Medical Propedeutics I

Code:

MI322

Acronym:

PM_I

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2018/2019 - 1S (of 10-09-2018 to 08-02-2019)

Active?	Yes
Responsible unit:	Department of Medicine
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	271	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	3	-	6	57	162

Modules

Code	Name
MI322_A	Medical Propaedeutics I_A
MI322_B	Medical Propaedeutics I_B

Teaching language

Portuguese

Objectives

Development of communications skills with the patient, provision of requirements for a clinical history and physical examination which will include the areas of the head and neck, of the thorax as well as of the upper and lower limbs.
Since the very begining of the discipline as well as along its whole duration a formal presentation and closed monitoring of the student integration into the rules and specificities of the wards ambience will assured.

Learning outcomes and competences

With the completion of this curricular unit the student should have acquired the hability to gather a clinical history dealing with the subjects which pertain to the pathologies of the respiratiry system, cardiovascular system, ophtalmology and ENT as well as part of the nervous system. The methodology to presente the data, to order them into a meaningfull narrative which will be understandable to the others, the adequate employement of the medical semantics and its correlation with general vocabular will be taught.
Proceedings to elicit and unveal incoeherences and gaps of the information deployed by the patient will be demonstrated.
The methodology of the physical examination dealing with the general look, the interpretation of the vital signs, techniques of palpation, percussion and auscultation of the thorax will be taught durang the practical sessions at the medical wards.
Also, knowledge about statistics learned during the previous two years of the medical course will be represented within the clinical context.

Working method

Presencial

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

As pre-requisite a great part of the knowledge provided by the disciplines of morpho-physiology, biochemistry and statistics are required in order to correctly proceed in searching symptoms and signs. The ability to interact with fellows, other health professionals, patients and their relatives and voluntary personnel was developed all along the student life and was further promoted by the disciplines of the first two years which specifically deal with this aspect.
As main co-requisites, knowledgr will be acquired thought the discplines biopathology, microbiology, immunology, genetics and pharmacology.

Program

week (W)1: General introduction. Communication with the patient and relatives. Layout of the hospital, presentation of a typical medical team, nurses, auxiliary personnel and voluntary people.
W2: Norms for clinical files, connecting rules with other departments encompassing the emergency department, internal referring, outpatient clinic and general practicioner.
W3: The collection and interpretation of vital signs and general look.
W4: Semiotics of ophtalmology, of ENT.
W5: Semiotics of the head and neck. Neurologic examination of the craneal nerves.
W6: Semiotics of the respiratory system. Presentation of the main techniques of ventilatory support used in outpatients.
W7: Semiotics of the cardiovascular system. Semiotics of occupational diseases involving the heart and lungs.
W8: Semiotics of the patient in the emergency room.
Revision of the cardio-respiratory semiotics.
W9: Hospital infections. Norms and safety rules.
W10: Auxiliary medical tests in use for heart diseases.
W11: Clinical cases dealing with matters presented along the syllabus.
W12: Semiotics of the febrile patient.
W13: Revision and presentation of clinical cases.
W14: Examination

Mandatory literature

Lynn S Bickley, Peter G szilagyi; Bate's Guide to Physical examination, 2013

Complementary Bibliography

Edward F Goljan; Rapid review Pathology, 2014
Richard IG Holt, Neil A Hanley; essential Endocrinology and diabetes, 2012
Salvatore Mangione; Physical Diagnosis Secrets, 2008
R Douglas Collins; Algorithmic Diagnosis of Symptoms and Signs, 2013

Teaching methods and learning activities

The teaching can be divided into five componentes. The first includes the twenty-two lectures with one hour duration each. The second includes six ninety minutes seminars. The third encompasses thirteen practical sessions at the wards of medicine with ninety minutes duration. The fourth includes training by recurring to simulation models of emergent situations and a brief presentation of the main early attitudes of correction of the abnormalities. The digiscope model will be employed in the development of skills in the heart and lung auscultation. The fifth includes the provision of texts to support the study as well as minitests by recurring to the moodle program of FMUP.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	5,00
Teste	65,00
Trabalho escrito	5,00
Trabalho laboratorial	25,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	65,00
Frequência das aulas	57,00
Trabalho escrito	22,00
Trabalho laboratorial	18,00
Total:	162,00

Eligibility for exams

Calculation formula of final grade

The global classification will be reached through the summ of the rating obtained at the practical sessions performance plus the mark obtained by the three clinical histories, all affected by a coefficient of 0.10, plus the mark obtained at the interviews with simulated patiemts and with digiscope model multiplied by a coefficient of 0.25 plus the mark obtained at the 60 multichoice questions test affected by a coefficient of 0.65.

Examinations or Special Assignments

nothing is programmed

Internship work/project

nothing is programmed

Special assessment (TE, DA, ...)

not applied

Classification improvement

It is not programmed