General and Family Medicine
Code
11145
Academic unit
Nova Medical School|Faculdade de Ciências Médicas
Department
SP
Credits
6
Teacher in charge
Profª Doutora Maria Isabel Santos
Teaching language
Portuguese
Objectives
Encourage students to adopt a systemic approach centered on the person;
- Give students the opportunity to collaborate in the provision of primary health
care to different populations in rural or urban environments;
- Familiarize students with the patterns of complaints and symptoms, and how health issues are presented in the context of community and resource to the family doctor;
- Train some skills, diagnosis and treatment, appropriate to the exercise of family and
medicine;
- Provide students experience in recognizing of the interrelationships between
somatic, psychological and social factors, and the influence of interactions between,
members of a family, in sickness and illness behavior;
- Help students choose a career.
Prerequisites
Subject matter
Of the 168 hours that correspond to 6 ECTS, students have 120 h of direct contact and 48 h of individual work. Around 30 hours per week will be organized by their tutors.
Practical teaching is designated Supervised Practice (SP) and it has 4 weeks. Most of the primary care practices involved in teaching are placed in the greater Lisbon area, but it is also possible to have clerkships in Alentejo and Coruche.
Bibliography
- McWhinney IR. A Textbook of Family Medicine. Third edition. New York: Oxford University Press; 2009.
- Nunes J. A comunicação em contexto clínico. Bayer Healthcare edition, March of 2007 http://www.fcm.unl.pt/departamentos/cligeral/docs/5ano/livro_comunicacao.pdf
- Ramos V. A consulta em 7 passos. APMCG Edition, March of 2009 www.apmcg.pt/index.php?section=publications&action=details&id=23
- WONCA. ICPC-2: International Classification of Primary Care. Lisboa: APMGF;2011 http://ww.acss.min-saude.pt/Portals/0/ICPC_Resumo.pdf e http://www.acss.min-saude.pt/Portals/0/apmcg_ICPC%20v%201.7.pdf
- Taylor RB (ED): Family Medicine: Principles and Practice. 6th Edition,New Tork, NY:
Springer -Verlag, 2002. Acess available on FCM-UNL website.
- Sackett D, Dtrauss Se, Richardson WS, Rosenberg W, Haynes RB. Evidence-based Medicine. Churchill Livingstone 2nd, 2000.
- Stephen J. McPhee, Maxine A. Papadakis, and Lawrence M. Tierney Jr., Eds.Current
Medical Diagnosis & Treatment 2011. The McGraw- Hill Companies, Inc. Free acess available on FCM-UNL website.
- Family Planning - A global handbook for providers, World Health Organization, Johns
Hopkins Bloomberg School of Public Health & United States Agency for International
Development, 2007 http://www.who.int/reproductive-health
Guidelines of the Directorate General of Health
- National Program of Child and Youth Health - DGS June 2013
- National Program of Vaccination - NOC nº 040/2011
- National Program for the fight against Tuberculosis OTDGS
- National Program for the control of Asthma OTDGS
- Reproductive Health and Family Planning - OTDGS nº9
- National Program for aged persons health CNDGS
- National Program of Diabetes control
- National Program for Palliative care
Internet sites to consult
- Directorate General of Health (Portugal) http://www.dgs.pt
- Canadian Task Force on Preventive Health Care http://canadiantaskforce.ca/
- Center for Disease Control and Prevention http://www.cdc.gov
- U.S. Preventive Services Task Force http://uspreventiveservicestaskforce.org/
- Cochrane Library http://www.cochrane.org/cochrane-reviews
- National Guideline Clearinghouse "... public resource for evidence based clinical practice guidelines" http://www.guideline.gov/index.asp
- Medline http://www.ncbi.nlm.nih.gov/pubmed/
- Bandolier http://www.medicine.ox.ac.uk/bandolier/
Teaching method
The teaching of the discipline begins on the 15th of September, 2014.
- The practical teaching is designated Oriented Exercise (OE), and lasts 4 weeks (140 hours) in continuity at Alentejo (Beja and, eventually, Évora), Lisbon area, Açores or Madeira.
- About 1 month before the initiation of the student work-study, through their Group Delegate (GD), they will receive a list of the HC and Tutors available (name and telephone contact of the Tutor or the Director of the Health Unit). Within one week, after registering their names (with telephone and email addresses), and the preferred location, the GD of each respective section or group will send by email, to the Coordinator of the work-study, a completed list.
- For the realization of the work-study in Beja and Coruche, students should present themselves at 10 am in their respective HC, being then received by the Director who will guide them to their lodgings and responsible Tutors. At Districts of Lisboa, Santarém (except Coruche), Setúbal e Açores e Madeira students should present at HC of work-study, when combined with the Tutor.
- Each student should complete an average of 25 hours per week at the Health Center, completing activities programmed by their tutor and Department. Work-study activities are performed in consultations at the Health Center, consultations at the urgence service (or similar), at homes, and visits and nursing homes or schools, at school health, at the treatment room, at vaccinations, at sessions of health education, and will consist of the observation, critical analysis and exercise of different tasks, by the student, counting with the supervision of the Tutor, other doctors and health care professionals. The work-study will train students to acquire autonomy in the various steps of diagnosis and treatment, leaving to the Tutor to evaluate the level of help necessary for the execution of the different tasks.
Evaluation method
- It is an indispensable condition, for the performance evaluation of UC, the fulfillment of 2/3 of the hours allocated to the work-study in the Health Center, being the weekly workload of 25 hours. Absences, even if justified, will not be counted for purposes of attendance.
- The assessment will have two components: formative and summative.
- The formative assessment will be completed daily, by the Tutor, and will be a function of the work done by the student in the different tasks that were committed to him and will have to finally correct the deficiencies presented, as well as note the more positive aspects of the work tasks assigned.
- The assessment of competence (AC), also taken by Tutor (record in Moodle), will have indications regarding the following criteria: attendance, demonstrated theoretical knowledge in practical activities, scientific and technical skills, doctor-patient relationship, compliance with agreed tasks, relationships work, etc.
- Summative assessment (final grade) result from the weighted average of the AC assigned by the Tutor and critical analysis of the Portfolio of Exercises (PTE) held at the end of OE, by the faculty members with the participation, when demeed necessary, of the Tutors.
- Documentary review of the PTE, according to pre-defined indicators, will result in a quantitative classification.
- For final classification purposes, it is obligatory that the student have a positive skills evaluation in every realized evaluation.
The final classification (FC) of the work-study will be obtained by the formula:
FC = (AC + 2 x PTE) / 3
AC = Assessment of Competence
PTE = Portfolio of Exercises.