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RISS 인기검색어
- 검색키워드
- 저자 : ( Muhammad Jawad Hashim ) (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
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Teaching Family Medicine and General Practice
Muhammad Jawad Hashim 대한가정의학회 2022 Korean Journal of Family Medicine Vol.43 No.2
The teaching of family medicine and general practice should aim to develop an appreciation of the unique nature and role of the specialty. Teachers should relate patient cases to the principles of family medicine. These principles include (1) compassionate care; (2) a generalist/holistic approach focusing on the whole person, family, and com-munity; (3) continuity of relationship, i.e., building a patient-physician bond of trust; (4) reflective mindfulness; and (5) lifelong learning. The curriculum, instructional strategy, and assessment should be carefully aligned. Core com-petencies include patient-centered communication, physical examination skills, clinical procedures, palliative care, humanities in medicine, holistic care, shared decision-making, family therapy, home and community visits, chron-ic disease care, problem-based documentation, team-based care, data-driven improvement, information mastery, ethics and professionalism, and work-life balance. Family medicine/general practice is defined as the medical spe-cialty that manages common and long-term illnesses, focusing on overall health and well-being. Hence, clerkship schedules should maximize clinical exposure and opportunities for self-reflection. A learner-centered approach should begin with a self-identified inventory of learning needs based on the curriculum; next, these needs should be chosen as topics for student presentations. Teaching methods should include mini-workshops: a combination of didactic lectures and small-group exercises. Individual face-to-face formative feedback should occur at mid-course and culminate in a group reflection on the learning experience. Clinical supervision should gradually de-crease as each resident demonstrates safe patient care. Procedure skills training should be closely supervised, for-mally documented, and constitute about one-fourth of learning sessions.
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The art of diabetes care: guidelines for a holistic approach to human and social factors
( Muhammad Jawad Hashim ) 영남대학교 의과대학 2023 Yeungnam University Journal of Medicine Vol.40 No.2
A holistic approach to diabetes considers patient preferences, emotional health, living conditions, and other contextual factors, in ad dition to medication selection. Human and social factors influence treatment adherence and clinical outcomes. Social issues, cost of care, out-of-pocket expenses, pill burden (number and frequency), and injectable drugs such as insulin, can affect adherence. Clini cians can ask about these contextual factors when discussing treatment options with patients. Patients’ emotional health can also af fect diabetes self-care. Social stressors such as family issues may impair self-care behaviors. Diabetes can also lead to emotional stress. Diabetes distress correlates with worse glycemic control and lower overall well-being. Patient-centered communication can build the foundation of a trusting relationship with the clinician. Respect for patient preferences and fears can build trust. Relevant communication skills include asking open-ended questions, expressing empathy, active listening, and exploring the patient’s perspec tive. Glycemic goals must be personalized based on frailty, the risk of hypoglycemia, and healthy life expectancy. Lifestyle counseling requires a nonjudgmental approach and tactfulness. The art of diabetes care rests on clinicians perceiving a patient’s emotional state. Tailoring the level of advice and diabetes targets based on a patient’s personal and contextual factors requires mindfulness by clini cians.
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