Community Health Management Course

 Community Health Management Course: A Design

Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg
1997 - 2000 -

Year Level

I

II

III

IV

1st semester

CHM I

CHM III

CHM V

CHM VII

2nd semester

CHM II

CHM IV

CHM VI

Community Health Management VII

Year IV Medicine (Community Health Management VII)

Duration: 12 months

Expected Output:

1. Solution of a health problem in an assigned community

2. Full development of a competent community primary health care physician

3. Potential passer of the Philippine Board of Medicine exam

Assessment Parameters:

1. Satisfactory grade in action research project on a community health problem utilizing primary health care approach emphasizing on multisectoral colloboration with trained barangay health workers who will carry on health promotion and disease prevention program when the students are out of the community.

2. Satisfactory grades in simulated patient management problem solving and actual patient management.

3. Satisfactory grades in written examinations covering the subjects in the Philippine Board of Medicine Examination.

Places of Learning:

Assigned Community

minimum of 8 months and maximum of 10 months

if the students can complete their community action research project in 8 months, they can spend the remaining 4 months in areas outside their assigned community.

Area Outside Assigned Community

may be in the city where the medical school is located or elsewhere, such as Manila or abroad

minimum of 2 months and maximum of 4 months

Learning activities in assigned community:

1. Community health plan and action research project

1.1 Implement

1.2 Write report

1.3 Present

1.4 Finalize

2. Community physician

2.1 Actual patient management

duties at barangay health stations, rural health units, and district/provincial hospitals

2.2 Simulated patient management problem solving using distance learning

3. Philippine Board of Medicine Examination

3.1 Independent study

3.2 Written examination

Elective (outside assigned community)

Students can have electives for a minimum of 2 months to a maximum of 4 months.

In the electives, the students

1. are in areas outside their assigned community and

2. pursuing learning in a field of medicine which they think they need to develop further their competencies as a community primary health care physician.

They may choose any area they want, subject, however, to the approval of the school authorities.

The students can have a maximum of 4 months in electives only if they have satisfactorily completed their community action research project in 6 months.

When the students are in their electives, they still do distance learning on simulated patient management problem-solving and Philippine Board of Medicine subjects. They are expected to take all the prescribed written examinations during the time of their electives.

Simulated Patient Management Problem Solving

During the 12-month period, the students will be given at least 50 simulated patient management problems to solve at the rate of 1 problem per week. They will be evaluated based on the following criteria:

- Rational, effective, efficient, and humane management process

- Quality of learning issues and learning acquired

Actual Patient Management

During the 12-month period, the students will be expected to manage at least 50 actual patients under supervision. They will rotate in the barangay health stations, rural health units, and district/provincial/regional hospitals.

They will be submitting a report on each of the 50 actual patients they have managed. The reports will be evaluated based on the following criteria:

- Rational, effective, efficient, and humane management process

- Quality of learning issues and learning acquired

Actual patient management report format:

Philippine Board of Medicine Subjects and Comprehensive Written Examinations

There are 12 subjects covered in the Philippine Board of Medicine Examination. Each subject will be allotted one month for students' independent study. At the end of the month, the student will take a written examination on the subject.

There will be comprehensive written examinations at 6 and 12 months respectively beside the written examination for each board subject. Comprehensive examinations will cover everything in medicine.