General and Family Medicine (Clinical Practice)
Code
11145
Academic unit
Nova Medical School | Faculdade de Ciências Médicas
Department
TRA - Population Health
Credits
6
Teacher in charge
Prof.ª Doutora Maria Isabel Santos
Teaching language
Portuguese
Objectives
Learning outcomes of the curricular unit:
To practice a person-centered approach
To integrate psychosocial, cultural, and familial findings in the patient´s management plan
To perform a person-centered history and an adequate clinical examination
To communicate effectively with patients
To identify and to manage the most common health problems in the community
To use a probabilistic reasoning in the diagnosis
To use the time as a diagnostic resource
To perform an objective and direct health examination
To be familiar with the indications to order the diagnostic tests most frequently used and know how to interpret them
To coordinate healthcare
To identify health resources available in the community setting
To coordinate care provided by different healthcare workers
To perform therapeutic decisions that take into account the limitations of clinical data and a cost/benefit analysis
To prescribe appropriately the most commonly used drugs
To identify the health risks factors in certain patients and families and to perform the adequate preventive health measures
To use scientific evidence in primary, secondary, tertiary and quaternary prevention
To demonstrate medical professionalism
Prerequisites
Subject matter
The syllabus or the content of this Curricular Unit is defined by the its learning goals. Therefore, during the four weeks of Supervised Practice, students will practice:
The doctor patient relationship
Medical professionalism
Anamnesis
Physical examination
Using time as a diagnostic resource
Probabilistic reasoning
Prioritizing health problems
Planning patient care
Coordinating patient care
Bibliography
Books
- Freeman TR. McWhinney's Textbook of Family Medicine. 4.ª Edição. Nova Iorque. Oxford University Press. 2016. Ler o primeiro capítulo The Basic Principles. Exemplares em papel na biblioteca
- Murtagh J, Ramos V. A consulta em 7 passos. Edição da APMCG, Março de 2009 http://www.apmgf.pt/ficheiros /A%20Consulta%207%20passos.pdf
- 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
- Rosenblatt J. Murtaghs General Practice. 6.ª Edição. North Ryde. McGraw-Hill Education. 2015.
-
webmails:
- UpToDate, Post TW (Ed), UpToDate, Waltham, MA.
- Dynamed (http://www.arslvt.min-saude.pt/pages/429)
- Direcção-Geral da Saúde http://www.dgs.pt
- Canadian Task Force on Preventive Health Care http://canadiantaskforce.ca/
- U.S. Preventive Services Task Force http://uspreventiveservicestaskforce.org/
- Cochrane Library http://www.cochrane.org/cochrane-reviews
- NICE guidance (www.nice.org.uk/guidance/)
Teaching method
It will be a supervised clerkship. In other words, this is a learning by doing methodology: clinical work with patients and healthy people who come to primary healthcare centers. Students have to master spoken and written Portuguese in order to communicate with patients and with other health professionals (nurses, doctors, ancillary staff). Students will need to document what they have learned, recording their clinical experience throughout the clerkship. These records will allow for self-assessment and they will support assessment by the teaching staff.
There will be a daily dialogue between the student and the tutor: discussing patient cases, questions that may arise during patient observation, tutorials and feedback. Students will collect evidence of their learning experiences and write a pre-formatted portfolio called DEO (from the Portuguese acronym of Diário de Exercício Orientado Supervised Practice Porfolio). During the clerkship, students will participate in the different types of consultation and in other activities, and they are being continuously assessed by their tutors regarding their professional attitudes and performance.
Evaluation method
Assessment has two components: continuous assessment during the clerkship done by the tutor and a final assessment with discussion of the portfolio, done by two teachers. Each student should download the attendance record sheet and the skills assessment sheet, which are available in the Moodle platform. Students must be present in at least 2/3 of the days assigned to the clerkship and there is no supplementary system for students who are unable to attend this minimum. The student must deliver the attendance record sheet , the procedure checklist and the skills assessment sheet (AC) at the administrative office of the curricular unit at the day of the final assessment interview.
Sending these documents is mandatory, and the final assessment interview (EF) will only be performed if attendance and these documents are received. The interview takes the form of an oral examination and is designed to confirm not only that the learning objectives were achieved but also how students see and understand what they did. As the final examination takes the form of an oral examination, students may not appeal for revision of the classification in this exam. The Final Marking (CF) is obtained through application of this formula: CF=(AC+2xEF)/ 3
Courses
