Module No Title of the Module Student Teacher contact hours Student Learning Objectives

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06PH10 Family Health 15 Hours

At the end of each session, students should be able to; 1. Provide primary care, which is personalized, comprehensive and continuing 2. Provide holistic care to individual, family and community 3. Establish a good doctor-patient relationship, show empathy, communicate effectively, educate, advice and counsel appropriately; 4. Recognize psychological, social and cultural influences on health and health-seeking behavior; 5. Diagnose and manage common symptoms and common medical, surgical and psychosocial problems in patients of all ages and both sexes, with special emphasis on the child, adolescent, the women and the elderly; 6. Recognize the interdependent roles of physician experience, patient preferences and best available evidence in clinical decision making; 7. provide initial emergency care including first aid measures, CPR and refer when necessary, using appropriate means of transportation; 8. Request appropriate investigations and practice cost-effective management with rational drug prescription; 9. Promote health and prevent diseases at every opportunity and support/cooperate with the implementation of national health programmes; 10. Identify conditions that need referral and refer appropriately to coordinate the patients health care; 11. Provide care and counseling for the elderly, terminally ill and bereaved; 12. Carry out home visits and home-based care; 13. Recognize problems affecting people at different stages of the life cycle (Pediatric and Geriatric care) 14. Recognize normal and abnormal relationships within the family, and how they affect a family in health and illness; 15. Practice within the ethical norms required of a medical practitioner with due respect to the autonomy of the individual and family and attention to confidentially, informed consent etc; 16. write complete, accurate, organized and focused medical records; 17. Issue medical certificates and manage medico-legal problems: 18. Inculcate a scientific inquiring mind and investigate to solve problems; carryout research in primary medical care; 19. Explain the practice of Family Medicine in hospital and General Practitioners settings; 20. Describe clinical decision making in Family Practice settings 21. Describe ideal structural managements for a individual family practice; 1

22. 23. 24. 25. 26.

Recognize current changes on Family Practice with Global changes Identify the possibilities of Organization of Health Centers in rural level Promote on research activities on Evidence- Based Medicine. Describe the legal issues in Family Practice Promote Counseling and supportive for Psychotherapy a. Sexual Health and Mental health b. Family planning and Nutrition c. Alcohol and Drug Abuse 27. Describe interventional epidemiological approach with statistical support 28. Recognize targeting population/Families on Communicable and Non-communicable risk factors Virginity, pregnancy & delivery 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. Define the term virginity Describe the signs of virginity Explain the circumstances where virginity plays a medico legal importance Describe the signs of pregnancy in the dead List the circumstances under which the question of pregnancy form the basis of medico legal investigation Describe the signs of recent delivery in the living & dead Describe the signs of remote delivery in the living & dead List the circumstances under which the question of delivery form the basis of medico legal investigation Define the term legitimacy List the circumstances under which the question of legitimacy arises

Sexual offenses & perversions 39. 40. 41. 42. 43. 44. 45. 46. Define the term sexual offenses List examples of natural sexual offenses Define the term unnatural sexual offenses List examples of unnatural sexual offenses Define the term rape Describe the procedure of examination of a victim of rape Explain the Locards principle of exchange Describe the possible findings in following victims alleged to have been raped a. Virgin b. A woman used to sexual intercourse c. Child Explain the collection of laboratory specimens in rape Describe the procedure to examine a person accused of rape Define the term incest Explain the term sodomy 2

47. 48. 49. 50.

51. Define the term sexual perversions 52. List examples of sexual perversions Abortion & infanticide 53. Discuss the law in relation to abortion in Sri Lanka 54. Explain the differences between natural & criminal abortion from a medico legal point of view 55. List the medico legal points that a doctor must bear in mind while treating a case of criminal abortion 56. State the circumstances under which a case of abortion is brought to the notice of the medical officer 57. Describe the methods in common use to procure criminal abortion in Sri Lanka 58. List the possible complications that may occur due to criminal abortion 59. Define the term infanticide 60. Describe the signs of live born child at autopsy 61. Describe the signs of still born child at autopsy 62. Explain the medico legal importance of knowing the viability of the child at birth 63. Describe autopsy finding & medico legal importance of cot deaths

Subject Contents
Family structure/Family function Family Cycle Family on Illness/Illness on family Hypothetico reductive method&Clinical reasoning Referral & Basic investigation & Interpretation Skill of Communication Evidence- Based research CPR & First Aid Community Education Virginity Pregnancy Delivery Sexual offenses & perversions Abortion Infanticide

Learning Resources 1. De Silva,Nandani.(2006). Lecture Notes on Family Medicine.2nd edition.Sarvodaya vishva Lekha.Ratmalana 2. Park, K. (2009). Parks Text Book of Preventive and Social Medicine.20th Edition. Banasidas
Bhanot. Jabalpur. 3

3.Fathalla,M.F.(2004).A practical Guide for Health Researches.WHO Regional Publications, Eastern Mediterranean Series 30. 4.Lecture notes in Forensic Medicine; Dr.L.B.L. Alwis 5. The essential of Forensic Medicine & Toxicology; Dr. Narayan Reddy 6. Parikhs Textbook of Medical Jurisprudence, Forensic Medicine & Toxicology; Dr.C.K.Parikh