Module 1.
ENTRY and INTEGRATION PHASE
I. Core Competencies
II. Self-appraisal
III. Personal Goals and Objectives
IV. Developing Team Vision and Strategy
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I. Core Competencies
The Community Internship (CH 240) is a 4-quarter Municipal Health Unit rotation for medical students. It
is offered during the fifth year in the medical curriculum. During this exposure the students are expected to be
able to apply and integrate the concepts and principles learned during the 4 years in the medical program to
create, implement, evaluate, and improve health programs at the RHU level.
The physicians have various role to play as health professionals. The students therefore, being
physicians-in-training, are honed to acquire the skills needed for their future profession. They are expected to
become healthcare providers, health program managers, social mobilizers, health educators, and health
researchers. The table below shows the professional roles with the corresponding terminal and intermediate
competencies expected for each student.
Professional Terminal competencies Tasks/Intermediate Competencies
role
HEALTH CARE 1. Be able to assess patients’ At the end of the course, the students are expected
PROVIDER medical problems effectively, to: (under the supervision of the MHO)
efficiently and humanely 1. Elicit comprehensive history and physical exam
2. Educate patients on how to 2. Perform thorough physical examination
prevent disease and promote 3. Select appropriate diagnostic examinations
healthy lifestyle 4. Correctly interpret results of diagnostic
3. Properly coordinate with examinations
government authorities in the 5. Formulate a list of differential diagnoses
disposition of medico-legal health 6. Set treatment goals and therapeutic management
issues and cases for the patient
7. Monitor, follow-up and educate patients about the
importance of prevention of disease and
promotion of healthy lifestyle
8. Assess and refer medico-legal cases to proper
authorities for disposition
9. Observe ethical standards in the execution of all
procedures and treatment.
10. Conduct a comprehensive family health
assessment in the context of holistic family care
11. Formulate a family treatment plan according to
the family’s social background and resources.
Professional Terminal competencies Tasks/Intermediate Competencies
role
HEALTH 1. Undertake a problem-oriented 1. Identify stakeholders in the community through
PROGRAM catchment diagnosis based on stakeholder analysis for a community health
MANAGER local health data collected problem
through a focused survey and 2. Work closely with other health care providers
secondary data review through teamwork and and inter/intra
collaborative skills and work harmoniously with
2. Utilize a systems approach to individials and organizations inside and outside
understanding social the health system to meet the needs of patients
determinants of health and how and communities (government or private) and/or
these impacts health of families manage health programs/projects/activities in the
based on epidemiological data
community
3. Identify and establish linkages with GOs and
3. Assess families as units of care
NGOs and other resources
4. Work closely with formal and informal community
leaders and be involved in health policy
development
5. Conduct resource generation and financial
management and assist in the training of
community leaders when applicable
6. Plan health PPAs and identify indigenous
materials and appropriate community resources in
its implementation
7. Utilize tools for family assessment and evaluate
impact
SOCIAL 1. Measure performance of local 1. Analyse the structure and processes that occur in
MOBILIZER health system through the the entire health sector at the national, inter-local
(CO-CD) building blocks of an equitable and local levels
health system as defined by 2. Understand the dynamics of local health systems
WHO and factors promoting or hindering equity
3. Facilitate community health assessment,
2. Assist local leaders in mobilizing planning, implementation and monitoring and
the community into action on evaluation
relevant community health issues 4. Given a resource-challenged environment, be
able to reconcile individual and community health
requirements
Health Educator 1. Utilize effective health teaching 1. Given an actual health problem, be able to:
strategies based on the principles a. Clarify relevant community health issues by
of adult learning, local explaining health concepts in a manner that
determinants of health, and socio- can be understood by the community, and
cultural factors in disease giving useful and relevant advice
causation b. Utilize effective health teaching strategies
2. Demonstrate sensitivity to local, based on the principles of adult learning, local
indigenous culture, reinforcing determinants of health, and socio-cultural
positive knowledge and practices, factors in disease causation
bridging gaps, and correcting
misconceptions, when existing 2. Given any resistance to a health program or
local beliefs hinder health activity, be able to:
activities. a. Demonstrate sensitivity to local, indigenous
3. Commit to continuing professional culture, reinforcing positive knowledge and
growth along with the practices, bridging gaps, and correcting
developments in the field of misconceptions
medicine and public health b. Organize, implement, monitor and evaluate
training programs for groups
c. Advocate healthy lifestyle, environmental
protection and disaster risk reduction
measures
d. Demonstrate healthy lifestyle and appropriate
behavior
1. Utilize researches in clinical 1. Conduct literature search and critically appraise
Health decision making through critical journals
Researcher appraisal when faced with clinical 2. Utilize researches in clinical decision making
dilemma through critical appraisal
2. Give any clinical encounters, be 3. Utilize health information for improvement of the
able to practice evidence-based health of the community
medicine 4. Identify current problems of the community and
illustrate their interrelatedness and social
determinants
5. Conduct research which are relevant and can
have direct benefits to the community
Questions
1. What other qualities should a physician working as an MHO should possess? Why?
Answer: A Municipal Health Officer (MHO) plays a crucial role in safeguarding public health within
a community. An MHO must demonstrate strong leadership to inspire and guide public health
initiatives. Effective communication is vital for an MHO. He/She must convey health information,
guidelines, and policies to the public and stakeholders in a way that is easily understood. This skill
also extends to active listening, which helps the MHO to understand community concerns and
needs. An MHO should be sensitive to the cultural, social, and economic factors that influence
health behaviors and outcomes.
2. UHC
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II. Self-appraisal
This is an evaluation your write about yourself to characterize the level of your experience to
communicate, assess, and manage. It should be an honest appraisal of yourself. Include the challenges which
you need to overcome, as many as possible. The self-evaluation allows you to reflect what you are doing well
and what areas that need improvement. You and your preceptor can discuss your self-evaluation and offer
constructive feedback
Activity 1. Self-Appraisal Table
Fill out the table below. Make a self-appraisal of your level of skill and competency and identify the areas which
you are doing well and which need improvement.
Discuss with your preceptor your self-appraisal for constructive feedback.
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Activity 3. Setting Personal Goals
What do I want to What do I have to What support and How will I measure Target date for
learn? do? resources do I success? review
need?
Activity 4. Personal Objectives
Quarterly Goals – What do you want to achieve per quarter?
Term Objective
First quarter
Second quarter
Third quarter
Fourth quarter
III. Team Vision and Strategy
Answer the following questions and discuss it with your groupmates. Make sure you have a common
agreement on the goals and action plans.
1. What do you hope to become as a team?
Answer: As a team,I hope we can support each other’s strengths and tackle challenges effectively,
fostering a positive environment where everyone feels empowered to contribute and grow.
2. What do you want to accomplish? In community internship, I want to accomplish practical skills,
learning about health specific challenges and resources available in community to address public
health issues, also improve my ability to provide compassionate care to the community people.
3. How do you plan to get there? By establishing specific, measurable goals related to improving
patient health needs and implementing programs.
4. Develop a team motto or “battlecry that will motivate you to move forward and get things done.
5. Make a Gantt chart showing the strategies, methods, and timelines to achieve the team goals.
Discuss your output with your preceptor.
MODULE 2: GETTING TO KNOW THE COMMUNITY (Q1)
Structures, support, organization
MODULE 3: COMMUNITY DIAGNOSIS (Q1)
MODULE 4: ACTION AND PLANNING (Q2-3)
MODEULE 5: MONITORING, EVALUATION, REDESIGN, TERMINATION/TURNOVER (Q3-4)
