Community Medicine (clinical practice)

Code:

MI606

Acronym:

MEDCOM

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	Yes
Responsible unit:	Departamento de Ciências Sociais e Saúde
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	290	Mestrado Integrado em Medicina 2007	6	-	6	64	162
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	6	64	162

Teaching language

Portuguese

Objectives

To introduce the students to the atmosphere of modern General Practice, in the teams of Primary Health Care, in epidemiology, consultation and practice of Medicine in this context; Expose the students to the appropriate context for them to learn the foundations of Public Health, prevention, screening of the early diseases diagnosis and of health promotion; Study of the community aspects of pediatrics, mental health, obstetrics, women’s health, psycho-social medicine and geriatrics care; To develop the students’ capacities to work independently, be it in a clinic, be it in self-education; To develop professional attitudes toward improving health care leading to good working relationships; Enlarge their experience in ethical subjects, in communication skills and in evidence based on clinical practice.

Learning outcomes and competences

 

At the end of the Community Medicine Residency  the student should have knowledge in the following areas:
A - Primary Care Knowledge;
B – Clinical Skills;
C – Clinical aptitudes;  
D - Attitudes.

 

Working method

Presencial

Program

1.Primary Health Care (PHC): Structures and function of the PHC team; Relationships of the PHC and Secondary Care, entities of the community and laymen in health cares; Role of PHC in the early diagnosis and in the secondary prevention; Identification of risk factors and lifestyle counselling; Reasons for consultation and reference in PHC; Epidemiology and clinic of the common diseases in PHC;
2. Care in pregnancy: Pregnancy diagnosis; Routine cares in the pregnancy;
3. Pediatrics: The child’s development; Prevention and surveillance of the child’s health; The child’s protection;
4. Women’s Health: Routine care in the healthy woman; Family planning; Hormonal alterations in the puberty and in the menopause; Common gynaecological infections; Urinary problems including incontinence;
5. Mental Health: Detection and tracking of mental disease; Detection and treatment of anxiety, depression and insomnia; Bereavement and loss; Addiction behaviours; Assessment of suicidal behaviour;
6. Geriatrics Care: Common problems – locomotory, pathological, cognitive, psychosocial, etc.; Role of the different l members of the PHC teams.

Mandatory literature

José M. Mendes Nunes; Comunicação em contexto clínico, Bayer Health Care, 2007
Ian R. Mcwhinney; Manual de medicina familiar, Inforsalus, 1994. ISBN: 972-8158-00-9
Allan H. Goroll, Lawrence A. May, Albert G. Mulley; Cuidados primários em medicina: abordagem do paciente adulto em ambulatório, McGraw-Hill, 1997. ISBN: 972-8298-19-6
edited by Robert B. Taylor; Family Medicine: principles and practice, Springer, 2003. ISBN: 0-387-95400-7
edited by Robert E. Rakel; Textbook of family medicine, Elsiver Saunders, 2007. ISBN: 978-1-4160-2467-5
A. Martín Zurro, J. F. Cano Pérez; Atención primaria: conceptos, organización y prática clínica, Elsiver , 2003. ISBN: 84-8174-650-9
Hespanhol, A.; Couto, L.; Martins, C.; A Ética em Medicina Geral e Familiar: a Medicina Preventiva., Rev Port Clin Geral; 24:49-6., 2008
Hespanhol, A.; Couto, L.; Martins, C.; Viana, M.; Educação para a Saúde e Prevenção na Consulta de Medicina Geral e Familiar (I)., Rev Port Clin 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)., Rev Port Clin Geral; 25: 242-52, 2009.

Teaching methods and learning activities

This Residence of 4 weeks implies the students’ presence readiness from 9 to 12h and from 14 to 17h, and the intellectual initiative to study during the remaining time.
Therefore this is called Residency. It is structured in 2 modules, each one with the duration of two weeks – one will be accomplished in urban atmosphere and the other in rural atmosphere, both in Health Centres.

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	100,00
Total:	100,00

Eligibility for exams

There will be a continuous assessment of the students’ work during the whole Residency, with permanent feedback, that is, information to the students as to whether their work is achieving the required objectives. At the end of each one of the module – urban and rural – the teacher together with the student will fill out a report where it indicates ASSESSMENT of the student’s performance, and space to add important comments.

Calculation formula of final grade

The final assessment will be the arithmetic mean between the ASSESSMENT of the student’s performance at the two modules (urban and rural), and it will be changed or not, only if the student attended the PROGRAM OF EARLY CONTACT.

Observations

BIBLIOGRAPHY
O Clínico Geral do Futuro. Aprendizagem e ensino - Edição do Departamento de Clínica Geral, 1990;

A Consulta: Uma abordagem à aprendizagem e ensino - Edição do Departamento de Clínica Geral; Pendleton, D.; Schofield, T.; Tate, P. e Havelock, P., 1993;

Problemas de Família - Edição do Departamento de Clínica Geral; Peter Williams. 1994;

Talking with patients - Oxford Medical Publications. P.H. Myerscough. 1992;

Manual de Medicina Familiar - Ed. Inforsalus, Lisboa; Ian McWhinney. 1994.