General and Family Medicine

Code:

MI443

Acronym:

MGF

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 1S (of 13-09-2021 to 13-02-2022)

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	125	Plano Oficial 2021	4	-	3	28	81

Teaching language

Portuguese

Objectives

The General and Family Medicine curricular unit aims to enable students to acquire knowledge about the fundamentals and basic competences of General and Family Medicine: the management and coordination of primary health care, community orientation, problem-solving skills, comprehensive approach, person-centred and holistic approach.

On the other hand, it is also intended that students acquired knowledge about the organization of the National Health Service, the history of Primary Health Care.

Finally, it is intended that the students know how, in the current practice of General and Family Medicine, is incorporated the practice of Evidence-Based Medicine and new information and communication technologies in the support of the decision of concrete clinical situations.

Learning outcomes and competences

At the end of the curricular unit, students should have knowledge and skills that enable them to initiate a medical practice person-centred and oriented to the individual, his family and community.

They must present competences of collection and registration of the clinical history according to the methodology of General and Family Medicine.

They should be able to prioritize existing health problems and make their clinical records consistent and rational.

They should be aware and know how to apply the steps of the General and Family Medicine consultation

They should be able to practice person-centred clinical communication with an integrated holistic view.

They should know how to apply Evidence-Based Medicine in the context of General and Family Medicine.

Working method

Presencial

Program

Primary Health Care. History and current organization of the National Health Service.

The decision in General and Family Medicine: evidence-based medicine and uncertainty management.

Consultation Steps in General and Family Medicine. Person-centred care.

Holistic approach. Approach to Adult Dyslipidemias. Clinical cases.

Management and coordination of care. Approach to Arterial Hypertension. Clinical cases.

Specific problem solving based on incidence and prevalence. Therapy of infections of the urinary tract (community).

Continuity of care: the person throughout life. Child and juvenile health. Adult health. Women's Health and Elderly Health

Cancer screenings. Clinical cases. Quaternary prevention: the limits of medical practice. Ethical aspects.

Choosing Wisely in General and Family Medicine and common errors of clinical practice to avoid. Clinical cases.

The impact of new technologies and BIG Data in the decision-making process in General and Family Medicine.

Definition of General and Family Medicine. The profile of the Family Doctor.

 

Mandatory literature

Thomas R. Freeman; McWhinney's Textbook of Family Medicine, Oxford University Press, 2016. ISBN: 0199370680
WONCA EUROPE; THE EUROPEAN DEFINITION OF GENERAL PRACTICE / FAMILY MEDICINE, 2011
Carlos Martins, Maciek Godycki-Cwirko, Bruno Heleno, John Brodersen; Quaternary prevention: reviewing the concept, European Journal of General Practicie, 2018
Luísa Sá, Orquídea Ribeiro, Luís Filipe Azevedo, Luciana Couto, Altamiro Costa-Pereira, Alberto Hespanhol, Paulo Santos, Carlos Martins; Patients' estimations of the importance of preventive health services: a nationwide, population-based cross-sectional study in Portugal, BMJ OPEN, 2016. ISBN: http://dx.doi.org/10.1136/bmjopen-2016-011755
Martins C, Azevedo LF, Santos C, Sá L, Sá L, Santos P, Couto M, Pereira A, Hespanhol A; Preventive health services implemented by family physicians in Portugal-a cross-sectional study based on two clinical scenarios, BMJ Open. 2014 May 26;4(5):e005162. Doi:10.1136 , 2014
Santos P, Pessanha P, Viana M, Campelo M, Nunes J, Hespanhol A, Couto L.; Accuracy ogf general practitioner’ readings of ECG in primary care, Cent Eur J Med. 2014, ; 9(3) : 431- 6 . DOI: 10.2478/s11536-013-0288-9, 2014
Neves AL, Couto L ; Cardiovascular risk in overweight/obese and lean hypertensive patients, Rev Port Cardiol. 2014 May 12. pii: S0870-2551(14)00082-1. doi: 10.1016/j.repc.2013.10.016., 2014
Direção Geral da Saúde; Plano Nacional de Saúde 2012 – 2016, 2012

Comments from the literature

Versão EN

Teaching methods and learning activities

The teaching activity will be distributed through seminars, aimed at a structured deepening of knowledge, complemented by moments of theoretical-practical teaching in which students will be invited to analyze pedagogical clinical cases in role-playing sessions, simulated patients or clinical histories prepared for discussion.

In the different approaches, students should be able to describe the patient's clinical history, drawing up a list of active and inactive health problems, ranked by relative importance taking into account the whole of the person, and structuring a preventive and therapeutic plan.

To obtain approval in this course unit the student must comply with a minimum of 75% of attendance and have a grade higher or equal to 10 values in each of the 3 assessment components:

1.Continuous evaluation taking into account participation in school activities and demonstration of the acquisition of competencies (10% of the final classification).

2.Practical evaluation of the capacity of knowledge integration based on the construction and structuring of a clinical history according to the methodology of General and Family Medicine, including the list of problems and the therapeutic plan of the user (20% of the final classification).

3.Theoretical evaluation of knowledge, through written multiple choice test (70% of the final classification).

The final classification will be obtained by the weighted average of the 3 assessment components and translated into a numerical scale of 0-20 values.

 

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	70,00
Participação presencial	10,00
Trabalho prático ou de projeto	20,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	41,00
Frequência das aulas	28,00
Elaboração de relatório/dissertação/tese	12,00
Total:	81,00

Eligibility for exams

To obtain approval in this course unit the student must comply with a minimum of 75% of attendance and have a grade higher or equal to 10 values in each of the 3 assessment components.

Calculation formula of final grade

The final classification of the curricular unit, translated in a numerical scale of 0-20 values, is given by the weighted average of the evaluation components:

1. Continuous assessment taking into account the participation in school activities and the demonstration of the acquisition of competencies (10% of the final classification, the responsibility of the teacher responsible for the class).
2. Practical assessment of the ability to integrate knowledge based on the construction and structuring of a clinical history according to the General and Family Medicine methodology, including the list of problems and the therapeutic plan of the user (20% of the final classification).
3. Theoretical knowledge assessment through multiple-choice written test (70% of the final classification).

The final test (60 minutes) consists of a total of 50 questions with 4 topics, each one being either true or false, corresponding to a total of 200 points. Each topic will be classified with 1 point that will count positive, if correctly marked, or negative if it is wrong.

Special assessment (TE, DA, ...)

Assessment of student workers:

- Theoretical Exam (70%)

- Practical Assessment (20%) - take a clinical history according to the stipulated model and in accordance with what is taught in practical classes and included in their supporting documentation in SIGARRA

- Continuous Assessment (10%) - as a student worker you can write a monograph with a maximum of 2500 words on one of the following three topics:

1. a) Definition of General Medicine
2. b) Primary Health Care Reform in Portugal
3. c) Shared Decision Making in the context of General and Family Medicine

Classification improvement

To improve the classification in this curricular unit the student will have to repeat the theoretical evaluation test and the practical evaluation, maintaining the evaluation related to the continuous evaluation.