Preventive Medicine

Code:

MI225

Acronym:

MP

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2017/2018 - 1S

Active?	Yes
Responsible unit:	Department of Community Medicine, Information and Health Decision Sciences
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	289	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	2	-	3	26	81

Teaching language

Suitable for English-speaking students

Objectives

Develop a modern concept of health and of its effectors of biological, psychological, social and ecological nature;

To develop an attitude of health promotion;

To acquire an attitude promoting health;

 To identify the differences of between Healing and Preventive Medicine;

To discribe the organization of the health system as well as the organization of medical and paramedical professions in Portugal, recognizing their action in promoting health;

To identify and to analyze the main problems of health in Portugal in the context of the health promotion;

To understand the attitudes of health protection, and the disease prevention and their complications;

To understand the advantages and the risks of Preventive Medicine; To interpret and apply scientific evidence in the context of Preventive Medicine; Acquire communication skills in the context of Preventive Medicine; Learn to apply the model of shared medical decision in the context of Preventive Medicine;

To identify the way certain lifestyles can constitute risk factors and can compete as causal factors for some diseases;

To perform the capacity to perform education for health promotion.

Learning outcomes and competences

At the end of the curricular unit of Preventive Medicine students should have knowledge and skills that enable them to: a) seizure and develop a modern concept of health and its determinants of biological, psychological, social and ecological b) Acquire and develop an attitude of promoting health, c) impound the differences in attitudes of Curative and Preventive Medicine; d ) Know the organization of health and medical and paramedical professions in Portugal and recognize their action on health promotion, e) Acquire the ability to locate and analyze the major health problems in Portugal in the context of health promotion f) Understanding attitudes of health protection, education for health and prevention of disease and its complications and recovery disabled; g) Knowing how the lifestyles may constitute risk factors and causative factors may compete as a number of diseases; h) To acquire the ability to make Education for Health.

Working method

Presencial

Program

Curricular plan (subjects to discuss):

Health and Promotion. Disease Prevention, Education for Health, and Health Protection. Theoretical models. The Health of the Portuguese.

Education for Health. Concepts and objectives. Health beliefs model. The Health Education for arterial hypertension. How to prepare a Health Education Action. Sessions and Programs for Health Education.

Organization of health care. Professional Profile in Primary Care. Dynamics of Primary Care. The organization of the Portuguese National Health System.

Prevention levels: primary prevention of quaternary prevention. Ethical issues related to Preventive Medicine. Overdiagnosis. Risk factors and causative factors. Interpretation of scientific evidence. Shared medical decision. Communication skills applied to Preventive Medicine.

Primordial prevention. Food and exercise. Mediterranean diet. Portuguese population food education. Maintaining an appropriate weight. National Plan to Combat Obesity. The Exercise in primary prevention, and rehabilitation.

Motivational interviewing as a tool for behavior change: smoking, alcoholism and other drug addictions.

Smoking. Anti-smoking campaigns. Smoking prevention.

The stress. Theoretical models. Causes and response constraints, symptoms or diseases related to "stress" and prevention measures.

The Family as a factor of influencing and modulating the health. Psychological and behavioral ways. Familiar "Stress", inadequate social or family support, family mesh. Communicable Disease Prevention through immunization. Vaccines and serums. Notifiable diseases. Incubation periods and school avoidance. National Vaccination Plan and extra-vaccines. Traveler prevention; Antimicrobial chemoprophylaxis.

Prevention of respiratory diseases.

Mandatory literature

Martins, C.,Azevedo, L.F., Ribeiro, O., Sá, L., Santos, P., Couto, L., Costa Pereira, A., Hespanhol, AP.; A population-based nationwide Cross-Sectional Study on Preventive health Services Utilization in Portugal - What services (and frequencies) are deemed necessary by patients?, PLOS ONE, 2014
Santos, P.; Prevenção das Doenças Sexualmente Transmissiveis, Patient Care - Edição Portuguesa, 2013
Santos, P.; Prevenção de Acidentes com idosos, Patient Care. Março. pp-38-43, 2010
Brotons, C., Bulc, M., Sammut, MR., Sheehan, M., Martins, C., Bjorkelund, C., et al.; Attitudes towards preventive services and lifestyle: the views of primary care patients in Europe. The Europreview patient study., Fam Pract. Abr; 29 Suppl.1, pp.168-176, 2012
Daniel M. and Laurence B. Gardner; Prevention in clinical practice, Plenum Medical Book, 1998. ISBN: 0-306-42624-2
Robert Silcock Downie, Carol Fyfe And Andrew Tannahill; Health Promotion: models and values, Oxford University Press, 1990. ISBN: 0-19-261739-7
John M. LASt and Robert B. Wallace; Public Health & preventive medicine, Prentice-Hall, 1992. ISBN: 0-8385-618-9
Jennifer S. Bright; Health promotion in clinical practice: targeting the health of the nation, Baillière Tindall, 1997. ISBN: 1873853416
John M. Last; Public health and human ecology, Appleton & Lange, 1987. ISBN: 0838580459
R.C. Wender, J.E. Nevin; Preventive medicine, Primary Care:Clinics in office practice, 2002
Hespanhol, A.; Couto, L.; Martins, C.; A ética em Medicina Geral e Familiar: a medicina preventiva, Revista Portuguesa de Clínica Geral;24:49-6, 2008
Geoffrey Rose; The strategy of preventive medicine, Oxford University Press, 1992. ISBN: 0192621254
Hespanhol, A.; Couto, L.; Martins, C.; Viana, M.; Educação para a Saúde e Prevenção na Consulta de Medicina Geral e Familiar (I), Revista Portuguesa de Clínica Geral;25: 236-41, 2009
Hespanhol, A.; Couto, L.; Martins, C.; Viana, M.; Educação para a Saúde e Prevenção na Consulta de Medicina Geral e Familiar (II), Revista Portuguesa de Clínica Geral;25: 242-52, 2009
Muir Gray; Godfrey Fowler; Preventive medicine in general practice, Oxford University Press, 1983. ISBN: 0-19-261299-9
Steven H. Wolf; Steven Jonas;Evonne Kaplan-Liss; Health promotion and disease prevention in clinical practice, wolters Kluer/Lippincott Williams & Wilkins, 1996. ISBN: 9780781775991

Teaching methods and learning activities

Contact hours: A weekly Lecture of 1 hour, of the Regent's responsibility, integrating, whenever possible, the experience of the S. João Health Center and Camélias Health Center. A weekly Practical Session of 1 hour and 30 minutes, of the responsibility of the Assistants, that will be interactive, with debate and discussion with the other students, under the Assistant's supervision. Until the Christmas Holidays each class has to complete a Program of Health Education about a Life Style for a certain population of Health Center, monitoring its different phases of execution: diagnosis of the situation, intervention and assessment. The final report of this Program should be presented in May at the “Meeting of the Precocious Contact”, where the students who have opted for the Program of the Precocious Contact with the Patient should present the characterisation of the relatives that live together with the patient and their housing conditions.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	70,00
Participação presencial	20,00
Trabalho escrito	10,00
Total:	100,00

Eligibility for exams

The frequency is achieved with the presence in more than 2/3 of the practical classes. For students who are beneficiaries of the Worker-Student Status, the frequency of the curricular unit is realized through the participation in a group work, and the achievement of an individual work, agreed with the teaching group, valuing the knowledge, attitudes and skills required in the end of curricular unit.

Calculation formula of final grade

The students who have obtained frequency, will have the following final evaluation (in a scale 0-20): 20% of the Continuous evaluation of attitudes and skills during practical classes;  70% Assessment of knowledge, in June / July, through a written test consisting of 50 multiple choice questions with 5 cases (4 points each); 10% of Final Report Evaluation of the "Program education for health"  

Classification improvement

Students may appeal to improve their classification by performing the knowledge assessment test, maintaining the classification of continuous assessment of attitudes and aptitudes during the theoretical-practical classes, as well as the classification attributed to the final report of the "Health Education Program - Intervention in the Community ".
To improve these evaluation parameters, students have to repeat the whole course.