Guidebook for

Family Medicine
Course
(MED 4068 – 8 Credits)

Year 4 MBBS
(Batch 2007)

This guidebook Name:

belongs to: Group:
Sub-group:
Handphone:

Family Medicine Course Guidebook, 3rd Edition, 2010

 CONTENTS

Section Topic Page

1 INTRODUCTION AND OVERVIEW OF THE FAMILY 2

MEDICINE COURSE

2 HOW TO USE THIS HANDBOOK? 3

3 COURSE PRE-REQUISITES 4

4 AIMS OF COURSE 4

5 LEARNING OUTCOMES / OBJECTIVES 5

6 COMMON CONDITIONS IN FAMILY MEDICINE 7

7 LEARNING ACTIVITIES IN FAMILY MEDICINE 9

8 COURSE ASSESSMENT 22

9 LEARNING RESOURCES 28

Appendix A. Directory of Teaching Staff (Family Medicine) 31

Appendix B. List of 4th Year Students 31

Any absence due to sickness or any unforeseen

circumstances must be notified to the Course
Coordinator as soon as possible and
must be supported by suitable documentation
e.g. sick certification.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 1

 SECTION 1
INTRODUCTION AND COURSE OVERVIEW
On behalf of the members of the family medicine fraternity of CUCMS, I warmly you
welcome to the Family Medicine Unit!

Being the only family medicine course in the undergraduate CUCMS medical program,
the scope of this course is rather wide as it covers important basic concepts and topics
pertaining to care of patients and their families in ambulatory clinical settings.

Family medicine is the clinical and academic discipline whose practitioners aim to make
an early diagnosis, taking into account the physical, psychological and social factors
which may affect the people under his care. Bridging the delivery of healthcare between
the community and hospitals, this course teaches students the details of clinical delivery
of preventive, curative, educative and rehabilitative healthcare to individuals (and family)
from birth to death. Ambulatory care management of common conditions as well as the
skills required to distinguish between serious and non-serious conditions would be
enhanced.

During these eight weeks of Family Medicine Course, you will be seeing the whole
spectrum of local family medicine or primary care services. These include services in both
urban and rural areas, whether government-funded or privately run. CUCMS is proud to
be affiliated with Klinik Kesihatan Bangi, Klinik Kesihatan Dengkil,Klinik Kesihatan
Puchong as well as other private general practices in delivery of this learning experience
to you.

Various teaching-learning methods are utilised which include clinical experiential learning,
clinic assignments, task-based learning, student seminars and clinical skills workshops.
Students are expected, as well as given opportunity to participate in all clinical and other
learning activities to obtain good overall experience of the discipline.

We believe this course will enable you to have basic family medicine knowledge to
function competently as a future junior doctor.

All the best and wishing you an enjoyable course!

Dr Noor Azizah Tahir

Coordinator, Family Medicine Course,
Division of Community Health and Frontline Medicine
Faculty of Medicine, CUCMS.

Acknowledgement – to all founder members of the Family Medicine Discipline especially

to the previous Family Medicine Course Coordinator and currently the Deputy Dean of
Clinical Sciences, Assoc Prof Dr Yong Rafidah A Rahman for contributions in
development of this guidebook:

- Assoc Prof Dr Yong Rafidah A Rahman

- Dr Norlehan Abdul Samad
- Dr Hairel Anuar Selamat
- Dr Siti Norhafizah Md Khapid
- Dr Lakshmi Sivashunmugam
- Dr Hazian Hamzah

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 2

 ****************************

SECTION 2
HOW TO USE THIS GUIDEBOOK?

General information:

 This guidebook serves to guide and assist you throughout this course.
 Main feature of this guide is the learning objectives expected of you at the end of
this course. These are indeed not a list of facts and information about the topics
listed, but important points to help you plan your learning.
 This guide is not to replace the recommended readings or the other learning
opportunities provided during this course.
 You are expected to participate and perform the various teaching-learning activities
described, as well as other activities explained by your lecturers.
 Make an effort to always record and reflect on your consultations / experiences
throughout this course. Do identify your own questions to better appreciate these
topics.
 Do use the internet to get your answers. Otherwise, please present and share your
cases/questions during the debriefing/reflection session each week.
 Should you wish, you may even explore these topics deeper from the list of further
reading materials, books, journals and internet websites provided in the Course
Guidebook.
 Please do not hesitate to contact the Head of Department / Course Coordinator /
lecturers for any enquiries or assistance.
(Contact numbers are provided in Appendix A)

****************************

****************************

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 3

 SECTION 3
COURSE PRE-REQUISITES

This course needs to be built on the knowledge and skills acquired during your basic
undergraduate pre-clinical training during the following courses:
 All Year 1, 2 and 3 courses
 Clinical & Health Exposure and Training
 Clinical Skills Training/Clinical Correlation
 Problem-based learning sessions

You may wish to refresh your memory by looking through your old notes / portfolios on
the above.

SECTION 4
AIMS OF COURSE

The Family Medicine Course aims to:

1. equip learners with fundamental knowledge and skills in managing

common problems presenting to ambulatory healthcare, with an
emphasis on prevention and screening, continuity, and
biopsychosocial issues.
2. inculcate elements of patient-centred and effective communication
and professionalism when working with patients in family practices.
3. introduce learners to the roles of family doctors within Malaysian
healthcare – in order for them to function as competent holistic junior
doctors upon graduation.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 4

 SECTION 5
LEARNING OUTCOMES / OBJECTIVES

The CUCMS’s Family Medicine Course pivots around four areas of learning outcomes, as
the following:

1. Preventive Healthcare – Primary and Tertiary Prevention

2. Curative Patient Care – Acute and Chronic Illness
3. Interpersonal Communication and Professionalism
4. The Basis of Family Medicine

Upon completion of the Year 4 Family Medicine Course, the student should
be able to:

1. Preventive Healthcare – Primary and Tertiary Prevention

a) Identify prevalent diseases, injuries, and conditions in which prevention plays a role.
b) Define primary, secondary, and tertiary prevention.
c) Define characteristics of a good screening test
d) Describe roles of rehabilitative care within family medicine services
e) Describe preventive services to special groups: school-children, adolescents, pre-
marital, elderly, travellers
f) Provide preventive health care to the following groups:
 Well children (e.g. developmental screening, nutrition, immunization)
 Well adults (e.g. smoking, hypertension, hypercholesterolemia, diet/obesity,
diabetes mellitus, coronary artery disease, injury prevention)
 Maternity care (antenatal, postnatal care and family planning)
g) Counsel patients and their families on behavioural change strategies (e.g., smoking
cessation, breastfeeding, healthy lifestyle) to support patient wellness, recognizing
cultural and socio-economic influences on health promotion and disease prevention

2. Curative Patient Care – Acute and Chronic Illness

a) Describe the prevalence and natural history of common problems and illnesses
over the course of individual and family life cycles.
b) Integrate and apply the basic and clinically supportive sciences, appropriate to the
discipline of family medicine.
c) Gather appropriate information (history & physical examination) for acute and
continuing care of common illnesses*
d) Incorporate appropriate psychosocial, cultural, and family data into patient
management plan (investigative, non-therapeutic and therapeutic).
e) Propose management plan (investigative, non-therapeutic and therapeutic) for
common illnesses* using a focused, problem-oriented assessment.
f) Demonstrate an analytic thinking approach to clinical situations and problem solving
(clinical reasoning).
g) Discuss and reflect upon the complexity of providing longitudinal, comprehensive,
and integrated care for patients with common, chronic medical problems.
h) Participate in a chronic disease management plan in partnership with the patient,
patient's family, and other health care professionals

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 5

 i) Counsel and educate patients and families about care of acute and chronic
illnesses.
j) Demonstrate competence in common office-based procedures under supervision of
a family physician.

3. Interpersonal Communication and Professionalism

a) Demonstrate the ability to communicate effectively with patients and families
utilizing a patient-centred approach
b) Document appropriate information for acute and continuing care in the patient
record.
c) Participate in consultation and referral to other health care professionals.
d) Demonstrate effective, respectful communication with other health care
professionals and clinical faculty.
e) Demonstrate punctuality and participation in all teaching-learning sessions.
f) Demonstrate integrity, responsibility and trustworthiness
g) Demonstrate self-assessment and reflective learning / life-long learning abilities
h) Discuss the ethical responsibilities in being a family doctor

4. The Basis of Family Medicine

a) Describe the principles and content (persons and conditions) of family medicine
b) Explain and discuss the various settings in which family physicians provide care
and the integration of care that occurs across these settings.
c) Describe and compare the role of the family physician as coordinator of care, in
various family medicine settings
d) Discuss and compare the barriers to coordination of health care and recommend
improvements, in various family medicine settings
e) Discuss and compare appropriate consultation resources, both medical and non-
medical, in various family medicine settings
f) Discuss the family physician's continuing role and responsibility in the care of
patients during the process of consultation and referral.
g) Discuss the laws and regulations that govern family practices
h) Discuss and compare the role of family doctors as practice managers in various
family medicine settings

*Note:
List of common illnesses and conditions seen in Family Medicine are listed
under Section 6

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 6

 SECTION 6
COMMON CONDITIONS IN FAMILY MEDICINE
The following table lists common complaints and conditions that are seen in family
medicine. Conditions marked (***) are considered of particular emphasis in
undergraduate studies and hence this course. These reflect what are fundamental to the
content of family medicine – conditions which are common but significant, relevant,
preventable and treatable.

At the end of the Family Medicine Course, you are expected to be able to apply and
integrate the basic sciences such as anatomy, pathophysiology, aetiology into formulating
differential diagnosis and proposal of management options of each of these.

Common Presentations / Conditions in Family Medicine (Part 1):

Acute Minor Illnesses: Acute Major Illnesses:

Headache*** Syncope & loss of consciousness***

Dizziness*** Chest pain***
Sore throat / mouth*** Breathlessness***
Cough & rhinorrhea*** Palpitations***
Fever and chills *** Oedema***
Dyspepsia*** Acute abdomen – appendicitis, gall-
Abdominal pain*** stones, peptic ulcer
Nausea & vomiting*** disease, etc***
Diarrhoea*** Bleeding during pregnancy***
Constipation*** Acute cerebrovascular accident
Haemorrhoids*** Diabetic emergencies
Musculoskeletal / joint pain & Severe home accidents, MVA & injuries
swellings*** Severe depression
Low back pain*** Substance poisoning/parasuicide
Tiredness/ Sleep problems*** Snake/insect bites
Ear pain, discharge & wax***
Minor infections (boil, stye etc)***
Minor lumps (lipoma, sebaceous cyst,
breast lumps)
Foreign bodies in ENT & others
Red eye***
Frequency & dysuria***
Vaginal discharge***
Menstrual complaints***
Abnormal vaginal bleeding
Breast/lactation problems***
Jaundice in neonates***
Acute rashes***
Itchiness***
Minor skin wounds / injuries***
Non-specific symptoms and signs

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 7

Common Presentations/Conditions in Family Medicine (Part 2):

Chronic Illnesses: Preventive Care & others:

Diabetes mellitus*** Childhood immunization***

Hyperlipidaemia*** Child development surveillance***
Anaemia*** Antenatal check-ups and pregnancy-
Obesity*** related care***
Hypertension*** Postnatal care***
Coronary Heart Disease*** Breastfeeding and related problems***
Heart failure Family planning / contraception***
Bronchial asthma*** Cervical/PAP smears***
Chronic Obstructive Airway Disease Periodic health check-up &
Allergies cardiovascular risks screening***
Thyroid disorders Pre-employment medical
Osteoarthritis*** examination***
Chronic skin conditions*** – eczema, Adult immunization
scabies, fungal infection, acne Pre-travel assessment
Infertility Rehabilitation - post-AMI, post-CVA
Cerebrovascular disease (after-effects) Smoking cessation***
Epilepsy Injury prevention***
Chronic mental illness – anxiety, Counselling on healthy lifestyle***
depression*** Domestic violence
Mental retardation Miscellaneous advice & counselling
Substance abuse Medication monitoring
Social agenda – e.g. MC request

Source:
1. Stephenson A. A Textbook of General Practice 2nd Editon, Edward Arnold, 2004.
2. Murtagh J. General Practice, 4th Edition. McGraw Hill, 2007.
3. Practice profile – Assoc Prof Dr Yong Rafidah AR, 1989-2009

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 8

 SECTION 7
LEARNING ACTIVITIES IN FAMILY MEDICINE

Overview:
The Family Medicine Course utilizes various teaching-learning methods to achieve the
aims and objectives indicated for this course. These include:

1. clinical teaching in family medicine clinics

2. clinical attachments and service duties in family clinics and related
services (including after-hours clinic)
3. interactive lectures
4. task-based learning sessions
5. student seminars / group assignments
6. skills workshops - communication and procedural skills
7. assigned individual reading
8. group reflection session / study circles
9. individual reflective learning

Details of learning activities in family medicine are as the following:

1 – Clinical teaching in family medicine clinics

Clinical teaching sessions with lectures will be conducted in Klinik Kesihatan Bangi, Klinik
Kesihatan Dengkil and Klinik Kesihatan Puchong from Week 2 onwards.

Students are divided into 6 subgroups with 6 to 7 members. The placement of each group
is as per time table provided during the first week of the course.

Two subgroups will be sent to each teaching centre. The two groups will rotate between
“lecturer percepting clinics” and “service duty clinics” and every group will have at least 6
percepting clinics with the lecturers.

Responsibilities of students:

Students assigned to Lecturer’s Clinic are expected to perform the following tasks:
i) Prepare the assigned room / area for clinic session.
 Please arrive as early as 7.45 am to ensure cleanliness of the room, as well
clinic equipments are assembled

ii) Liaise with peer assigned to registration area for invitation of patients to
Lecturer’s Clinic.
 Please take note that every patient invited need to have a verbal consent

iii) Perform consultation of patient/s presenting to the clinic – under observation

and supervision of the lecturer (Section 8 of Logbook)
 Students are to take turns. It is expected that for each morning session, each
student would be able to conduct at least ONE consultation under
supervision

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 9

  Consultation tasks would include taking history, physical examination as well
as proposing investigation/s and management where appropriate
 Please refer to prior training in Family Medicine on how to conduct
consultations on ambulatory patients.

iv) Assist lecturer in management of patient or other appropriate tasks

 These include performing procedural skills, writing prescriptions, medical
certificates, referrals, appointment and record keeping

v) Request assessment and feedback from lecturer, as well completion of Sections

3 and / or 8 of Logbook – where appropriate

vi) Organise short reflection session before end of clinic session

 all students need to attend this experience sharing session – this is a half
hour session before lunch break

vii) Ensure safekeeping of equipments and cleanliness of clinic area at the end of
clinic session

2 - Clinical attachments and service duties in family clinics and related

services
Understanding of your patients and clinical competence comes from not merely
observing but getting involved and participating in care of patients and its relevant
delivery of healthcare.

This is one unique experience that you will gain in Family Medicine – the chance to
be part of the healthcare team!

2A - Service duties in health clinics

During your attachment to the health clinics during Week 2 to 6, you will be
assigned, on rotation basis to “Service Duties” stations. These stations will
include:
– Assistant Lecturer / Medical Officer’s Service Clinic
– Registration counter (OPD & MCH)
– Pharmacy / Laboratory
– Procedure room / A & E
– Screening counter / X-Ray
– Home visit
– After-hours clinic session (one session compulsory for each student)

The allocation of service duty station will depends on the teaching centres and you
will be briefed on what stations available in each Klinik Kesihatan later.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 10

 Students need to:
 Check your rotation roster regularly for information on “Service Duties”
assignments
 When assigned, please report to the health clinic staff in-charge of respective
station, latest by 8.00am.
 Ask what to be done and volunteer your assistance.
 At the end of session, do request for proof of attendance
 Record and reflect on your experience in Section 6 of your Logbook

2B – Private General Practice Experience

You will have the unique opportunity to be attached to a private-run general practice
throughout Week 5 or Week 6 of this course. Students will be attached to appointed
general practitioners also known as Family Medicine Teachers. Although it is only a
32 hours attachment, students will gain a lot of learning experience from it.

Students will have the chances to closely observe a family doctor who works in fee-
for-service environment at work. You will have the opportunity to compare and
contrast some areas of family medicine in the private health care system with the
government primary care. Important differences to be looked into include:

o presentation of diseases /conditions

o management of common acute and chronic condition
o communication between Doctor-Patient / Doctor-Patient Relationship
o health problems and presentation in the local context including cross
cultural issues.
o managerial and entrepreneurial aspect of general practice as well as
medical ethics , law and legislation in private family medicine.

There also some interesting areas that could be explored during the GP course
like:
o What make the GP open up a private practice?
o What services are offered by the clinic?
o What are the strengths, weaknesses, opportunities and threats
of a private general practice?
o Why do patients visit private practice instead of government
clinics?
o Is it true that GP has autonomy in life?
o Is it true that GP is a dying profession?

You will also have to carry a small group assignment looking at issues in general
practice. This is done as through your subgroup. You will need to present a proposal
of the project prior to your attachment and the proposal need to be documented in
hard and soft copies of Part A of Section 7 of your logbook. A final presentation of
your group general practice assignment will be done usually at least a week after
completing your attachment. Marks will be given for the group presentation as per
in Section 9 of your logbook.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 11

 The Family Medicine Teacher will also assess you. You are required to make sure
you assessment during the GP experience is concluded by the end of the course.
Please refer to Section 10 of your logbook.

All of your learning experience will need to be reflected in as your GP experience

perception in Part B and C of Section 7. Further details and instructions for the GP
course will be given before the attachment by your GP Course Coordinator.

2C – Tips for Learning during Service Duties and Private

GP Experience
Learning in family clinics has been known to be daunting to medical undergraduates
due to huge number of patients seen at a rapid pace, different consultation styles
used by family doctors (e.g. “short-cut” history-taking), as well a great variety of
patient presentations.

You would be expected to be on your own during this component of teaching-

learning activity, with perhaps very minimal supervision form CUCMS lecturers.
The following tips would serve to help you gain the most from this experience:

i. Remember that patients seen in family medicine almost always fall under either
one of these categories of presentation:
- Acute illnesses – either acute minor ailments or major diseases
- Chronic illnesses
- Preventive care (e.g. maternal & child health) and early detection
of illness (e.g. health screening & medical check-ups)
- Rehabilitative care
- Miscellaneous reasons for medical encounter

ii. Try to classify the patients that you come across into one of the above and
make notes under each heading when you are in the clinics. Remember to read
around the presentations later. Try to figure out and understand common
similarities among the presentations, rather than going into depth and trying to
memorize minute details of each conditions that you see.

iii. Remember that you can learn from many various resources and “angles” – not
only learn when you are with the CUCMS lecturers. This is the true concept of
self-directed learning. Examples of questions that can be asked and how you
can learn at various service stations include:

 Registration counter (OPD & MCH):

o Why are medical records important?
o How medical records are kept and filed? What are the
strengths and difficulties of the system?
o Try to empathize with feeling of staff working at front desks
o What can this experience help when you become doctor later?

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 12

  Screening counters / procedure room:
o What is the function of this counter / section?
o What procedures are carried out?
o Try to talk to or ask history – as much as possible – from the
patients that you come across here. Make records of them.
Even though you might not be able to examine them, just
listening from patients “stories” will help you remember
conditions and related facts better.
o Try to offer to perform as much procedure as possible, under
supervision of the healthcare staff or even any of the CUCMS
lecturers

 Laboratory:
o What services are available in front-line health care system
such as in the health clinics or private general practices?
o These investigations are normally very common and important
ones – so get to know the indications of the tests, how these
are performed and possible reasons for errors
o Reflect on the cost of each test or investigation and try to
figure out the total price of each patient’s consultation,
including tests and medications. What thoughts you have on
“health economics”

 Pharmacy:
o What are the medications / drugs available?
o The medications in family medicine are common drugs. Get to
know their classes, at least. Revise what you have earlier
learnt in Pharmacology Course or elsewhere regarding
medications.
o Try to understand the role of staff at the Pharmacy and training
they have received.
o Observe closely how the staff educate or counsel patients
regarding usage of medications and try to learn from them
o How are drugs kept and recorded?
o What are the problems faced by the Pharmacy staff and how
they overcome them.

 Home visit:
o This can be a once-a-lifetime opportunity. Take this
assignment seriously and try to plan your visit with the staff in-
charge. Do make appropriate travel plans at least a day ahead.
Offering to drive the healthcare staff in your own transport
would be most welcome.
o Read the patients’ records, if possible, and try to understand
the reason for home visit.
o Do observe the patient-staff interaction during the visit
o Do try to understand the patient’s environment and how this
influences health of the patient

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 13

  Private general practice:

 This is can also be once-a-lifetime experience.

o Always have your ID and introduce yourself as a medical
student to the general practice team and patients.
o Always work under supervision of the Family Medicine
Teacher.
o Observe the Microsystems involved in GP set up. This
includes the Human Resource System, Data Management
System, Product Purchasing and Sales System, Quality
Assurance System
o Observe the unique doctor-patient relationship in GP
environment as good GP is a superb role model.
o Observe the different type of medicine available in the GP
clinics as most of them are not available freely in government
set up.

3 - Interactive lectures

Family medicine may be dealing with common simple conditions, but is known to be
a huge discipline that overwhelms young learners in medicine – basically almost
everything covered in the undergraduate medical school is relevant to family
medicine!

Week 1 of the course is dedicated to orientate and introduce you to the discipline
and most of the information is given through briefings and lectures. Please pay
particular attention to these sessions as your understanding will determine your
success and enjoyment of the course.

Details of the sessions are as scheduled in the Course Time-table.

4 - Task-based learning sessions

Guidelines on Task-based Learning (TBL) Sessions

Definition and Principles of TBL

Task-based learning in CUCMS is the extension of problem-based learning (PBL) and
student-directed team-based learning (SCTL) approaches utilised in the early medical
program. The integration and synthesis of knowledge, skills and attitude into effective
critical thinking is the primary goal of both PBL and TBL. In these approaches, apart from
learning the knowledge of medicine, students also learn the following:
 how to identify their own learning needs
 how to undertake necessary studies to meet their needs
 how to make use of educational resources

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 14

  with time, can remedy the learning deficits for themselves

The key difference between PBL and TBL is that the focus for learning is not scenario
presented on paper, but real tasks or work undertaken by doctor in clinical practice -
that will confront the new graduate in medical profession.

Principles that surround TBL include:

 focussing the learning on a problem
 building new knowledge on what the student already knows
 active learning
 student-centred approach to learning

Preparation for TBL Sessions in Family Medicine

Students are advised to closely follow the following guidelines:

1. Each session is to be lead by a sub-group (i.e. to be actively conducted by 4 to 5

students per session)

2. The group leader – in collaboration with all group members - will prepare a roster
for sub-groups to lead TBL sessions, as well as area of topic to focus on.

3. Please prepare at least one-week before session by identifying the “trigger” i.e.
patient presentation / problem to discuss. This needs to be from real patient seen
during clinic attachments – only summary of main problem, history and physical
examination is needed.

Note:
The trigger can be chosen from the following groups of common/important reasons for
consultations in family medicine: (refer Section 6 of Course Guidebook)
i. patients for care of acute illness (5-6 topics – symptom-based)
example: “An elderly with low back pain”; “Child with sore throat” etc
ii. patients for care of chronic illness (3-4 topics)
example: “Teenager with severe pimples” etc
iii. patient on rehabilitation care/follow-up
iv. patient who attended well-child clinic
v. patient for antenatal care
vi. patient for adult preventive health
vii. patient for family planning
viii. patient for post-natal care
(any 3 to 4 topics from items iii to viii)

4. Once the trigger / topic is agreed, members of the sub-group need to discuss
among themselves and identify learning issues to be pursued (and later shared
with the rest of other sub-groups). It is expected that each sub-group member to
be assigned at least two learning issues or tasks to handle.

These tasks / learning issues must:

 relate to the patient and problem under discussion.
 surround the various tasks that a doctor needs to perform when faced with
a symptom or problem
 reflect achievement of the learning objective of the Family Medicine Course
(refer Section 5 of Course Guidebook) . Tip – the whole group is

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 15

 encouraged to maintain a checklist of achievement of learning objectives to
ensure good coverage - Soft copy of learning objectives is available in the
FM LMS.
 complement learning during clinic sessions / other session. To avoid
redundancy, please do not repeat issues that have been extensively
discussed.
 include reference to scientific basis of medicine/evidence-based
medicine (Tip – please utilise and quote Clinical Practise Guidelines as one of your
references – Learning Outcome 2 b . List all your references in the last slide)

Example:
Trigger: “Managing a child with sore throat”

Examples of learning issues:

“Important history to be gathered to help in diagnosis”
“Lab investigations – the rationale / underlying scientific basis”
“Important normal structure and function related to the likely diagnosis?”
“What abnormal structure and function need to be reversed in
management of this patient?”
“How do we do the procedure needed in management of this
presentation?”
“What evidences are present regarding drug treatment?”
“What advice do we give to this patient?”
“What are important ethical/other considerations?”

5. Please seek the approval of the Course Coordinator and respective

facilitator for all topics and learning issue for TBL discussions.

6. Please liaise with your respective facilitators on logistic arrangements (e.g.

changes in venue & time). Deadline: 3 working days before session.

7. Once approved, do proceed to prepare for the TBL session. Use Power Point
to aid your discussion / presentation.

8. It is the sub-group’s responsibility to seek assessment and feedback from

facilitator after the TBL session (refer Section 9 of Logbook – assessment is
based on performance of the sub-group)

9. Please contact Course Coordinator for enquiries and general guidance

Developed by Assoc Prof Dr Yong Rafidah, Head, Family Medicine Department, January 2009

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 16

5 - Student seminars / group assignments

These are mainly group presentations of the General Practice Experience as well as
Task-based Learning sessions.

Marks will be given for the seminars/ TBL/ group assignments presentation in your
logbook Section 9.

6 - Skills Training in Family Medicine

6 A - Competency in procedural skills

It is to be noted that, by the end of this course; the student needs to “demonstrate
competence in common office-based procedures under supervision of a family
physician” – as indicated by one of the objectives of this course.

Ample opportunities for training, practice and assessment are provided throughout
this course to facilitate achievement of the above objective. Training is provided
through multiple resources (books, internet), as well as dedicated procedural skill
workshops during the course. Details of the sessions are as scheduled in the
Course Time-table.

Items to be filled in the log book relate to procedural skills that are common in family
medicine. These are nothing new – students might have observed or performed
personally in previous courses. (Please refer to Logbook - Section 4 - for details)

Assessment of competency is performed throughout this course to empower

students – once certified competent in a particular skill – to continue performing the
acquired skills on ambulatory patients during the course.

However, students are reminded to always seek permission from the patient
and supervising staff before performing any procedures on patients.

Procedural skills that are commonly done in family medicine include:

Investigative procedures:
 Vital signs measurement - temperature & pulse
 Blood pressure measurement (adults and children)
 Body Mass Index calculation (to include weight and height measurement;
interpretation and recommendations)
 Weight and height measurement in children (to include interpretation and
recommendations)
 Waist circumference
 Glucometer
 Venepuncture (adults only)
 Pap smear
 Urine dipstick
 Urine pregnancy test
 Peak flow meter measurement
 ECG recording

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 17

 Therapeutic procedures:
 Metered dose inhaler administration
 Aerosol nebulizer administration
 Intramuscular injection
 Management of minor skin wounds (dressing)
 Crepe bandage application

Apart from the above, there are at least a dozen more frequently performed
procedures done in family medicine, such as foreign body removal, suturing of
minor skin injuries, incision and drainage of abscesses, management of other
sporting injuries (e.g. dislocations), first aid and resuscitation and others. Students
are highly encouraged to observe and assist in all these procedures whenever
possible, even though assessment of competency not indicated.

6 B - Communication skills training in Family Medicine

Communication skills competence is indeed one of the CUCMS Learning

Outcomes as well regarded a very important element of care in family medicine.
This outcome in Family Medicine Course is detailed in page 6.

Achievement of competency in doctor-patient communication is given emphasis

and assessed thoroughly in this course. Other elements of communication –
communication with family, peers, record keeping and referral letter are also
covered.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 18

 7 - Assigned individual reading (AIR)

Reading assignments aims to empower the student on self-learning. These cover

topics that are important to the discipline but well covered in book, as well as need
slow “internalization” by the student.

List of topics for assigned individual reading:

No. Topic No. Topic
AIR 1 The Family AIR 6 Health promotion and
(Chapter 2-Murtagh) patient education
(Chapter 11- Murtagh)
AIR 2 Preparing to Practise AIR 7 Whole person approach
(Chapter 15- to management
Stephenson) (Chapter 13- Murtagh)
AIR 3 Common Illnesses in AIR 8 Research and Evidence-
General Practice based Medicine
(Chapter 4- Stephenson) (Chapter 15 - Murtagh)
AIR 4 A Safe Diagnostic AIR 9 Being a General
Strategy Practitioner
(Chapter 18-Murtagh) (Chapter 16- Stephenson)
AIR 5 Prevention in General - -
Practice
(Chapter 9 - Murtagh)
Notes:
Resources for AIR: (These books are available in CUCMS Library)
1. Murtagh: Murtagh’s General Practice – 4th Edition, by John Murtagh
2. Stephenson: A Textbook of General Practice 2nd Edition by Anne Stephenson

For each AIR, students need to briefly describe – in the Logbook –

TWO most important issues that you have learnt from this reading

8 - Group reflection session / study circles

Students will meet at least once in two weeks with either academic supervisor/
mentor, Course Coordinator or Head of Family Medicine.

Discussion will surround:

1. reflection on past week’s experiences
2. discussion on plans of coming week/s
3. feedback from students regarding the course
4. feedback regarding students’ performance
5. a range of preset issues that will require own research, problem-solving and
preparation that need to be completed during the 8-week course e.g. spiritual
and professional issues to be shared among group members.
Note:
 please bring your Logbook / Weekly Study Plan etc for this session
 meetings are to be recorded in Section 5 of logbook

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 19

9 - Individual reflective learning

What is “reflection”?
“Reflection is a learning process of examining current or past practices, behaviours, or
thoughts in order to make conscious choices about future actions.” (Barnett, 2006)

Why Bother with Reflective Learning / Practice?

The ultimate goal of undergraduate training of a healthcare professional is the
preparation for the continuum of learning and being a life-long learner. Being self-
directed is the main principle towards this goal. Important traits of a self directed learner
include:
 methodical and disciplined
 logical and analytical
 has information seeking and retrieval skills
 responsible, flexible, venturesome and creative
 self-sufficient, interdependent, confident, with positive self concept
 reflective and self-awareness, etc

The Reflective Process

The essence of process in reflective learning can be summarized into these simple terms
 What? – What have I gone through during the week
 So what? – What have the experiences taught me?
 Now what? - What can I do similarly or differently in future

Why keep a “diary”?

Keeping a record of experiences and thoughts has been a proven tool towards being a
reflective learner. If written and kept properly these records can be invaluable for students
to reflect upon in future years.

Tasks for students

As practised in Years 1, 2 and 3, students are to continue the practice of maintaining
personal reflective diaries. Please used similar format – weekly entries with narration of
the week’s experiences, identifying strengths and weaknesses and plans for
improvement. These are to be submitted to mentor at least twice during the course.

For Family Medicine Course, reflective learning exercises are embedded throughout daily
activities and logbook. This competency is a component of assessment in this course
(refer objectives of course).

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 20

 SECTION 8
COURSE ASSESSMENT
There are formative and summative assessments during Family Medicine Course.
Students are requested to consider formative assessment seriously as it is very essential
in developing skills and attitude. It also guides students on areas to be emphasized in the
breadth of knowledge to be covered in the syllabus.

1. FORMATIVE ASSESSMENT
(Cognitive & Psychomotor )

Formative assessment consists of 3 components as follows:

A) Mid-Course Assessment
B) Personal Supervisor/GP Teacher Assessment
C) Peer assessment

A) Mid-Course Assessment Mid-Course Assessment .

The Mid-course assessment focuses on knowledge and content of the subject matter .
It is also designed to expose students to the End of Course Examination format.

B) Personal Supervisor/GP Teacher Assessment

 Academic supervisors/mentors will be appointed during the first week of course
 Overall satisfactory comments by personal supervisor and General Practice
Teacher are expected (refer Section 10 of Logbook)
 Assessment will be based on the following elements of professionalism:

Attitude – interest in work/studies, commitment to the profession

Behaviour – polite, courteous, respectful – as expected of the medical
profession
Participation – participate actively in group discussions/sessions
Management – organized time & work well
Responsibility – punctual,submit assignments, compulsory equipment
available
Reliability - perform duties/tasks assigned
Maturity / self-assessment abilities – identify own strengths,
weaknesses and learning needs
Communication – good listener, express ideas clearly
Resilient – able to work under stress, coping skills
Attire and tidiness – as expected of the medical profession

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 21

C) Peer assessment
 Students are required to assess each other based on the following criteria:
 Responsibility & reliability
 Teamwork and Participation
 Integrity
 Trustworthiness / honesty

 This will be done on periodic basis as indicated by the Course Coordinator

 (refer Section 11 of Logbook)

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 22

2. SUMMATIVE ASSESSMENT

Students will have continuous assessment and end-of-course assessment in Family

Medicine Course. The weightage of each component is 30% and 70% respectively.
The two components are looking only at the psychomotor and knowledge development of
the students.

Summative assessment of Affective Domain is still being assessed throughout Family

Medicine course but will be documented separately in the Affective Domain Assessment
Logbook .

A. CONTINUOUS ASSESSMENT
( Psychomotor predominant – 30%)
Continuous assessment (CA) for this course is based on the eight sections of Learning
Objectives indicated (see Section 4), with more weight-age on affective and psychomotor
components. CA contributes to 30% of the Course assessment.

1. Patient consultation during clinical teaching (10%)

 Minimum of two (2) observed consultations per student is required. Marks

will be calculated from best of two consultations from Weeks 2 to 7.

 Please record your presentations and assessment in the Logbook .

(Section 8)

 Assessment will be based on ability to gather information, formulation of

management plan, clinical reasoning, as well as process of consultation and
communication skills.

2. Record of patient experience in Family Medicine (10 %)

 Students expected to maintain a satisfactory record of patients seen during

the course. A record of 55 consultations - performed or observed - is
expected. (refer Sections 3 of Logbook)

 Assessment will be based mainly on good record keeping and good

coverage of core conditions, appropriate content (history, physical
examination, investigation, diagnosis, principles of management) and
reflective learning abilities.

 Procedures performed and other tasks throughout the course are

prerequisite for end of course eligibility.(refer Section 4, 5 and 6)

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 23

3. Assessment of group assignments (7.5%)

 These are group assignments for task-based learning sessions and student
seminar / presentation
 Refer Section 9 of Logbook for details

4. General Practice Experience (2.5 %)

 Students will have to submit the perception by the end of the course. The
hardcopy has to be hand-written in Section 7 of the logbook. The
softcopy need to be delivered to the course coordinator.

The summary of the continuous assessment in relation to your log book is as follows:

Section Contents
Section 1 Attendance
 Affective Domain Assessment
Section 2 Reading Assignments in Family Medicine
 Prerequisite for satisfactory course completion
Section 3 Record of Patient Experience in Family Medicine
 Continuous Assessment – 10%
Section 4 Record of Procedural Skills In Family Medicine
 Prerequisite for satisfactory course completion
Section 5 Record of Group Meetings Attended
 Prerequisite for satisfactory course completion
Section 6 Record and Reflection on Service Duties
 Prerequisite for satisfactory course completion
Section 7 Record and Reflection on General Practice Experience
 Continuous Assessment – 2.5% (Individual Mark)
Section 8 Assessment of Family Medicine Consultations
 Continuous Assessment – 10% (Average of best 2)
Section 9 Assessment of Group Assignments
 Continuous Assessment – 7.5% (Group mark – 2 TBLs & 1 GP Seminar)
Section 10 Assessment by personal supervisor/GP teacher
 Affective Domain Assessment
Section 11 Assessment by peers
 Affective Domain Assessment
Section 12 Study Plans – Weeks 1 to 8
 Affective Domain ( Formative)
Section 13 Certification of Eligibility for End-of-course Examination and Summary of Continuous
Assessment Marks (30%)
 Prerequisite for satisfactory course completion / Continuous Assessment
Section 14 Perception of the Family Medicine Course
 Prerequisite for satisfactory course completion

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 24

B. END OF COURSE EXAMINATION (Cognitive & Psychomotor) (70 %)

The End of Course Examination (EOC) contributes to 70% of the Family

Medicine Course assessment. This assessment will be carried out on the
exam week i.e. after the completion of 2 successive courses. It consists of:

1. Written Assessment (40 %) :

A combination of various types of questions:

 Multiple Choice Questions - 20%
 Single-best Answer Questions (SBAQ)
 Extended-matching Questions (EMQ)
 Short answer questions (SAQ) - 20%

2. Clinical Assessment (30 %) :

The clinical assessment will be carried out in the form of Objective

Structured Clinical Examination (OSCE) during the designated exam
week. Further details will be provided by the Course Coordinator later.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 25

 IMPORTANT NOTES

Note on eligibility for End-of-Course Examination and Assessment

Regulations:

1. A student must satisfy the attendance requirement of 80% at all contact

teaching sessions – including ward / clinic duties, on-call / after hours
duties, small-group sessions and other common teaching sessions; in
ALL respective courses

2. A student must complete all course (course) assignments and

responsibilities to be eligible to sit for the End-of-course Examination.

3. Achieve satisfactory level of professionalism as indicated by University

Regulations / Senate. This means a “Pass” in the Affective Domain
Assessment” of each course / course.
(details are as in Affective Domain Assessment Logbook)

(Source: CUCMS – Faculty of Medicine Assessment Regulation)

Note on Attendance:

1. Students who fail to attend two consecutive weeks in Family Medicine

Course will not be allowed to sit for the examinations and will be required
to attend the short semester for the course (except for reasons approved
by Senate).
2. Full attendance and punctuality (clinic duties, teaching session, others)
are expected (refer Section 1 of Logbook)
3. All permission for absenteeism must go through Course Coordinator –
before each teaching-learning session.
4. Sick leave will not be accepted without a valid medical certificate.

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 26

 SECTION 9
LEARNING RESOURCES

Main textbooks - available at CUCMS Library:

1. A Textbook of General Practice 2nd ed. – Anne Stephenson
2. Murtagh’s General Practice 4th ed.– John Murtagh

Other recommended textbooks - available at CUCMS Library:

1. Essentials of Family Medicine 5th ed. – Sloane P et al
2. Essential Family Medicine - Fundamentals and Case Studies 3rd ed – Rakel RE
3. Oxford Handbook of General Practice - Simon C et al
4. Textbook of Family Medicine, 7th ed. – Rakel RE 2007 (available as e-book from
www.mdconsult.com – request assistance from librarian)

E-books
Available via Books@Ovid
For access, visit:
http://library.cybermed.edu.my/cucms-library/c/LIBRARY%20RESOURCES
(Please request assistance form the CUCMS Librarian)

1. Manual of Family Practice, 2nd Edition

Editor: Taylor, Robert B.
Publisher: Lippincott Williams & Wilkins

2. Field Guide to Urgent & Ambulatory Care Procedures, 1st Edition

Editor: James, David M.
Publisher: Lippincott Williams & Wilkins

3. The 5 Minute Consult Clinical Companion to Women's Health, 1st Edition

Editor: McGarry, Kelly A.; Tong, Iris L.
Publisher: Lippincott Williams & Wilkins

Textbooks for Reading Assignments (AIR) in Family Medicine

1. A Textbook of General Practice 2nd ed. – Anne Stephenson
2. Murtagh’s General Practice 4th ed.– John Murtagh

Note:
 these books are available in CUCMS Library
 For each AIR, students need to briefly describe – in the Logbook –
TWO most important issues that you have learnt from this reading

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 27

Women’s Health Textbooks
1. Loh KY, Yong Rafidah AR, Kwa SK, Nurjahan MI. Practical Management of
Women’s Primary Health Care Problems in Malaysia. International Medical
University, 2005
2. Mazza D, Women’s Health in General Practice. Butterworth-Heinemann, 2004
3. Carlson KJ et al. Primary Care of Women 2nd Ed. Mosby Inc. 2002

Internet Resources

Internet sites for Family Medicine (Organisations)

1. World Organisation of Family Doctors- WONCA Online
http://www.globalfamilydoctor.com/
2. Academy of Family Physicians of Malaysia
http://www.afpm.org.my
3. Australian Family Physician (Aust Fam Physician)
http://www.racgp.org.au
4. Primary Care Doctors Organisation of Malaysia
http://www.pcdom.org

Family Medicine Journal Websites

1. American Family Physician (Am Fam Physician)
http://www.aafp.org/afp
2. Australian Family Physician ( Aust Fam Physician)
http://www.racgp.org.au/publications/
3. British Journal of General Practice (Br J Gen Pract)
http://www.rcgp.org.uk/
4. Family Medicine Journal
http://stfm.org/fmhub/fmhub.html
5. Asia Pacific Journal of Family Medicine
http://www.apfmj.com

Websites for clinical skills:

1. A Visual Guide to Physical Examination
http://www.library.mun.ca/hsl/docs/Bates.php
2. Operational Medicine; Medical Education & Training
http://www.operationalmedicine.org/
3. The Echt Center Online: Clinical Skills Exam Videos
http://www.echt.chm.msu.edu/VideoLect/viewvideos.htm
4. The Connecticut Tutorials
http://www.conntutorials.com/video.html
5. Physical Exam Study Guides – Pelvic Exam
http://medinfo.ufl.edu/year1/bcs/clist/
6. Martindale’s The Virtual Medical Center
http://www.martindalecenter.com/MedicalClinical_Exams.html

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 28

Other useful internet resources
1. University Of Iowa Family Practice Handbook
http://www.vh.org/adult/provider/familymedicine/FPHandbook/FPContents.html

2. Primary Care Internet Guide

http://www.uib.no/isf/guide/guide.htm

3. Patient Education Website

http://www.nlm.nih.gov/medlineplus/
http://familydoctor.org/

4. National Guidelines Clearinghouse

http://www.guidelines.gov

5. Primary Care Clinical Practice Guidelines

http://medicine.ucsf.edu/resources/guidelines/

Further Internet Resources

 Are available in CUCMS Learning Management System (LMS)

OTHER LEARNING RESOURCES

Course Time-table
Please use this Guidebook hand-in-hand with the time-table. This is given to you at the
beginning of the course. Do scrutinise the time-table and as a group, plan your daily
activities - right from beginning of the course.

Study Plan
Success comes with organized planning and diligent work. To assist you in achieving the
learning outcomes of this course, you are advised to plan your learning weekly. Perform a
self-assessment at the end of each week and identify your weaknesses and area where
you need help. The format is available in the Course Logbook (Section 12)

Do show your study plan to your supervisor / mentor periodically. All the best to you!

~~~~~~~~~~~~~~~~~~~~~

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 29

 Appendix A
Directory of Teaching Staff (Family Medicine)
And Clinic Contact Numbers

CUCMS Lecturers
Name Hand phone Email
(Qualification/s & Designation)
Dr Noor Azizah Tahir 013- 3383837 noorazizahtahir@cybermed.edu
MBBS(Aust), MAFP(M’sia), FRACGP(Aust), .my
PG DipRepMed(UPM),Post Grad Cert Fam
Med Edu (M”sia)
(Senior Lecturer and
Coordinator of Family Medicine
Course)
Dr Hazian Hamzah 012-7377824 hazian.hamzah@cybermed.edu.
MBBCh. (Al-Azhar), MAFP(Mal), my
FRACGP (Aust)
(Senior Lecturer and Acting Head,
Family Medicine)
Assoc Prof Dr Yong Rafidah A.
Rahman 012 -6171963 yongrafidah@cybermed.edu.my
MBBS(Malaya), FAFP(M’sia), yongrafidah@gmail.com
FRACGP(Australia),
PG DipRepMed(UPM),
PG CertMedEd(Dundee),
ESME Cert in Med.Educ.
(Deputy Dean, Clinical Sciences &
Associate Professor of Family
Medicine)
Dr Norlehan Samad 012-698 1165 norlehan@ cybermed.edu.my
MD (UKM), MAFP(M’sia),
FRACGP(Australia),
(Lecturer & Course Co-Coordinator 1
– Skills Training and Assessment)

Dr Lakhsmi Sivashunmugam 016-6525464 lakshmi@cybermed.edu.my

MBBS(IND),MAFP(Mal),
FRACGP(Aust),Post Grad Diploma Rep Med
(UPM)
(Senior Lecturer, General Practice
Attachment Coordinator)

Dr Hairel Anuar Selamat 016-201 8363 hairel@cybermed.edu.my

MD (UKM)
(Assistant Lecturer)

Dr Siti Norhafizah Mohamad 013-224 0300 sitinorhafizah@cybermed.edu.m

Khapid y
MBBS(Western Australia),
(Assistant Lecturer)

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 30

 Honorary and Visiting Lecturers of Family Medicine Course, CUCMS 2010/2011

Name Contact details

Dr Nor Izzati Bukhary Ismail 012-988 8667
(Family Medicine Specialist ,KK Bangi / Honorary
Lecturer)

Dr Haslinda Hassan 012-2881620

(Family Medicine Specialist , KK Puchong / Honorary
Lecturer)

Dr Sheikh Mohd Amin Sheikh Mubarak 019-981 1163

(Family Medicine Specialist / Visiting Lecturer)

Dr Zaiton Ahmad 019-330 0458

(Family Medicine Specialist,UPM / Visiting Lecturer)

Dr Cheong Ai Theng 012-456 2389

(Family Medicine Specialist,UPM / Visiting Lecturer)

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 31

 Contact Numbers of Klinik Kesihatan:

A. Poliklinik Komuniti Bandar Baru Bangi

Persiaran Pekeliling, Seksyen 3,
43650 Bandar Baru Bangi,
Selangor D.E
Tel No. : 03-89258707
Fax No. : 03-89267072

B. Poliklinik Komuniti Dengkil

43800 Dengkil,Sepang,
Selangor D.E
Tel. No. : 03-87686355
Fax No. : 03-87689190

C. Klinik Kesihatan Puchong

Batu 14, Jalan Puchong,
47100 Petaling, Selangor D.E.
Tel. No: 03-80611814

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 32

 Appendix B

GROUPING FOR YEAR 4 – ACADEMIC YEAR 2010/2011

NO NAME MATRIC NO.

GROUP 1
1 RUSHALIMATUN BT RUSLI 0708-0565
2 NIK MARYAM BT NIK ABDUL RAHMAN 0708-0551
3 AIN SYAFINAS AISHAH BT IZAHARI 0708-0514
4 WAFAA BT ZULKIFLI 0708-0577
5 NOOR ELYANA BT AHMAD FAWZI 0708-0552
6 NUR SYAMIMI BT MOHD JANI 0708-0558
7 ZA'FARAN BT HISHAM 0708-0606
8 RABIATUL ADAWIYAH BT ABDUL NASER 0708-0562
9 NALINI A/P MUNISAMY 0708-0629
10 IFFAH BT ROSLIZAR 0708-0505
11 NURUL FARHANA BT ISHAK 0708-0559
12 MUMTAZAH BT MOHD ALAUDDIN 0708-0546
13 FATIMAH AZ-ZAHRAH BT AHMAD LATIFF 0708-0623
14 SALASIAH BT ZAINUDDIN 0711-0657
15 SHAHEERA BT SHAMSUDIN 0708-0566
16 INTAN KARTIINA BT A KARIM 1001-1411
17 NOOR FASHAREENA BINTI ALWI 0910-1367
18 DAHVINIA A/P DEVAN 0910-1384
19 SHAZWI NABILA BINTI MUNAVVAR ZUBAID 0910-1373
20 HARSIMRAN KAUR A/P JASMINDAR SINGH 0910-1401
21 MOHD FARID MOHD FAUZI 0708-0539
22 NAZIF NOR BIN RAHIM 0708-0550
23 AHMAD FARID B ZULKIFLE 0708-0510
24 AHMAD FIRDAUS B. HANAPAI 0708-0511
25 WONG JIAN WEN 0708-0579
26 AHMAD ZAWIR B. MOHD SHARIF 0708-0619
27 AMIR ZULHILMI YAHAYA 0708-0518
28 MUHAMMAD NAJMI B. ABD GHANI 0708-0628
29 MUHD. ZUBAIR B ZAIN AL-ABIDEEN 0709-0653
30 MUHAMMAD HAFIZ B. ABDUL RAHIM 0708-0627
31 MOHD AFIQ SYAHMI BIN RAMLI 0708-0609
32 FARID NACQIUDIN BIN ASA'AD 0708-0527
33 AHMAD IBRAHIM AHMAD ZAINUDDIN 0708-0604
34 ABANG MOHD MUSTAQUIM B. ABG YUSOP 0708-0506
35 MOHD FAISAL FIRDAUS NORDIN 1001-1414
36 MUHAMMAD FAIZ MOHD ISHAK 1001-1422
37 MOHD TAUFIK RAHMAT 1001-1419

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 33

NO NAME MATRIC NO.
GROUP 2
1 NURUL ISHANI BT MOHAMED ISAHAN 0708-0560
2 NOR AZWEENA BT MOHAMAD AZAM 0708-0553
3 MA FATIMA BT MIOR ISHAMUDDIN 0711-0658
4 NUR SHAHADAH BT ZAKARIA 0708-0557
5 AZLINA BT ABDUL RANI 0708-0646
6 PARVIN A/P DEVAN 0708-0648
7 NOR SHAZANA BT MOHD SHARIF 0708-0554
8 NUR AIN BT ABDUL HALIM 0711-0656
9 NUBLA BT NAJMUDDIN 0708-0630
10 FARAH MAZIZ BAZIL BT ABD AZIZ 0708-0526
11 NUR NADIA BT ABD RAHIM 0708-0555
12 NUR DALILA BT NOOR AZMAN SHAH 0708-0613
13 NURARNIDA BT SAID 0711-0655
14 ROSMAHAIZA BT ISMAIL 0708-0564
15 NOR AZIZAH MOHAMED YUSUFF 1001-1424
16 RAFIZA BINTI MOHAMED NAZIR 0910-1371
17 ZARINA FAZLIN MOHD FAROQUE 1001-1430
18 FATIMATUZZAHRA ABDUL RAHMAN 1001-1408
19 HANIS HIDAYU BINTI KASIM 0910-1383
20 DARSHINI A/P BALACHANDRAN 0910-1363
21 AINI NABIHAH BT ARIP 0608-0315
22 TENGKU PUTRA ADREES SHAH B. TENGKU SULAIMAN JALIL SHAH 0708-0575
23 MOHAMED IMRAN HJ THOULAH 0708-0535
24 CHIA CHUNG HON 0708-0522
25 MUHAMAD KHAIRI BIN SULAIMAN 0708-0543
26 MOHD NIZAMUDIN BIN MUHAMAD 0711-0659
27 WAN NAZRY HJ W. MOHAMED 0708-0578
28 SHADTHARCHARAN S/O MANIAM 0708-0631
29 MOHD ALIF FARHAN BIN TAHRIM 0608-0337
30 JOSHUA TEO BENG CHIN 0708-0530
31 MIOR MOHD KHAIRIL M.OTHMAN 0708-0534
32 MOHAMAD ERHAN RAHIMI BIN AB. RAHMAN 0910-1366
33 MOHD AIZUDDIN ABDUL RAHMAN 1001-1413
34 WAN HISHAMUDIN WAN JAYA 1001-1429
35 MOHD TAUFIQ ELIAS 1001-1420
36 MUAMMAR SHAFIE BIN ROSLY 0910-1400
37 KHAIRUL ANUAR ABDULLAH 1001-1412

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 34

NO NAME MATRIC NO.
GROUP 3
1 NAJIHAH BT HAWARI 0708-0549
2 KIMBERLEY SHUMIN CHAN 0708-0624
3 TON SAKINAH BT WAN MOHD ZAINI 0708-0576
4 ATIRAH BT MOHD AZIZUL 0708-0622
5 ISHVAR KAUR GODREI 0708-0529
6 NOR ANISA HANAN BINTI AYOB 0608-0345
7 SHAZREEN ZUHAIRA BT MOHD ZAININ 0708-0610
8 AINUN NADZURAH BT MD BAHAR 0708-0515
9 AZRINA ALI BT MOHD ASHFAR 0708-0611
10 AISHAH BT AZMAN 0708-0584
11 BHAVANI D/O PALLANESAMY 0708-0605
12 SITI MURNIRAH BT ISMAIL 0708-0570
13 SHARIFAH AIN SHAMEERA BT SYED RUSLI 0708-0642
14 NADRAH KHAIRUNNISA BT NASARUDDIN 0708-0548
15 NOOR SYAZWANI BT REDZWAN 0708-0617
16 CHE SYAZA BINTI MOHD FADZIL SHUHAIMI 0910-1396
17 PATHMA A/P NADAN 0910-1370
18 NORAZYLIN BINTI ROSZAINI 0910-1368
19 NURHIDAYAH MOHD SALLEH 1001-1425
20 KHADIJAH BINTI MUSTAFA 0910-1395
21 HAZMANINA MAT HUSSIN 1001-1409
22 CHITHAMBARAM A/L SETHURAMAN 0708-0523
23 MUHAMMAD FAKHRUL AMMAR B.MOHAMED BAHARUM 0708-0545
24 FAIZ B. RUSLI 0708-0612
25 DZULFITREE B. AHMAD 0708-0524
26 MUHAMMAD IRSYADUDDIN B ROSLI 0709-0652
27 SYED AMIR BIN SYED AZMI 0708-0640
28 JUDE CORNELIUS A/L SAVARIRAJO 0708-0531
29 SYED ZAHARUDDIN HUSIN WAFA SYED ZAINAL HUSIN WAFA 0708-0632
30 AHMAD SAID BIN SAADULLAH 0608-0314
31 LEE YEUN SIONG 0708-0533
32 MOHD SHAHRIL ANUAR ZAINAL ARRIFF 1001-1418
33 MOHD IDHAM IBRAHIM 0910-1397
34 MOHD RIFFI ADNAN 1001-1417
35 MOHD HANAFI ABDUL HABIR 1001-1415
36 MUHAMMAD FAIZ NA'AMAN 1001-1423
37 MUHAMAD AMLI ABDUL RAZAK 1001-1421

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 35

NO NAME MATRIC NO.
GROUP 4
1 SUMAYYAH BT MOHAMAD FARIDZ 0708-0572
2 NURUL AZIDAH BT ABD AZIZ 0708-0602
3 ALLIAH BT MUSA 0708-0517
4 SITI FATIMAH AZ-ZAHRA BT MOHD HAMDAN 0708-0569
5 ZUBALQIAH BT ZULKIFLI 0708-0614
6 ANEESAH BT ZAHARI 0708-0520
7 SARA BT IDRIS 0708-0639
8 RANPREET KAUR D/O RANJIT SINGH 0708-0647
9 NABILA BT MOHD AZIZAN 0708-0547
10 SHAHIRAH BT HJ SHUAIB 0708-0567
11 ENGKU HAMIDAH BT ENGKU MUHAMMAD AZMI 0708-0525
12 HASRINA BT HUSSIN 0708-0528
13 AISHAH HARIZAH BT ABDULLAH ALWI 0708-0516
14 AMIRAH NABIHAH BT BAZLAN 0708-0620
15 RAJA HAZWANI AIMI BT RAJA MUKHTAR 0708-0563
16 NURUL HIDAYAH HASHIM 1001-1427
17 INTAN FATTIYAH ZAMRI 1001-1410
18 NUR SUZANA ZAINAL 0910-1369
19 DILPREET KAUR A/P GURMEET SINGH 0910-1364
20 AKMAR FARIZA AHMAD TERMIZI 1001-1407
21 TEE SHAO PENG 0708-0615
22 AHMAD ILYAS DZULKAMAL 0708-0513
23 ANIS ANWAR BIN ZAHARI 0708-0621
24 AHMAD FAIDHI MOHD ZAINI 0708-0509
25 TENGKU AKMAL FARIS TENGKU AHMAD 0708-0633
26 ZULASRI AZAN BIN MD ZAIN 0708-0582
27 ABDUL HALIM B. MAT DAUD 0708-0507
28 SYED FAREEZ BIN SYED NASIR 0708-0573
29 OMAR B. S. MASOHOOD 0708-0561
30 MOHD NIZA ZAKARIA 0708-0541
31 ZAIZUL AMRI ZAMAN 0708-0581
32 MOHD FAKHRUL RAZI B. MANSOR 0708-0538
33 MUHAMAD HASIF B. HANAFI 0708-0542
34 SHAH FIZZAN ROSLI 1001-1428
35 MANMEET RAI SINGH THIND A/L BHAJAN SINGH 0910-1365
36 NURUL AZAM MOHAMAD SALIM 1001-1426
37 MOHD NAJMUDDIN HISAMUDDIN 1001-1416

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 36

 ****************************

Through measures preventive, curative, and educative, with their primary care
team and in co-operation with specialist colleagues where appropriate, family
physicians seek to promote the health of the individual and family.

So how have you

been since your
discharge from
hospital?

One of the essential qualities of the clinician is interest in humanity,

For the secret in care of the patient is in caring for the patient.

FW Peabody, MD

****************************

****************************

“With purity and holiness I will live my life and practise my art.

Into whatever houses I go, I will enter them for the benefit of the sick, and will
abstain from every voluntary act of mischief and corruption.

Whatsoever I see or hear in the life of men which ought not to be spoken of abroad,
I will not divulge, as reckoning that all such should be kept secret”

Hippocratic Oath 460-377 BC

****************************

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 37

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 38
 Editorial Board

Advisors:
Prof Dr Mohd Hatta Shaharom
(Dean, Faculty of Medicine)

Assoc Prof Dr Yong Rafidah A Rahman

(Deputy Dean, Clinical Sciences)

Coordinator
Assoc Prof Dr Muhammad Najib Mohamad Alwi
(Year 4 Coordinator)

Family Medicine Course Coordinator:

Dr Noor Azizah Tahir

Members:
Dr Hazian Hamzah
Dr Norlehan A Samad
Dr Lakshmi Sivashunmugam
Dr Hairel Anuar Selamat
Dr Siti Norhafizah Md Khapid
Puan Zaiful Liza Kassim (Secretariat)
Cik Daliena Laily (Secretariat)

If found, please return to:

Faculty of Medicine
Cyberjaya University College of Medical Sciences
Main Campus
No. 3410, Jalan Teknokrat 3
Cyber 4, 63000 Cyberjaya
Selangor Darul Ehsan
Tel : 603 – 8313 7000

Family Medicine Course, CUCMS (Year 4, MBBS, Class 2007) 39