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PhD in Clinical and Health Services Research

General information

Official Code: 5177
Acronym: PDICSS
Description:

 

 

Certificates

  • Clinical and Health Services Research (180 ECTS credits)
  • Curso de Doutoramento em Investigação Clínica e em Serviços de Saúde (60 ECTS credits)

Courses Units

Biostatistics I

PDICSS13_2 - ECTS This unit aims to empower the students with theoretical foundations and practical approach to basic statistical methods used in clinical research, assessment of technologies and health service research. After this course unit the students should be able to: identify the correct statistical methodology for data analysis; apply these methods using statistical software; interpret the results of the statistical methods

Scientific Communication and Publishing

PDICSS013_5 - ECTS

Explain the fundamentals of scientific communication and publication;

Describe the main formats of communication, scientific publication in health;

Caracterize the scientific paper

Describe the peer-review process;

Explain the contribution of the peer review process as a guarantee of the quality of scientific research;

Wright scientific articles, abstracts, oral communications, posters and research protocols;

Describe the main criteria for structuring and wrighting a master thesis and a PhD thesis;

Present oral communications;

Perform slides and posters.

Ethics and Law

PDICSS013_4 - ECTS

Know the fundamental principals of ethics in clinical and health services research.

Debate the fundamental  ethicall issues health research

Submitt protocolls to Ethical committees

Debate the connection between Ethics and helthcare costs

Analyse the fundamental issues in biolaw;

Satisfye the legal and ethical requirements to thwe development of a a health research proect

Evidence and Decision Making

PDICSS013_3 - ECTS -

Health Research Informatics

PDICSS013_6 - ECTS

Describe the concepts of data, information and knowledge;

Characterize the main data support systems, and the main interfaces for data collection;

Use the main databases, database management systems, interfaces to query and data summary, the Internet and Web technologies and key emerging technologies in the planning and implementations of research in health;

Characterize the departmental and hospital information systems;

Use electronic medical records, coding and classification systems and support systems for clinical decision  in the planning and implementations  of health research;

Describe the main standards of communication in Medical Informatics.

Methods in Health Research

PDICSS13_1 - ECTS

The Health Research aims to respond to issues in clinical medicine and health of populations, contributing to the knowledge and decision making. The issues addressed in this area concern the study of diagnosis, treatment, prognosis, etiology and prevention of the disease and to study the frequency of phenomena and associated entities.

Understanding the fundamentals of scientific methodology and the development of a set of basic skills becomes in this context essential to the achievement of quality research work.

At the end of this curricular unit students should be able to: (1) design a health research project (2) to critically assess the results of health research, particularly in the context of its application to decision making.

PhD thesis project I

PDICSS013_7 - ECTS

Identify areas that need the development of new evidence,

Formulate feasible research questions, interesting, new, ethical and relevant in an adequate and complete way, according to the PICO structure;

Identify and bring together the most appropriate supervivion team for the implementation of the proposed research project;

Perform an appropriate literature review in order to justify the need for the project development as well as to characterize the state of the art,

Identify the necessary elements to create a protocol to submitt the project to the Scientific Council, the Ethics Committee, for funding applications and to the development of a master's thesis.

 

The curricular units of thesis, project and traineeship protocols I, II and III work autonomously. However, there is a sedimentation of knowledge skills and competences acquired in each of the UCs, carried out sequentially and progressively.

Health technology assessment

PDICSS013_9 - ECTS

Explain the concept and frameqork of health technologies assessment (HTA)

Describe different  methods for health technologies assessment.

Assess  technologies for treatment, prevention and diagnosis of diseases

Perform systematic reviews and meta-analysis  in HTA

Perform economical assessments of health technologies, knowing and applying the main methods and approaches for economic evaluation of health care programs and technologies (cost analysis, cost-minimization analysis, cost-consequences analysis, cost-benefit analysis, cost-efectiveness analysis, cost-utility analysis)

To know and apply the basic methods and approaches for the assessment and measurement of individual and social preferences and utilities

To know and apply the basic methods and approaches of decision analyisis, including representation and analysis of decision analytic models, in partticular, in the context of cost-effectiveness analysis

Take decisions on technology assessment, taking into account social and ethical issues

Analyse the role of health technologies assessment in technologies dissemination, application to clinical practice, costs evaluation and prioritizing and biomedical research

Biostatistics II

PDICSS013_8 - ECTS

Explain the theoretical and practical foundations to the application of advanced statistical methods applied to clinical, health services and health technologies assessment research;

Perform logistic regression, Poisson regression, survival analysis, repeated measures, longitudinal studies and multi-level analysis;

Interpret results of logistic regression, Poisson regression, survival analysis, repeated measures, longitudinal studies and multi-level analysis;

Explain the basics of the application and interpretation of Bayesian inference.

Cost-Effectiveness and Decision Analysis

PDICSS013_19 - ECTS

Decision analysis and cost-effectiveness studies in health aim to answer questions related to evidence applied and with the process and technologies involved in decision making in various contexts of clinical practice, namely, diagnosis, treatment, prevention and prognosis.

Diagnostic studies

PDICSS013_17 - ECTS

Explain the concept of measurement in research and diagnosis in medicine;

Define reproducibility and validity of diagnostic tests;

Describe the operational characteristics of diagnostic tests;

Characterize the validity of measures;

Perform multiple tests;

Interpret multiple tests results;

Design studies for assessment of diagnostic tests;

Critically analyze studies concerning the quality and levels of evidence;

Design validation studies and studies for the assessment of costs and impact of diagnostic tests;

Interpret validation studies and studies for the assessment of costs and impact of diagnostic tests;

Integrate information of diagnostic tests in the decision analysis process;

Assess screening programs and tests.

Aetiology, Risk and Prognostic Studies

PDICSS013_16 - ECTS

Describe the concept and framework of aetiology studies, risk and prognosis;

Explain the concepts of causality, causal inference, accuracy and validity studies on etiology, risk and prognosis;

Design aetiology risk and prognostic studies;

Analyze categorical data;

Interpret measures of frequency and association;

Calculate measures of frequency and association;

Apply methods of statistical adjustment and stratified analysis;

Understand the concept of causal interaction;

Draw cohort s, case-control and cross-sectional studies;

Implement cohort, case-control and cross-sectional studies;

Critically analyze cohort, case-control and cross-sectional studies;

Intervention Studies - Clinical Trials

PDICSS013_18 - ECTS

Explain the definition and framework of intervention studies;

Characterize the design methodology of intervention studies;

Design clinical trials,

Implement clinical trials;

Interpret clinical trials results,

Assess clinical trials from the economic point of view;

Discuss the ethical and legal aspects to consider in the design and implementation of clinical trials;

Write clinical trials protocols and proposals;

Discuss the main difficulties of participating as researcher on clinical trials

Evidence Synthesis Studies

PDICSS013_20 - ECTS

The evidence synthesis studies such as systematic reviews and meta-analysis studies have emerged in order to address the massive and growing accumulation of scientific evidence with diferent study designs and quality levels on specific issues. This studies have a double objective: synthethize evidence and analyse and explain of the heterogeneity found. This curricular unit aims to address methodological issues and essential practices among evidence synthesis studies on that area of health research.

Clinical research

PDICSS013_11 - ECTS

This field of research focus on patients as individuals, aiming at answering research questions of clinical medicine.  Studies of diagnostic tests, treatment, prognosis and ethiology will be studied.

At the end of the curricular unit students should be able to:

Explain the concept of research in the clinical perspective.

Formulate clinical questions.

Characterize risk / etiology, diagnostic tests, treatment, prevention studis, prognosis, evidence synthesis studies;

Design risk / etiology, diagnostic tests, treatment, prevention studis, prognosis, evidence synthesis studies.

Health services research

PDICSS013_10 - ECTS

Describe the major characteristics and scope of Health Services research (HSR)

List general subject areas of HSR

Describe the relationships between HSR and other research types and advocate linkages between them

Summarize the characteristics of research methods commonly used in HSR and identify when they are useful

Identify aspects of quality of care and its assessment

Identify different categories of secondary data sources and types of secondary analysis

Examine the strengths and weaknesses of secondary data analysis

Distinguish experimental and quasi-experimental study designs and give examples

Recognize the major types of survey research

Describe the concepts of measurement and ways to improvement its processes

Describe psychometric properties of a measurement instrument

Locate sources of secondary data for HSR

Review and critique HSR literature

Apply basic measurement theory to plan instruments for data collection

Use basic tools of Quality

Write a peer review report

Laboratory research

PDICSS13_14 - ECTS

Qualitative research

PDICSS13_15 - ECTS

Qualitative research uses an interpretive, naturalistic and holistic approach to the world. Their objects of study are the values, beliefs, representations, habits, attitudes and opinions of individuals in their social context. In this area, objects and issues are addressed in their natural context, trying to understand the phenomena concerning to the meaning that people give to them.

Probabilistic Graphical Models

PDICSS013_21 - ECTS

This unit aims to empower the students with necessary knowledge and skills to use modern methods of probabilistic reasoning for biomedical problems, more specifically regarding theory and practice of Bayesian networks for interdependencies exploration and health decision support.

 

PhD thesis project II

PDICSS013_12 - ECTS

Identify areas in need of new evidence development

Formulate feasible, interesting, new, ethical and relevant research questions acoording to the PICO structure

Identify and gather the supervising team

Perform literature reviews to support the need of project development and characterize the state of the art

Select methods and procedures appropriate to respond to the research question in a valid and feasible way

Formulate the expected results and the scientific and innovative merit

Manage human and financial resources

Plan, tasks, stages and results

Identify the necessary elements to create a protocol to submitt a project to the Scientific Council, the Ethics Committee, to apply for funding and develop a master's thesis

The curricular units of thesis, project and traineeship protocols I, II and III work autonomously. However, there is a sedimentation of knowledge skills and competences acquired in each of the UCs, carried out sequentially and progressively.

Clinical research seminars

PDICSS013_22 - ECTS

This curricular unit intends to put students in contact with advanced topics in the area of Clinical Research, an area of research that has patients as the object and aims to answer questions within the scope of clinical medicine and to assist clinical decision. The issues addressed in this area relate to the various areas of clinical hospital research and primary health care.

The specific competences, knowledge and skills to be developed by the students will be defined in each edition, considering the profile of the students, their research interests and the most pertinent questions at the moment. It will be a flexible curricular unit that meets the students' scientific needs and interests.

Health services research seminars

PDICSS013_23 - ECTS

This curricular unit intends to put students in contact with advanced topics in the area of ​​ Health Services Research, understood as the study of health services in their productive, organizational, distributive aspects and impact on the health status of the users. Students should acquire knowledge and skills that allow them to study issues related to the assessment of the quality of services provided, user and professional satisfaction, access to health services, efficiency and safety in care delivery, economic and equity aspects in the provision of healthcare services and distribution of resources.

The specific competences, knowledge and skills to be developed by the students will be defined in each edition, considering the profile of the students, their research interests and the most pertinent questions at the moment. It will be a flexible curricular unit that meets the students' scientific needs and interests.
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