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- Dr. Sheldon M. Permack MD CCFP
MD training with post graduate residency
training in Family Medicine
International Medical Graduates who have
Dr. Sheldon M. Permack MD CCFP Medical Director Family Medicine - - PowerPoint PPT Presentation
Dr. Sheldon M. Permack MD CCFP Medical Director Family Medicine - - PowerPoint PPT Presentation
Dr. Sheldon M. Permack MD CCFP Medical Director Family Medicine Primary Care WRHA MD training with post graduate residency training in Family Medicine International Medical Graduates who have completed training and Family Medicine
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Principles of Family Medicine:
- Relationship based care
- Skilled clinician
- Community based
- Resource to a defined community
- Adaptable
le p profe fessio sionals ls
- Colla
llaborative ive p profe fess ssio ionals ls
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Advocacy Communication Education Service Coordination and Navigation Prescriptions- polypharmacy avoidance Interprofessional Patient Team Leadership
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Anger Loss Stress Coping
Continuity and Accessibility Waiting for
Tests Consults Services Paneling
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Assessment
Diagnosis Diagnostics Referral
Examination
General CNS and Mental Health
History
Patient Family
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Mental Status Labwork Diagnostics
- Mini Mental
Status
- CT
- MRI
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Orientation 5 ( ) What is the (year) (season) (date) (day) (month)? 5 ( ) Where are we (state) (country) (town) (hospital) (floor)? Registration 3 ( ) Name 3 objects: 1 second to say each. Then ask the patient all 3 after you have said them. Give 1 point for each correct answer. Then repeat them until he/she learns all 3. Count trials and record. Trials ___________ Attention and Calculation
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5 ( ) Serial 7’s. 1 point for each correct answer. Stop after 5 answers.
Alternatively spell “world” backward.
Recall
3 ( ) Ask for the 3 objects repeated above. Give 1 point for each correct answer.
Language
2 ( ) Name a pencil and watch.
1 ( ) Repeat the following “No ifs, ands, or buts”
3 ( ) Follow a 3-stage command:
“Take a paper in your hand, fold it in half, and put it on the floor.”
1 ( ) Read and obey the following: CLOSE YOUR EYES
1 ( ) Write a sentence.
1 ( ) Copy the design shown.
_____ Total Score
ASSESS level of consciousness along a continuum ____________
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Complete blood count Thyroid stimulating hormone serum levels
- electrolytes
- calcium and
- glucose
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Early pharmaceutical treatment Early referral to medical specialists and
community resources
Early family support and intervention Early lifestyle/risk factor modification “First Link”
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Delerium
- Delerium-acute
Substance abuse •Substance abuse Hydrocephalus •Hydrocephalus (csf increase) Blood clots around the brain
- Blood clots around the brain (subdural)
B12 Deficiency •B12 Deficiency Low Thyroid
- Low thyroid
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What are the new developments in community Primary Care for dementia patients and their families?
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2015 promise
Ev
Ever ery Man anitoban wi will h hav ave e ac acces ess t to a a family ily physic ician by 2015 2015!
Primary Care Home Primary Care Teams Networks Home Care Shared Care
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Patient Safety
- Drug
interactions
- Information
transfer
Quality
- Handwriting
- Guidelines
Population care
- Identifying
those at risk
- Drug and
program trials
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New regional efforts to enhance
process inform families and patients
http://www.wrha.mb.ca/acp/files/Workbook.pdf
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Bring services into Family Physician
Practices
Share expertise between
- Family Doctors
- Medical Specialists
- Nurses
- Allied health