Psychiatry and Mental Health (clinical practice)

Code:

MI605

Acronym:

PSM

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	Yes
Responsible unit:	Departamento de Neurociências Clínicas e Saúde Mental
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	281	Mestrado Integrado em Medicina 2007	6	-	4	43	108
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	4	43	108

Teaching language

Portuguese

Objectives

To be in contact with the "real world" of clinical psychiatry, its demands, limitations and specific problems (doctor-patient relationship, family cooperation, dependency, chronicity, co-morbidity); To develop and deepen the psychiatric knowledge adquired in the discipline of Psychiatry and Mental Health (5th grade), emphasising the clinical perspective; To train in the application of that knowledge in real life situations, particularly in diagnosis formulation and in action plans preparation; To improve communication skills with patients and their families; To work with other health professionals in multidisciplinary teams.

Learning outcomes and competences

The results seem to us very positive, according to the assessment of students gathered together and the final results expressed in marks obtained.
These ratings were assigned taking into account the frequency and class participation and preparation of a clinical per week with the same discussion with the teacher responsible.

Working method

Presencial

Program

Activities: 1. Active participation in clinical activities in different sectors of psychiatric care supervised by a professor or a teaching assistant, including: inpatient unit, day hospital, outpatient clinic and emergency department; 2. Meetings for preparation, presentation of clinical work, oriented by a professor or a teaching assistant 3. Interviews with patients and their relatives and the writing of clinical records; 4. Department meetings: “journal-club”; 5. Thematic seminars (five per week); 6. Study visits: to a psychiatric hospital and to a primary care center with psychiatric outpatient clinic; 7. Other activities of the Department: group and occupational therapy sessions.
Areas of study: Anxiety and panic disorders; Somatization; Sleep disorders; Depression and other mood disorders; Eating disorders; Schizophrenia, including early diagnosis; Psychiatric disorders in old age; Psychiatric emergencies: crisis intervention, agitation, psychosis and attempted suicide.

Mandatory literature

Michael Gelder, Nancy Andreasen, Juan Lopez-Ibor e John Geddes; New Oxford Textbook of Psychiatry, Oxford Univ Press, 2012
B Sadock e V Sadock; Kaplan & Sadock’s Synopsis of Psychiatry, 10th Edition, Lippincott, Williams and Wilkins, 2010
vários; Classificação de Transtornos Mentais e de Comportamento da CID-10 e Diretrizes Diagnósticas e de Tratamento para Cuidados Primários, edições da Organização Mundial de Saúde, Ed. Artes Médicas, Porto Alegre, 1998
Vallejo-Ruiloba; Intoducción a la Psicopatología y a la Psiquiatría. 7ª Edição, Masson, 2011

Teaching methods and learning activities

35 hours of supervised clinical practice per week (1,5 UC/week) during 3 weeks in the Psychiatry and Mental Health Department in different sectors of clinical activity: inpatient unit, day hospital, outpatient clinic, liason psychiatry and emergency department.
Data concerning clinical activity and its assessment by the teaching assistant, are registed in the logbook.

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	20,00
Trabalho escrito	80,00
Total:	100,00

Eligibility for exams

Continuous assessment is performed. After being considered "able", for which more than two thirds of the total time of attendance is mandatory and the three required clinical cases registered in the form of clinical histories, disccussed with the teaching assitant, the student is classified in a 0 to 20 points scale. The following aspects are considered in the quantitative assessment: knowledge and attitudes (0 to 6 points), clinical performance (0 to 8 points) and commitment in learning (0 to 6 points).

Calculation formula of final grade

Distributed evaluation without oral exam.
Notes values ​​above 17 are assigned  oral examination

Examinations or Special Assignments

Three clinical cases must be studied and recorded in the form of a clinical history, including: Demography, mode and reasons for referral, history of presenting complaint, past psychiatric history, family psychiatric history, premorbid personality, mental state examination, physical and neurological examination, complementary tests, diagnostic formulation, menagement plans, prognoses.
The clinical cases will be discussed with the teaching assistant.

Classification improvement

The obtained grade can be improved by an oral exam.

Observations

BIBLIOGRAPHY
Shorter Oxford Textbook of Psychiatry, 5th Edition, Gelder, Mayou and Cowen, Oxford Univ Press, 2006. Kaplan & Sadock’s Synopsis of Psychiatry, 9th Edition, B Sadock and V Sadock, Lippincott, Williams and Wilkins, 2003. “Classificação de Transtornos Mentais e de Comportamento da CID-10” and “Diretrizes Diagnósticas e de Tratamento para Cuidados Primários”, Editions of the World Organization of Health, Ed. Artes Médicas, Porto Alegre, 1998. Intoducción a la Psicopatología y a la Psiquiatría, 6th Edition, Vallejo-Ruiloba, Masson, 2006.