This presentation based on the presentation of
Country Group: Dr Naser Kalantari, Dr Abtin Heidarzadeh, Dr Tahereh Changiz
In Dec 2016, Cairo, WHO-EMRO
Bridging Program for Building Capacities of
General Practitioners in Family Medicine in
Islamic Republic of Iran
Background on Iran: Basic data
• 80 million population : about 24000 FM specialist is needed
• Integrated system of Health services and medical education : MOHME
• 31 Provinces, 55 medical universities, 42 of the run at least one residency
program
• A complete Health Network System all over the country with more than
5000 Centers of Comprehensive Health Services (CCHS) and 21000
community health houses and health posts
Background on Iran: Family Medicine in Action
• Health Transformation Plan: GPs have been recruited as Family
Physicians
• MPH on FM ( in blended format) has been started by 20 universities
in 2009, 1200 GPs have been trained so far
• FM residency program was started since Feb. 2016 , in 8
universities(now 10 universities)
Objectives of the bridging programme
• Focus their(GPs) approaches to the patient and community on family
oriented health care
• Provide essential care and service according to the national health
protocols and guidelines
Course contents and duration
• A blended format including online, face-to-face live and hands on
experiences in Ambulatory care service (Centers of Comprehensive
Health Services: CCHS).
• It is intended to accommodate with the work schedule of the
practicing GPs.
• The program includes five main modules which designed according
to:
•
•
•
•
•
major determinants of burden of diseases of our country
content of our service packages
around defined age groups
cover national guidelines in health system
the total duration of the program is 24 weeks
Program Modules:
Mandatory
• Module I: Basics of Family Practice
• Module II: Child care
• Module III: Adolescence and Youth care
• Module IV: Adult age and Elderly Care
Optional
• Module V: Reproductive Health and Prenatal care
• Module VI: principles of “Centers of Comprehensive Health Services” management
• Module VII: principles of “District health center” management
Learning Goals of
Module I: Basics of Family Practice
• Get familiar with definition and roles of family physician
• Do preventive Medicine and Health Risk Factor Management
• Apply Epidemiology in Health Care
• Recognize Structure and Function of Health system
• Apply Evidence Based Practice
• Apply Principles of Case Management
Learning Goals of
Module II: Child care
• Give Well Child Care
• Management of Children Illness
Learning Goals of
Module III: Adolescence and Youth care
• Plan and perform Communicable Diseases Control and Care in
Adolescence and Youth
• Plan and perform selected Non-Communicable Diseases Control and
Care in Adolescence and Youth
Learning Goals of
Module IV: Adult age and Elderly Care
• Give care to Adults
• Perform comprehensive and integrated care for elderly
• Promote Healthy Life style in Elderly ages
Learning Goals of
Module V: Reproductive Health and Prenatal care
• Promote Reproductive Health
• Give prenatal care
Organizational Chart of the Program
MOHME:
National
Task Force:
Policy Making
MOHME and VMU:
Scientific Management and
Program Administration
Technical Steering
Committee
Administratice
Committee
5 Module
Committees
University:
Program Delivery and
Supervision
University
Committee
University
Committee
University
Committee
How many GPs in the first round
• MOOCS mode: thousands in the theoretical phase
• For practical sessions, and certificate exams: 1250 doctors in the first round