Epistemis

Fundamentals of Family Medicine and Primary Health Care (PHC) — Treatise on Clinical Specialization

Family Medicine · Clinical Specialties

How it begins

Un compendio científico, técnico y humanista dirigido a especialistas en Medicina Familiar, Generalistas e Investigadores en Sistemas de Salud. Aborda de manera minuciosa la fundamentación teórica de la Atención Primaria de Salud (APS), el paradigma biopsicosocial de George Engel, las dinámicas relacionales familiares, la epidemiología comunitaria, el abordaje sistemático del paciente pluripatológico y el soporte…

What it covers

  1. Historical Origins of the APS and the Declaration of Alma-Ata
  2. · Ideological Tensions: Comprehensive APS vs. Selective APS
  3. · The Renewal of the APS and the Astana Declaration (2018)
  4. Essential and Derived Attributes of the APS (Barbara Starfield Model)
  5. · Deep Analysis of Essential Attributes
  6. · Attributes Derived from the APS
  7. Health Systems Based on PHC and Comparative Provision Models
  8. Definition, Philosophy and Principles of Family Medicine (Ian McWhinney)
  9. · The Nine Principles of Family Medicine by Ian McWhinney
  10. General Systems Theory Applied to Health and the Biopsychosocial Model
  11. · George Engel's Hierarchy of Systems
  12. · Clinical Consequences of the Biopsychosocial Model
  13. The Life Course Approach and the Social Determinants of Health (DSS)
  14. · Dahlgren and Whitehead's Social Determinants Model
  15. · The Life Course Approach and Allostatic Load
  16. Family Structure, Dynamics and Life Cycle (FVC)
  17. · Contemporary Family Typologies
  18. · The Family Life Cycle (FVC)
  19. · Family Crises: Regulations vs. Non-Regulatory
  20. The Advanced Family Genogram: Symbology, Mapping and Clinical Interpretation
  21. · Protocol for Tracing a Structural Genogram
  22. · Clinical Interpretation and Utility of the Genogram
  23. Family Assessment Instruments: APGAR, FACES, Círculo and Ecomapa
  24. · 1. The Family APGAR (Gabriel Smilkstein, 1978)
  25. · 2. The Olson Circumplex Model (FACES)
  26. · 3. The Ecomap and the Family Circle
  27. Leavell and Clark Prevention Levels, and Quaternary Prevention (P4)
  28. · The Quaternary Prevention Revolution (P4)
  29. Scientific Evidence Screening (USPSTF) and Immunizations in the Life Course
  30. · The Recommendations of the USPSTF (U.S. Preventive Services Task Force)
  31. · Immunizations in the Life Course: Pillar of Primary Prevention
  32. Health Promotion, Transtheoretical Model of Change and Motivational Interviewing
  33. · The Motivational Interview of William Miller and Stephen Rollnick
  34. The Complex, Pluripathological and Multimorbidity Patient
  35. · The Phenomenon of Polypharmacy and the Danger of the Prescription Cascade
  36. · The Clinical Practice of Deprescribing: STOPP/START and Beers Criteria
  37. Clinical Approach to Geriatric Syndromes in PHC
  38. · Pathophysiology of Frailty Syndrome
  39. Integrated Mental Health in PHC: The Collaborative Care Model
  40. Community Oriented Primary Care (APOC)
  41. · The Six Methodological Stages of APOC
  42. Applied Clinical Epidemiology and International Classification of Primary Care (CIAP-3)
  43. · The International Classification of Primary Care (CIAP-3)
  44. Bioethics, Professionalism and Management of Uncertainty in Family Medicine
  45. · Clinical Management of Time and Uncertainty
  46. Clinical Decision Algorithm in the Complex Elderly Patient

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Family Medicine
Category
Clinical Specialties
Type
Study Guide
Sections
46
Reviewed
2026-08-02
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