Fourth year

Name of the subject: Family Medicine

Credits: 2

Number of lessons – 20: lectures: 0; practices: 12; seminars: 8

Type of the course (mandatory/elective): mandatory

Academic year: 2022/2023

Code of the course¹: AOKCSA957_1A (new code!)

Head of the Department: Prof. Dr. Peter Torzsa M.D. Ph.D.

Contact details: H- 1085 Budapest, Stáhly u. 7-9. Phone: +36-1-355-8530
Position: Head of Department
Date and number of Habilitation: 11/2020

Tutor: Adam Becze, M.D., becze.adam@med.semmelweis-univ.hu 

Aim of the subject and its place in the curriculum: Health care is based on the family practice system in many countries, General Practitioners are the gatekeepers in most healthcare systems. It will be introduced on a one-to-one tutoring basis that family care, the GP’s work is an integrating profession. Medical students will be given an insight into the ways of approaching holistic, complex bio-psycho-social and somatic problems, prevention and the differential diagnostics of frequent diseases. The aim is to show them through certain patient cases how and when to apply the basic diagnostic and therapeutic procedures and tools, how to develop the patient-doctor relationship, improve communication skills or work with short interventions.

Location of the course (lecture hall, practice room, etc.):
Tutorial practices throughout Budapest (contracted GP’s)
The lecture hall of the Department or other University institutes

Competencies gained upon the successful completion of the subject:

Preventive approach, screening
Holistic patient care
Managing complex bio-psycho-social-health problems
Frequent acute and chronic illness care
Differential diagnostics
Using basic diagnostic tools, assessing test results
Improved communication and motivation skills

Prerequisite(s) for admission to the subject: Internal medicine propaedeutics, Pharmacology I, Laboratory medicine

Minimum and maximum number of students registering for the course:
Student selection method in case of oversubscription: Turn based system.

How to register for the course: To register for the course in the ’Neptun’ system

Detailed thematic of the course²:

Seminars – topics
Screening procedures
Cardiovascular prevention, hypertonic patient care
Diabetes screening and care
Mood- and sleep disorders
Emergency care in the practice
Epidemiology: covid, flu, vaccination programmes and research
Supplementary medicine

Practices
The subject week consists of taking 2x 6 lessons in the family practice on a one-to-one tutoring basis on two different days, 1 morning and 1 afternoon session and a case discussion, consultation with the tutor.

The case discussion may include a frequent task in primary care and provides an opportunity to discuss the diagnostic, differential diagnostic and therapeutic ways and possibilities in the following topics:

Patient got ‘caught’ in screening procedures
Patients – with a complex cardiovascular and/or metabolic disease
– with a frequent serious communicable disease
– with musculoskeletal disease that have a strong impact on her/his life
– with (complex) psycho-social problems

Potential overlap(s) with other subjects:  Internal medicine

Policy regarding the attendance and making up absences: It’s compulsory for the student to attend 75 percent of the training sessions. It means 2 days of the practice and 3 seminars at least. Absence must be re-scheduled by the assigned GP tutor, please contact them.

Means of assessing the students’ progress during the semester⁴: During training the tutor evaluates the skills of the student, provide a feedback on attitude and professional knowledge.

Requirement for acknowledging the semester (signature): It’s compulsory for the student to attend at least 75 percent of the training sessions.

Type of the examination: – (practical mark)
Tutor’s assessment of how actively the student has participated in the training (40%)

Compiling a 3,000-6,000 character long case study based on one of the topics given in advance. A relevant study, article from professional literature, or a guideline, a recommendation should be included (e.g. concerning a certain diagnostic problem, a therapy decision, a screening recommendation, a guideline/protocol applied for the specific case). (60%)

Requirements⁵: Composing a case study at least 3000 and maximum 6000 characters (without spaces) about an examined patient based on the following topics:
Patient picked through screening
Complex cardiovascular/metabolic disease, chronic care
Frequent severe communicable disease
Patient with a musculoskeletal disease that affects the everyday life
A case study displaying psychosocial problems

Required parts of the case presentation:
1. Anamnesis
2. Current complaints
3. An examination plan
4. Examinations
5. Diagnosis
6. Therapy
7. Further patient care (plan)
8. Processing and assessing the case based on professional literature
9. Bibliography

Type and method of grading⁶: Assessment and grading of the course: with a 1 to 5 practical mark:
It’s based on the student’s activity, participation through the training assessed by the tutor (40 percent) and the grade of the required case study (60 percent).

Assessment of the case study is based on the following:
Grade 1: failing to hand in the essay by deadline, the case study is not
original, but plagiarism
Grade 2: the number of characters is under 3,000; absence of a required part of the case study, serious professional failure
Grade 3: 2-3 professional or formal mistakes, unsophisticated wording
Grade 4: characters more than 6,000; one not too significant professional mistake
Grade 5: requirements fulfilled, precise and accurate wording in the medical jargon, logical conclusions

How to register for the exam: – (practical mark)

Opportunities to retake the exam: In accordance with the Studies and Exams Code. One can re-write the essay once.