Course Study Guide

Tropical Medicine System

Fourth Year Program

Faculty of Medicine Universitas Padjadjaran
Academic Year 2014-2015

1. Rational/synopsis:
Family medicine course is a part of bachelor curriculum in Faculty of Medicine Universitas Padjadjaran delivered
in seventh semester, which covers the application of family medicines principles in managing the patients
problems. Knowledge of the disease pattern of cases in primary health care is important in order to make the
correct diagnosis. As a generalization, a doctor sees medical problems that are largely self-limiting and the task
is to confirm this is so, provide the necessary reassurance and treatment to resolve the symptoms.
The course will focus on the biopsychosocial approach in managing the health problems and focus in the
processes of care such as:
1. Good preventive care
2. Good acute care
3. Good chronic disease care management
4. Good step down care
5. Good elderly care
6. Good domiciliary care and
7. Good palliative care
The topics are developed based on lifecycle.

Lifecycle
Newly married and

Theme
Preventive care

Infancy, childhood

Adolescence/

Pre-conception care and

Family planning

Preventive care

Failure to thrive

Preventive care

Weight management and

teenagers

Adult

Topic

nutrition
Biopsychosocial

Behavioral problems in

approach

teenager (3A)

Biopsychosocial

Somatic disorder

approach

Elderly

Chronic Diseases

Hypertension (4)

Chronic Diseases

Cataract (3A)

Elderly care

Stroke

Elderly care

Osteoporosis (3A)

Palliative and

Cervical cancer (2)

domiciliary care
The students must attend every part of the sessions. The complete course study guide and learning guide will be
given to the students. There are required readings for each topic and it might be useful to read it prior the
tutorial session. Mini lecture session will be conducted to equip appropriate knowledge.

2. Intended Competency:
This system is intended to fullfill Standar Kompetensi Dokter Indonesia Level 1-4

3. Number of SCU and length of week:

The number of credit for this course is seven- (7) semester credit unit (scu). This course will be delivered in
seven (7) weeks. There are 21 sessions of tutorial (150 minutes each session), 7 sessions of skills lab (200
minutes each session) and 7 sessions of mini lecture (100 minutes each session).

4. General Learning Outcome:

Upon successful of this course the students will be able to analyse patient problems based on family medicine
approach.

No

Theme

Learning Objectives

Specific Learning

Method and

Assessme

Refere

Objectives

media

nt

nces

At the end of this course, the students will be

able to:

P r e v e n t i v e 1. Family life cycle and 1. E x p l a i n

preconception,
care for
developmental tasks
prenatal care, and the
pregnancy
2. Preconception, prenatal
role of nutritional
status
in
Trigger case:
care, and nutritional care
preconception period
P r e in preconception period.
to fertility.
2. D e s c r i b e t h e
c o n c e p t i o n 3. Contraception (principles
definition of family
care and
and methods)
3. Analyse the Duvalls
lifecycle and
F a m i l y 4. Pre-marital counselling
development task in
planning
5. Health care maintenance
the given case
4. Review the principles
for pregnant women
and various methods
of contraception for
men and women
(indication and
contraindication)
5. Describe the premarital counselling
concept
6. Describe health care
maintenance for
pregnant women

Tutorial

MDE

1,2,3,4,

Mini Lecture:

SOOCA

5,6

Overview of FM OSCE
system
Skills lab:
Counselling (Premarital, Genetic
and family
planning
counselling)

P r e v e n t i v e 1. Family influence on
care

in

the individuals health

growth and 2. Failure to thrive

development 3. Breast feeding
Trigger case: 4. The principle of
G r o w t h

nutritional assessment and

monitoring

nutritional intervention in

and Failure

(infant to school age)?

t o t h r i v e 5. Health care maintenance

(FTT)

for infant and children

(neonatal screening,
hearing screening,
immunization)

1. Recognize essential
diagnosis for FTT
i n c l u d i n g
psychosocial factors
2. A n a l y z e f a m i l y
influence on the
individuals health
3. Review malnutrition
in children (in every
stage life cycle?
From infant to school
age/adolescent?)
4. E x p l a i n
the
n u t r i t i o n a l
a s s e s s m e n t ,
prevention
and
management
5. Review the breast
feeding and role of
maternal nutritional
status to quality and
quantity of breast
feding
6. Describe health care
maintenance for
infant and children
7. Recognize indication
for referral

Tutorial

MDE

Mini lecture:

SOOCA

Good Parenting

OSCE

Developmental
surveillance
Skills Lab:
Breast care and
maintenance of
nutritional status
for pregnant
women and post
delivery.

1,2,7,8

P r e v e n t i v e 1. Overweight and obesity

1. Review the diagnosis

of overweight and
c a r e f o r 2. Weight management and
obesity
teenager
the lifecycle
2. D e s c r i b e w e i g h t
management and the
Trigger case: 3. Health care maintenance
life cycle including:
Physical
w e i g h t
for teenager
activity
management
Diet
Behavioural
and nutrition
modification
3. Describe health care
maintenance for
teenager

Tutorial

MDE

Mini lecture:

SOOCA

Physical activity

OSCE

Lab:
Meal planning and
food replacement
for children

6,9

Biopsychoso 1. Behavioral problems

1. R e c o g n i z e t h e

cial approach 2. Family as a unit of care

behavioral problems

Trigger case: 3. Family assessment tools

B e h a v i o r a l 4. M a n a g e m e n t
problems in

of

behavioral problems

t e e n a g e r a. Prevention
(3A)

b. Risk management
c. Consultation and referral

Tutorial
Mini lecture:

2. A n a l y z e f a m i l y

Overview of

dynamic and health

behavioural

3. Assess the family

function
4. E x p l a i n

problems (e.g
Bulimia, sexual

the

management
5. R e c o g n i z e t h e
indication for referral

experiencing, etc)
Skills lab:
Patient-centred
anamnesis
Lab activity:
Create a genogram
and family APGAR

1,2,10

Biopsychoso 1. Biopsychosocial approach 1. D e s c r i b e

cial approach 2. Somatoform disorders

diagnosis

Trigger case: 3. Stress management

somatoform

B a c k p a i n 4. C o m p l e m e n t a r y a n d 2. E x p l a i n
(Somatizatio
n)

alternative medicine

the
of

Tutorial
Mini lecture:
Complementary

the

and alternative

management of

medicine

somatoform

Lab activity:

3. A n a l y s e
biopsychosocial
approach of the case
4. D e s c r i b e

the

technique for stress

management
5. Explain the principle
of complementary
and alternative
medicine (BHP)
6. R e c o g n i z e t h e
indication for referral

Prescribing

11,12

C h r o n i c 1. Hypertension
d i s e a s e s 2. Lifestyle modification

1. Review the diagnosis

for hypertension

Tutorial (Mg 4:
Rabu, Jumat)

management 3. Health care maintenance 2. R e v i e w t h e r i s k

Mini Lecture:

care

stratification for

The

hypertension

nutritional

Trigger case:
Hypertension

for adult

3. Describe the lifestyle

role

of

management in

modification for

hypertension

hypertension

Skills Lab:

including nutritional

General physical

intervention for

examination (head

prevention, therapy

to toe)

and maintenance.
4. D e s c r i b e

the

monitoring for
patient

after

stabilization
5. Describe health care
maintenance for adult

13

C h r o n i c 1. Cataract
d i s e a s e s 2. K o o r d i n a s i

1. Review the diagnosis

for cataract

Tutorial (Mg 5:
Senin, Rabu)

management

P e n a n g g u l a n g a n 2. R e c o g n i z e t h e

Mini lecture:

care

Kebutaan

The Right to sight

Trigger case:
Cataract
(3A)

indication for surgery

3. Explain pre and post
surgery management
4. Explain screening for
cataract

2020
Skills Lab:
Intraocular
pressure estimation
by palpation
Isihara examination
Direct
Ophtalmoscope

14

Elderly care

1. Cerebrovascular disease

Trigger case: 2. Impact of illness to the

Stroke

1. Review the diagnosis

for CVD

Tutorial (Mg 5:
Jumat, Senin)

family, including the 2. Analyze nutritional

Mini Lecture:

illness trajectory

Philosophy of RM

risk factor for CVD

3. Rehabilitation program in 3. Describe the risk

the community
4. Health care maintenance
for elderly

( D i a g n o s i s

management for

Fungsional; 1 jam)

CVD

Management of

4. Analyze the impact

physical activity in

of illness to the

various diseases (1

family

jam)

5. Analyze the illness

trajectory

Immobilisasi Lama
Skills Lab:

6. D e s c r i b e

Bed positioning

rehabilitation

Bed turning

program for CVD

S e n a m

patients

Osteoporosis (extr

with

disability
7. Describe health care

amural- selama 3
mg.

Dibagi

maintenance for

kedalam

elderly (hearing

s u b g r o u p ,

1,2,15

Elderly care

1. Osteoporosis

1. Describe/ Review the

Tutorial

1,2,16,1
7

2. Fall

d i a g n o s i s

Mini Lecture:

Trigger case: 3. Rational prescribing

osteoporosis and

Rational

Osteoporosis 4. Supportif therapy:

fracture

prescribing

(3A)! fall

nutritional management in 2. D e s c r i b e

The effects of

osteoporosis

environmental

prolong bedrest and

assessment

immobilization

5. Elderly care

3. D e s c r i b e

fall

Lab activity:

prevention and

Writing referral

management

letter

a. N u t r i t i o n a l
management
in high risk
group and
osteoporosis
patient
b. Life style
c. Behavioural
measures
d. Exercise

10 P a l l i a t i v e 1. Cervical cancer
care

2. Palliative and home care

1. Review the diagnosis

of cervical cancer

Trigger case: 3. Total pain and symptoms 2. D e s c r i b e

Cervical
cancer (2)

management

the

Tutorial (Mg 7:
Senin, Rabu,
Jumat)

management of

Mini lecture:

cervical cancer

Breast Cancer

(including health

Skills Lab:

promotion about the

Family Conference

prevention, and
paliative therapy in

Lab Activity

n u t r i t i o n a l

Develop medical

management)

record

3. Analyze the source of

total pain
4. Explain pain and
s y m p t o m
management

1,2,18