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Saudi Board in Community Medicine - SBCM

SBCM- Al-Madinah Al-Monowarah

بالمدينة المنورةالبرنامج المشترك للدراسات العليا للزمالة في طب المجتمع المشرف العام علي البرنامج

الطبيقيأبو بكر بن عبده /دكتور

اهداف العرض

تقديم نبذة عن البرنامج و الجهات المشاركة1.

عرض الهيكل االداري و التنظيمي للبرنامج 2.

التعريف بمجال و سمات علم طب المجتمع3.

العلمية و المهنية المتوقع أن يكتسبها الخريج الجداراتوصف 4.

القاء الضوء علي مجاالت العمل المستقبلية للخريجين من البرنامج5.

المؤهالت و سمات الطبيب ذو الخمسة نجوم6.

عرض للمحتوي التدريبي للبرنامج7.

االشارة الى طرق التدريب و التقويم8.

بيان للقواعد و النظم الحاكمة للمتدربين9.

مبررات إنشاء برنامج الزمالة لطب المجتمع

بالمدينة المنورة

المدينة المنورة منطقة حج.

عدم وجود برنامج مماثل في المنطقة

بالمملكة و تزايد أعداد الخرجين ( كلية 20) الطب تزايد عدد كليات.

التوسع في تقديم الخدمات الصحية المجتمعية.

إجراء األبحاث والتطبيق الحقلي وارتكاز البرنامج العمل الميداني

سوف يرتقي البرنامج بالخدمات الصحية المقدمة في منطقة المدينة المنورة.

التوجه نحو إجراء أبحاث حقلية لمواجهة مشاكل وإثراء النشاط البحثي .المجتمع الصحية في المنطقة

وجود اإلمكانات البشرية المؤهلة للقيام بمهام التدريب

توافر أماكن وإمكانات التدريب المناسبة بالجهات المشاركة بما يحقق متطلبات .االعتراف بالبرنامج

جــامعة طيــبة

الشئون الصحية بالمدينة المنورة

أمانة منطقة المدينة المنورة

الحرس الوطني بالمدينة المنورة

الجهات المشاركة بالبرنامج المشترك

للدراسات العليا في طــب الـمـجتمـع

الجهات المشاركة في البرنامج المقترح

الكليات المشاركة* كليــة الطــب•

كلية علوم التأهيل الطبي•

كلية طب األسنان•

كلية العلوم الطبية التطبيقية•

التربية •

االداب و العلوم االنسانية•

الجامعية العمادات• المكتبة المركزية•

المراكز الجامعية •

االحصاءمركز •

الجهات المشاركة في البرنامج المقترح

إدارة الرعاية الصحية األولية • –قسم الصحة المهنية –قسم صحة البيئة )

قسم رعاية األمومة –قسم االمراض المزمنة

(الرعاية المنزلية –و الطفولة

المختبر المرجعي

األمراض نواقلمكافحة

مراكز الرعاية الصحية األولية

المستشفيات التابعة لوزارة الصحة بالمدينة

المنورة مثل مستشفي الصحة النفسية

أماكن أخري تضم الحقا حسب متطلبات البرنامج

الجهات المشاركة في البرنامج المقترح

.أبحاث البيئة وإدارة المختبرات •

.النموذجي المسلخ•

.المدفن الهندسي•

محطة معالجة مياه الصرف •

.الصحي

.مصلحة المياه بالمدينة المنورة•

أماكن أخرى تضم الحقا حسب •

.متطلبات البرنامج

الجهات المشاركة في البرنامج المقترح

مركز الرعاية الصحية األولية

مستشفي الحرس الوطني

(قسم الطب الوقائي ) الجديد

الهيكل التنظيمي للبرنامج

بالمدينة المنورة

What is Community Medicine?

The study of health and disease in

the population of defined

communities or groups in order to

identify their health needs, and to

plan, implement, and evaluate health

programs to effectively meet these

needs.

How Community Medicine differs from

other branches of Medicine ?

Community Medicine reaches out to people to

provide services for prevention of disease (such as

immunization, pre-natal care, health screening etc.), promotion of health (such as safe water supply and sanitation, vector control measures, tobacco control

policy etc.) and provision of primary medical care (treatment of common ailments such as diarrhea, pneumonia, TB, leprosy, malaria, hypertension etc.)

whereas other branches of medicine largely provide

diagnostic and treatment services to patients who

seek treatment.

Is Community Medicine different from Public

Health?

In many countries Community Medicine is

synonymous with what is known as Public Health

Medicine or Public Health .

reventing disease, p: “the science and the art of PH

promoting health and prolonging life through the

organized efforts and informed choices of society,

organizations, public and private, communities and

individuals.

Who are Community Medicine Specialists?

Medical doctors who graduated and having SBCM

trained in :

Epidemiology and Bio-statistics

Health Planning and Health Management

Health Education and Health Promotion

Primary Medical care

Community Medicine Specialist is a Five Star Doctor

Epidemiologist

Health Manager

Health Advocate

Health Communicator

Primary Health care & Family Physician

A Community Medicine Specialist

Has in-depth understanding of the determinants of health and diseases. Diagnoses and manages common illnesses and emergencies encountered in the community. Adopts integrated approach to develop policies to meet the health needs of the individual, family and the community. Conducts epidemiological investigations of communicable and non­-communicable diseases and suggests appropriate solutions to public health problems. .

A Community Medicine Specialist-cont.,

Conducts investigations into the problems of health services of the community. Plans, organizes, implements and evaluates health services and health programs. Interprets records and reports of health services at various levels of health care delivery system. Performs research and applies research findings to improve health services of the community. Undertakes teaching and training assignments in the field of community medicine for various categories of medical and paramedical personnel. Functions as an effective member as well as a leader of the health team.

Career Options for Community Medicine

Specialist Epidemiologist in Health Services or in Research

Organizations Public Health Officer in State or Central Health Services Public Health Project Manager in UN & other NGOs Research Officer in Medical Research Organizations . Family Physician in Health Care or Health Maintenance Organizations Teacher in Medical Colleges & Public Health Schools

Definition

Community medicine is :

a study of diseases and health in the population of defined groups or communities with a view to identify their health needs and

to evaluate, implement and plan health programs to effectively meet these

requirements.

The main aim of this branch of medicine is protection and promotion of public health.

Community Medicine is:

Multidisciplinary

Multisectoral

Evidence based

Equity oriented

KEY COMMUNITY MEDICINE AREAS

1. Epidemiology, biostatistics and research methodology

2. Communicable and non‐communicable diseases including surveillance

3. Maternal and child health including assessing the evidence of effectiveness of interventions, programmes and services to improve population health and wellbeing

4. Environmental and occupational health

5. Health management including leadership, quality management and health economics

6. Health in emergency and disastrous situation

General Objectives of SBCM

1. Demonstrate the ability to provide patient-centered care that is appropriate, compassionate, and effective for treatment of diseases and the promotion of health.

2. Update knowledge and learn to critically assess and utilize current medical and scientific evidence for patient care.

3. Develop interpersonal and communication skills for efficient information exchange and interaction with patients, families, and other health care providers.

General Objectives

4. Demonstrate commitment to professional

responsibilities and practice of ethical principles.

5. Investigate and evaluate patient care practice,

appraise and understand scientific evidence towards

improved patient care.

6. Practice quality health care that is cost-effective,

and advocate for patients within the health system.

SPECIFIC LEARNING OBJECIVES

1: Diagnose & analyze the community health problems

through his / her ability to:

Identify healthcare data resources.

Organize such data.

Conduct field studies in order to recognize health

problems & solutions.

2: Carry out administrative, executive & supervisory missions such as:

Leading the health team.

Enjoying communication skills in order to be able to communicate with other team members & pertaining bodies.

Enrolling the society in planning, executing, & evaluating different activities.

Studying & prioritizing the goals.

Using high risk approach in management.

Dealing with catastrophes & emergencies.

Having knowledge of the health systems & health agencies in the community.

SPECIFIC LEARNING OBJECIVES-cont.,

3: Plan, execute & evaluate preventive healthcare programs

at their three levels:

Ability to determine goals & establish strategies.

Awareness of the basics of healthcare economies &

ability to use them in executing programs & evaluate

& develop their performance.

SPECIFIC LEARNING OBJECIVES-cont.,

4: Design, administer & assess programs for health

education within the society through:

Identifying priorities & target groups for health

education.

Knowledge of health education methods & selecting

the most suitable ones.

Making use of the available possibilities in the

healthcare sector or society & utilizing them for

health education activities.

SPECIFIC LEARNING OBJECIVES-cont.,

5: Perform epidemiological screening through:

Mastering of epidemiological studies & choosing the

best for the research question & thus executing it.

Knowledge of information sources & data exchange

in epidemiological fields

Taking suitable actions in controlling epidemic

diseases.

Performing surveillance methods.

SPECIFIC LEARNING OBJECIVES-cont.,

6: Maintain a healthy environment through:

Monitoring environmental health & recognizing the

unhealthy environmental phenomena & taking

actions to process them.

Raising awareness of maintaining healthy

environment between health team members & health

sector staff.

SPECIFIC LEARNING OBJECIVES-cont.,

7: Comprehend & deal with international healthcare cases through:

Understanding & dealing with the international healthcare laws & systems.

Knowledge of the international healthcare bodies' systems & responsibilities.

Having skills to deal with health cases for visitors and expatriate workers who come to the Kingdom for any purpose.

Knowledge of dealing with all food products imported to the Kingdom.

SPECIFIC LEARNING OBJECIVES-cont.,

8: Diagnose infectious, endemic & epidemic diseases, work

to detect, manage them and deal with their prevention

according to the priorities in the region.

9: Conduct scientific applied field research, according to

the needs of the society as well as using advanced

statistical and computer technology.

SPECIFIC LEARNING OBJECIVES-cont.,

10: Have strong knowledge about the Islamic perspectives

of the concepts of “health & sickness” & apply such

concepts in the society, along with knowledge about

medical practice rules & regulations

SPECIFIC LEARNING OBJECIVES-cont.,

Second : The SBCM holder is expected to master the previous learning objectives in general and in relation to his / her track which could be in one of the following:

Epidemiology & Biostatistics.

Environmental & Occupational Health.

Applied Health sciences, such as:

(health education, school health, maternal & child health, nutrition, geriatric healthcare, mental health, dental health, international health)

Health management & health administration

SPECIFIC LEARNING OBJECIVES-cont.,

Graduate Competencies

The training in Community Medicine is directed

towards achievement of the goal of Better Health for

All & MDG

Aim of the training is to prepare the trainees to be

Health Planners, Organizers and Administrators

Teachers / Trainers

Researchers & Epidemiologists

Five-star Doctors for the 21st

“five-star Doctor”)Charles Boelen, WHO 1994):

Five-star Doctors for the 21st

• 1- Care provider,

who considers the patient holistically as an individual and as an integral part of

family and the community, and provides high quality, comprehensive,

continuous and personalised care within a long term relationship based

on trust.

Five-star Doctors for the 21st

2- • Decision maker,

who chooses which technologies to

apply ethically and cost- effectively

while enhancing the care he or she

provides.

Five-star Doctors for the 21st

3- Communicator,

who is able to promote healthy lifestyle

by effective explanation and advocacy,

thereby empowering individuals and

groups to enhance and protect their

health.

Five-star Doctors for the 21st

4-Community leader,

who having won the trust of the people

among whom he or she works, can

recouncil individual and community health

requirements and initiate action on behalf of

the community.

Five-star Doctors for the 21st

5- Manager,

who can work with individuals and

organizations inside outside the health

system to meet the needs of patients and

communities, making appropriate use of

available health data.

Teaching-Learning Tools & Activities

Training and facilitation of the learning process will be

aided through the following methods of learning:

1. Lecture discussions / Small Group Teaching

2. Practical Demonstrations

3. Field visits Family Studies / Clinico-Social

Case Studies / Site Visits

4. Focused group discussion (FGD),

Participatory learning appraisal (PLA)

5. Institutional visits

6. Seminars & tutorials

7. Epidemiological Exercises ? Learning by doing

Learning Tools & Activities-Teaching

8. Assignment writing

9. Involvement in Specific Departmental

Project works

10. Students Library Projects

11. Conducting of epidemiological

Surveys / projects

12. Planning and Organizing Health

Education activities.

13. Self-learning modules 14. Interactive learning and e-modules

Teaching-Learning Tools & Activities

Cont.,

Course Contents - Practical

Clinico-Social case studies

Exercises in Epidemiology and Biostatistics

Spotters related to Nutrition,communicable diseases MCH & Environmental Health , Occupational Health etc.,

Analysis and presentation of data from Demographic survey, Morbidity Survey and Community Diagnosis

Development of Health Education Materials

Basics of Research Methodology

Family Health Advisory Program

Field visits

1. Primary Health Centre 2. Community Health Centre / District Hospital 3. Rural Health, Urban Health Training Centre 4. Water and sewage treatment plant 5. Industry visit 6. Infectious Disease Hospital 7. Malaria Research Centre 8. Urban Leprosy Centre 9. School Health services 10. Rehabilitation hospitals

………………………………….

11 ..others

FIRST PART OF THE PROGRAM

The first part is a basic part of the degree which runs

over 2 years of teaching and applied training in

various subjects of community medicine and public

health.

This part requires successful completion of 70

credit hours of graduate courses (66 hours from

core courses and 4 hours of elective courses) and

fulfilling a field project (6 hours).

2nd Part of the program run in 2 years duration,

where the candidate has to select one tracking ,

for specialized training on

1. Epidemiology & Biostatistics.

2. Environmental & Occupational Health.

3. Applied Health sciences, such as: (health

education, school health, maternal & child health,

nutrition, geriatric healthcare, mental health, dental

health, international health)

4. Health management & health administration

SECOND PART OF THE PROGRAM

Program Policies

A- Responsibilities of the trainees:

The trainees have the following roles and responsibilities:

1. Attending scheduled teaching class. 2. Completing assignments and other assessment tasks

given during the course of the training period.

3. Undertake training in the assigned sites for training 4. Actively Participation in all learning situations.

5. Maintaining the competency record book or work evidence guide if you have been issued one.

6. Be always ready to join field work teams (disease investigation teams, supervisory teams, assessment teams, ....ect) as indicated by the internship supervisor.

Program & COURSE RULES -B

1. Come to class on time

2. Turn in assignments on time

3. Come to class prepared (keep up with reading)

4. Be well-mannered (No newspapers, audible

cell phones, PDAs)

5. ASK QUESTIONS

شكرا

Thank You

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