American University of Beirut Medical Center
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Department of Family Medicine
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FAQ

What does a family physician (FP) do?
A well-trained family physician is able to deal with eighty percent of health problems that affect the human being, whether the person is a child, adult, male or female.

How do family and general medicine differ?
General practitioners start practicing after obtaining their medical degree. FP's, receive four years of structured training after their medical degree. Family medicine is recognized as a specialty by the Lebanese government. This recognition permits FP's to receive higher remuneration for their services by the National Health Service in Lebanon and better salaries.

What are the job opportunities for an FP?
There is a high need for FP's in the Arab countries; for example, lately one Arab country had an opening for 50 FP's. In Lebanon, a demand for FP's by insurance companies and non-governmental organizations has been recently noted. The main drive behind these recruitments is cost-effectiveness.

What are the problems that face FP's?
FP's in a fee-for-service system are not properly recognized by other specialists. The big supply of physicians is leading to unhealthy competition. Several parties are taking advantage of this situation and do not pay physicians, in general, and FP's, in particular, a decent wage.

Is family medicine an easy specialty?
Family medicine is a hard specialty. An FP needs to be well acquainted with hundreds of medications and medical conditions. This requires hard work and long hours of continuous medical education.

 What should I do if an emergency happens to me at home?
  • Call 01350000 ext: 8989
  • Page the on call doctor
  • You will be called back to instruct you for further care

What should I do if an emergency happens to me on campus or in classroom?
  • Patient CAN move, go to ED
  • Patient CAN'T move, call 7777, AUBMC ED nurse will guide you. An ambulance will be sent.
Appointments
I have been calling many times but I cannot get an appointment.
  • We strongly recommend that people make appointments 3-4 days in advance to guarantee a slot
  • Try frequently calling UHS scheduler extensions : 3000

Explanation: Great efforts have been made to accommodate patients for appointments. The number of doctors available at UHS has doubled since 1994. We still see more than 50% of our patients every day without appointments and until we have an adequate number of doctors this problem may continue. Our head nurse also screens visitors to see if they need immediate care or can wait for a later appointment.


I have an ear pain and I would like to see an ENT doctor, how to proceed?
  • Get yourself examined by a UHS doctor
  • Accordingly, the UHS doctor will either handle the problem himself/herself or refer you to a specialist

Explanation: According to HIP regulations the Specialist doctor will not be reimbursed for any visit you may make on your own without a referral. If you have an ear pain or any kind of pain or problem, Should you decide to refer yourself on your own to another doctor, you will have to pay the fees incurred by that referral, as clearly stipulated by HIP regulation book.


Does the Infirmary cover health check ups for prevention?
  • Yes, your doctor should provide you with an annual check up as needed based on the recommendation for health promotion and disease prevention.
  • Let's hope in the future that Infirmary doctor will call you to come and receive such check up including the entire necessary laboratory tests.

What should I do if after seeing a UHS doctor I am not convinced of his/ her treatment? How to get a SECOND opinion?
  • Be open and tell the doctor that you do not understand or agree with his/her treatment & management and that you would like to have a second opinion.
  • From here on it will depend on the kind of relationship you have with the UHS doctor.
  • He/She may agree to go ahead and give you the chance to have a second opinion outside UHS or may ask you to see another doctor at UHS.
  • In the rare occasion where you disagree with the opinion of two UHS doctors you may ask the UHS Director to address your case.

I have been assigned a family physician, what should I do if the doctor is not available?
Your assigned family doctor will be able to respond better to your needs and the need of your family.
But in case you need to see a doctor urgently and your family doctor is not available at UHS, you may see any other doctor available at the time needed.

I want to do some Lab tests and check my Cholesterol. Can I go ahead and do as I want?
According to HIP, only Lab tests that are requested by physicians will be covered. Other Lab tests will be charged to the patients; requesting Lab cholesterol on your own would not be reimbursed

Explanation: You will have to see a doctor who would order this Lab test as indicated by medical recommendations not because of your interest or need to know or curiosity. Medical indications for lab tests are standardized and are listed and all our doctors are trained at executing them.
Sick Leaves
How do I get my sick leave authorized by UHS doctors?
  • Sick leaves have to be signed by yours supervisor (make sure to write your ID # and department on it)
  • Then, referred to UHS administrative doctor for medical evaluation. This is usually done without seeing the patient.
  • The outside doctor's report is critically reviewed
  • Students are given medical report that they might use it to justify missing classes or exams.

If the UHS administrative doctor reviewing the sick leave thinks that there should be further evaluation it is referred to one or two other doctors and the patient may be interviewed and the doctor originating sick leave may be contacted. Back to top
 

Referrals and Sick leaves
How much does the referral cost?
When someone requests a referral he is visiting UHS (University Health Services) and the fee for a UHS visit is 3,000 LBP. Additional copayment is assigned by HIP

Should the referral be taken before the appointment with the specialist?
You have to guarantee the referral before taking any appointments with the specialist

After submitting a request for referral, how long does it take to be issued?
Around 48 hours (2 working days)

Can a patient directly go to a specialist?
The patient has to come see a doctor at the infirmary, then after evaluation, the doctor will judge whether the patient needs to see a specialist or not.

What does the referral cover?
The referral covers all lab tests, x-rays and prescriptions that are given by the specialist for a period of three months

How many visits does a referral cover?
The referral covers 1 visit, however there are some cases where the patient may need to request more than one visit, in such cases the Doctor has to judge.

Do I need a referral upon the first visit after the operation?
No referral is needed for a period of 6 weeks after the operation

I have a chronic problem with seizure disorder that requires special medication and frequent follow ups .Can I get referrals for 3 monthly visits without seeing the UHS doctor?
  • Make arrangements with your personal doctor at UHS to have your name listed on the automatic quarterly referrals to the specific doctors mentioned.
  • Your case is to be reviewed by your personal doctor and the UHS administration and then your name would be listed with the Triage nurse and you would be able to obtain the necessary referral by calling either the triage nurse, usually in the afternoon, or your own family doctor.
  • Make an effort to call 4 or 5 days in advance this will make your papers ready on time when needed.

I am used to going to doctor X for my GYN exam. Can I go to the specialist directly without seeing the UHS doctor first?
You need to visit your UHS doctor and upon his/her decision that it is not in his/her expertise he/she will refer you as needed

Explanation: The HIP plan restricts access to specialists that are not on contract with the University. This restriction is channeled through UHS. Like any Insurance Plan it has certain advantages and disadvantages. Limitation of direct access to any doctor of one's own choice is one of the restrictions of the HIP. You can always go to any doctor of your choice but would have to pay the incurred fees. In return, the HIP ensures that the UHS doctors can provide the services that are needed. HIP will reimburse only for those cases where the UHS doctors are not able to provide service. The decision on whether these doctors can or can not provide a service is left to those doctors and their supervisors, so in case of a Gynecological problem.
Chronic Prescriptions
I have a chronic prescription to renew on a monthly basis; what should I do?
When your personal doctor prescribe you a chronic prescription to be taken on a monthly basis, you have to inform the concerned nurse at UHS
  • Repeated NSSF prescriptions are automatically generated every month.
  • Please visit us in person and discuss this with the nurse in charge.

Explanation: These prescriptions are reviewed periodically by your personal doctors who will need to see you and check your medications periodically. If a doctor modifies your chronic medications, please bring a copy of the new prescription to the concerned nurse at UHS to update your computer file.
 

General
What should I do if I think the doctor did not perform the needed investigation at an interview, such as not doing a physical examination or prescribing a medication without physical examination?
In such situation you should report:
  • The doctor, the date and the event that happened;
  • Address it in writing to the UHS Director so that disciplinary action can be taken if warranted.

Department of Family Medicine American University of Beirut Medical Center