategies based on the                     b. Utilize researches in clinical
                principle of adult learning and                 decision-making through
                local determinants of health                    clinical appraisals
                and socio-cultural factors in               c. Utilize health information for
                disease causation.                              the improvement of the health
            e. Organize, implement, monitor,                    of the population
                and evaluate training programs              d. Identify current problems as
                for groups                                      well as risk factors of the
            f. Exhibit commitment to                            community
                continuing professional
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JONATHAN C. PACUNAYEN, RMT, MD
Department of Family and Community Medicine
           e. Determine the type of research                  family as it deals with the
               needed                                         different stages of illness
           f. Conduct research that has                    c. Preparation and maintenance
               direct benefits and relevance to               of the family health record
               the community                               d. Conduct of family meetings for
    e. Social mobilizer:                                      various reasons from disclosure
           a. Reconcile individual and                        to education to provision of
               communal health requirements                   primary counselling and
               and mobilize the community                     promotion of wellness of the
           b. Advocate important relevant                     family
               health issues                        b. Primary and Secondary Care:
           c. Practice environmental                       a. Emphasizes the use of
               awareness/protection                           biopsychosocial approach
           d. Assist in community organizing               b. Requires demonstration of
               and community development                      adequate knowledge of the
           e. Improve human relationships                     diseases of various age groups
               through enhanced personal and                  encompassing its epidemiology,
               interpersonal relationships                    etiology, pathophysiology, and
           f. Integrate traditional practices                 symptomatology
               of the community with western               c. Management of common
               medicine                                       medical problems of children,
                                                              adults, and the elderly in
***With the desire for medical trainees to                    various settings – OPD, In-
become 5-star physicians, terminal                            patient wards, home
competencies were formulated for each role.                d. Recognition of psychological,
Which of the ff roles is being fulfilled when a               socio-cultural, economic,
physician practices environmental awareness                   political, and environmental
and protection?                                               factors which affect the illness
   A. Health Care Provider                                    of patients
   B. Teacher/Educator                                     e. Provision of continuing,
   C. Leader/Manager                                          comprehensive, and
   D. Researcher                                              personalized care to patients
   E. Social Mobilizer                                        with chronic conditions
                                                           f. Coordination of care of patients
Foundation Courses:                                           with other specialists or
   a. Family Medicine Principles and Family                   agencies to achieve optimum
       Practice:                                              health for the patient.
           a. It covers analyses of both the        c. Acute Care:
               biomedical as well as the                   a. Management of the common
               psychosocial needs of the                      medical emergencies of
               family as it goes through the                  children, adults, the elderly and
               various transitions of family life             triaging patients requiring
               cycle                                          urgent or emergent care or
           b. Identification of the various                   both
               factors that influence family        d. Preventive Care and wellness:
               systems applying such                       a. Directed towards children,
               knowledge in assisting the                     adults, the elderly, the family
                                                              and the community
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JONATHAN C. PACUNAYEN, RMT, MD
Department of Family and Community Medicine
         b. Geared towards the recognition                participatory strategies in the
            and anticipation of specific                  conduct of health promotion
            needs of each population group                activities for the community
            to prevent the occurrence of               d. Promotion of education of the
            disease or its complications and              general public on health
            existing risk factors                         matters
         c. Leads to the preparation of a              e. Advocacy on increasing
            suitable periodic health                      efficiency of the health system
            examination package for                       resulting in improvements of
            patients inclusive of lifestyle               health indicators
            checks, screening tests,            g. EBM:
            immunization,                              a. Guides the learner in clinical
            chemoprevention, and                          decision-making
            promotion of healthy lifestyle             b. Applies the appropriate
            and behaviors                                 translation of a clinical dilemma
   e. Communication and Relational Skills:                into a researchable/focused
         a. Demonstration of the adequacy                 medical question
            of communication skills in                 c. Search of a medical literature
            different medical situations                  for the suitable medical
         b. Adoption of correct non-verbal                information that will answer
            communication stances in                      the clinical dilemma
            different situations:                      d. Critical appraisal of the
            emergencies, bereavement,                     evidence of medical research on
            cultural, and gender differences              therapy, diagnosis, harm, and
         c. Development of core values,                   prognosis
            such as social responsibility,             e. Determination of the criteria to
            compassion, genuineness, and                  be used in any test to screen for
            integrity                                     or diagnose a clinical problem
         d. Maintenance of harmonious           h. QA:
            relationships with patients and            a. Hallmark in Family Medicine
            their families as well as with                globally
            colleagues in the profession               b. Clinical audit of a family
         e. Presentation of clinical cases or             practice following the steps of
            researches to colleagues in                   the QA cycle is conducted and
            small group discussions as well               QA circles among PAFP
            as in medical conferences                     members in the chapters are
   f. COPC:                                               created
         a. Enable family physicians to         i. Research:
            follow the recognized steps of             a. It will help family physicians
            COPC to population groups such                produce evidence of the effects
            as the recognition of a                       of their care on people and
            community as a “population at                 families
            risk”                                      b. Family physician constantly
         b. Critical analysis of the health               updates his or her medical
            situations in the community                   knowledge
         c. Analysis on how health systems             c. Demonstrates adequate
            and their components work,                    knowledge and skills in
            such as the utilization of                    research protocol development
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JONATHAN C. PACUNAYEN, RMT, MD
Department of Family and Community Medicine
          d. Contributes to the growth of                b. Time management for personal
               medical knowledge and                         activities as well as
               advancement of health care by                 organizational ones
               conducting and publishing                 c. Collaborating with a health
               relevant researches                           team in the promotion of the
   j. Information Technology:                                health of Family Practice
          a. Adjust to the development                       patients and working towards
               through utilization of modern                 the achievement of goals
               technological advancements                    whether they are those of a
               that enhance patient care                     project or of an organization
               through appropriate use of the     n. Basic Occupational Health and Safety:
               Internet to increase knowledge            a. Acquaints primary care
               and facilitate learning                       physicians with formal
   k. Medical Ethics and Professionalism                     occupational health facilities
      Courses:                                           b. Family physician learns about
          a. Include demonstration of                        the hazards in the workplace
               ethical behavior in the                       and their effects on the health
               managements of patients and                   of workers and the community
               their families                            c. How their ill-effects can be
          b. Recognition of one’s rights as a                prevented through various
               physician                                     protective devices and
          c. Documentation of accurate                       modification of operation or
               medical information on legal                  equipment
               documents such as medical                 d. Ergonomics and its application
               charts, patient’s records, and                in the workplace
               certificates                              e. Plant inspection, sanitation, and
          d. Consistently being mindful of                   industrial hygiene
               one’s professional conduct                f. Laws related to occupational
          e. Appropriate action when                         health and safety
               notified of unethical conduct by          g. Standards set by the DOLE
               a colleague
          f. Coordination with an ethics
               committee in the conduct of
               medical research
   l. Legislation on Health and the Family:
          a. Family physician is able to
               identify important legislations
               that are relevant to health and
               the family and become familiar
               with the various policies of DOH
               especially those that relate to
               primary/family care
   m. Practice Management and Health
      Administration:
          a. Leads to the identification of
               protocols and requirements in
               the establishment of a family
               practice
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