Evidence-based medicine and quality assurance workshops for screening of osteoporosis as a teaching strategy in the residency training program in Family and Community Medicine at the UP-Philippine General Hospital

OBJECTIVE: This study aims to determine the effectiveness of Evidence-Based Medicine (EBM) and Quality Assurance (QA) lectures and workshops on osteoporosis screening as a teaching strategy in improving the current level of knowledge and appropriate care given by resident physicians of UP-PGH Department of Family and Community Medicine (DFCM) for adults at risk for osteoporosis. METHOD: A before-and-after educational intervention study was conducted within the residency training program of the UP-PGH DFCM. RESULT: A total of 28 resident physicians and 300 medical records of adult patients aged >50 years who were considered at risk for osteoporosis were include in the study. There was an overall significant increase in mean knowledge scores of resident physicians on osteoporosis after the four sessions. None of the medical records reviewed documented evaluation and screening for osteoporosis hence the appropriate standard of care was not achieved as a target. CONCLUSION: Evidence-Based Medicine and Quality assurance workshops conducted for resident physicians of UP-PGH DFCM were effective in improving the current level of knowledge in osteoporosis screening however they were not an effective strategy in improving the level of appropriate care provide for adult patients at risk for osteoporosis.

Beyond limits: A case report on alcohol dependence and its impact on the family

This is a case of alcohol dependence. It is an illness that has affected the patient's persona and his relationship with his family. His condition has caused a disruption in their family dynamics and has affected further management of the illness. The attitude of the family towards the illness has an effect in resolving the problem. The case utilized a comprehensive family physician approach in the management. It also emphasizes the family physician's role in helping alcohol dependents and their families into recovery.