Family Medicine

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World Book of Family Medicine – European Edition 2015 Take Home Messages Most students valued the chance to experience a variety of community health services and organisations. Students value the opportunity to follow the patient’s journey from family practice to allied health. Reducing administrative load enhanced student responsibility and opened the door for self-motivation. Some students will always do the minimum possible at the expense of their own broad education. Comprehensive placement programmes present logistic difficulties for students and staff. Original Abstract http://www.woncaeurope.org/content/op-019-practical-approach-teaching-medical-students-about-community-services References 1. Bleakley A. Broadening conceptions of learning in medical education: the message from teamworking. Med Educ 2006;40:150–157. 2. Astin AW, Sax LJ. How undergraduates are affected by service participation. J College Student Dev 1998; 39:251–263. 3. Moore M, Bolte K, Bennett P. Innovative training for rural medical students. The Clinical Teacher 2012; 9: 238–242 278
World Book of Family Medicine – European Edition 2015 Berk Geroğlu, MD berkgeroglu@hotmail.com 91 – New Technologies to Support Family Doctors Berk Geroğlu, MD (1) VdGM Secretary Co-authors Candan Kendir Çopurlar, MD (2), Fikret Merter Alanyalı, MD (1), Tuğba Onat, MD (2), Hüseyin Can, MD, Assist. Prof.(3) Carl Steylaerts, MD (4) 1 Family Medicine Clinic, İzmir Tepecik Training and Research Hospital, İzmir, Turkey 2 Department of Family Medicine, Faculty of Medicine, Dokuz Eylul University, İzmir, Turkey 3 Department of Family Medicine, Faculty of Medicine, Katip Çelebi University, İzmir, Turkey 4 GP, Belgium Introduction "One day in the future, you will be able to call anyone everywhere in just a few seconds by using a mobile device. Furthermore, this device also will be your computer ... and there’s more: As a family doctor you will even be able to check your patient's blood pressure levels with the same device!?!". Those days are not so far removed from today. Micro-CT-scanners, handheld ultrasonography, wearable microchips that monitor your vital parameters continuously, DNA sequencers in your toothbrush, hyperspectral imagers to detect melanomas in an early stage, the MRI scan (at 15dB) in your kitchen while you bake an egg, the gold nano-bullets in your bloodstream covered with antibodies to look for certain proteins, the thought control through a (Google) helmet for thought sharing, chips implanted in your eye to monitor your blood glucose and other haematologic parameters, you name it, it is or will be available over the coming years. Personalised Medicine, Precision Medicine We did a Pubmed search in November 2014 with “technology + primary care” as keywords and we accessed 8186 articles. All articles were written between 1969- 2014. When we looked at the results in more detail, we observed that 3450 of them were written in the last 5 years; over forty percent of all the articles. This demonstrated to us the increasing importance of technology usage in primary care. There is a trend that people become more individualised in a global world, people want personal care, a personal doctor, and no mistakes. So they will welcome technology in the doctor-patient relationship. Body Sensors, Microchips, Nanorobots in Blood, Wearable e-skins Consider a tiny, wearable sensor that collects data and reports on the status of your body. It will measure vital signs continuously and alert the physician if there is something wrong. With the help of a wireless transmitter, a microchip will circulate in your bloodstream and if it detects any local infection, it will detect the infection and treatment can be initiated. What if a nanorobot in your bloodstream could detect a problem before the disease manifests itself in your body? Nanobots, called respirocytes, can keep tissue vital up to four hours even when it is de-oxygenated as in a heart attack or stroke. They can also repair the damaged area and keep away platelets from the damaged area. Also, with the help of wearable e-skins, when medical assistance is needed, an alert from patients' e-skin will be transmitted to the medical centre and patients’ data will be shared without any effort. No need to call an ambulance, no need to worry about location! 279
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Family Medicine

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