PORTFOLIO

2015

2016

Kingdom of Cambodia

Nation Religion King

University of Health Sciences

Faculty of Medicine

Family Medicine Interest Group (FMIG-UHSC)

Preface

FMIG in the US, in affiliation with AAFP, is created to enhance student’s interests in

Family Medicine by providing resources, programming that may not be offered in the medical

school curriculum. Through this group, students can cultivate their interests, shape leadership

potentials, get involved in community services and mentoring activities, and focus on their future

career as family physicians.

FMIG for us is initially just a dream. Upon arrival of Prof. Stephen F. Cummings and Dr.

Laura Goldman, family physicians and lecturers from Boston University, our dream is no longer a

dream; it was definitely realized. Starting from little information, we keep moving forward to

acquire and find sources to gain more understandings about family medicine. From not just to

know but also deeply understand, we can feel how beneficial family medicine and family

medicine interest group are for improving the quality of health care system in Cambodia.

Through counseling and encouraging from them, we decide to work as a small group within

colleagues whose one and only common is to let this new specialty exist in our country.

FMIG-UHSC paper book is designed as an introduction and a smart guideline of certain

activities of the club involving self-designed curriculum of clinical knowledge and clinical skills

in primary cares, which is useful for students in term of serving in families and community,

particularly multicultural and underprivileged populated communities. The presence of this

paper book is toughly inspired by the spirit of teamwork of the first batch of medical students

from International Programme at University of Health Sciences, Cambodia.

It comes to be the first ever publication of our hard-working and innovative programs by

selecting critically from up-to-date and reliable sources related to family physicians and primary

care professionals in purpose of adapting to the situation in our country. FMIG-UHSC is

conceived as a study-aid club which is solely created by students, and for students. In keeping with

this concept, we have recruited the outstanding seniors and students as contributors to ensure the

high-quality standard and facility approaches.

We are honored to be part of this long journey with the club, and we are ready to change

the old mindset in medical cares by strengthening the relationship between doctors and doctors,

doctors and patients as well as working as a team to be an excellent tool in providing an effective

primary care in Cambodia. Eventually, we positively believe that in future the quality of

healthcare services and living standard of our people will be much more improved.

FMIG-UHSC

Greetings from…

…CAMBODIA

ACKNOWLEDGEMENT

Imple spc

On this special occasion, with our profound respect and gratitude, we would like to thank to:

To our family who always stands by our sides despite any obstacles

To our sincere classmates and colleagues,

Who give a big contribution to this portfolio

Also, we would like to express our sincere respect and gratitude to:

To H.E. Professor Saphonn Vathanak Rector of the University of Health Sciences

To Professor Mam Bun Socheat

To Professor Nhem Aklinn and colleagues

To Professor Stephen F. Cummings

To Doctor Laura N. Goldman and colleagues

To Doctor Nongluck Suwisith and colleagues

To Professor Pascal Millier

To Doctor Thomas Fassier and colleagues

To the Simulation Team who are always part of us

“In the actual condition of medical science, the physician mostly plays the part of

spectator of the sad episodes which his profession furnishes him.”

- François Magendie

CONTENT OVERVIEW

P. 1-2 Background & Timelines

A summary and overview of the

International Programme’s background and

timelines of FMIG-UHSC

P. 3 Our Goals & Mission Statements

A description of our goals and the concrete

strategies on focus areas

P. 4-5 Structure The designed positions and infrastructures

of the FMIG-UHSC

P. 6 Profiles A look into the leaders’ basic information

and getting to know each other

P. 7 Programming Outlines A description of the 4 pillars of

programming

P. 8-13 One-Year Plan Initiatives and master plans to accomplish

for the whole year (1st ever mandate)

P. 14 Benefits & Inconveniences An overview of FMIG-UHSC’s impacts on

three different aspects

P. 15 Funding & Supports

A call for financial aids, and diverse

supports

P. 16-17 Testimonials A compulsory debate of every single

member’s perspectives and visions

International Programme (IP) is another new initiative proposed by the Faculty of Medicine (FoM) as a

result of the collaboration of the University of Health Sciences (UHSC) and the French Embassy in

Cambodia.

Thanks to support and advices from the regional universities, the International Programme has been

initiated by the rector, Pr. Saphonn Vathanak, in collaboration with an executive direction of Pr. Mam

Bun Socheat, Pr. Nhem Aklinn, Pr. Im Bunthoeun, Dr. Mam Vantharith, Dr. Sim Kong, Dr. Thomas

Fassier, and Pr. Pascal Millet.

The Ministry of Foreign Affairs, France in conjunction with the UHSC, has provided supports for the

International Programme. This programme is also sustained by students who are interested in challenges

and complementary training adding to their curriculum.

The main objective of this programme is to prepare proactive and assertive students for international

mobility during their post-graduate studies, by applying to fellowship programs, complementary training

and/or diplomas abroad.

In addition to the school curriculum, four main activities are registered:

1. Academic Training

Seminars

Conferences of Clinical Cases

Simulated-Practice Training

2. Foreign Language Training

Intensive preparation to DELF & IELTS (Certified)

Basic, medical and scientific training of French and English

3. Basic Research Training

Literature Search & Critical Appraisal

Participation to scientific meetings or symposiums

4. Socio-cultural Activities

Study Club & Student Government

Cultural Exchange Programs

BACKGROUND

01

To start something new and creative, a well-implemented foundation and a sustainable development is

required. Each process of us is a stepping stone to a giant leap. Every success is begun with a start, a start

that no one else has ever imagined before!

How does this happen to us? What inspires us to establish a FMIG?

2014

November 2014

Introduction to Family Medicine Seminar – Primary Care and Family Medicine

Pr. Stephen F. Cummings came to conduct a series of lectures related to Family Medicine. Along with his colleagues, he contributed to the club foundations and all kinds of supports.

2015

January 2015

Mission of Dr. Laura N. Goldman A quick glimpse of Family Medicine

Upon the first visit of Dr. Laura N. Goldman, a presentation on FMIG details and networks was conducted at the faculty. A proposed faculty advisor is introduced to us.

February 2015

A Follow-Up Visit to FMIG An informal report on FMIG process

The second visit was made to catch up our attention and kept in mind for our interests in Family Medicine.

April 2015

First Meetup Structure Designs and Tasks to Tackle

Despite any obstacles, we strived to create the executive board. Through consecutive meetings, we came up with some ideas to design and get together in term of tasks to tackle.

May 2015

EBs Election and Official Registration Proposal Ask for official student government from the faculty

14 core members from different backgrounds congregated to lead the club and the newly leaders have been working on FMIG-UHSC paper work.

TIMELINES

02

The FMIG-UHSC aims to provide medical students with the tools required for effective

intention of recruiting aspiring medical students to become family physicians.

What we enable…

What we envision…

EDUCATION

Increase awareness and foster interest in primary cares by educating medical students a fundamental skill and knowledge, both theoretical and practical.

PROFESSIONAL DEVELOPMENT

Provide opportunities for mentorship, networking, and leadership development, and build spirit of teamwork by Friend-to-Friend Initiatives.

OUTREACH PROGRAMS

Serve in community healthcare projects on behalf of under-privileged and vulnerable patients.

WAY TO FAMILY PHYSICIANS

Organize and conduct a sequence of programs that will identify and cultivate future family physicians.

GOALS MISSION

STATEMENTS &

“All leadership is influence.

Nothing more, nothing less!”

- John Maxwell

1

2

3

4 03

The Family Medicine Interest Group (FMIG-UHSC) provides a marvelous opportunity for

all medical students that are concerned with Family Medicine, especially the

International Program’s students, to sharp their leadership, and interpersonal skills in

future career. The ownership of oneself is highly prioritized by any means of contribution

to the team.

The FMIG-UHSC has a huge range of available positions, which composes of fourteen

core members, and a number of members, allocated in a variety of department due to

their assertiveness and talents.

The EB consists of 14 positions: a president, two vice-presidents, a treasurer, a secretary,

two co-secretaries, and seven other directing chairs. In Programming Department, there

are a Lecture Chair, a Clinical Skills Chair, a Community Services Chair, and a Social

Activities Chair, whilst in Admin Department; there are a Membership Recruitment

Coordinator, Public Affairs Coordinator, and Publicity Coordinator.

For the first ever mandate, all EB was elected from the International Program’s students

who are having a very strong willingness to make things happen in favor of Family

Medicine. Despite some inconveniences and time constraints, it takes more than two

weeks to complete all the election tasks.

STRUCTURE

“If your actions inspire others to

dream more, learn more, do more

and become more, you are a leader.”

- John Quincy Adam

04

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06

PROGRAMMING

FMIG UHSC programming falls into four different categories:

Lectures & Discussions

Clinical Skills

Workshop

Community Services

Social Activities

A series of workshop or seminar will be

conducted to give students an opportunity to

learn and practice procedural skills. Some

volunteered senior students, residents and

physician will be recruited to help with the

demonstration, and simulation session.

Community service is one of the biggest

initiatives and collaborative activity with other

organizations on our campus or outside the

campus. As recommended, four things to keep in

mind once planning community service projects:

identify a charity or recipient, define goals,

inform the larger community, and promote

service learning.

Peer learning and discussions are highly

recommended. Also, some local inspiring residents

and senior students from diverse backgrounds are

invited to discuss different topics related to primary

cares, and certain local physician are welcomed to

talk about and share experiences.

The socio-cultural aspect of our FMIG allows the

members to make friendships who have similar

or the same interests and intentions. Peer-to-

peer events include fundraising charity, concert,

retreats, holiday, and reunion forum.

“Coming together is a beginning.

Keeping together is progress.

Working together is success.”

- Henry Ford 07

PROGRAMMING – ONE YEAR PLAN

Annex I – Lecture & Discussion Supervised by Panha Uong

COURSE SYLLABUS

Discipline: Family Medicine & Primary Cares

Setting: June 2015 – May 2016 Venue: Faculty of Medicine, UHSC

Theme(s) Lesson(s) Objectives Duration (Hours)

Part 1 “Principles of

Family Medicine”

1. Elements of Family Medicine Getting to know about family medicine 2

Part 2 “Common Signs &

Symptoms”

2. Allergies Signs, cause and treatment 1

3. Cough Cause and treatment 1

4. Respiratory infections Localization of infections, causes and how to treat (ABT or NOT)

2

5. Shortness of breath Type of dyspnea, causes and treatment

1

6. Chest pain Localizations, irradiation, causes and treatment “OLDCHART”

1

7. Palpitation Cause and treatment 1

8. Diarrhea / Constipation Types, causes, and treatment 2

9. Nausea and vomiting Causes and treatment 1

10. Painful joints / Knee pain / Shoulder pain

Osteo-articular examination, causes and treatment of pain 2

11. Headache/Vertigo Orientation of diagnosis and treatment

2

12. Fatigue 1

13. Red eye 1

14. Pharyngitis Cause and treatment 1

Part 3 “Women Health”

15. Abnormal vaginal bleeding Orientation of diagnosis and treatment

1

16. Breast masses Breast examination, orientation of diagnosis and treatment

1

17. Contraception Types, advantages and disadvantages

1

Part 4 “Maternity care”

18. Preconception counseling and prenatal care

How to care woman and baby during pregnancy 1

19. Common medical problems in pregnancy

Know some common medical problems in pregnancy 1

08

20. Postpartum care How to care woman and baby after delivery

1

Part 5 “Vaccination”

21. National vaccination program

Kinds of vaccination in National program, calendar for vaccination 1

Part 6 “Care for Infants,

Children, & Adolescents”

22. Common medical problems in children

Know some common medical problem in children 1

23. Fever in children Orientation of diagnosis and treatment

1

24. Otitis media Examination with otoscope, causes and treatment 1

Part 7 “First Aid & Urgencies”

25. Snake bite How to help people when snake bite, some tests, vaccinations

1

26. Trauma (abdomen, chest, head, spine, limps and polytraumatism)

How to help (transfer) people with trauma, signs of shock and ischemia 2

27. Coma How to help people, orientation of diagnosis and treatment

1

28. Cardio-vascular arrest How to do CPR / ABC 1

29. Shock How to help people with choke 1

30. Burn How to help immediately, calculation of burn surface and burn deep, perfusion

1

TOTAL 30 Lessons 36 Hours

Annex II – Clinical Skills Training Supervised by Chhayroud Heng

COURSE OUTLINES

Discipline: Family Medicine & Primary Cares

Setting: June 2015 – May 2016 Venue: Faculty of Medicine, UHSC

Duration: N/A

Prospect Period 2015-2016

Lesson(s) Objectives Duration (Hours)

June & July

Child examination Understanding:

Principle of physical examination in paediatric

Head to toe examination

Find the common disease in paediatric

N/A

August & September

Exam period

October & November

Cardiovascular examination

Understanding:

Complete physical examination of cardiovascular system : inspection,

N/A

09

palpation, auscultation and percussion

Differentiate between the normal and abnormal sound of the heart

December & January

First aid Understanding:

First aid technique for trauma, burn, snake bite, cardiovascular arrest, shock, stroke, etc.

N/A

February

Abdominal examination

Understanding:

Complete physical examination of the abdomen : inspection, palpation, auscultation and percussion

N/A

March Exam period

April & May

Respiratory examination

Understanding:

Complete physical examination of respiratory system : inspection, palpation, auscultation and percussion

N/A

Annex III – Community Services (Outreach Programs) Supervised by Reasey Thea

Setting: To be scheduled

Main Objectives:

The FMIG Community Services are defined as services volunteered by medical students in rural and

urban areas in Cambodia.

There are some particular outreach programs and projects, which will be kicked off within certain

goals and objectives such as:

- To serve as volunteered health care providers in community

- To help and aid the underprivileged and vulnerable people

- To conduct the health care outreach programs

- To carry out and assist in relevant research programs

Personnels Positions Thea Reasey Project Chair – Team Leader

[To be considered] Project Advisor(s)

Mak Samrith Acting FMIG-UHSC President

Nora Sokunpanha Treasurer

Nop Pisal Social Activities Chair

Un Channat Assistant

IP students and medical students Members

Our potential partners: Centre Dr. Christophe Merieux Enfant du Mékong Pour la Sourire d’Enfants (PSE) Cambodia’s Children Fund (CCF), etc.

Our potential cooperation sites: Phnom Baset village Champous Ka’ek village Samaki village Kroul Kor village, etc.

10

MATERIAL RESOURCES

Materials in demand

Transportation

Medical supplies

First aid kits

PLANNING – To do list

Mission Sites

June

July

August

September

October

November

December

Date of mission (4th weekend)

Centre Docteur Christophe Merieux

Phnom Baset

Champous Ka’ek

Samaki

k Kroul Kor

Annex IV – Social Activities Supervised by Pisal Nop

“Social Activities” is another platform of the FMIG-UHSC which is initiated to:

To provide free health check-up, To initiate healthcare education, To promote FMIG, and To raise funds for FMIG.

. The community service is conducted every month. Meanwhile, those activities are categorized in three main sections: Education, Charity, and Entertainment. All of social activities of the FMIG-UHSC will be included in two different occasions: 1st Circumstance – In cooperation with annual fundraising program of the UHSC 2nd Circumstance – In collaboration with Community Services

Section(s) Activities Personnels

Education Health care education Primary cares session Preventive cares First aids assistance

- FMIG-UHSC Members - Project Coordinator(s) - Advisors - Volunteers - Villagers, etc.

Charity Fundraising FMIG promotion campaign Humanitarian activities Concerts

- FMIG-UHSC Members - FoM, UHSC (Optional) - Music Band (s), etc.

Entertainment Games [Subject to change] - FMIG-USHC Members - Music Band (s), etc.

11

ADMINISTRATION – ONE YEAR PLAN

Annex V – Student Membership Supervised by Chhunly Phe

Objectives

- Spread out information and expand the core values of family medicine - Engage aspiring and proactive students who are devoted to serve in community - Enlist medical students who are interested in primary cares

Requirements To be eligible for active membership, an applicant must have completed all following criteria: Applicant must be interested in diverse fields of Family Medicine & Primary Cares Applicant must be enthusiastic and possess self-driven motivation Applicant must be able to join certain missions or events of the FMIG-UHSC Applicant must follow the terms and conditions assigned by FMIG-UHSC Applicant is sure of working as a team

Procedures of Recruitment

Place: University of Health Sciences, Cambodia. Time: Every trimester (For members only) and every mission (For volunteers) Medium: Online Registration Form Number: to be considered.

Annex VI – Public Affairs Supervised by Vongvirak Ou

Objectives

Establish a sustainable “Partnership & Cooperation” Create a “Mutual Relationship & Understanding” Seek for “Assistance & Fundraising” Get high prestige and attribute to promotion

Targets

Our Institution: University of Health Sciences, Cambodia (UHSC)

International Entities & NGOs: - The WONCA - The American Association of Family Physician (AAFP) - French Embassy in Cambodia, - The Young Men’s Christian Association (YMCA), - Enfant du Mékong, - Pour la Sourire d’Enfants (PSE), etc.

Mass Media: Social Networks (Facebook) & Blogs

Strategies - Strengthen FMIG-UHSC goals and missions in local, state and national level; - Promote the core values and vision of family medicine in campus and community;

12

- Projects focus on the healthcare check-up and follow-up mission(s) in community or the referral hospitals or rural areas;

- Create Facebook group, Twitter account, Google calendar or other social networks platforms to communicate with core members and potential members;

- Set up “Network Facebook” Page to communicate with our interested students of family medicine;

- Keep update and keep in touch with classmates and faculty members; - Assist members in coordinating all FMIG activities in conference and other events; - Raise funds by organizing events, charity or seek for sponsorship.

Annex VII – Publicity Supervised by Chamnan Chou

Initiatives: Setting up an official webpage of FMIG-UHSC

Get everyone to know more about FMIG Assign members to work on up-to-dates

Getting everyone informed all relevant activities Create posters and leaflets then, attach to school info boards Post and update into the blog Publish online all relevant activities

Keeping memory of every event Capture and make short film of each event Post into YouTube and socials networks

Summarizing Keep book records and cinematographic files Finalize a complete book of annual missions

13

“Education breeds confidence.

Confidence breeds hope.

Hope breeds peace.”

- Confucius

Self-benefits

Explore oneself in teamwork and collaboration

Get a self-awareness, interpersonal skills and communication skills

Cultivate leadership and mentorship among all medical students

Be a ready-for-tomorrow family physicians

Benefits for School

Get all the medical students interested and involved in student government and extracurricular

activities

Facilitate and coordinate the process of academic programs for new specialty

Help to gain prestige and role model for the university

Promote the culture of serving and ownership, adding to school academic courses

Be in touch with international cooperation and assist to maintain global partnership

Benefits for Society

Implement a new healthcare education programs

Improve the healthcare system in Cambodia

Strengthen a cyber-network of Cambodian physicians as a whole

Self-inconveniences

Inconveniences for School

Inconveniences in Society

Struggle in time

constraints and work

burdens

Be lack of human and

physical resources

Require additional

responsibilities

Consider time and arrange

venue for all FMIG events as

requested

Provide sustainable and

approachable supports, both

physically and financially

Face with social

disturbances

BENEFITS

INCOVENIENCES

“The best work is not what is most difficult for you;

it is what you do best.”

- Jean-Paul Satre

14

“A pessimist sees the difficulty in every opportunity. An optimist sees the opportunity in every difficulty.”

– Sir Winston Churchill

So far, we have been working on planning and administration. It is really difficult for us since we, as medical students, do not have sufficient time to work for the club. However, our perspectives of FMIG are still appreciated at

the highest point and the top priority as well as academic courses.

Although our student government has tried our best, but we still need supports from others. Now, what we concern so is all about “funding”.

To begin with, funding is really necessary and responsible for the survival and sustainable development of the FMIG since we all the students work

voluntarily. We have got in minds that there are two major sources of funds, which the first one comes from the faculty and another one from outside, probably the FMIG abroad or sponsors.

Despite a good opportunity to develop ourselves in FMIG, and it is also a

time to cultivate our knowledge in real society. Still, we need some other supports including “physical supports” or “material supports” and “technical supports”. And, what we need the most now is the Faculty Advisor(s); a

person who we can reach out for helps both mentally and physically aids.

We strongly hope that the faculty and other FMIGs help us to make this happen in Cambodia. We love to see everyone’s satisfaction with the

outcomes of this club.

FUNDING & SUPPORTS

15

TESTIMONIALS

Chhoeung Lanarine

“I am very excited to join this program because I think that this program

is very helpful. We learn how to work in group, teach each other, share

our knowledge, and discuss difficult clinical cases.”

16

Nora Sokunpanha

“I want to work hard as I can to help

all those people who need help.”

Uong Panha

“I hope this group can give me and the

others members a lot of experiences.

Furthermore, I expect that we all will be in

a good relationship with team work.”

Mak Samrith

“Through this group, I expect to learn and gain

more experiences from working as a team and to

build confidence and capacity as being leadership.”

Ean Teaven

“I think that FMIG is very important for me because it

makes me easy to develop my knowledge like lecture

skills, physical examination skills and other activities.”

Chen Narong

“I will be able to help my community, to work as a team with other

members and to promote the specialty of family medicine which is an

important approach to improve the access of health care in Cambodia.”

Cheab Sambath

“Now, I am just a student but one day I will be a man in

my community. I like new concept and initiation. FMIG is

what I'm interested in and what I'm going to try my best

to work for. This is not just for me but for the next

generations, the community, and the whole country.”

Ou Vongvirak

“By joining with full effort for FMIG club, I strongly believe that a

new specialty will be promoted in Cambodia in the near future. To

make this dream become true, I need to work efficiently with all

members focusing on the role where I could do.”

Heng Chhayroud

“Firstly, I want to be aware profoundly of family medicine and the way

family practitioners work to provide primary care services to people in

community. Secondly, I hope that in the future family medicine specialty

will be pursued to play a vital role in healthcare system in Cambodia.”

Soeng Sophea

“I would like to say that FMIG Cambodia plays a crucial role in

improving medical students' knowledge and skills via clinical practice,

procedural technique and lectures through seminar. Even though it is

a new one, I positively believe that FMIG established by year 5 PI

students will last long for the benefit of the whole faculty.”

17

EDITORIAL BOARD Editor-in-Chief

Samrith Mak

Managing Editors Narong Chen Sanpor Oeng

Associate Editor Channdarith Kith

Assistant Editors Chanraksmey Keo

Sambath Cheab

Contributors Panha Uong

Chhayroud Heng Reasey Thea

Pisal Nop Sokunpanha Nora

Chhunly Phe Vongvirak Ou

Chamnan Chou IP Students (Year 5)

ADVISORY BOARD Thomas Fassier

Ministry of Foreign Affairs & International Development, France

Savy Seang

University of Health Sciences, Cambodia

Copyright 2015 by FMIG-UHSC

ALL RIGHTS RESERVED

The use of any part of this publication reproduced,

transmitted in any form or by any means, electronic,

mechanical, recording or otherwise, or stored in a

retrieval system, without the prior consent of the

author, is an infringement of the copyright law.

Printed in Cambodia