Family Medicine

First Semester
  • MODULE 1: FOUNDATIONS AND BASIC CONCEPTS OF FAMILY MEDICINE (FM)

    • 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
  • MODULE 2: PUBLIC HEALTH ISSUES

    • 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
  • MODULE 3: MEDICAL CONSULTATION IN FAMILY MEDICINE

    • 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.
  • MODULE 4: PHYSICIAN-PATIENT COMMUNICATION

    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
  • MODULE 5: INITIATION TO RESEARCH IN FIRST LINE

    • Research Methodology.
    • Literature Search (PubMed and other sources).
    • Writing a Research Work (Thesis, Dissertation, Article…).
    • Critical Reading of a Scientific Article.
  • MODULE 6: HEALTHCARE SYSTEMS-PROFESSIONAL PRACTICE

    • 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
  • MODULE 7: EMERGENCIES IN AMBULATORY PRACTICE

    • 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
  • MODULE 8: COMMON COMPLAINTS AND PATHOLOGICAL SITUATIONS

    • 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
  • MODULE 9: CHRONIC DISEASES

    • 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).
  • MODULE 10: COMMON PSYCHIATRIC DISORDERS IN ADULTS

    • 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
  • MODULE 11: COMMON PSYCHIATRIC DISORDERS IN CHILDREN AND ADOLESCENTS

    • 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
  • MODULE 12: PERINATAL CARE AND REPRODUCTIVE HEALTH

    • 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
  • MODULE 13: CHILD HEALTH

    • 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
  • MODULE 14: HEALTH PROBLEMS IN THE ELDERLY

    • 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
  • MODULE 15: MEDICO-LEGAL AND ETHICAL ASPECTS

    • Professional liability
    • Medical errors
    • Medical certificates
    • Medico-legal issues
    • Abuse
    • Family Medicine Development and Promotion Group, Page 6

     

  • MODULE 16: ETHICS, PROFESSIONALISM

    • Major ethical principles – Human rights
    • Conflicts of interest
  • MODULE 17: INTERPRETATION OF THE MOST COMMON DIAGNOSTIC TESTS

    Interpretation of common imaging tests:

    For example:

    • Interpretation of standard radiographs
    • ECG
    • Coagulation profile…
  • MODULE 18: SCHOOL AND UNIVERSITY HEALTH

    • 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