Group D Deported

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Group D - Deported

• The nomads

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Group D

• Jaime Correia de Sousa POR
• Darinka Klancar SLO
• Dean Klancic SLO
• Gerald Wheeler IRL
• Guzel Discigil TUR
• Jana Govc-Eren SLO
• Marjana Grm SLO
• Marek Oleszczyk POL
• Marko Kocijan SLO
• Nena Kopcavar-Gucek SLO
• Raquel Braga POR
• Sofica Bistriceanu ROM
• Tatjana Cvetko SLO
• Tonka Poplas-Susic SLO

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Target Group

• Trainees
• This programme can be adapted for use with
  very small groups (1-3) as well as up to 20
  people

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Title

• The management of the chronic patient in the
  community
• How to make Community Orientation interesting for
  trainees

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Objectives 1

• Knowledge
• At the end of the module the trainees should be
  able to
• Identify the main chronic conditions that require
  management in a community setting
• List the most important health needs of chronic
  patients
• List the community resources available.

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Objectives 2

• Skills
• At the end of the module the trainees should be
  able to
• Use methods of applying data for the management
  of chronic patients in the community
• Design an assessment plan of the needs and
  demands of chronic patients within the practice
• Make a care plan for chronic patients according
  to available community resources

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Objectives 3

• Attitudes
• At the end of the module the trainees should be
  able to
• Respond to the needs of chronic patients
• Assume responsibility for the coordination of
  care for chronic patients in the community
• Value the resources of the community in the care
  of chronic patients

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Topics

• Health care needs assessment
• Resources in the Community
• Prevention
• Health management
• The relationship between GP and other
  professionals
• Ethical issues in Community Orientation

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Health care needs assessment 1

• PROBLEMS OF THE COMMUNITY

• Data collection
• Assessment methods
• Standard guidelines
• Management of chronic disease

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Health care needs assessment 2

• PATIENT NEEDS/DEMANDS
• Health
• Social
• Education
• Economical

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Resources in the Community

• Formal and informal
• Financial
• Human
• Institutions

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Programme Structure

• Two day course
• The two days should be one to two weeks apart.
  
• Lectures
• Small group work
• Self-learning
• One to one teaching

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Pre-course homework

• Before the course each trainee will be asked to
  make a written plan for the management of a
  chronic patient based on a case provided by the
  faculty

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Day 1 - morning

• Opening lecture - 20 minutes
• Patients needs
• Community resources
• Data collection - practical demonstration
• Brainstorming (buzz groups 10 minutes)
• Participants experiences and expectations
• Discussion (30 minutes)
• Group work ( 90 minutes about data )
• Data Collection
• Assessment of Data

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Day 1 - afternoon

• Presentation of Group Work - 60 min
• Role playing - video recording - 60 min
• Doctor - patient
• Doctor - health team
• Doctor - family
• Homework (proposal report of available
  resources in local community)

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Interval between sessions

• Homework
• Report of available resources in local community
• One to one teaching
• Trainer trainee activities with patients and
  the community
• Logbook with tasks
• Directed self-learning
• Reading of course materials

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Day 2 - morning

• Homework presentation discussion - 60 minutes
• Case presentation (through video or case report
  90 minutes) discussion
• Group work - to make a written plan for the
  management of a chronic patient based on the case
  provided by the faculty 60 minutes

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Day 2 - afternoon

• Assessment of the module

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Possible assessment methods

• MCQ (knowledge)
• SEQ (knowledge)
• Role-play (skills)
• Video (skills)
• Real patient (skills)
• OSCE (skills)

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Assessment

• Knowledge
• SEQ 3 questions
• Community
• Resouces
• Needs

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Assessment

• Skills
• Before the course each trainee has been asked to
  make a plan for the management of a chronic
  patient
• At the end of the course the trainee will be
  given back their homework to improve it with the
  input from the course

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Assessment

• Skills
• The same case will be dealt with during Group
  Work
• Each sub-group will deal with a part of the task
  
• Needs
• Resources
• Management
• the case will later be presented to the plenary
• A structured tool will be used by the faculty to
  assess the group work and the presentations

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Evaluation

• A questionnaire for the evaluation of the course
• Questions on
• Subject / Programme
• Methods
• Usefulness
• Performance of the faculty
• Wishes / Remarks
• Likert scale and open questions

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Resources

• Human resources
• Medical trainees, trainers, family physicians
  in the HC
• Non-medical manager, secretary, assistant,
  actors
• Logistics
• Lecture room, small rooms, computer, data-show,
  video recorder, TV set, flip charts, pens, paper,
  coffee break
• - Cooperating HC

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Resources

• Finances
• Sponsors / Financing sources
• Economy department of the university
• Training Centres
• Local government
• Social services
• Scientific societies / Medical Chamber
• Pharmaceutical companies

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Venue

• Somewhere warm in Europe

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Or... Bled!
Thank you for your attention!