Medical Specialties I

Code:

MIMD040106

Acronym:

ESPMED I

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2023/2024 - 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	47	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

Oral health is fundamental for the overall health of each patient and, as in other medical areas, also in dentistry, a holistic approach to the patient is essential, considering his biopsychosocial condition, other pathologies that he presents, the usual medication and possible allergies, that allow choosing the most appropriate therapeutic approach for the individual.

The Curricular Unit of Medical Specialties I has the following general objectives for its students:

- The acquisition of postures and attributes essential to the performance of the profession and the establishment of an adequate doctor-patient relationship;

- Knowing how to stratify the patient into risk groups and choose, based on that risk, the most appropriate place and treatment, according to the data collected in the anamnesis;

- Knowing how to recognize the main symptoms and signs of the pathologies addressed and the implications for the practice of dentistry, namely the recognition of the need for further referral

- Knowing how to act in the most common urgent clinical situations in the field of dentistry.

Learning outcomes and competences

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

- To know how to collect and record the patients’ clinical history;

- To know how to stratify the patient into risk groups and choose the most appropriate therapy and treatment site for the clinical situation

- To be able to recognize and address the main medical emergencies in dentistry

- To Understand the relevance of the pathologies addressed and the implications in dentistry of existent systemic disease and its treatments;

- To be able to individualize treatment according to the patient's pathologies, their usual medication and possible allergies;

- To know  the most common clinical manifestations of chronic pathologies such as:
* heart failure, thoracic pain and syncope
* respiratory disease
* gastro-intestinal and liver disease
* kidney disease

- To know when and how to do antibiotic prophylaxis

- To recognize hemostasis alterations and management of hypocoagulated patients

- To be able to diagnose and approach the main pathologies of the oropharynx

- To know the main pathologies of the maxillofacial area

- To know the metabolism of the drugs most frequently used in the practice of dentistry, their toxicity, drug interactions and the need for dosage adjustment, particularly in the elderly and polymedicated patient

Working method

Presencial

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

Knowledge of human anatomy and physiology

Program

Theoretical classes

Class 1 – Introduction to the curricular unit. Doctor-patient relationship. Interview and clinical registration in dentistry.



Class 2 – Medical emergencies in dentistry – how to approach

Class 3 – The patient with heart failure

Class 4 – Syncope and Chest Pain



Class 5 – Oral health and relationship with heart and lung disease. Antibiotic prophylaxis: when and how to do it

Class 6 – Common manifestations of respiratory diseases

Class 7 – Chronic kidney disease, nephrotoxicity and drug adjustment



Class 8 – Gastrointestinal and liver disease: clinical manifestations and particularities in dentistry



Class 9 - Changes in hemostasis

Class 10 - Management of hypocoagulated patients



Class 11 – Polypharmacy and drug interactions

Class 12 – Diseases of the oropharynx

Class 13 – Maxillofacial pathology I

Class 14 - Maxillofacial pathology II



Theoretical-practical classes

1. Presentation of the course unit. Doctor-patient relationship. Interview and clinical registration in dentistry.

2. Vital signs and blood glucose assessment (training station at the Biomedical Simulation Center) 

3. Discussion of clinical cases of the topics covered in theoretical classes: 
* Emergencies in dentistry 
* Cardiac insufficiency 
* Syncope and chest pain 
* Endocarditis 
* Asthma and bronchospasm 
* Abuse of NSAIDs 
* Hypocoagulated patient and bleeding 
* Oropharyngeal diseases 
* Maxillofacial pathology

Mandatory literature

Crispian Scully; Scully's Medical Problems in Dentistry, 2014
Lynn S. Bickley; Bates' Guide to Physical Examination and History Taking, 2016. ISBN: 978-1469893419

Teaching methods and learning activities

Theoretical course: plenary theoretical classes lasting 50 minutes/week. Approach to the contents identified above
Theoretical-practical course: theoretical-practical classes (2h/week) with hands-on stations and discussion of clinical cases
Portfolio: 2 assignments on topics relevant to dentistry professional practice

Evaluation Type

Distributed evaluation with final exam

Assessment Components

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

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	45,00
Frequência das aulas	35,00
Trabalho escrito	20,00
Total:	100,00

Eligibility for exams

According to the General Regulation for Student Assessment of the University of Porto, a student is considered to have attended a course unit if, having been regularly enrolled, he or she does not exceed the limit number of absences corresponding to 25% of the scheduled classes, as per regulation existing in the organic unit.

Calculation formula of final grade

Final classification (scale 0-20)

- Continuous assessment (25% of the final assessment) – minimum grade 10 points



- Portfolio (25% of the final assessment) – minimum grade 10 points



- Final exam (50% of the final assessment): Multiple choice test – 60 questions for 90 minutes – minimum grade 9.5

Classification improvement

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