Prof Faisal Alnasir

Prof Faisal Abdul Latif Alnasir FPC, FRCGP, MICGP, PhD

Chairman: Dept. of Family & Community medicine

Former :President Scientific Council for Family & Community Medicine

The Arab board for Medical SpecializationsEmail: faisal.alnasir@gmail.com

Development of Family Medicine in the Arab World

Prof Faisal Alnasir

Establishment of Arab Board

Arab countries reviewed their policy education medical.

Minister of Health of GCC Council in 1978 decided to establish the Arab Board for Medical Specializations.

Prof Faisal Alnasir

Aims of the Arab Board for Medical Specialization

•Improve medical services.•Develop training guidelines •Laying the foundations of assessment methods.

Prof Faisal Alnasir

والمجتمع األسرة طبFamily and Community Medicine Council

Established in 1986

Prof Faisal Alnasir

Scientific Council’s Presidents:

• Prof Zuhair Alsebai

• Dr Shawqi Ameen

• Prof Mustafa Khojali

• Prof Faisal Abdul Latif Alnasir

• Prof Ghassan Hamada

Prof Faisal Alnasir

Members of the Scientific Council

-Member from the MoH-Member/s from the University (up to 3)

ConstitutionPresidentVice President Secretary Members

Prof Faisal Alnasir

Council’s Committee:

• Examination Committee

• Training Committee

Prof Faisal Alnasir

Meetings

Councils Meeting ; Once every two years

Executive Council; Once every two year

(Alternate)

Committees; once every year

Prof Faisal Alnasir

Countries with an Arab Board certified training programs

•Bahrain •Saudi Arabia •Lebanon•Qatar•UAE•Oman•Jordan •Egypt•Iraq•Yemen ?

Prof Faisal Alnasir

Duration of training The duration of training for certification in family medicine is four years, ended by a final exam.

Prof Faisal Alnasir

Subjects Programs’ Duration

Introduction to Family Medicine MedicinePediatricsOb/GynSurgery

PsychiatryDermatology

Ophthalmology

25433211

Curriculum

Prof Faisal Alnasir

Subjects Programs’ Duration

E.N.TRadiology & Lab.Medicine

Community Med. Courses**Research Project

Family Med.Center attachmentElectiveHoliday

Total duration in months

114-95448

Prof Faisal Alnasir

Examples of optional training

Nutrition Health education Physiotherapy Rehabilitation Psychotherapy Sports Medicine School health Travel medicine Occupational medicine Antenatal care Well baby clinic Diabetes Care Chronic disease Endemic diseases Geriatric care Home care Children mental health Medical audit Disability Care Community psychiatric Adolescent health

Prof Faisal Alnasir

To enroll in Family Medicine Council:

•Recognized training programs •Completion of training •Skills required to practice Family Medicine•Final exam

Prof Faisal Alnasir

Family Medicine Exam

Once per year

Two parts:? Part I: written. Part II: practical (clinical) examination.

Prof Faisal Alnasir

Number of Graduates

Around 2000 in the Arab World For the Arab world Family Medicine ---ultimate

goal of health provision.

Needs

Prof Faisal Alnasir

Number of Graduates

Around 2000 in the Arab World For the Arab world Family Medicine ---ultimate

goal of health provision.

Needs Countries Need Duration

Arab World

160000 1600

Iraq 10000 300Bahrain 600 30Prof Faisal Alnasir

Saudi Ministry of Health seeking 13,000

family doctors.

Hired 4,000 and another 7,000 within two

years for the 150 Family Health Centers in

various parts of the Kingdom. Dr. Obaid Ibn Sulaiman Al-Obaid, deputy health minister

The existing Primary Healthcare Centers in

the Kingdom are being converted into Family

Health Centers with added facilities and

health officials. Arab News RIYADH, 23 January 2008 Prof Faisal Alnasir

20% of all doctors in the six GCC should be trained as specialists in family medicine in the next 10 years.

RIYADH, 7 June 2007 Prof Faisal Alnasir

People living in countries with

an abundance of primary care

physicians have a better quality

of life Dr. Muntazar Bashir KFSH & RC2007

Prof Faisal Alnasir

A well-trained family physician is

able to deal with eighty percent of

health problems that affect the

human being, whether the person is

a child, adult, male or female. AUB Dept of Family Medicine

Prof Faisal Alnasir

The family unit is the backbone of any country. Looking after the heath of this unit is of paramount importance. And family practice should be in-built within the national health policy.

Prof. Lalitha Mendis, Director, Post-Graduate Institute of Medicine (PGIM), University of Colombo,

Prof Faisal Alnasir

History of Family Medicine•In 1923, Francis Peabody called for return of the generalist

physician. "The secret of the care of the patient is in caring for the patient." •In 1966, the concept of a new specialty in primary care received official recognition in two separate reports;

1. Report of the Citizens’ Commission on Graduate Medical Education of the American Medical Association

2. The Ad Hoc Committee on Education for Family Practice of the Council of Medical Education of American Medical Association

Prof Faisal Alnasir

•In 1969, American Board of Family Practice (ABFP) became the twentieth medical specialty board•In 1971, American Academy of General Practice was renamed the American Academy of Family Physicians (AAFP).

•In 1952, Royal College of General Practitioners UK

•In 1958, Royal Australian College of General Practitioners

•In 1984, Irish College General Practitioners (ICGP)Prof Faisal Alnasir

Turkey 1961

Bahrain 1978

Lebanon 1979

Jordan 1981

Kuwait 1983

KSA 1987

Arab Board 1986

Qatar, UAE 1994

Oman 1994

Egyptian Board 2003

Iraq Recent

Libya 2006

Yemen To start

Development of Family Medicine in Middle East

Prof Faisal Alnasir

Providing optimal generalist care requires broad and

comprehensive training that cannot be gained in brief

and uncoordinated educational experiences.

The generalist physician defined as one “who provides

continuing, comprehensive, and coordinated medical

care to a population undifferentiated by gender,

disease, or organ system”

(Kimball and Young, 1994).

Prof Faisal Alnasir

Family physician

Provides primary, continuing, Comprehensive medical care in a personalized manner to patients and to their families of all ages, regardless of the presence of disease or the nature of the presenting complaint. They also provide maintenance and preventive services to each member of the family regardless of sex, or type of problem be biological, behavioral, or social.

Prof Faisal Alnasir

Prof Faisal Alnasir

There is an urgent need to foster and encourage the work of the family physician within the team of FM in the Arab world

Prof Faisal Alnasir

Conclusion

Therefore decisions ought to be taken and efforts are to be made in order to establish more training programs in the Arab World to produce skilled Family Physician

Prof Faisal Alnasir

Prof Faisal Alnasir

Prof Faisal Alnasir

Prof Faisal Alnasir

Prof Faisal Alnasir

Prof Faisal Alnasir

Reward after hard work