General and Family Medicine (clinical practice)

Code:

MI624

Acronym:

MGF

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2019/2020 - SP (of 09-09-2019 to 31-07-2020)

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	284	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	50,00
Trabalho escrito	50,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Elaboração de relatório/dissertação/tese	10,00
Estudo autónomo	90,00
Frequência das aulas	6,00
Realização de Estágio	45,00
Trabalho de campo	6,00
Trabalho escrito	5,00
Total:	162,00

Eligibility for exams

Students must attend 75% of the attendance and activities foreseen in the "Register of Practice", and present a total of 6 written papers, 3 in the rural module and 3 in the urban module, include the collection and presentation of a clinical interview with a patient, a descriptive list of cases observed during a consultation period during the urban module, and another during the rural module, a health education pamphlet, the structuring of a a clinical decision flowchart and a reflection, in the form of a brief commentary article, on a conceptual aspect of medical practice in General and Family Medicine.

At the time of delivery of the practice register students must: Send through the Moodle the 6 written works, as well as by e-mail to the UC Secretariat; Submit on paper to the Secretariat the forms of evaluation of the urban and rural valency (Register of Practice) duly initialed.   Students should respond in the Moodle to the self-assessment survey and to the UC Pedagogical Assessment Survey available in the sigarra.  The final marks awarded to the students are only those made available by the Regent in the terms book, so any classification that may be presented in Moodle is always subject to adjustment and validation of the Regent of the unit.

Calculation formula of final grade

Components of evaluation:

 1. Evaluation of the rural module:

a) qualitative evaluation by the tutor of the rural module taking into account the observation of the student 's abilities and attitudes, as well as their evolution throughout the period of residence, using the "A - Good" scale; B - Enough; C - Insufficient ", reclassified in A = 20 values; B = 14 values; C = 9 values.

b) Quantitative classification of the works presented, on a scale of 0-20 values, corresponding to the arithmetic mean of the classification of each one of the works.

 

2. Evaluation of the urban module:

a) Quantitative evaluation by the tutor of the urban module taking into account the observation of the student's skills and attitudes, as well as their evolution over the period of residence, on a scale of 0-20 values

b) Quantitative classification of the works presented, on a scale of 0-20 values, corresponding to the arithmetic mean of the classification of each one of the works.

The works will be classified taking into account the following items:

1. Clarity and objectivity
2. Correction of writing, in general and technical-scientific
3. Depth in the treatment of work
4. Respect for the proposed format
5. Appropriateness of bibliographic references

Each item is rated on a "Very Good - 4 Good - 3" scale; Reasonable - 2; Insufficient - 1; Very insufficient - 0 ". The final classification will be the sum of the partial classifications

In order to be approved, the student will have to obtain a classification higher than 9.5 values ​​in each of the evaluation components. The classification below 9.5 implies the repetition of this component.The final classification will be the arithmetic mean of the four evaluation components: 1. a); 1.b); 2.a); 2.b).

Classification improvement

Students will be able to improve the classification by performing oral tests of a theoretical nature and based fundamentally on cases of clinical practice, before a jury to be constituted by three teachers of the Curricular Unit.

The classification of this test will be the final classification of the Course.