Medical Specialties I

Code:

MIMD040106

Acronym:

ESPMED I

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 1S

Active?	Yes
Responsible unit:	Mestrado Integrado
Course/CS Responsible:	Integrated Master in Dental Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMD	65	Official Plan from the academic year 2020/2021	4	-	3	45	81
		NÃO INSCREVER - Plano exclusivo para uso administrativo	4	-	3	45	81

Teaching language

Portuguese

Objectives

Patient-centred healthcare involves a multidisciplinary approach with effective communication between the various stakeholders. Oral health is fundamental for the patient's global health and its involves the patient's biopsychosocial approach, with knowledge of other concomitants pathologies, risk assessment for dental procedures and main drug interactions that may occur in the scope of prescription by the dentist.
The UC of Medical Specialties I has the following general objectives:

- Acquisition of autonomy, self-learning skills and purposes of continuing education that ensure the preservation of personal attitude and professional competence adequate to the performance of medical practice throughout life;

- Acquisition of attitudes and attributes essential to the performance of the profession, realizing the definitive importance of the doctor-patient relationship;

- Provide clinical context to previously acquired content and provide students with the ability to act in the most common urgent clinical situations within the scope of their activity.

Learning outcomes and competences

In this Curricular Unit, students are expected to acquire the following skills:

- Autonomy and self-learning capacity and motivation for continuing education

- Appropriate posture and communication for the performance of the profession

- Recognition of the importance of the clinical record, functions and methodology

- Knowledge of basic principles and procedures for patient safety;

- Knowledge of the most common clinical manifestations of chronic pathologies such as heart failure, dysrhythmias, lung disease, liver disease, kidney disease and diabetes mellitus as well as their implications for oral health and the treatment of these patients

- Ability to diagnose and treat the main pathologies of the oropharynx

- Knowledge of when and how to take antibiotic prophylaxis

- Knowledge of the main pathologies of the maxillofacial forum

- Knowledge of the metabolism of the drugs most frequently used in the practice of dentistry, their toxicity, drug interactions and need for dose adjustment

- Ability to interpret auxiliary diagnostic tests necessary for the practice of dentistry

- Capacity to manage medical emergencies

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)

Anatomy and Physiology

Program

Theoretical classes

Biopsychosocial approach to the patient. Clinical interview. Communication. Collection of anamnesis.

Clinical registration: registration functions and methodology.

Clinical manifestations of heart failure

 Dysrhythmias and Syncope

Chronic lung disease: most common manifestations (Chronic bronchitis/emphysema and asthma)

Oral health and the relationship with heart and lung disease. Antibiotic prophylaxis: when and how to do it

Oropharyngeal Diseases

Maxillofacial Pathology

Diabetes mellitus

Chronic liver disease: clinical manifestations

Chronic kidney disease, nephrotoxicity and drug adjustment

Changes in hemostasis and management of the hypocoagulated patient

Polymedication and drug interactions


Theoretical-practical classes

Clinical interview – role playing

Physical examination: vital parameters (training station at the Biomedical Simulation Center)

Discussion of clinical cases of the topics: Syncope; Chest pain; Hypoglycemia; Asthma; Heart failure; 

Hypertensive crisis; Endocarditis; Valvulopathy; Alcoholism and aspiration pneumonia; NSAID abuse; 

Bleeding; Hypocoagulated patient management

Mandatory literature

Crispian Scully; Scully's Medical Problems in Dentistry, 7th Edition, 2014
Bates; Bates' Guide to Physical Examination and History Taking, 12th edition, 2016

Teaching methods and learning activities

Theoretical course: plenary classes with 50 minutes  of duration per week. Approach to the contents identified above

Theoretical-practical course: 2 hours/week, with discussion of clinical cases

Portfolio: 2 essays on topics relevant to professional practice

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Teste	50,00
Participação presencial	25,00
Trabalho escrito	25,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	36,00
Frequência das aulas	45,00
Total:	81,00

Eligibility for exams

To obtain attendance, it is necessary to attend at least 75% of the scheduled classes

Calculation formula of final grade

Final classification (0-20 scale):

Continuous Assessment - 25%

Portfolio - 25%

Final Exam - 50%

Special assessment (TE, DA, ...)

All special exams authorized for students with statute will be oral tests.

Classification improvement

The improvement of the classification of the final exam will be carried out in the written test that takes place in the following two seasons, as provided for in the UP regulations.