JONATHAN C.
PACUNAYEN, RMT, MD
Department of Family and Community Medicine
Family Medicine: is a recognized academic
discipline and clinical specialty and, as such, its
inclusion in the basic medical education with its
own specialty training is necessary.
Five-Star Doctor:
a. Health Care Provider:
a. Apply the biopsychosocial
approach in health care;
Evidence-based, patient-
centered, and community-
oriented care, and validated
complementary/alternative
healthcare practice
b. Provide care covering health
promotions, disease prevention,
early diagnosis and treatment,
disability limitation,
rehabilitation and palliation
c. Make appropriate use of
available health data
d. Practice self-directed learning
e. Manage health care facilities
b. Teacher/Educator:
a. Show sensitivity to health
beliefs, reinforce positive
knowledge and practices,
bridge gaps, and correct
misconceptions
b. Apply effective communication
by showing sensitivity to
feelings, articulating health
concepts, and giving advice
c. Advocate a healthy lifestyle,
thereby empowering
individuals and groups to
enhance and protect health
d. Utilize effective health teaching
strategies based on the
principle of adult learning and
local determinants of health
and socio-cultural factors in
disease causation.
e. Organize, implement, monitor,
and evaluate training programs
for groups
f. Exhibit commitment to
continuing professional
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development through constant
research on existing laws
affecting the family and the
community
g. Manifest a healthy lifestyle and
appropriate behavior
c. Leader/Manager:
a. Work harmoniously with
individuals inside and outside
the health system to meet the
needs of patients and
communities and/or manage
projects in the community
b. Deal with other health
providers through collaborative
endeavors and teamwork
c. Identify and establish linkages
with government organizations,
non-government organizations,
and other people.
d. Meet with community leaders
and be involved in health
policies and legislation
e. Conduct research generation
and financial management and
assist in the development of
leaders when applicable
f. Plan and propose projects and
identify indigenous materials as
well as appropriate community
resources in their
implementation
g. Discuss basic concepts and
methods of quality assurance
d. Researcher:
a. Search relevant medical
literature and critically
appraised journals
b. Utilize researches in clinical
decision-making through
clinical appraisals
c. Utilize health information for
the improvement of the health
of the population
d. Identify current problems as
well as risk factors of the
community
JONATHAN C. PACUNAYEN, RMT, MD
Department of Family and Community Medicine
e. Determine the type of research
needed
f. Conduct research that has
direct benefits and relevance to
the community
e. Social mobilizer:
a. Reconcile individual and
communal health requirements
and mobilize the community
b. Advocate important relevant
health issues
c. Practice environmental
awareness/protection
d. Assist in community organizing
and community development
e. Improve human relationships
through enhanced personal and
interpersonal relationships
f. Integrate traditional practices
of the community with western
medicine
***With the desire for medical trainees to
become 5-star physicians, terminal
competencies were formulated for each role.
Which of the ff roles is being fulfilled when a
physician practices environmental awareness
and protection?
A. Health Care Provider
B. Teacher/Educator
C. Leader/Manager
D. Researcher
E. Social Mobilizer
Foundation Courses:
a. Family Medicine Principles and Family
Practice:
a. It covers analyses of both the
biomedical as well as the
psychosocial needs of the
family as it goes through the
various transitions of family life
cycle
b. Identification of the various
factors that influence family
systems applying such
knowledge in assisting the
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family as it deals with the
different stages of illness
c. Preparation and maintenance
of the family health record
d. Conduct of family meetings for
various reasons from disclosure
to education to provision of
primary counselling and
promotion of wellness of the
family
b. Primary and Secondary Care:
a. Emphasizes the use of
biopsychosocial approach
b. Requires demonstration of
adequate knowledge of the
diseases of various age groups
encompassing its epidemiology,
etiology, pathophysiology, and
symptomatology
c. Management of common
medical problems of children,
adults, and the elderly in
various settings – OPD, In-
patient wards, home
d. Recognition of psychological,
socio-cultural, economic,
political, and environmental
factors which affect the illness
of patients
e. Provision of continuing,
comprehensive, and
personalized care to patients
with chronic conditions
f. Coordination of care of patients
with other specialists or
agencies to achieve optimum
health for the patient.
c. Acute Care:
a. Management of the common
medical emergencies of
children, adults, the elderly and
triaging patients requiring
urgent or emergent care or
both
d. Preventive Care and wellness:
a. Directed towards children,
adults, the elderly, the family
and the community
JONATHAN C. PACUNAYEN, RMT, MD
Department of Family and Community Medicine
b. Geared towards the recognition
and anticipation of specific
needs of each population group
to prevent the occurrence of
disease or its complications and
existing risk factors
c. Leads to the preparation of a
suitable periodic health
examination package for
patients inclusive of lifestyle
checks, screening tests,
immunization,
chemoprevention, and
promotion of healthy lifestyle
and behaviors
e. Communication and Relational Skills:
a. Demonstration of the adequacy
of communication skills in
different medical situations
b. Adoption of correct non-verbal
communication stances in
different situations:
emergencies, bereavement,
cultural, and gender differences
c. Development of core values,
such as social responsibility,
compassion, genuineness, and
integrity
d. Maintenance of harmonious
relationships with patients and
their families as well as with
colleagues in the profession
e. Presentation of clinical cases or
researches to colleagues in
small group discussions as well
as in medical conferences
f. COPC:
a. Enable family physicians to
follow the recognized steps of
COPC to population groups such
as the recognition of a
community as a “population at
risk”
b. Critical analysis of the health
situations in the community
c. Analysis on how health systems
and their components work,
such as the utilization of
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participatory strategies in the
conduct of health promotion
activities for the community
d. Promotion of education of the
general public on health
matters
e. Advocacy on increasing
efficiency of the health system
resulting in improvements of
health indicators
g. EBM:
a. Guides the learner in clinical
decision-making
b. Applies the appropriate
translation of a clinical dilemma
into a researchable/focused
medical question
c. Search of a medical literature
for the suitable medical
information that will answer
the clinical dilemma
d. Critical appraisal of the
evidence of medical research on
therapy, diagnosis, harm, and
prognosis
e. Determination of the criteria to
be used in any test to screen for
or diagnose a clinical problem
h. QA:
a. Hallmark in Family Medicine
globally
b. Clinical audit of a family
practice following the steps of
the QA cycle is conducted and
QA circles among PAFP
members in the chapters are
created
i. Research:
a. It will help family physicians
produce evidence of the effects
of their care on people and
families
b. Family physician constantly
updates his or her medical
knowledge
c. Demonstrates adequate
knowledge and skills in
research protocol development
JONATHAN C. PACUNAYEN, RMT, MD
Department of Family and Community Medicine

d. Contributes to the growth of b. Time management for personal

medical knowledge and
advancement of health care by
conducting and publishing
relevant researches
j. Information Technology:
a. Adjust to the development
through utilization of modern
technological advancements
that enhance patient care
through appropriate use of the
Internet to increase knowledge
and facilitate learning
k. Medical Ethics and Professionalism
Courses:
a. Include demonstration of
ethical behavior in the
managements of patients and
their families
b. Recognition of one’s rights as a
physician
c. Documentation of accurate
medical information on legal
documents such as medical
charts, patient’s records, and
certificates
d. Consistently being mindful of
one’s professional conduct
e. Appropriate action when
notified of unethical conduct by
a colleague
f. Coordination with an ethics
committee in the conduct of
medical research
l. Legislation on Health and the Family:
a. Family physician is able to
identify important legislations
that are relevant to health and
the family and become familiar
with the various policies of DOH
especially those that relate to
primary/family care
m. Practice Management and Health
Administration:
a. Leads to the identification of
protocols and requirements in
the establishment of a family
practice
activities as well as
organizational ones
c. Collaborating with a health
team in the promotion of the
health of Family Practice
patients and working towards
the achievement of goals
whether they are those of a
project or of an organization
n. Basic Occupational Health and Safety:
a. Acquaints primary care
physicians with formal
occupational health facilities
b. Family physician learns about
the hazards in the workplace
and their effects on the health
of workers and the community
c. How their ill-effects can be
prevented through various
protective devices and
modification of operation or
equipment
d. Ergonomics and its application
in the workplace
e. Plant inspection, sanitation, and
industrial hygiene
f. Laws related to occupational
health and safety
g. Standards set by the DOLE

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