Mental Health (Clinical Practice)
Code
11147
Academic unit
Nova Medical Schoo l |Faculdade de Ciências Médicas
Department
TRA - Population Health
Credits
6
Teacher in charge
Prof. Doutor Miguel Talina
Teaching language
Portuguese
Objectives
The learning objectives have been addressed in the document "Graduate Outcomes of Portuguese Undergraduate Medical Education". Regarding attitudes, students are expected to internalize a set of provisions relating to medical practice, as well as to the inter-personal relationship with patients and families. With regard to knowledge and skills, students are expected to integrate in their clinical thinking a sound biopsychosocial perspective, encompassing not only the different psychiatric disorders, but also the psychological aspects of somatic diseases, as well the recent data from basic science with impact in the development of therapeutic interventions.
Thus, the following learning objectives have been set:
To identify symptoms of psychiatric disorder and differentiate them from normal psychological functioning.
To identify pathological elements in personality, behaviour and interpersonal relationships.
To place the patient in their social, work and family context.
To evaluate the functional capacity of patients.
To identify individual and social risk situations.
To collect, record and prepare the information in order to obtain a comprehensive diagnosis.
To learn the referral procedures of individuals with mental health problems.
Prerequisites
Subject matter
The Mental Health clerk focuses on two main dimensions: (i) Clinical activity in the areas of adult and child psychiatry and (ii) group seminars. The contents are described in the "Graduate Outcomes of Portuguese Undergraduate Medical Education" document. The seminars include the following topics (language: Portuguese):
Mental State Examination
Structured diagnostic interview
Approach to the patient with psychomotor agitation
Approach to the suicidal patient attempt
Assessment of cognitive functions
Stigma issues in mental health
Bibliography
· Shorter Oxford Textbook of Psychiatry, 6th Edition. Londres, Oxford Medical Publications
http://oxfordmedicine.com/view/10.1093/med/9780199605613.001.0001/med-9780199605613
· Instrumentos de avaliação psiquiátrica / Research tools : MINI, MMSE
· Documento Graduate Outcomes of Portuguese Undergraduate Medical Education
Teaching method
The Mental Health clerkship has duration of 4 weeks, on a full-time basis, and includes (i) a module of theoretical seminars (first 2 days), (ii) a module for clinical practice, in which students can rotate through hospitalization valences, outpatient clinics, day hospital, child psychiatry, liaison psychiatry, rehabilitation and emergency room.
Teaching methods includes:
A. Group seminars (just during the first 2 days), by means of:
· Case presentation and discussion
· Problem solving
· Videos
· Role playing
· Presentation of selected themes (eg, stigma)
B. Tutored clinical practice (learning by doing)
Evaluation method
Evaluation: Continuous assessment (includes: punctuality, motivation, participation in clinical activities, level of knowledge, level of skills, history taking, research activities, etc) plus the preparation and discussion of a final report (description of the working period, critical appraisal) in the last day of the clerk.