• Family Medicine: Evolution of Concepts
• Profile and List of Competencies for Family Physicians in Tunisia
• Primary Care Practice and the Role of Family Physicians
• Determinants of Health
• Reasons for Contact and Diagnosed Morbidity in Primary Care

• Public Health: Concept of Risk, Epidemiology, Intervention Strategies, Health Promotion
• Periodic Health Examinations for Asymptomatic Adults
• Screening for Cancers in Public Health (Cervical, Breast, Colon, Prostate)
• Epidemiology and Prevention of Cardiovascular Diseases
• Addiction (Tobacco, Alcohol, Drugs, and Behavioral)
• Palliative Care and End-of-Life Patients
• Health Planning
• Key National Programs: Tuberculosis, Vaccination, STIs/AIDS, Rabies, Scorpion Control, Diabetes, Hypertension, Cutaneous Leishmaniasis, Breast Cancer, Cervical Cancer, Brucellosis
• Epidemiological Surveillance

• First-line Medical Record
• Classification of Diseases (CISP)
• Clinical Reasoning: From Symptoms to Appropriate Therapy
• Management of Uncertainty, Medical Decision Making
• Model of Medical Interview: Biomedical, Bio-Psycho-Social, Patient-Centered Approach
• Calgary-Cambridge Guide for the Structure of Medical Consultation.

ANATOMY

• Anatomy of the Respiratory System

HISTOLOGY-EMBRYOLOGY

• Respiratory System
• Development of the Respiratory System

PHYSIOLOGY

• Physiology of Respiration
• Cardio-Respiratory Adaptations to Exercise

BIOCHEMISTRY

• Metabolism of Hemoglobin and Iron

SEMIOLOGY

• Respiratory Semiology

• Research Methodology.
• Literature Search (PubMed and other sources).
• Writing a Research Work (Thesis, Dissertation, Article…).
• Critical Reading of a Scientific Article.

• Healthcare System and Care System in Tunisia
• Health Insurance System Concepts of Hygiene and Patient Safety
• Quality of Care
• Evaluation of Professional Practices
• Establishment of a Family Physician: Managing a Practice/Clinic
• Management of a Primary Health Care Center

• Pediatric Emergencies
• Psychiatric Emergencies
• Ophthalmic Emergencies: Sudden Loss of Visual Acuity, Foreign Bodies, Eye Trauma
• Oncological Emergencies (Spinal Cord Compression, Intracranial Hypertension, Superior Vena Cava Syndrome, Infections during Aplasia, Hypercalcemia…)
• Cardiac Arrest
• Traumatology: Mild Head Trauma, Severe Trauma, Benign Musculoskeletal Trauma, Polytrauma
• Loss of Consciousness (Syncope, Coma)
• Acute Circulatory Failure
• Acute Intoxication
• Non-Traumatic Accidental Pathology (Drowning, Electrocution, Envenomation)
• Seizures
• Acute Glycemic Imbalances (Hypoglycemia, Diabetic Ketoacidosis, Hyperosmolar States)
• Acute Chest Pain
• Cardiac Arrhythmias
• Acute Heart Failure Syndrome
• Acute Dyspnea
• Acute Non-Traumatic Abdominal Pain
• Family Medicine Development and Promotion Group, Page 3
• Neuro-meningeal Infections
• Stroke/Transient Ischemic Attacks
• Digestive Hemorrhages
• Hemoptysis
• Heatstroke
• Amputation
• Epistaxis (Nosebleed)
• Urinary Retention
• Acute Lower Limb Ischemia
• Hematuria

• APPROACH to: (EBM and decision-making)
• Dizziness
• Faintness
• Headaches
• Fatigue and weight loss
• Cough
• Fever
• Shortness of breath
• Red eye
• Lower limb edema
• Low back pain
• Joint pain
• Tremors
• Facial paralysis
• Common dermatoses
• Lower respiratory tract infections
• Upper respiratory tract infections
• Urinary tract infections
• Common digestive problems: GERD, epigastric pain, constipation, functional bowel disorders, diarrhea, hemorrhoidal flare-ups.
• Jaundice
• Hepatitis
• Common hematological disorders: anemia, hemostatic disorders
• Lymphadenopathies
• Iatrogenic pathology
• Carpal tunnel syndrome
• Snoring
• Sexual dysfunctions
• Family Medicine Development and Promotion Group, Page 4
• Vomiting
• Paresthesias

• APPROACH to:
• Diabetes
• Hypertension
• Dyslipidemia
• Osteoarthritis
• Asthma
• Chronic Obstructive Pulmonary Disease (COPD)
• Thyroid disorders
• Management of patients with stabilized chronic conditions (chronic renal insufficiency, patients stabilized on psychotropic medications, patients on oral anticoagulants, and cancer patients undergoing treatment).

• APPROACH to:
• Mood disorders (depression and others)
• Anxiety disorders
• Acute and chronic psychotic disorders
• Impulse control disorders: sleep, sexual, and eating disorders
• Somatoform disorders
• Addictions (tobacco, alcoholism, substance abuse)
• Modalities of psychiatric hospitalization

• Depression in children and adolescents
• Autism
• Separation anxiety
• Language delay
• Attention deficit hyperactivity disorder (ADHD)
• Sphincter control disorders (Enuresis and Encopresis)
• Family Medicine Development and Promotion Group, Page 5

• Perinatal care:
• Preconception care
• Prenatal and postnatal care
• Delivery and management of the newborn in the delivery room
• Breastfeeding
• Family planning
• Menopause
• Common gynecological problems

• Feeding of newborns and infants
• Psychomotor development and growth
• Psychoemotional development and personality traits
• Vaccinations in infants
• Bronchiolitis in infants
• Acute diarrhea in infants
• Upper respiratory tract infections in children

• Standardized geriatric assessment
• Frailty
• Falls
• Iatrogenic effects in the elderly
• Loss of autonomy/Immobilization syndrome
• Urinary incontinence
• Mental confusion
• Dementia
• Aging in place/ Home care

• Major ethical principles – Human rights
• Conflicts of interest

Interpretation of common imaging tests:

For example:

• Interpretation of standard radiographs
• ECG
• Coagulation profile…

• Main components of school medicine
• The national program for adolescent health:
• The mental health program
• The reproductive health program. It is structured around four components:

-Physical health (puberty development, growth…)

-Mental health and risky behaviors

-Reproductive health

-Health education

• Learning disorders and academic difficulties