A ROJoson lecture in the University of the Philippines College of Medicine Learning Unit 3 class. ROJoson - one of the 5 resource persons invited by Dr. Delen de la Paz for her class on 5-Star Physician.
The document discusses bowel sounds, including their source, techniques for auscultation, and clinical significance. Some key points:
- Bowel sounds are produced by normal peristaltic activity in the small intestine moving intestinal contents.
- When auscultating, the diaphragm of the stethoscope should be used with the patient in a supine position. Sites of auscultation include all four abdominal quadrants.
- The minimum time to auscultate before concluding no sounds is present is debated, with recommendations ranging from 30 seconds to 5 minutes.
- Normal bowel sounds have a frequency of 2-4 per minute, gurgling/clicking quality,
Dysphagia is a common symptom that requires early evaluation to determine if it is caused by issues in the oropharynx or esophagus. A thorough history and physical exam can identify 80-85% of causes, while tests like modified barium swallow, endoscopy, and manometry provide further information. Treatment depends on the underlying problem, such as dilation for strictures, surgery for obstructions, or lifestyle/medication changes for conditions like GERD. Early diagnosis and treatment can help address dysphagia's underlying cause.
History taking and physical examination for lower gastro intestinal bleedAbino David
This document provides guidance on taking a history and performing a physical examination for a patient presenting with lower gastrointestinal bleeding. Key aspects of the history include determining the onset, nature, and color of bleeding or stools. The physical examination aims to identify potential sources of bleeding based on symptoms like abdominal pain, tenesmus, or pain related to defecation. Differential diagnoses depend on the location and characteristics of bleeding, with colonic sources making up 95% of cases such as diverticulosis, ischemia, or anorectal diseases. A full examination can help narrow the potential causes but may not be diagnostic on its own.
The document discusses the importance of understanding a patient's family context. A physician must consider how a patient's illness will impact and be impacted by their family. It is recommended that family physicians use assessment tools like genograms, family maps, and the APGAR scale to evaluate family structure, function, and resources in order to provide comprehensive patient care. Understanding the family is critical to healing the patient.
This document provides a summary of an arterial blood gas interpretation presentation. It discusses the objectives, procedure, and precautions for arterial blood gas sampling. It then covers the interpretation of oxygenation status and acid-base status using a six step approach. The six steps include determining if acidemia or alkalemia is present, if the primary disturbance is respiratory or metabolic, if a respiratory disorder is acute or chronic, if compensation is adequate, evaluating the anion gap if metabolic, and identifying the cause of a high anion gap metabolic acidosis.
The document outlines several key principles of family medicine according to various experts and organizations. It discusses that family medicine is the specialty focused on comprehensive primary care for patients and their families. Some of the core principles mentioned include that the family physician acts as a skilled clinician, values the patient-physician relationship, provides community-based care, and coordinates care as a resource to their practice population. The principles aim to emphasize whole-person care, prevention, and management of common medical issues.
This document provides an overview of how to perform an abdominal examination. It discusses examining the abdomen by inspection, palpation, percussion and auscultation in a systematic manner. Key points covered include examining the abdomen in four quadrants, assessing for masses, tenderness, organomegaly and ascites. Common clinical tests discussed are Murphy's sign, McBurney's point and shifting dullness.
The document discusses bowel sounds, including their source, techniques for auscultation, and clinical significance. Some key points:
- Bowel sounds are produced by normal peristaltic activity in the small intestine moving intestinal contents.
- When auscultating, the diaphragm of the stethoscope should be used with the patient in a supine position. Sites of auscultation include all four abdominal quadrants.
- The minimum time to auscultate before concluding no sounds is present is debated, with recommendations ranging from 30 seconds to 5 minutes.
- Normal bowel sounds have a frequency of 2-4 per minute, gurgling/clicking quality,
Dysphagia is a common symptom that requires early evaluation to determine if it is caused by issues in the oropharynx or esophagus. A thorough history and physical exam can identify 80-85% of causes, while tests like modified barium swallow, endoscopy, and manometry provide further information. Treatment depends on the underlying problem, such as dilation for strictures, surgery for obstructions, or lifestyle/medication changes for conditions like GERD. Early diagnosis and treatment can help address dysphagia's underlying cause.
History taking and physical examination for lower gastro intestinal bleedAbino David
This document provides guidance on taking a history and performing a physical examination for a patient presenting with lower gastrointestinal bleeding. Key aspects of the history include determining the onset, nature, and color of bleeding or stools. The physical examination aims to identify potential sources of bleeding based on symptoms like abdominal pain, tenesmus, or pain related to defecation. Differential diagnoses depend on the location and characteristics of bleeding, with colonic sources making up 95% of cases such as diverticulosis, ischemia, or anorectal diseases. A full examination can help narrow the potential causes but may not be diagnostic on its own.
The document discusses the importance of understanding a patient's family context. A physician must consider how a patient's illness will impact and be impacted by their family. It is recommended that family physicians use assessment tools like genograms, family maps, and the APGAR scale to evaluate family structure, function, and resources in order to provide comprehensive patient care. Understanding the family is critical to healing the patient.
This document provides a summary of an arterial blood gas interpretation presentation. It discusses the objectives, procedure, and precautions for arterial blood gas sampling. It then covers the interpretation of oxygenation status and acid-base status using a six step approach. The six steps include determining if acidemia or alkalemia is present, if the primary disturbance is respiratory or metabolic, if a respiratory disorder is acute or chronic, if compensation is adequate, evaluating the anion gap if metabolic, and identifying the cause of a high anion gap metabolic acidosis.
The document outlines several key principles of family medicine according to various experts and organizations. It discusses that family medicine is the specialty focused on comprehensive primary care for patients and their families. Some of the core principles mentioned include that the family physician acts as a skilled clinician, values the patient-physician relationship, provides community-based care, and coordinates care as a resource to their practice population. The principles aim to emphasize whole-person care, prevention, and management of common medical issues.
This document provides an overview of how to perform an abdominal examination. It discusses examining the abdomen by inspection, palpation, percussion and auscultation in a systematic manner. Key points covered include examining the abdomen in four quadrants, assessing for masses, tenderness, organomegaly and ascites. Common clinical tests discussed are Murphy's sign, McBurney's point and shifting dullness.
This document provides an overview of the pediatric examination process. It discusses examining various body systems including:
1. Mental status and neurological assessment including cranial nerves, motor and sensory systems, and reflexes.
2. Assessment of consciousness, behavior, intelligence, memory, and speech.
3. Evaluation of muscle tone, power, involuntary movements, and coordination.
4. Sensory testing including superficial sensations, deep sensations, and cortical sensations.
5. Assessment of various reflexes including superficial, deep, and visceral reflexes.
The summary outlines the key areas addressed in a comprehensive pediatric examination.
This document outlines a framework called the Patient-centered, Family Focused, Community Oriented Care Matrix developed by Prof. Zorayda Leopando for teaching integrated family medicine. The matrix takes a biopsychosocial approach and considers patients within the context of their families and communities. It provides a structure for taking a family and social history, analyzing cases differentially, and creating management plans that are patient-centered, build caregiver capability, and involve community resources like health education and referrals. Medical students are instructed to use the matrix to analyze cases from family medicine rotations and present families they encountered in community rotations.
The Light criteria from 1972 remains a useful tool for differentiating transudative and exudative pleural effusions. While it accurately classifies most exudates, it falsely classifies around 25% of transudates as exudates, likely due to more powerful diuretic use now. If the Light criteria suggest an exudate but transudate is suspected, measuring the serum-pleural fluid protein gradient, NT-proBNP levels, or albumin gradient can help identify misclassified transudates. The Light criteria provide a good starting point but may require supplementation for accurate classification in some cases.
1. This case presentation summarizes a 55-year-old male farmer who presented with abdominal swelling and discomfort for 2 months and scanty urination and constipation for 1 month.
2. On examination, he had signs of chronic liver disease including jaundice, edema, and hepatic encephalopathy.
3. Investigations confirmed chronic hepatitis B infection, decompensated cirrhosis, and grade 2-4 esophageal varices.
4. He was diagnosed with decompensated chronic liver disease and grade 1 hepatic encephalopathy, and started on treatment including diuretics, beta-blockers, lactulose, and vitamin supplementation.
History taking upper gastro intestinal bleedingAbino David
This document provides guidance on evaluating and managing a patient presenting with upper gastrointestinal bleeding. It outlines the differences between upper and lower GI bleeding and describes the relevant history, examination findings, and Rockall score for risk stratification. Key points include distinguishing symptoms of hematemesis versus hematochezia, assessing blood loss based on vital signs and volume, examining for stigmata of liver disease, and endoscopy to determine the source of bleeding and prognosis.
Eosinophilic Esophagitis is a chronic immune/antigen-mediated disease characterized by esophageal dysfunction symptoms and eosinophil-predominant inflammation. It is diagnosed based on symptoms, endoscopic findings showing eosinophil levels over 15/hpf on biopsy. Treatment involves dietary elimination of food triggers, topical corticosteroids, or oral corticosteroids for severe cases. Dietary therapy, especially elimination diets, have been shown to significantly improve symptoms and reduce eosinophil levels on follow up biopsies.
In this PPT presentation I try to teach many causes of Abdominal pain in various quadrants of the abdomen. Since it is individual case based teaching i concentrate only in the essential minimum an undergraduate medical student should know and you will have immersive learning experience.
This document presents a case study of a 56-year-old man with type 2 diabetes presenting with a non-healing ulcer on his right foot following toe amputation. It provides details of his medical history, examination findings, lab investigations, and discusses diabetic foot ulcers and complications. The key points are:
1) The patient had type 2 diabetes for 10 years and was non-compliant with medication, presenting with a non-healing ulcer on his right foot post amputation of toes.
2) Examination found an irregular ulcer on his right foot with signs of infection. Investigations showed renal dysfunction and hyperglycemia.
3) Diabetic foot ulcers are a major complication
The document provides guidelines for conducting a clinical examination, including sections on vital data collection, general examination, and systemic examination. The general examination involves inspection of the general appearance, hands/arms, skin, face, eyes, mouth, neck, edema, lymph nodes, and vital signs. Specific signs and abnormalities are described for different body systems and diseases. The guidelines emphasize the importance of thorough history taking and physical examination for making accurate diagnoses.
History taking & physical examination of lumpAyub Abdi
This document provides guidance for medical students on how to properly examine and document a patient's lump or mass. It outlines 12 key areas of inquiry: 1) the history of the lump, 2) examination of the lump, and 3) examination of surrounding structures. For the lump examination, it describes how to assess 13 characteristics including size, shape, surface, temperature, tenderness, edge, composition, and relations to surrounding tissues. Conducting a thorough examination and documentation of a patient's lump is important for accurately diagnosing its nature and cause.
Philippine Clinical Practice Guidelines for the Diagnosis and Management of T...Iris Thiele Isip-Tan
This document presents guidelines from a consensus panel of Philippine diabetes organizations for the screening, diagnosis, and management of type 2 diabetes in the Philippines. It includes:
1. Recommendations for annual screening of individuals over 40 or those with risk factors, using fasting plasma glucose as the preferred initial test.
2. Criteria for the diagnosis of diabetes based on fasting plasma glucose, random plasma glucose, and oral glucose tolerance tests.
3. Algorithms outlining testing and follow up procedures based on risk factors and initial test results.
4. Notes that complications are often already present at diagnosis in the Philippine context, emphasizing the need for prevention and control efforts.
Neck swelling - History taking, Causes, ClassificationTty Lim
This document provides guidance on evaluating neck swellings, including taking a history and performing an examination. It discusses assessing when the lump was first noticed, any associated symptoms, past medical history, and risk factors. A physical exam evaluates the lump's location, size, mobility, and texture. Potential causes of neck swellings include inflammatory/infectious processes, neoplasms, congenital/developmental abnormalities, and other rare entities. Further testing may be needed to arrive at a diagnosis and guide treatment.
An obstetric history should include details of the current pregnancy, past obstetric and medical history, family history, social history, and review of systems. The examination involves evaluation of vital signs, general appearance, breast and abdominal exams to assess size and position of the uterus and fetus. Fetal heart rate and engagement should be determined. [/SUMMARY]
This document summarizes a seminar on dyspnea and respiratory failure. It defines dyspnea as subjective breathlessness and lists its potential causes such as cardiac, respiratory, or psychogenic issues. It describes different grading scales used to classify breathlessness. Types of dyspnea include orthopnea and paroxysmal nocturnal dyspnea. Respiratory failure is defined as impaired gas exchange shown by low oxygen and potentially high carbon dioxide levels. It discusses the mechanisms, clinical manifestations, differential diagnosis, and management of both dyspnea and respiratory failure.
This document provides an overview of pleural effusion findings on chest x-rays. It defines the pleural space and reasons fluid may accumulate there. Key signs of pleural effusion on chest x-ray include a blunted costophrenic angle, meniscus sign, and elevated hemidiaphragm. Loculated effusions can form adhesions and appear as smooth, poorly defined masses that droop on upright images. Different views and positions are useful to detect various amounts of pleural fluid.
This document provides an overview of abdominal examination techniques and findings. It discusses approaching gastrointestinal symptoms, performing a general physical exam, and specifically examining the abdomen through inspection, auscultation, percussion, and palpation. Key areas of the abdomen that can be examined include the liver, spleen, kidneys, gallbladder, and pancreas. Specific examination findings are outlined that may indicate various gastrointestinal conditions. The importance of thorough abdominal exams to evaluate symptoms and guide diagnosis is emphasized.
kompetensi dokter indonesia (modul etika, profesional dan humaniora)fikri asyura
Dokumen tersebut membahas tentang kompetensi lulusan fakultas kedokteran dan manfaat standar kompetensi dokter bagi mahasiswa. Beberapa kompetensi yang disebutkan antara lain komunikasi efektif, keterampilan klinis, etika dan profesionalisme, serta pengelolaan informasi dan diri sendiri."
Art of Creating Digital Slides for a Presentation - ROJosonReynaldo Joson
The document discusses guidelines for creating digital slides for presentations. It defines digital slides and outlines three types: word slides containing predominantly text, table slides containing tables, and picture slides containing images. The document provides guidelines for each type regarding font, size, color, background simplicity, and limiting content. Proper digital slides are clear, clean, and avoid overly complex designs or excessive content that could reduce comprehension.
This document provides an overview of the pediatric examination process. It discusses examining various body systems including:
1. Mental status and neurological assessment including cranial nerves, motor and sensory systems, and reflexes.
2. Assessment of consciousness, behavior, intelligence, memory, and speech.
3. Evaluation of muscle tone, power, involuntary movements, and coordination.
4. Sensory testing including superficial sensations, deep sensations, and cortical sensations.
5. Assessment of various reflexes including superficial, deep, and visceral reflexes.
The summary outlines the key areas addressed in a comprehensive pediatric examination.
This document outlines a framework called the Patient-centered, Family Focused, Community Oriented Care Matrix developed by Prof. Zorayda Leopando for teaching integrated family medicine. The matrix takes a biopsychosocial approach and considers patients within the context of their families and communities. It provides a structure for taking a family and social history, analyzing cases differentially, and creating management plans that are patient-centered, build caregiver capability, and involve community resources like health education and referrals. Medical students are instructed to use the matrix to analyze cases from family medicine rotations and present families they encountered in community rotations.
The Light criteria from 1972 remains a useful tool for differentiating transudative and exudative pleural effusions. While it accurately classifies most exudates, it falsely classifies around 25% of transudates as exudates, likely due to more powerful diuretic use now. If the Light criteria suggest an exudate but transudate is suspected, measuring the serum-pleural fluid protein gradient, NT-proBNP levels, or albumin gradient can help identify misclassified transudates. The Light criteria provide a good starting point but may require supplementation for accurate classification in some cases.
1. This case presentation summarizes a 55-year-old male farmer who presented with abdominal swelling and discomfort for 2 months and scanty urination and constipation for 1 month.
2. On examination, he had signs of chronic liver disease including jaundice, edema, and hepatic encephalopathy.
3. Investigations confirmed chronic hepatitis B infection, decompensated cirrhosis, and grade 2-4 esophageal varices.
4. He was diagnosed with decompensated chronic liver disease and grade 1 hepatic encephalopathy, and started on treatment including diuretics, beta-blockers, lactulose, and vitamin supplementation.
History taking upper gastro intestinal bleedingAbino David
This document provides guidance on evaluating and managing a patient presenting with upper gastrointestinal bleeding. It outlines the differences between upper and lower GI bleeding and describes the relevant history, examination findings, and Rockall score for risk stratification. Key points include distinguishing symptoms of hematemesis versus hematochezia, assessing blood loss based on vital signs and volume, examining for stigmata of liver disease, and endoscopy to determine the source of bleeding and prognosis.
Eosinophilic Esophagitis is a chronic immune/antigen-mediated disease characterized by esophageal dysfunction symptoms and eosinophil-predominant inflammation. It is diagnosed based on symptoms, endoscopic findings showing eosinophil levels over 15/hpf on biopsy. Treatment involves dietary elimination of food triggers, topical corticosteroids, or oral corticosteroids for severe cases. Dietary therapy, especially elimination diets, have been shown to significantly improve symptoms and reduce eosinophil levels on follow up biopsies.
In this PPT presentation I try to teach many causes of Abdominal pain in various quadrants of the abdomen. Since it is individual case based teaching i concentrate only in the essential minimum an undergraduate medical student should know and you will have immersive learning experience.
This document presents a case study of a 56-year-old man with type 2 diabetes presenting with a non-healing ulcer on his right foot following toe amputation. It provides details of his medical history, examination findings, lab investigations, and discusses diabetic foot ulcers and complications. The key points are:
1) The patient had type 2 diabetes for 10 years and was non-compliant with medication, presenting with a non-healing ulcer on his right foot post amputation of toes.
2) Examination found an irregular ulcer on his right foot with signs of infection. Investigations showed renal dysfunction and hyperglycemia.
3) Diabetic foot ulcers are a major complication
The document provides guidelines for conducting a clinical examination, including sections on vital data collection, general examination, and systemic examination. The general examination involves inspection of the general appearance, hands/arms, skin, face, eyes, mouth, neck, edema, lymph nodes, and vital signs. Specific signs and abnormalities are described for different body systems and diseases. The guidelines emphasize the importance of thorough history taking and physical examination for making accurate diagnoses.
History taking & physical examination of lumpAyub Abdi
This document provides guidance for medical students on how to properly examine and document a patient's lump or mass. It outlines 12 key areas of inquiry: 1) the history of the lump, 2) examination of the lump, and 3) examination of surrounding structures. For the lump examination, it describes how to assess 13 characteristics including size, shape, surface, temperature, tenderness, edge, composition, and relations to surrounding tissues. Conducting a thorough examination and documentation of a patient's lump is important for accurately diagnosing its nature and cause.
Philippine Clinical Practice Guidelines for the Diagnosis and Management of T...Iris Thiele Isip-Tan
This document presents guidelines from a consensus panel of Philippine diabetes organizations for the screening, diagnosis, and management of type 2 diabetes in the Philippines. It includes:
1. Recommendations for annual screening of individuals over 40 or those with risk factors, using fasting plasma glucose as the preferred initial test.
2. Criteria for the diagnosis of diabetes based on fasting plasma glucose, random plasma glucose, and oral glucose tolerance tests.
3. Algorithms outlining testing and follow up procedures based on risk factors and initial test results.
4. Notes that complications are often already present at diagnosis in the Philippine context, emphasizing the need for prevention and control efforts.
Neck swelling - History taking, Causes, ClassificationTty Lim
This document provides guidance on evaluating neck swellings, including taking a history and performing an examination. It discusses assessing when the lump was first noticed, any associated symptoms, past medical history, and risk factors. A physical exam evaluates the lump's location, size, mobility, and texture. Potential causes of neck swellings include inflammatory/infectious processes, neoplasms, congenital/developmental abnormalities, and other rare entities. Further testing may be needed to arrive at a diagnosis and guide treatment.
An obstetric history should include details of the current pregnancy, past obstetric and medical history, family history, social history, and review of systems. The examination involves evaluation of vital signs, general appearance, breast and abdominal exams to assess size and position of the uterus and fetus. Fetal heart rate and engagement should be determined. [/SUMMARY]
This document summarizes a seminar on dyspnea and respiratory failure. It defines dyspnea as subjective breathlessness and lists its potential causes such as cardiac, respiratory, or psychogenic issues. It describes different grading scales used to classify breathlessness. Types of dyspnea include orthopnea and paroxysmal nocturnal dyspnea. Respiratory failure is defined as impaired gas exchange shown by low oxygen and potentially high carbon dioxide levels. It discusses the mechanisms, clinical manifestations, differential diagnosis, and management of both dyspnea and respiratory failure.
This document provides an overview of pleural effusion findings on chest x-rays. It defines the pleural space and reasons fluid may accumulate there. Key signs of pleural effusion on chest x-ray include a blunted costophrenic angle, meniscus sign, and elevated hemidiaphragm. Loculated effusions can form adhesions and appear as smooth, poorly defined masses that droop on upright images. Different views and positions are useful to detect various amounts of pleural fluid.
This document provides an overview of abdominal examination techniques and findings. It discusses approaching gastrointestinal symptoms, performing a general physical exam, and specifically examining the abdomen through inspection, auscultation, percussion, and palpation. Key areas of the abdomen that can be examined include the liver, spleen, kidneys, gallbladder, and pancreas. Specific examination findings are outlined that may indicate various gastrointestinal conditions. The importance of thorough abdominal exams to evaluate symptoms and guide diagnosis is emphasized.
kompetensi dokter indonesia (modul etika, profesional dan humaniora)fikri asyura
Dokumen tersebut membahas tentang kompetensi lulusan fakultas kedokteran dan manfaat standar kompetensi dokter bagi mahasiswa. Beberapa kompetensi yang disebutkan antara lain komunikasi efektif, keterampilan klinis, etika dan profesionalisme, serta pengelolaan informasi dan diri sendiri."
Art of Creating Digital Slides for a Presentation - ROJosonReynaldo Joson
The document discusses guidelines for creating digital slides for presentations. It defines digital slides and outlines three types: word slides containing predominantly text, table slides containing tables, and picture slides containing images. The document provides guidelines for each type regarding font, size, color, background simplicity, and limiting content. Proper digital slides are clear, clean, and avoid overly complex designs or excessive content that could reduce comprehension.
Medical Students as Members of the Surgical TeamReynaldo Joson
This document provides guidance for medical students on their roles and responsibilities as members of a surgical team during rotations in the Department of Surgery. As an instrument handler, the student should prepare necessary instruments, anticipate the surgeon's needs, hand instruments properly, and maintain sterility. As a primary or secondary surgical assistant, the student should help the surgeon with exposure, dissection, and tasks like tying sutures, carry out instructions, and maintain sterility of the operative field. The document then transitions to providing an introduction to operating room setup, aseptic technique, and surgical instruments.
The document provides a detailed overview of the history and development of family medicine and healthcare. It discusses how family medicine arose in response to declining access to healthcare in the 1960s in the US. It then covers topics like the philosophical tenets of family medicine, challenges it faces, its role in different countries, and important milestones and discoveries that have shaped medicine over time, from prehistoric practices to developments in the 20th/21st centuries.
Hyperglycemic crises like diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are medical emergencies caused by low insulin levels and high counterregulatory hormones. DKA is diagnosed when blood glucose is over 250 mg/dl, pH is below 7.3, and bicarbonate is under 18; HHS when glucose is over 600 mg/dl and pH is above 7.3. Treatment involves fluid resuscitation, insulin therapy to lower blood glucose, electrolyte replacement, and identifying/treating precipitating causes. Careful monitoring of glucose, electrolytes, pH and clinical status is required for resolution. Complications can include hypogly
Physical Examination and Diagnosis of the Head and Neck - ROJoson - 14Oct3Reynaldo Joson
This document outlines the learning objectives and activities for a 3-hour teaching module on physical examination and diagnosis of the head and neck. The module aims to teach medical students how to systematically examine the head and neck, correlate physical findings with anatomy and physiology, document examination findings, and make a physical diagnosis. The session includes demonstrations of examination techniques, practice documenting case examples, and interactive discussions of sample cases to reinforce learning.
The document reviews criteria for diagnosing diabetes and pre-diabetes, treatment goals, and therapeutic options. It discusses classifying diabetes types 1 and 2, criteria for diagnosis including HbA1c, fasting plasma glucose and oral glucose tolerance tests. Goals for glycemic control include HbA1c less than 7% and fasting/post-prandial blood glucose targets. Treatment options include lifestyle changes, metformin, other oral medications, and insulin to lower blood glucose and achieve goals.
The document discusses key principles of hormone testing:
1. Biochemical confirmation of endocrine disease is needed before imaging tests.
2. Simultaneous measurement of trophic and target hormones can help determine the location of abnormalities.
3. Test abnormalities do not always reflect endocrine dysfunction, and some tests may be normal despite real dysfunction. Reliability depends on choice of tests, patient preparation, specimen integrity, and test quality.
Overview of Breast Health Problems with Focus on Benign Breast Conditions Reynaldo Joson
Breast - Benign and Malignant Conditions - Overview of Breast Health Problem - Benign Conditions of the Breast - ROJoson's Lecture to UP College of Medicine Level 4 Students - 13sept 16
This document discusses the Transtheoretical Model of behavior change, also known as the Stages of Change Model. It describes the five stages of change that individuals progress through when modifying a problem behavior: pre-contemplation, contemplation, preparation, action, and maintenance. For each stage, goals for the patient and physician are provided, as well as approaches and techniques. The model was developed by Prochaska and DiClemente to understand how individuals intentionally change behaviors. The stages are not linear, as relapse can occur. The document also reviews the Decisional Balance technique, a counseling approach used to help patients weigh the pros and cons of behavior change.
This document discusses the family as a unit of care in healthcare. It begins by defining what constitutes a family based on sociological literature. It then describes different family structures like the nuclear family, extended family, single-parent family, and blended family. The document conceptualizes the family as a biological, psychological, and socio-cultural unit. It also frames the family as a system with elements like structures, rules, boundaries, roles, coalitions, and power structures. Several assessment tools for understanding family structure, development, functioning, and resources are introduced, including the genogram, family life cycle model, Family APGAR, family lifeline, SCREEM, and ecomap.
The document discusses concepts of prevention and control in healthcare. It defines four levels of prevention - primordial, primary, secondary, and tertiary. Primordial prevention aims to prevent risk factors from emerging, while primary prevention focuses on health promotion and protection before disease onset. Secondary prevention uses early diagnosis and treatment to stop disease progression. Tertiary prevention aims to reduce impairments and disabilities from established disease through rehabilitation. Control activities focus on primary and secondary prevention to reduce disease incidence, duration, transmission and burden. Monitoring and surveillance are important for detecting changes in health status and disease trends. Evaluation assesses how well prevention and control programs are performing in meeting their objectives.
This document discusses strategies for dealing with difficult patients. It begins by exploring what can make interactions difficult, such as fear, conflict, surprise, and change. It then discusses why we tend to avoid difficult interactions and notes that the label of "difficult" is subjective. The document outlines tips for minimizing difficult interactions, such as knowing your purpose and using assertive, cooperative language. It provides examples of responding assertively in patient interactions. The document also examines factors that can influence doctor-patient communication and strategies for dealing with difficult patients, such as understanding their perspective, apologizing, and taking responsibility. It stresses the importance of physician self-care as well.
This document discusses assessing the family as a unit of care using various tools and models. It describes the family life cycle model which views the family as progressing through different stages of development with associated tasks. The genogram is introduced as a tool to visually map family connections and identify patterns. Key areas of family function are outlined including biological, economic, educational, psychological, and socio-cultural roles. The document emphasizes examining biopsychosocial factors and assessing the family's strengths when evaluating health, illness, and care decisions.
Community medicine deals with measuring the health needs of populations and planning services to meet those needs. It encompasses fields like public health, preventive medicine, and social medicine, with a shared goal of preventing disease and promoting health. Community medicine aims to study health and diseases within communities to identify issues, implement solutions, and evaluate effectiveness, with the ultimate goal of preventing disease, promoting health, and prolonging life. It incorporates areas like epidemiology, environmental health, and communicable and non-communicable diseases.
This document discusses several tools used in family assessment:
1) A genogram is used to visualize family relationships and inheritance patterns of illnesses. It records family members, relationships, and significant dates.
2) The APGAR tool evaluates a family's adaptation, partnership, growth, affection, and ability to resolve conflicts. Scores of 8-10 indicate a highly functional family.
3) A family map depicts the structure of a family through boundaries, alliances and coalitions between members. It analyzes processes like enmeshment over time.
4) A lifeline charts a family's history and significant events that could impact a patient's health.
This document provides an orientation to family medicine. It discusses the key principles of family medicine including providing comprehensive, continuous, and personal primary care. It outlines the core competencies of a family physician including managing acute/chronic health problems, providing health promotion/preventative services, counseling, emergency care, and more. The document also discusses specific skills like communication, collaboration, management, and advocacy. It provides examples of common clinical presentations family physicians encounter and guidelines for evaluating and managing conditions like hypertension, diabetes, chest pain, fever, and more.
Family systems theory views the family as a dynamic system where all members are interconnected. Key concepts include homeostasis, boundaries, roles, and coalitions. Assessing families using tools like genograms, lifelines, and ecomaps can provide insight into relationship patterns and influences on a patient's health. This helps family physicians understand the family context and apply a systemic approach.
This document discusses the classification, evaluation, and management of hypertensive crises. It defines hypertensive emergency as severe hypertension with acute end-organ damage requiring immediate treatment to lower blood pressure, while hypertensive urgency involves severe hypertension without end-organ damage that usually allows for gradual blood pressure reduction over 24-48 hours. It provides guidelines for initial evaluation, laboratory testing, goals of therapy, recommended antihypertensive agents, and dosing for treating different types of hypertensive crises.
The natural history of a disease refers to its typical progression in an individual over time without medical intervention. It begins with exposure to disease factors and may end in recovery, disability, or death. Understanding the natural history is important for disease prevention and control. Several models have been developed to describe disease causation, including the epidemiological triad/tetrad of agent, host, environment, and time factors. The natural history is best established through cohort studies but can also be informed by other epidemiological study designs.
The document provides information about John F. Kennedy University's Master of Arts in Health Education program. It discusses the holistic approach and philosophy of the program, which focuses on social and environmental factors, empowerment, and facilitating self-healing. The curriculum covers various health philosophies and frameworks, and teaches skills like program planning, coaching, research, and communication. Courses explore topics such as nutrition, stress management, and Asian health approaches. The program can be completed in 1.5-4 years depending on enrollment status.
Christopher Manton is a clinical dietitian and nutritional biochemist with over 20 years of experience running private health clinics. He received a Bachelor of Applied Science in Biochemistry, Post-Graduate Diploma in Education, Masters in Nutrition and Dietetics, and additional certifications in live blood analysis and nutritional therapy. Manton utilizes various diagnostic tools and works with other health practitioners to determine the biochemical causes of illness and develop personalized health and nutrition programs for his clients. He has experience in clinical dietetics, teaching nutrition, and managing a sports nutrition private practice.
Health promotion and Prevention of disease SSS.pptxLeHaRe
This document discusses health promotion and disease prevention in nursing. It defines health promotion as behaviors that increase well-being and actualize human health potential. Nurses play an important role in health promotion by modeling healthy behaviors, educating clients, and advocating for health. The document outlines several health promotion topics for different populations like infants, children, adolescents, and elders. It also defines and discusses different levels of disease prevention, including primordial, primary, secondary, and tertiary prevention.
The document discusses Nola Pender's Health Promotion Model. It introduces Pender as the nursing theorist who developed the model. The model focuses on health promotion and disease prevention. It views individuals as active participants in their health and considers biological, psychological and social factors. The model has been widely used in nursing research, education and practice to promote healthy behaviors and prevent illness.
The document discusses Nola Pender's Health Promotion Model. It introduces Pender as the nursing theorist who developed the model. The model focuses on health promotion and disease prevention. It views individuals as active participants in their health and considers biological, psychological and social factors. The model has been widely used in nursing research, education and practice to promote healthy behaviors and prevent illness.
Health promotion and levels of preventionArifa T N
This document discusses health promotion and disease prevention. It defines health promotion as behaviors aimed at increasing well-being and actualizing human health potential. Health promotion is a process that enables people to gain control over health determinants to improve health. The document outlines several health promotion programs and topics for different populations. It also defines primary, secondary, and tertiary prevention and their respective interventions for managing disease risk factors and progression.
This document summarizes a presentation about creating healthy workplaces. It discusses how poor health costs employers money through increased medical costs, absenteeism, and reduced productivity. Many chronic diseases are caused or exacerbated by modifiable lifestyle factors like obesity, tobacco use, poor nutrition, lack of exercise, alcohol use, and stress. Establishing a culture of health in the workplace through leadership commitment, evidence-based wellness programs, and a focus on modifying risk factors can improve employee health and reduce costs. Case studies show that comprehensive worksite wellness programs have led to reductions in health risks, health care costs, and increases in productivity at successful companies.
This document provides an outline for a class on foundations of public health. It includes an overview of the course schedule and topics to be covered each day, such as the core contents and evolution of public health understanding. It also lists pop quiz questions that will be asked to assess students' understanding of key public health concepts like the core functions and subjects of public health. Finally, it discusses the role of academic public health and provides context on current public health issues such as health care spending in the US and how resources are distributed.
Elisabeth C. Peterson is a registered dietitian and certified eating disorders dietitian who owns Peterson Nutrition and Fitness. She has over 25 years of experience as a nutrition therapist specializing in eating disorders. She provides nutrition counseling, consults with medical professionals, teaches university courses, and supervises dietitians pursuing eating disorder certification.
All Our Health - A Call to Action to All Healthcare ProfessionalsViv Bennett
A Public Health England programme - All Our Health is a call to action for all healthcare professionals, individually and collectively, to close the health and wellbeing gap,
contribute to a radical upgrade in prevention and public health and develop a social movement for health
The document discusses the team-based approach to healthcare. It emphasizes that healthcare requires collaboration between many professionals from different disciplines. Each member of the healthcare team, including nurses, doctors, dietitians, and many others, brings unique skills and expertise to ensure patients' physical, emotional, and psychological needs are met. Working together effectively is important for providing comprehensive care and achieving the best outcomes for patients.
This document provides an overview of health promotion including definitions, approaches, models, activities, processes, principles, tools, and programs. It also discusses evaluation of health promotion programs and challenges. Key points include:
- Health promotion is defined as empowering people to increase control over their health through various population-based, participatory, multi-sectoral approaches.
- Common models include Tannahill's which incorporates health education, prevention, and protection.
- Activities can target populations, lifestyles, environments and include education, policy, community development.
- Stakeholders have roles in building healthy public policy, supportive environments, skills and reorienting services.
- Evaluation assesses
This document outlines key concepts related to health promotion including definitions, approaches, models, activities, principles, and examples of health promotion programs. It defines health promotion as a process that empowers communities and individuals to improve their health. Several approaches are discussed, including focusing on healthy populations, lifestyles, and environments. Models of health promotion include Tannahill's model and examples of community programs targeting preschools, schools, workplaces, and other groups are provided. The planning process and principles of health promotion are also summarized.
This document provides an overview of public health, including definitions, objectives, and key concepts. It defines public health as promoting physical and mental health and preventing disease, injury, and disability for populations. A public health system involves various public, private, and voluntary entities working as a network to address health issues. The core components of public health are assessment of community health, assurance of public health, and policy development in the public's interest.
This chapter discusses various health service professionals and issues related to physician workforce. It describes different types of providers including physicians, nurses, dentists, pharmacists, and allied health professionals. It also discusses issues around primary care shortages, geographic and specialty maldistribution of physicians, and initiatives under the Affordable Care Act to address workforce imbalances.
Michele L. Stephens is a highly experienced nurse practitioner with over 32 years of nursing experience, including 22 years as a board-certified family nurse practitioner. She has extensive experience in emergency care, critical care, psychiatry, pain management, and oncology. She is board certified in multiple specialties and maintains affiliations with several professional organizations. She has worked in both inpatient and outpatient settings, providing care across the lifespan from pediatrics to geriatrics.
The document provides information on evidence-based guidelines in nutrition practice. It discusses:
- The process of developing evidence-based nutrition practice guidelines which are disease/condition-specific recommendations derived from systematic reviews of scientific evidence.
- Key elements of the guidelines include explanations of scope, interventions considered, major recommendations and corresponding strength of evidence ratings.
- The ADA evidence-based nutrition practice guidelines for diabetes are published online. They are similar to guidelines from the American Diabetes Association but developed using a different method.
- Evidence-based guidelines are designed to assist in appropriate nutrition care decisions for specific diseases/conditions based on analysis of relevant research studies.
Presentation of our curricular integration, Interprofessional approaches and Student Leader Training strategies in the second year of our 3 year SBIRT Training Grant.
This document contains the resume of Snigdha Sharma, a dietitian and nutritionist with 6 years of experience working in hospitals and clinics in India. She has a proven track record of promoting healthy eating habits and providing dietary advice. She is seeking a new role where she can help people develop healthier diets and lifestyles through nutrition counseling and education. Her resume details her qualifications and experience in clinical nutrition as well as her skills in areas like public health, nutrition, and communicating complex dietary information.
Similar to 5-Star Physician: Am I? How to Be? (20)
ROJoson PEP Talk: High Blood Pressure (Hypertension) ManagementReynaldo Joson
The document provides information about a zoom session on April 13, 2024 from 1400H to 1500H on High Blood Pressure (Hypertension) Management. The objective is for laypeople to have an essential understanding of managing hypertension as part of their health management. The session will include a presentation, group pictures, an online test for a certificate, and feedback in the chat box. [/SUMMARY]
ROJoson PEP Talk: Does Biopsy Make Cancer Spread?Reynaldo Joson
This document contains information from a presentation on whether biopsies can cause cancer to spread. It defines a biopsy as a procedure that removes a sample of tissues, cells, or fluid from the body to examine for diagnosis. Different types of biopsies are described, including those that remove samples versus whole masses. Benefits of biopsies include obtaining a definite diagnosis to guide treatment planning. The document discusses the fear that biopsies may cause cancer seeding or spread, and defines cancer seeding as cancer cells spreading along the needle track during a biopsy.
ROJoson PEP Talk: Developing a Breast Self-Exam Habit through a Motivating AwardReynaldo Joson
This document outlines a Zoom presentation on developing a breast self-exam habit through motivating awards. It provides logistical details for the event, including the date, time, and instructions for participants. The presentation aims to teach laypeople how to perform breast self-exams and develop the habit through an awards program. It will cover what breast self-exams are, their importance, and how to properly conduct one. The speaker will advocate for their breast self-exam awards initiative to motivate more women to regularly perform self-exams.
ROJoson PEP Talk: CAN ONE SKIP RADIOACTIVE IODINE THERAPY IN THYROID CANCER T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk, as not all thyroid cancers require aggressive treatment like RAIT. The document questions whether RAIT can be skipped in some patients.
ROJoson PEP Talk: Can one skip RADIOACTIVE IODINE THERAPY in Thyroid Cancer T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk of recurrence rather than applying it routinely, as many thyroid cancers have excellent outcomes with surgery alone. The document questions whether RAIT can be skipped in some patients with a very low risk.
Creative Restart 2024: Mike Martin - Finding a way around “no”Taste
Ideas that are good for business and good for the world that we live in, are what I’m passionate about.
Some ideas take a year to make, some take 8 years. I want to share two projects that best illustrate this and why it is never good to stop at “no”.
Information and Communication Technology in EducationMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 2)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐈𝐂𝐓 𝐢𝐧 𝐞𝐝𝐮𝐜𝐚𝐭𝐢𝐨𝐧:
Students will be able to explain the role and impact of Information and Communication Technology (ICT) in education. They will understand how ICT tools, such as computers, the internet, and educational software, enhance learning and teaching processes. By exploring various ICT applications, students will recognize how these technologies facilitate access to information, improve communication, support collaboration, and enable personalized learning experiences.
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐫𝐞𝐥𝐢𝐚𝐛𝐥𝐞 𝐬𝐨𝐮𝐫𝐜𝐞𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐢𝐧𝐭𝐞𝐫𝐧𝐞𝐭:
-Students will be able to discuss what constitutes reliable sources on the internet. They will learn to identify key characteristics of trustworthy information, such as credibility, accuracy, and authority. By examining different types of online sources, students will develop skills to evaluate the reliability of websites and content, ensuring they can distinguish between reputable information and misinformation.
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptxCapitolTechU
Slides from a Capitol Technology University webinar held June 20, 2024. The webinar featured Dr. Donovan Wright, presenting on the Department of Defense Digital Transformation.
🔥🔥🔥🔥🔥🔥🔥🔥🔥
إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
💀💀💀💀💀💀💀💀💀💀
تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
🔥🔥🔥🔥🔥🔥🔥🔥🔥
A Visual Guide to 1 Samuel | A Tale of Two HeartsSteve Thomason
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.ppt
5-Star Physician: Am I? How to Be?
1. 5-Star Physician
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
Courtesy of Dr. Delen dela Paz
2. 5-Star Physician
Am I?
How to Be One?
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
3. 5-Star Physician
Am I?
How to Be One?
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
4. 5-Star Physician
* Care provider
* Decision-maker
* Communicator
* Community leader
* Manager
**WHO Proposed Ideal Profile of a Physician
Charles Boelen~1993
5. 5-Star Physician
* Care provider
* Decision-maker
* Communicator
* Community leader
* Manager
**WHO Proposed Ideal Profile of a Physician
possessing a mix of aptitudes
to carry out range of services to meet the
requirements of
Relevance
Quality
Cost-effectiveness
Equity
in health
6. 5-Star Physician
• Care Provider
• Decision-maker
• Communicator
• Community Leader
• Manager
WHO
• Care Provider
• Decision-maker
• Communicator
• Community Leader
• Team Member
WONCA
Health Care Provider
• Counselor
• Researcher
• Educator
• Leader / Manager
• Social Mobilizer
UP-PGH-CM Dept of Fam &
Com Med
• Healer
• Counselor
• Researcher / Life-long
Learner
• Educator / Teacher
• Manager/Social Advocate
OMMC Dept of Fam & Com Med
7. 5-Star Physician - Parameters
Aptitude Mix
•Health Care Provider / Healer / Counselor
•Decision-maker (Ethical and Cost-effective)
•Communicator / Counselor / Social Advocate
•Community Leader /Social Advocate
•Manager / Team Member / Social Advocate
•Researcher / Life-long Learner
•Teacher / Educator
•Other specific parameters from WHO and
WONCA
**Collated from WHO, WONCA and PH Departments of Family and
Community Medicine
8. 5-Star Physician
* Care provider
* Decision-maker
* Communicator
* Community leader
* Manager
**WHO Proposed Ideal Profile of a Physician
• assesses and improves the quality of care
• makes optimal use of new technologies
• promotes healthy lifestyles
• reconciles individual and community health
requirements
• works efficiently in teams
9. 5-Star Physician
a CARE PROVIDER
who considers the patient as an integral part of a
family and the community and provides a high
standard of clinical care (excluding or
diagnosing serious illness and injury, managing
chronic disease and disability) and
provides personalised preventive care whilst
building a trusting patient- doctor relationship
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
10. 5-Star Physician
a DECISION MAKER
who chooses which technologies to apply
ethically and cost-effectively while enhancing
the care that he or she provides
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
11. 5-Star Physician
a COMMUNICATOR
who is able to promote healthy life-styles by
emphatic explanation, thereby empowering
individuals and groups to enhance and protect
their health
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
12. 5-Star Physician
a COMMUNITY LEADER
who has won the trust of the people among
whom he or she works, who can reconcile
individual and community health requirements
and initiate action on behalf of the community
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
13. 5-Star Physician
a TEAM MEMBER
who can work harmoniously with individuals and
organisations, within and outside the health care
system, to meet his or her patients and
community's needs
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
14. 5-Star Physician
Am I One? an Epitome?
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
15. 5-Star Physician
Am I an Epitome?
What are the
Key Result Areas?
Key Performance Indicators?
*
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
16. 5-Star Physician
Am I an Epitome?
Self-assessment
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
18. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader /
Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
I ACCOMPLISH AND PRACTICE THESE!
19. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment
reconcile individual and
community health
requirements (WHO)
consider the patient as
an integral part of a
family and the
community and provides
a high standard of clinical
care and provide
personalised preventive
care whilst building a
trusting patient- doctor
relationship (WONCA)
I ACCOMPLISH AND PRACTICE THESE!
20. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader /
Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / EducatorI OBTAINED AND PRACTICE THESE UP
TO NOW!
MD (Doctor of Medicine) - 1974
MHA (Master in Hospital Administration) –
1991
MHPEd (Master in Health Profession
Education) – 1993
MSc Surg (Master of Science in Clinical
Medicine – General Surgery) – 1998
21. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Manager / Team Member
• Director, UPCM Postgraduate Institute of
Medicine (1989-1991)
• Division Chief, UP-PGH GSI (1994-2000)
• Assistant Medical Director, MDH (1989-
2009)
• Head, Corporate Planning Office, MDH
(2005-2009)
• Senior Vice-President for Corporate
Affairs, MDH (2009-2014)
• Chairman, Department of Surgery, Ospital
ng Maynila Medical Center (2001-1999)
Team Member of Organizations Mentioned
22. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Researcher
Published papers =50 (4 - international; 47 –
local);(9 – from 2000 to October, 2006)
Research awards >16 (1976 – October, 2006)
*As of 2012
23. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Learner
Problem-based Learner
Self-directed Learner
Masterals (3)
Writings and lectures (numerous)
24. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Educator / Teacher
Subjects:
Medicine (particularly Surgery)
Hospital Administration
Health Profession Education
Public Health
Author- Scientific Papers > 100; Scientific
Books/Primers/Course Packs > 80 [as of
December 2012]
Websites = 207 [as of December 26, 2013]
YouTube Publications = 165 [as of Mar 2014]
Facebook Pages
25. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Educator / Teacher
Outreach Surgical Education
UPCM-DOH Postgraduate Circuit Courses in
Provincial Hospitals (1989-1991)
Distance Education in General Surgery in
Zamboanga City Medical Center (1991-
1997)
26. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Educator / Teacher
Outreach Medical Education
Zamboanga Medical School Foundation
(now Ateneo de Zamboanga University
School of Medicine) – Problem-based,
competency-based, and community-based
medical curriculum) – 1994 – 1997
First medical school in the Philippines to
grant dual degree (MD-MPH)
27. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
28. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Educator / Teacher
Outreach Hospital Administration
Ciudad Medical Zamboanga (2009 –
present)
First hospital in the Philippines to receive
the Philippine Quality Award (2013)
29. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Educator / Teacher
Module Writer and Facilitator
WHO Hospital Preparedness Programs
(2007 – 2011)
Online Collaborative and Interactive
Learning Courses (2010 – present)
30. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Educator / Teacher
Awards
Awardee, Lino Ed Lim Award for the Most
Outstanding Medical Teacher in the Clinical
Sciences, University of the Philippines
College of Medicine, 2004-2005
Most Outstanding Teacher in Oncology,
Philippine Society of Oncology (October,
2006)
Centennial Professorial Chair, University of
the Philippines Manila (2008)
31. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Social Advocate
Advocacies:
Education for Health Development in the
Philippines
No to Unnecessary Laboratory and
Treatment Procedures
No to Unnecessary Firecracker Injuries
Beware of Santol Seed Swallowing
How to Live Life to the Fullest
32. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
MD - Health Care Provider / Healer /
Counselor
MDH Cancer Crusaders Club (2008 up to
present – longest cancer support group)
Cancer Survivor Registry (2012 – 88 as of
March 2014)
Facebook with Patients, Students, and
Medical Colleagues as Friends (1,400+)
33. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
34. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
35. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
36. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
37. 5-Star Physician
Am I an Epitome?
ROJoson’s Self-assessment Health Care Provider /
Healer / Counselor
Decision-maker (Ethical
and Cost-effective)
Communicator /
Counselor / Social
Advocate
Community Leader
/Social Advocate
Manager / Team Member
/ Social Advocate
Researcher / Life-long
Learner
Teacher / Educator
38. 5-Star Physician - Parameters
Aptitude Mix
• Health Care Provider / Healer / Counselor
• Decision-maker (Ethical and Cost-effective)
• Communicator / Counselor / Social Advocate
• Community Leader /Social Advocate
• Manager / Team Member / Social Advocate
• Researcher / Life-long Learner
• Teacher / Educator
• Other specific parameters from WHO and
WONCA
**Collated from WHO and PH Departments of Family and
Community Medicine
39. 5-Star Physician
* Care provider
* Decision-maker
* Communicator
* Community leader
* Manager
**WHO Proposed Ideal Profile of a Physician
• assesses and improves the quality of care
• makes optimal use of new technologies
• promotes healthy lifestyles
• reconciles individual and community health
requirements
• works efficiently in teams
40. 5-Star Physician
a CARE PROVIDER
who considers the patient as an integral part of a
family and the community and provides a high
standard of clinical care (excluding or
diagnosing serious illness and injury, managing
chronic disease and disability) and
provides personalised preventive care whilst
building a trusting patient- doctor relationship
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
41. 5-Star Physician
a DECISION MAKER
who chooses which technologies to apply
ethically and cost-effectively while enhancing
the care that he or she provides
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
42. 5-Star Physician
a COMMUNICATOR
who is able to promote healthy life-styles by
emphatic explanation, thereby empowering
individuals and groups to enhance and protect
their health
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
43. 5-Star Physician
a COMMUNITY LEADER
who has won the trust of the people among
whom he or she works, who can reconcile
individual and community health requirements
and initiate action on behalf of the community
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
44. 5-Star Physician
a TEAM MEMBER
who can work harmoniously with individuals and
organisations, within and outside the health care
system, to meet his or her patients and
community's needs
*WONCA Criteria for 5-Star Doctor Award
(World Org. of Family Doctors)
45. 5-Star Physician
* Care provider
* Decision-maker
* Communicator
* Community leader
* Manager
**WHO Proposed Ideal Profile of a Physician
possessing a mix of aptitudes
to carry out range of services to meet the
requirements of
Relevance
Quality
Cost-effectiveness
Equity
in health
46. 5-Star Physician
Am I an Epitome?
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
47. 5-Star Physician
How to Be One?
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
Invited Speaker
UPCM LU3 HS 201 Human Health and Wellness
March 24, 2014
48. 5-Star Physician
How to Be?
ROJoson’s Advices and Recommendations:
Not only Family Medicine Physicians should be
5-Star Physician.
All physicians regardless of specialty!
49. 5-Star Physician
How to Be?
ROJoson’s Advices and Recommendations:
Not just titles - MD, Masters, PhD, President of
Organizations; Members of Organizations; etc.
Must have activities, projects, and programs with
tangible and measurable impact on:
• Relevance
• Quality
• Cost-effectiveness
• Equity
in Health
50. 5-Star Physician
How to Be One?
ROJoson’s Advices and Recommendations:
• Know the parameters of a 5-Star Physician
(particularly aptitudes needed and key result
areas and key performance indicators).
• Acquire the aptitudes as early as now and refine
and reinforce thereafter.
• Look for and grab opportunities to practice the
aptitudes.
• Do continual self-assessment on status.
• Leave the world graciously and honorably
knowing that you are or have been a 5-Star
physician.
51. 5-Star Physician
How to Be One?
ROJoson’s Advices and Recommendations:
Once you are have been a 5-Star
physician,
then you can say that you have
accomplished your mission as a
physician in this world!
53. 5-Star Physician
Am I? How to Be One?
For queries,
Text me: 0918-804-03-04
Email me: rjoson2001@yahoo.com
Suggested Readings:
• ROJoson’s Curriculum Vitae
• ROJoson’s Legacies
*Will give URLs upon request or just Google search
54. 5-Star Physician
Am I? How to Be One?
Thank you for your attention!
Hope you find my talk useful!