The recent development of Family medicine training has provided a strong and resilient foundation for the future of primary care in Vietnam. This article describes how an innovative approach was implemented to improve the capacity of a robust primary care workforce in Central Vietnam. Most health staff working at commune health centres (CHCs) in Vietnam are already taxed with a large number of responsibilities, thus limiting the capacity to leave work to study away from their hometown. A project with E-mentoring and a case-based learning approach has been implemented at Hue University of Medicine and Pharmacy to transfer knowledge and capacity of primary care and to build an academic community of physicians and interdisciplinary specialists in Central Vietnam. A high internal synergy has been created through this project with complementary activities, such as curriculum revision, production of platform, e-learning modules, and development of trainings and guidelines. All these activities have been strongly linked to building up capacity and outreach on FM. The innovative modular training program fits well with the local context to improve the performance of health professionals while also allowing them to continue working at their CHCs during their studying. Virtual Reality, 3600 immersive technology were applied to enhance clinical reasoning skills and patient-centered care competency of trainees. Due to the shortage of faculty in clinical settings, a train-the-trainers approach to develop community-based preceptors in primary care education was focused to provide a rich environment for learning and teaching within a sustainable FM training program, however, training local field trainers in teaching methods proved to be more challenging than anticipated and need to improve. These innovative approaches can serve as flagship state-of-the-art primary care training to support the capacity improvement of a robust primary care workforce for the 21st century.

By the end of this activity, participants will be able to:
1. Have better understanding on innovative training of Family medicine in a low-middle-income country
2. Discuss the strategies on using blended learning to improve primary care practice
3. Identify potential solutions of internal synergy to build up capacity and outreach on FM.

Background: Ministry of Health (MoH) of Indonesia has introduced integrated mental health services (MHS) at public health centers (PHCs) since 2009. General practitioners (GPs) play vital roles as the first contact in any health problems at the primary care level. However, in Bali, the implementation of MHS provision by GPs in real-setting remained challenging. Objectives: To describe the role and self-confidence of The GPs worked in PHCs in Bali. Method: This cross-sectional survey was conducted from November to January 2022, involving 212 GPs who worked in PHCs policlinics in Bali. The participants were invited to fill google form questionnaire, which was distributed through several social media groups of GPs. The data were analyzed descriptively by using statistical software. Results: Almost all participating GPs from PHCs all over Bali (96.7%) confirmed that there is an active mental health program in every PHC. Only 22.1% of all GPs reported having awareness and experience in screening mental disorders at PHC policlinics, and only 22.5% prescribe psychotropic medicines. Most GPs also get involved in referring patients to The Provincial Mental Hospital and following up with patients after being discharged from the hospital. Surprisingly, most GPs (67.9%) admitted not feeling confident to diagnose and manage mental disorders in their routine practice, since most of them (64.2%) did not get additional mental health management training. Most GPs (67%) believe that additional training on mental health would improve their competency and confidence feeling in providing MHS at the PHC level. Conclusion: Only a few proportions of GPs conducted screening and therapy for mental disorders at the PHCs in Bali which is probably related to the low confidence in managing mental disorders. Training and collaboration with psychiatrists were considered by the GPs to be essential to improve competency, skill as well as confidence in providing MHS in PHCs.

1. General Practitioners plays important roles in providing integrated mental health services in primary care
2. Most of the GPs in Bali still felt not confident in diagnosing and treating patients with mental disorders
3. To improve self-confidence and competency of GPs in providing MHS in primary care, regular training would be needed.

This session uses an interesting neurosyphilis case, with significant progressive neurological deterioration, to educate the audience on the general principles of syphilis testing, diagnosis and treatment, and specific investigations for neurosyphilis diagnosis and treatment.

Syphilis is a sexually transmitted infection caused by the bacterium Treponema palladium. In 2020, there were an estimated 7 million new syphilis infections globally. While men who have sex with men still carry a higher burden of disease, rates of syphilis in heterosexual populations have been increasing. Neurosyphilis, infection of Treponema palladium in the cerebrospinal fluid (CSF), can occur at any stage of syphilis infection. Increased syphilis infection numbers may result in higher neurosyphilis cases. Neurosyphilis can present with variable neur-logical symptoms. While CSF examination remains the mainstay of diagnosis, clinical suspicion with assessment of pre-test probability is equally important.

Internationally, primary healthcare practitioners are the first point of contact with health care services. They are the first clinicians to assess sometimes complex symptoms, and are well-placed to assess for, diagnose, treat and follow-up syphilis infections early, including neurosyphilis.

The case study is a 63 years old man who has sex with men, living with human immunodeficiency virus on anti-retroviral therapy. He reported 2 weeks of bilateral visual changes with photophobia, polyarthritis and weakness. At presentation, he also had ataxia and reported cognitive changes. His motor symptoms worsened during the consultation and he was unable to moblise independently on transfer to Emergency. CSF results were diagnostic for neurosyphilis. He was treated with benzylpenicillin 1.8 grams intravenously every 4 hours for 12 days. Due to reported side effects, he had ceftriaxone intravenously 2 grams daily to complete a 15 days treatment course.

The goals are to provide education, resources and to increase the confidence of primary healthcare practitioners to test, diagnose, treat and follow up syphilis cases.

(1) Syphilis is still a global public health issue and neurosyphilis can occur at any stage of syphilis infection
(2) Clinical suspicion, signs and symptoms are as important as cerebrospinal fluid examination for diagnosis
(3) Initiating and completing evidence based treatment can reduce morbidity and sequalae

In 2012, Amoud University started Hope Family Medicine as the first post-graduate training program in Somaliland. Little has been published on the Somaliland program. This study investigated the underlying factors which contributed to its success in creating well-trained family physicians, with excellent knowledge, skills, and behaviours. A descriptive qualitative pilot study using grounded theory guided the interview process among five of the family medicine graduates of the program. Through an iterative process of constant comparison, transcripts were developed and themes were identified describing the distinctive behaviours of family medicine specialists and the experiences, structures, and relationships that helped to produce them. Mezirow’s transformational learning theory provides a framework for how the residents developed their professional identities as family medicine specialists. Social learning theory describes the impact that mentoring relationships served in the residents’ professional formation. The promising outcome of this pilot study requires validation from future investigations. As future family medicine residency programs are implemented in Somaliland and other African or global contexts, lessons from this study can help formulate best practices.

1. Family medicine residency training shapes professional identity through experiences, structures, and relationships.
2. Mentoring relationships between faculty and residents are especially important in developing identity as family physicians.
3. In countries where family medicine is a new specialty, the longitudinal impact of family medicine specialist mentors is especially profound.

The COVID-19 pandemic has presented a significant challenge to the continuity of training for residents in community and family medicine especially with the limitation of onsite community activities as a result of widespread lockdowns. This report describes an innovative solution to address both the needs of trainees and contribute actively in strengthening the health system even in the midst of a pandemic.

The Healthcare Provider Network (HCPN) in Community Medicine (CM) Rotation was established with the aim to provide a training response to the COVID-19 pandemic, ensuring the continuity of training for residents in community and family medicine while also strengthening the health system response to the pandemic.

During their HCPN rotation, residents served as care navigators, managing projects, and engaging with key stakeholders in the HCPN. They also participated in the conceptualization and planning of an IT-based platform for pre-hospital data management.

The goal was for residents to acquire minimum managerial skills and improve their technical and analytical skills. This came with the recognition for trainees to become adept leaders contributing to the progressive realization of Universal Health Care.

The HCPN in Community Medicine Rotation provided an opportunity for residents to think of solutions that are responsive to local needs and attuned to the vision of the institution, ultimately contributing to the progressive realization of Universal Health Care. It served as a successful training response to the COVID-19 pandemic and ensured the continuity of training for residents in community and family medicine. By focusing on managerial and leadership skills, the HCPN in Community Medicine Rotation also responded to the need for fit-for-purpose training for Universal Health Care.

At the conclusion of my presentation attendees will take away
1. an innovative approach in training community and family medicine residents
2. advantages of emphasizing leadership and management as a core skill of primary care physicians
3. opportunities for both training and service when engaging with a healthcare provider network

General Practice rapidly adopted remote technologies in response to the COVID-19 pandemic to support the provision of safe and timely patient care. Remote patient care using video and telephone consultations can offer benefits in terms of access and service delivery innovation, but can also create challenges in safety assessment, communication, and rapport building in the patient-doctor collaboration. For GP trainees it is now common to offer remote care for patients and receive remote training supervision, whereas prior to the pandemic, face to face interactions had been the norm.

This presentation will facilitate discussion on the question: What are the benefits, challenges, and opportunities for GP trainees using remote technologies for patient care and training supervision?

This service evaluation is conducting qualitative in-depth interviews with GP trainees, GP trainers, and GP education experts in the UK to understand the experience of GP trainees in using remote service technologies since 2020. The service evaluation will be published in July 2023 in partnership with the NIHR Remote by Default 2 study and Healthcare Education England.

1. Remote patient care in General Practice offers unique benefits and challenges for GP trainees
2. GP trainees require additional training in safety assessment, communication, and rapport building for remote patient care
3. Supervision and education methods in remote patient care for GP trainees is rapidly evolving, and knowledge sharing across the primary care systems will support this development.

Introduction
Family physicians are seen as leaders of interventions aimed at strengthening the health service within their sphere of influence by working within clinical teams. Interviews with district managers highlighted the need for family physicians to develop their leadership qualities, build resilience and become change agents able to shape their context. The updated programmatic learning outcomes for the training of South African family physicians were published in 2021 and provided an opportunity for curriculum renewal at the University of Cape Town’s Division of Family Medicine. A review of the leadership and governance module in the third year of registrar training showed that the sessions were content-heavy with insufficient opportunities for reflection.
The module convenors plan to evaluate a revised module implemented in 2022 that aims to support registrars in their emerging understanding of their roles as leaders tasked with strengthening primary care teams and services.

Methods
The module convenors collaborated in the design and delivery of a revised module blueprinted on the updated national learning outcomes. The module is presented over a longer period and incorporates a group coaching style to increase self-awareness among registrars on how best to manage themselves and their teams. Through this process of co-designing and collaboration, we aim to provide a transformative learning experience centred on reflection on how the theory relates to practice, professional identity formation and building resilience.

Results
This presentation will share preliminary insights from the revised module in its developmental phase, to inform an ongoing iterative evaluation process.

Conclusion
Family physicians should add value through their leadership ability across all their roles. Efforts should focus on how best to create formal and informal learning opportunities aimed at facilitating their growth as leaders and helping them to meet the health needs of communities served by an evolving healthcare system.

1. Appreciate the need for leadership development in emerging clinical leaders in family medicine
2. Understand the different leadership development approaches
3. Gain fresh perspectives on the role of using a coaching approach in leadership development relevant to primary care

WhyGP is an RACGP Western Australia initiative that was established in 2021 by Dr Ramya Raman, then Co-Deputy Chair of RACGP WA.
The committee is made up of General practitioners in Perth and Albany ( rural), who liaise with hospitals to deliver General Practice education to junior doctors in the hospital setting.The programme is assisted by Lisa Francis, Membership, Marketing and Events Coordinator at RACGP WA.
AIMS:In Australia, fewer medical graduates are choosing our specialty than ever before. WhyGP began with the aims of identifying and ameliorating factors leading to poor uptake of General Practice as a specialty by integrating general practice teaching into the tertiary setting. It has become much more.
CONTENT:The innovative programme serves to increase general practice presence in hospitals and amongst junior doctors, thereby increasing positive perceptions of General Practice.
The programme builds on engagement with medical student bodies ( particularly those with an interest in General Practice), hospital General Practice Liaison Officers, Post Graduate Medical Educators and tertiary departments of General Practice.
General Practice based education content has been delivered and well received in several hospitals including rurally. Topics have included child and adolescent health, mental health, alcohol and drugs in adolescents and dermatology amongst many others. Delivery is in the form of presentations during sanctioned junior doctor teaching time, grand rounds, lectures, and interactive case studies, all delivering primary care based education content.
The programme extends beyond education and offers networking and mentoring with junior doctors. There are also opportunities to interact and engage with junior doctors and medical students at social events.
GOALS:Into the future we look to increase General Practice presence and awareness amongst medical graduates by continuing to deliver quality primary care based education, and encouraging and supporting junior doctors who are considering General Practice as a specialty.

1.Engagement with junior doctors in the hospital setting increases positive perceptions of General Practice.
2. General Practice education can be integrated into post graduate medical education in the hospital setting.
3. General Practice teaching forms an important part of post graduate medical education, regardless of future choice of specialty.