General and Family Medicine (clinical practice)

Code:

MI624

Acronym:

MGF

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2017/2018 - SP (of 11-09-2017 to 27-07-2018)

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	20	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	6	57	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 General Practice 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

Primary Health Care (PHC): Structure and functions of the PHC team; Relations between the PHC, Secondary Care, entities and laity; role of PHC in early diagnosis and secondary prevention; Identification of factors risk and lifestyle counseling; Reasons for consultation and reference, Epidemiology and clinical of common diseases in PHC. Mathernal Health: Diagnosis and Routine care. Children’s health: Development, prevention and surveillance, child protection. Women's Health: Routine care; Family Planning; Hormonal changes at puberty and menopause; discharge and common gynecological infections, urinary problems, including incontinence. Mental Health: Screening for mental illness; detection and treatment of anxiety, depression and insomnia; Grief and loss; Behaviors addiction; Assessment of suicidal ideation. Care for the elderly: Common Problems - locomotor, pathological, cognitive, psychosocial, etc..; The Role of the different elements of the PHC team.

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 4-week residency involves the availability of student attendance and intellectual availability for study during the remaining time. Therefore we call it Residence. It is structured in two modules, each with a duration of two weeks - one will be held in urban environment and the other on rural environment, both in Health Centres / Family Health Units.

Seminars - 6 hours

Clerkships - 45 hours

Tutorials – 6 hours

Evaluation Type

Distributed evaluation without final exam

Assessment Components

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

Eligibility for exams

The evaluation will be based on observation by the trainer, and on the skills and attitudes of the student, in three papers-works in each of the modules, will be delivered along with the "Registration of Practice”. The final grade will be the average of the two forms, modified or not, as the student has attended and passed the "Program for Early Contact".

The ratings given in these two forms will be converted later to a scale of 0 to 20 by the Faculty responsible for Housing. The specifications of Practice Registration must be delivered to the Department of General Practice unfailingly week after the last valence.

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.