Preventive Medicine

Code:

MI225

Acronym:

MP

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2019/2020 - 1S (of 09-09-2019 to 09-02-2020)

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	272	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	2	-	3	26	81

Teaching language

Suitable for English-speaking students

Objectives

The objectives of discipline of Preventive Medicine are:

• To learn and develop a modern concept of health and its biological, psychological, social and ecological constraints;
• To describe the Portuguese organization of healthcare and the medical and paramedical providers acting in health promotion;
• To analyse the main health problems in Portugal in the context of health promotion;
• To list attitudes of health protection and prevention of the disease and its complications;
• To identify the benefits and potential harms of the preventive approach;
• To interpret and apply scientific evidence in Preventive Medicine;
• To acquire communication skills in the field of Preventive Medicine;
• To apply the model of shared medical decision in Preventive Medicine;
• To interpret risk factors and causal factors in the development of the disease.
• To develop and implement Health Education Programs.

 

Learning outcomes and competences

At the end of this course, it is expected that students present a level of knowledge on the topics of health promotion, able to allow a preventive approach in the community context and personalized clinical decision.

They will have training to program a health education activity in a specific population group in order to achieve previously outlined goals. At the end of the course, students should demonstrate the ability to design, implement and critically analyse preventive interventions.

Working method

Presencial

Program

Curricular plan:

• Preventive medicine. Health promotion. The lifelong health. Disease prevention and health protection. Implementation of health education.
• The health of the Portuguese. Health indicators. Primary, hospital and continuing health care. Organization and articulation.
• Levels of prevention: from primordial prevention to quaternary prevention. Ethical issues related to Preventive Medicine. Overdiagnosis.
• Health literacy. Healthy information, attitudes and behaviours. Health determinants (family, environmental, cultural and social). Communication in preventive medicine
• Primordial prevention. Food and exercise. Mediterranean diet. Food education of the Portuguese population. Maintaining proper weight. National Plan to Fight Obesity. Physical exercise in primary prevention, and rehabilitation.
• Motivational interviewing as a tool for behaviour change: smoking, alcoholism and other addictions.
• The mental health. Depression, anxiety and stress. Causes, response moderators, stress-related symptoms or illnesses, and means of prevention. The health of health professionals
• The Family as a factor of influence and modulation of health. Genetic conditioners. Psychological and behavioural pathway. Family stress, inadequate family or social support, and family rapport.
• Communicable Disease Prevention through Immunization. Vaccines and serums. National Vaccination Plan and other vaccines. Reporting diseases. Incubation and school eviction periods.
• Prevention of communicable diseases. Prevention in the traveller. Chemoprophylaxis. Behaviour modification
• Prevention of chronic disease. Causal and risk models. Cardiovascular disease and oncological disease
• Prevention in health. Population Screenings. Family planning
• New challenges of prevention in medicine.

Mandatory literature

Martins, C.,Azevedo, L.F., Ribeiro, O., Sá, L., Santos, P., Couto, L., Costa Pereira, A., Hespanhol, AP.; A population-based nationwide Cross-Sectional Study on Preventive health Services Utilization in Portugal - What services (and frequencies) are deemed necessary by patients?, PLOS ONE, 2014
Santos, P.; Prevenção das Doenças Sexualmente Transmissiveis, Patient Care - Edição Portuguesa, 2013
Santos, P.; Prevenção de Acidentes com idosos, Patient Care. Março. pp-38-43, 2010
Brotons, C., Bulc, M., Sammut, MR., Sheehan, M., Martins, C., Bjorkelund, C., et al.; Attitudes towards preventive services and lifestyle: the views of primary care patients in Europe. The Europreview patient study., Fam Pract. Abr; 29 Suppl.1, pp.168-176, 2012
Daniel M. and Laurence B. Gardner; Prevention in clinical practice, Plenum Medical Book, 1998. ISBN: 0-306-42624-2
Robert Silcock Downie, Carol Fyfe And Andrew Tannahill; Health Promotion: models and values, Oxford University Press, 1990. ISBN: 0-19-261739-7
John M. LASt and Robert B. Wallace; Public Health & preventive medicine, Prentice-Hall, 1992. ISBN: 0-8385-618-9
Jennifer S. Bright; Health promotion in clinical practice: targeting the health of the nation, Baillière Tindall, 1997. ISBN: 1873853416
John M. Last; Public health and human ecology, Appleton & Lange, 1987. ISBN: 0838580459
R.C. Wender, J.E. Nevin; Preventive medicine, Primary Care:Clinics in office practice, 2002
Hespanhol, A.; Couto, L.; Martins, C.; A ética em Medicina Geral e Familiar: a medicina preventiva, Revista Portuguesa de Clínica Geral;24:49-6, 2008
Geoffrey Rose; The strategy of preventive medicine, Oxford University Press, 1992. ISBN: 0192621254
Hespanhol, A.; Couto, L.; Martins, C.; Viana, M.; Educação para a Saúde e Prevenção na Consulta de Medicina Geral e Familiar (I), Revista Portuguesa de Clínica 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), Revista Portuguesa de Clínica Geral;25: 242-52, 2009
Muir Gray; Godfrey Fowler; Preventive medicine in general practice, Oxford University Press, 1983. ISBN: 0-19-261299-9
Steven H. Wolf; Steven Jonas;Evonne Kaplan-Liss; Health promotion and disease prevention in clinical practice, wolters Kluer/Lippincott Williams & Wilkins, 1996. ISBN: 9780781775991

Teaching methods and learning activities

Theoretical classes: 1 hour per week, focusing the conceptual framework of preventive medicine on different aspects of health protection, disease prevention and health education, and the different levels of primordial, primary, secondary, tertiary and quaternary prevention.

Lectures: 2 hours every 2 weeks, including discussion and analysis of preventive aspects in health and disease, based on a specific scenario chosen by agreement with the teachers, which will be developed with the aim of schedule a health education activity

During the semester, each class conducts a health education project that will be presented at the “Health Education Program Meeting - Community Intervention”, to be held in December of each year.

keywords

Health sciences > Medical sciences > Medicine > Clinical medicine
Health sciences > Ethics in health sciences

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	70,00
Participação presencial	15,00
Trabalho escrito	15,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Apresentação/discussão de um trabalho científico	3,00
Elaboração de relatório/dissertação/tese
Estudo autónomo	40,00
Frequência das aulas	14,00
Trabalho de campo	12,00
Trabalho escrito	12,00
Total:	81,00

Eligibility for exams

Attendance is obtained by attending 75% of the practical classes and demonstrating participation in the work of the health education project.

Students with special status, who do not require the permanence in the pedagogical activities, will be able to attain the attendance through the accomplishment of an individual work, to agree with the teaching group, and with agreement of the conductor, taking into account the objectives of the curricular unit and the learning outcomes and expected skills.

Calculation formula of final grade

 

For students who have obtained attendance, the final classificationof this course, expressed on a scale from 0 to 20, will consist of:

15% of continuous assessment of attitudes and aptitudes during the practical classes (by teacher)

15% of the rating given to the Final Report and public presentation of the “Health Education Program - Community Intervention”;

60% of the Knowledge Assessment Test.

 

The knowledge test consists of 50 multiple choice questions (5 options) in which only one answer is completely right. The applicant may tick more than one answer in each question. Each question will be quoted with 4 points if correctly answered; each wrong answer deducts 1 point. The final grade will be adjusted to the scale of 0-20 values.

 

To be approved, each individual component must have a rating higher than 9.5 points.

The final grade may be increased by 0.5 points for students presenting a health education booklet accepted for publication on the metis platform.

Examinations or Special Assignments

Each class will be asked to draw up a leaflet in accordance with the Metis Health Education Platform's publishing standards (available for consultation at www.metis.med.up.pt).

Classes that are accepted for publication by December 31 of each year will be increased by 0.5 points in the final grade.

Special assessment (TE, DA, ...)

Students with special status, who do not require the permanence in the pedagogical activities, will be able to attain the attendance through the accomplishment of an individual work, to agree with the teaching group, and with agreement of the conductor, taking into account the objectives of the curricular unit and the learning outcomes and expected skills.

Classification improvement

Students may appeal to improve their grade by repeating the knowledge assessment test, maintaining the continuous assessment of attitudes and skills during the practical classes, as well as the classification given to the final report of the “Health Education Program”. - Intervention in the Community ”.

To improve these assessment parameters the student should repeat the entire course.