1、1Origin of family medicine 家庭醫學的起源vIn the past,doctors practised as generalists在過去，醫生擔當了全科醫生的角色vAfter WW2,decline of infectious diseases and tremendous advance in technology leading specialization 第二次世界大戰之後，傳染病減少以及迅速的科技發展使醫學更趨專門化v Patients are not the best judge which specialist they should see.病人不知
2、道應該去看什麼專科醫生v Despite increase in health care expenditure,it cannot satisfy consumer need.儘管在健康護理方面的開支不斷增加，病人的需要還是不能得到滿足v People began to realise the need of family physicians looking after them in their natural environment and guide them towards the right specialists if needed.人們開始意識到家庭醫生的重要性。家庭醫生不但
3、能在一個比較輕鬆自然的環境裡照顧病人，而且也能在必要的時候把病人轉介到專科醫生門診。Origin of family medicine 家庭醫學的起源於一個月內病患及使用醫療服務的狀況出現健康危機的成年人口出現健康危機的成年人口患病或受傷報告患病或受傷報告到醫生處求診到醫生處求診入院入院轉介醫療專科中心Special features of Family Medicine Practice(家庭醫學的特點家庭醫學的特點)v Highly prevalent health problems in family practice are not life threatening not reall
4、y considered as diseases by hospital clinicians but illnesses by patients對於基層醫療中十分普遍、但非致命的健康問題，醫院專科醫生並不特別認為是疾病，而只是病人的不適。v Not all clinical presentations would lead to established diagnoses並不是所有的臨床表徵都能有確定的診斷。v Most are undifferentiated problems at early stage with less classic presentations 大部份病人的問題屬
5、於早期、尚未歸類，亦缺乏典型臨床表徵。Special features of Family Medicine Practice(家庭醫學的特點家庭醫學的特點)v Unique difficulties of diagnosing disease which presents in an early,undifferentiated form and of its management outside specialized hospital units with limited facilities for investigation 疾病在早期、未歸類的時候，在醫院以外及有限化驗設施的前提下
6、，對診斷及治療都構成獨特困難。v Multiple problems,how to prioritize?在多種臨床問題中，哪些應優先處理？v Methods of disease prevention and health promotion in the community.社區中疾病預防及健康推廣的方法。The Content of Family Medicine家庭醫學的範疇家庭醫學的範疇(I McWhinney)v A specialty in breadth,rather than depth and acting across clinical boundaries and se
7、ctors.家庭醫學服務的特質注重其涵蓋度多於其深度，更不限於醫療界別之內。A Charter for Family Medicine in Europe-WHO Regional Office:By the year of 2000,all Member States should meet the basic needs by providing services on:世界衞生組織駐歐洲分所的家庭醫學憲章：公元世界衞生組織駐歐洲分所的家庭醫學憲章：公元2000年，年，所有成員國均通過提供以下服務而達到人民基本需求：所有成員國均通過提供以下服務而達到人民基本需求：vHealth promo
8、tion 促進健康促進健康vCurative 治療服務治療服務vRehabilitation and supporting services復康及支援服務復康及支援服務vSupporting self help activities of individuals,families and groups支持個人支持個人、家庭及團體的自助活動家庭及團體的自助活動Programmes offered by the CUHK in promoting Quality Family Medicine香港中文大學提供之家庭醫學課程香港中文大學提供之家庭醫學課程vCertificate in Family
9、Medicine(Subject to approval)家庭醫學証書家庭醫學証書 (待定待定)vDiploma in Family Medicine家庭醫學文憑家庭醫學文憑vPostgraduate Diploma in Family Medicine家庭醫學進深文憑家庭醫學進深文憑vMaster in Family Medicine家庭醫學碩士家庭醫學碩士Programmes offered by the CUHK in promoting Quality Family Medicine香港中文大學提供之家庭醫學課程香港中文大學提供之家庭醫學課程Programme 課程課程 Module
10、單元單元Credit Units 學分學分CFM家庭醫學証書家庭醫學証書 MFM 8101+MFM 8005+CFM 80017DFM家庭醫學文憑家庭醫學文憑MFM 8101+MFM 8102+MFM 80059.5P g D F M家庭醫學進深家庭醫學進深文憑文憑MFM 8101+MFM 8102+MFM 8005+Elective modules(8.5 units)18MFM家庭醫學碩士家庭醫學碩士MFM 8101+MFM 8102+MFM 8005+MFM 8002+MFM 8003 MFM 8006+MFM 8007+Elective modules(4.5 units)30v Th
11、e Diploma programme can also help our colleagues who have been trained in other specialties but now in family practice or planning to go into family practice,to have a better understanding the principles and practice of family medicine and enhance their skills in providing community based care.家庭醫學文
12、憑課程是為沒有接受正規家庭醫學專業培訓的醫生而設，目的是提升他們對家庭醫學的認知，以增強在社區行醫的臨床技巧v The Master degree would facilitate family physicians to develop special areas of interest and/or further advancement in academic family medicine in education and/or research.家庭醫學碩士課程可協助執業全科/家庭醫生作深入發展Programmes offered by the CUHK in promoting Q
13、uality Family Medicine香港中文大學提供之家庭醫學課程香港中文大學提供之家庭醫學課程Diploma Programme Description文憑課程簡介文憑課程簡介 Code 編號編號Module Title 單元單元Credit Units 學分學分MFM 8101Principles and Practice of Family Medicine(I)家庭醫學之理論與實踐家庭醫學之理論與實踐 (基礎篇)4MFM 8102Principles and Practice of Family Medicine(II)家庭醫學之理論與實踐家庭醫學之理論與實踐(臨床篇)4MFM
14、 8005Evidence Based Primary Care循證基層醫療循證基層醫療 1.5v 1 year part time course 一年制兼讀課程v 34 Lectures and tutorials 三十四節講課及導修課v 2 class seminars(Groups A/B)兩組研討班Literature search 文獻搜尋Critical Appraisal workshop 文獻批判工作坊v 4 roster workshops/exam(Groups A/B/C/D)四次分組工作坊及考試Counselling practicum 輔導實習Management s
15、kill workshop 管理技巧工作坊Consultation skill workshop 診治技巧工作坊Literature Search Examination 文獻搜尋考試v 3 Small group tutoring 三次小組導修課Diploma Programme Description文憑課程簡介文憑課程簡介14系统系统1.Students will be grouped in size of 6 to 7 學員以六至七人為一組2.One tutor will be assigned to each group 每組將委派一位導師3.Each group will elec
16、t its own group leader 每組需選出小組組長4.The group leader will contact and liaise the group with its assigned group tutor 組長負責聯絡各組員及所委派的導師Tutoring System系统系统1.To facilitate learning and professional development among students within the group.提升組員之學習及專業發展 2.To supervise students in preparation of their res
17、earch and homework.指導組員進行研究及完成作業 3.Review of student tapes recorded at the practicum.檢視組員實習時之錄音/錄影記錄 4.Mark the research papers,video tapes and homework of the group.為組員之研究論文、實習錄影記錄及作業評分 5.Assessment of the progress of the students.評核組員之學習進度 6.Provide feedback to students the end of the year.向組員提供過往
18、一年的長現 Roles of the tutors導師的責任導師的責任1.November十一月:a.Review on philosophy of FM and critical appraisal 檢視學員對家庭醫學理念及文獻批判技巧b.Preparation of Assignments/Selection of your clinical condition for the assignment on Literature Research and Management Protocols 準備及選擇作文獻搜尋及診治作業之課題c.Preparation on the Roster pr
19、acticum 為小組實習作預備2.February二月:a.Tape reviews 錄像檢視3.June六月:a.Feedback on assignments 作業的檢討b.Review on Quality of health care 檢視醫療素質c.Building Family Medicine into practice 家庭醫學理論的實踐Scheduled meetings with tutors與導師定期會面181.Content based 基本內容(Assessment Form 評估表格)Discussions 討論Role plays/Video reviews 角
20、色扮演/錄像檢視2.Assignment based 作業(Markings 分數計算)Homework/research papers 作業/研究文獻Practicum tapes 實習錄影帶Assessments評估1.No weight on final marking.在計算總分時不佔任何比 重2.Pre-requisite for sitting the final examination.必要通過才可參加期未考試3.It is the students duty to demonstrate to their tutor that they have sufficient know
21、ledge and get he/her to counter sign their skills on the following areas:學生有義務展示給他們的導師對以下之技能有充分了解及掌握：Family Medicine as a discipline 家庭醫科的專業Consultation skills 診治的技巧Communication and Counseling 溝通及輔導的能力Management skills 管理的技能Content based assessments基本內容評估1.Objectives of the homework and assignments
22、 作業要求及評量的目的Strengthening exercise on skills learned(self appraisal of tape review/literature search for management protocols)以練習形式鞏固學習來的技巧，(運用錄影帶自我檢視/尋找文獻用作處治方案)Working on areas not covered by content based assessment(family dynamics/practice management/community resources)針對基本內容評估所沒有涉及的課題(家庭互動/醫療管理
23、/社區資源)2.Deadlines of submission(20%deduction for late submission)遞交期限(遲交將被扣20%)3.The Assessment Standard 評估的標準4.Marking Standardization 分數標準化的計算Assignment based assessments作業評估The Assessment Standard 評估標準 Learning 學習Knowing 認識Ability of doing 有能力實踐Sustenance in doing 持續性實踐AM Fellows 家庭醫學專科家庭醫學專科Conj
24、oint Fellows 家庭醫學院士家庭醫學院士FM Diplomats 文憑班畢業生文憑班畢業生Calculation of Total Marks成績計算成績計算Written Assignments 作業作業 Total 總共總共:50%1.Evidenced Based Practice&Family Practice10%循証醫學及家庭醫療2.Community Participation Project10%社區參與項目3.Family Case Report10%家庭個案報告4.Consultation Review&Practice Management 10%診治技巧及醫療
25、管理5.Literature Research&Management Protocol 10%文獻研究及處治方案PASS is a score equal or greater than 25%此部份得此部份得25%25%為及格為及格Final examination 筆試筆試 Total 總共總共:50%A two hours written paper consisting of 兩小時筆試包含兩小時筆試包含short notes 短答modified essay questions 簡答題slide interpretations and 投影片判讀multi-choice questi
26、ons 多選題on topics discussed in the course 以課程曾涵括之課題進行以課程曾涵括之課題進行測試測試PASS is a score equal or greater than 25%此部份得此部份得25%25%為及格為及格Calculation of Total Marks成績計算成績計算Admission Requirements入學資格入學資格1.Applicants are required to hold a Bachelors degree in Medicine from Institutions of good standing,and/or r
27、egistered medical p r a c t i t i o n e r s i n H o n g K o n g.申請人必須具大專學院之醫學位，及或屬於本港註冊醫生 2.Applicants should also fulfill the English language requirements set by the University.申請人需符合大學英語能力規定的條件方獲考慮入學 Tuition Fees課程費用課程費用Programme課程課程Tuition Fee費用費用(港幣港幣)CFM家庭醫學証書家庭醫學証書 HKD 16,500DFM家庭醫學文憑家庭醫學文憑HK
28、D 33,000PgDFM家庭醫學進深文憑家庭醫學進深文憑HKD 50,000MFM家庭醫學碩士家庭醫學碩士HKD 90,000Application Procedure申請手續申請手續Photo copies of degree or other educational certificates.學位或其他學歷證明及成績單之影印本A recent passport size photo of the applicant.本人近照(申請護照大小)An application fee of HK$180 by crossed cheque or money order payable to“The Chinese University of Hong Kong”港幣一佰八十元之劃線支票(抬頭請寫上”香港中文大學”)或銀行本票Thank You!謝謝謝謝!
