Medicine and Society
Code
11157
Academic unit
NOVA Medical School|Faculdade de Ciências Médicas
Department
SP
Credits
4
Teacher in charge
Prof. Doutor Diogo Pais
Teaching language
Portuguese
Objectives
The module of Ethics, Deontology and Medical Law of the curricular unit of Medicine and Society has as its prime goals to endow the medicine student with the essential knowledge on deontological standards of conduct of the Portuguese Medical Order, on the major problems of ethics applied to contemporary medicine and on the fundamental basis for the framework of the medical profession on the norms, regulations, and legal precepts involved in medical liability.
A Medicina Legal integra os Curricula das Faculdades de Medicina desde que se autonomizou como Disciplina Científica, em especial na Europa Continental.Forensic Medicine integrates the curricula of medical schools since gaining autonomy as a scientific discipline, particularly in Continental Europe. A natureza dos temas que aborda tem implicações no exercício profissional das diversas especialidades médicas e cirúrgicas. Its nature has implications in the practice of various medical and surgical specialties. É uma área do conhecimento com fronteiras mal definidas, e temas comuns, em relação à Ética e Deontologia Médicas, e ao Direito Médico. It is an area of knowledge with poorly defined borders, and common themes in relation to Ethics and Medical Ethics, Law and the Physician.
O conteúdo programático da UC enquadra-se nos elementos definidos pelo documento elaborado sob o patrocínio do Conselho da Europa por Allan Cumming e Michael Ross, intitulado The Tuning Project (Medicine).The syllabus complies with the document prepared under the auspices of the Council of Europe by Allan Cumming, and Michael Ross, titled The Tuning Project (Medicine). Learning outcomes / competencies for undergraduate medical education in Europe .Learning outcomes/competencies for undergraduate medical education in Europe. Relativamente ao nosso país, enquadra-se igualmente no perfil definido no documento elaborado pela Faculdade de Medicina de Lisboa, com a colaboração da Faculdade de Ciências Médicas, intitulado: O Licenciado Médico em Portugal. Projecto: competências nucleares do licenciado em medicina.With regard to
In this curricular unit of Medicine and Society it is intended to provide the IMM student by the
The module The Doctor, The Patient and The Society intends to introduce the student to the major questions related to the exercise of the medical profession nowadays and with the broader subject of the political and economic implications of health care provision systems.
Prerequisites
Subject matter
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Date |
Module I - Ethics, Deontology e Medical Law |
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18th September (14.30 15.20 pm) |
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18th September (15.30 16.20 pm) |
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25th September (15.30 16.20 pm) |
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25th September (16.30 17.20 pm) |
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2nd October (15.30 16.20 pm) |
Rights and Duties of Medical Doctors and Patients; Humanization/Dehumanization of Health Care |
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2nd October (16.30 17.20 pm) |
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2nd October (17.30 - 18.20 pm) |
Medical Confidentiality. Access to Medical Information |
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9th October (15.30 16.20 pm) |
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9th October (16.30 17.20 pm) |
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9th October (17.30 - 18.20 pm) |
Medical Emergency; Mass fatality incidents |
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16th October (15.30 16.20 pm) |
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16th October (16.30 17.20 pm) |
Relationship between Medical Doctors and Patient Relatives |
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16th October (17.30 - 18.20 pm) |
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23rd October (15.30 16.20 pm) |
Genic Therapy; Genetic Tests |
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23rd October (16.30 17.20 pm) |
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30th October (15.30 16.20 pm) |
Transplantation |
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30th October (16.30 17.20 pm) |
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6th November (15.30 16.20 pm) |
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Module II Introduction to Legal Medicine |
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6th November (16.30 17.20 pm) |
Introduction. Definitions. Structure and legislation of the legal-medical organization of the country. Post-Graduate Formation in Legal Medicine. The doctor as an Expert |
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13th November (15.30 16.20 pm) |
Concepts of Death. Classifications of Death. Cause and Mechanisms of Death. Death Diagnosis. Death Certification. Sudden Death. Neonatal Sudden Death |
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13th November (16.30 17.20 pm) |
General Semiology of Violent Death (Hanging, Manual Strangulation, Strangulation, Injury from Projectiles and Explosion, Drowning) |
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20th November (15.30 16.20 pm) |
Module III - Medical Professionalism in Contemporary Societies Professor Caldas de Almeida |
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20th November (16.30 17.20 pm) | |
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Module III The Doctor, the Patient and Society |
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27th November (15.30 16.20 pm) |
Introduction to health economics Professor Perelman |
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27th November (16.30 17.20 pm) | |
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27th November (17.30 - 18.20 pm) | |
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4th December (15.30 16.20 pm) |
Health Economics in Portugal Professor Perelman |
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4th December (16.30 17.20 pm) | |
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11th December (15.30 16.20 pm) |
Module II - Medical Expert Assessment and Damage Evaluation in Civil Court, Criminal Proceedings and Work Indemnities. Legal Rationale. Parameters for Evaluating Damages. Evaluation Methodology. |
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11th December (16.30 17.20 pm) |
Module II - The Social Role of the Doctor: aspects of medical expert assessment in such varied cases as disease certification (for the purpose of disability and sickness allowance), Driving license and sports fitness examinations. Illness Certification: Medical Certificate. |
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18th December (15.30 16.20 pm) |
Introduction to health care systems and policies Professor Caldas de Almeida |
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18th December (16.30 17.20 pm) |
Management and Organization of the health care systems in Portugal Professor Caldas de Almeida |
Bibliography
The bibliography that should be used at the module of Ethics, Deontology and Medical Law is very extensive. The recommended references are as follows:
· Ética, Deontologia e Direito Médico José António Esperança Pina. Lidel, Edições Técnicas Lda., 2013
· Legislação de Direito da Medicina Helena Moniz.
· TRREE (www.trree.org) Formação e Recursos na Avaliação de Ética em Pesquisa/Investigação
· O Erro em Medicina, Perspectivas do Indivíduo, da Organização e da Sociedade José Fragata, Luís Martins. Almedina, 2004
· Novos desafios à Bioética Luís Archer, Michel Renaud, Walter Osswald, Jorge Biscaia, W.Osswald (Coordenadores).
· Bioética Simples Walter Osswald, Maria do Céu Patrão Neves. Verbo, 2007
· Manual de Biodireito Helena Pereira de Melo. Almedina, 2008
· Ética em Cuidados de Saúde Daniel Serrão, Rui Nunes (Coordenadores).
· Principles of Biomedical Ethics Tom L. Beauchamp, James F. Childress.
· Da Genética à Bioética Luís Archer. Gráfica de Coimbra, 2006
· Nova Enciclopédia da Bioética Gilbert Hottois, Jean-Noël Missa. Instituto Piaget, 2003
· Código Deontológico. Ordem dos Médicos. Em vigor:
· Código Deontológico. Ordem dos Médicos (versão antiga revogada em 2008 com a aprovação do novo Código)
· Ordem dos Médicos Outros Estatutos e Regulamentos (Estatuto da Ordem dos Médicos; Estatuto Disciplinar dos Médicos; Regulamento de Conduta nas Relações entre Médicos; Regulamento Geral Sobre Publicidade, Divulgação e Expressão de Actividade Médica):
https://www.ordemdosmedicos.pt/?lop=conteudo&op=5f93f983524def3dca464469d2cf9f3e
· The World Medical Association (WMA) Ethics Unit numerosa documentação e hiperligações de grande interesse na área da Ética Médica (em Inglês):
http://www.wma.net/e/ethicsunit
Simpsons Forensic Medicine. Payne James et al. Hodder Arnold. 2011
Medicina Legal. França. Guanabara Koogan, 2011.
Medicina Legal e Toxicologia Forense. G. Calabuig. Salvat. 2002
Medecine Legale Clinique. Roche. Masson, 1985.
Recognition of Child Abuse and Neglect. Rose. Gower, 1985.
Ética, Deontologia e Direito Médico. Lidel, 2013
Código Deontológico da Ordem dos Médicos
Teaching method
According to international recommendations in the field of medical education, the curricula review of FCM contemplates the adequacy to the needs of society and the questions related with medical professionalism. The new curricular unit of Medicine and Society has as its main purpose the contribution to the teaching of these important dimensions of current medical training, offering the students the opportunity to develop the knowledge and the competencies which are fundamental to understand and to deal with the questions related with the relationship between medical practice and society, the exercise of medical profession, the ethical and legal implications of medicine, legal medicine, the relationship between medical doctor and other professionals, the political and economical aspects of current medicine and the relationship between medical doctor and the system of health care provision.
The curricular unit of Medicine and Society is formed by 3 modules: The medical doctor, the patient and the society, Ethics, Deontology and Medical Law and Introduction to Legal Medicine. The teaching/learning model will consist of lectures and case discussion sessions. The evaluation will take place with a written examination, having the class attendance a weight of 20% of the final grade.
Evaluation method
(20% assiduity + 10% 3 TRREE Certificates of Training + 70% written examination)
Considering that Clinical Research Ethics is an essential component of every physicians Ethical training, every students evaluation will include providing, until the day of the final written examination, the 3 certificates of training corresponding to finishing each of the modules 1 (Introduction to Research), 2.1 (Research Ethics Evaluation) and 3.1 (Informed Consent) and 3.2 (good clinical practice), of TRREEs e-learning website (
Students should send by email the 3 certificates PDF to the Course Director email Professor Diogo Pais (
The email should include the following information:
Student full name_-_student number-_-Tclass number
The assiduity will be valued, and will make up 20% of the final grade.
The regency of this curricular unit believes that attending classes contributes to achieve the educational objectives proposed. For that reason, the portion of the final grade that corresponds to the assiduity is proportional to the number of presences in class, therefore, there will be no default regime for the students that dont have minimal of attendance. Justified Absences will be appreciated individually.
The written examination will be composed of 3 separate parts:
1 - A set of questions regarding the module The Doctor, The Patient and The Society;
2 Analysis of a case similar to those discussed at the classes of the module of Ethics, Deontology and Medical Law, with the possibility of consultation of the authorized legislation. This case should be freely commented at the basis of the knowledge acquired at Ethics, Deontology and Medical Law.
3 An open question of quick response concerning the module of Introduction to legal Medicine, and a question that consists in a writing exercise of a medical certificate on a basis of a proposed scenario.
The written examination will make up 70% of the final grade (Module 1 50%, Module 2 15 (5% answer a quick question and 10% make a death certificate) and Module 3 35%
The examination will have the duration of 2 hours, nevertheless, any student may deliver his exam before time ends as long as he doesnt disturb his fellow students.
In regards to the authorized legislation for consultation at the final exam, it is allowed to use all the legislation given at the classes, as long as it is not unacceptably annotated.
Código Civil
Código do processo Civil
Código Penal
Código do Processo Penal
Constituição da Republica Portuguesa
Código Deontológico
Acórdão dos Tribunais
Leis e Decretos-Lei
Livro Legislação de Direito da Medicina da Dr.ª. Helena Moniz
It is allowed to use post-its to mark a given article in the codes, as well, as to underline.
What is not authorized (otherwise the exam may not be considered)
The material taken will be revised by an Assistant present at the amphitheater.