Rheumatology

Code:

MI436

Acronym:

REUMA

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2022/2023 - 2S

Active?	Yes
Responsible unit:	Department of Medicine
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	124	Plano Oficial 2021	4	-	3	28	81

Teaching language

Suitable for English-speaking students

Objectives

Specific objectives: Identify the mechanisms underlying the most frequent or relevant rheumatic diseases.

Develop expertise in collecting, recording and transmitting clinical information (Clinical history and physical examination of rheumatic diseases).

Use the information obtained in order to draw up a list of problems and propose an investigation that allows us to differentiate the main diagnoses and resolve persistent doubts through the rational use of complementary diagnostic methods (diagnostic strategy).

Acquire a core of theoretical knowledge that allows you to solve the most frequent rheumatic situations (solve of clinical problems).

Build a therapeutic strategy using all available means, from non-pharmacological ones, such as life-style modification and physical therapy and rehabilitation, to drugs, surgery and being able to seek information to make decisions.

 

Learning outcomes and competences

The syllabus and respective teaching methodologies will allow students to be adequately prepared with regard to the proposed learning objectives. The assessment methods will seek to determine whether the learning objectives have been achieved and, therefore, will include a component of knowledge assessment, an assessment of practical skills, and an indispensable practical component in future clinical activity.

 

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)

Students should be able to establish a conversation with the patient, obtain a clinical history, perform the physical examination and discuss the differential diagnosis.

Students must be aware of the possible complementary diagnostic methods to be used: laboratory, imaging and other diagnostic tests.

Program

THEORETICAL THEMES:

1 - Approach to patients with rheumatic pathology: clinical analytical and imaging semiology.

2 - Rheumatoid Arthritis and Sjogren's Syndrome

3 - Systemic Lupus Erythematosus and Antiphospholipid Antibody Syndrome

4 - Vasculitis and Bechet's Disease

5 - Systemic Sclerosis

6 - Spondylarthritis

7 - Gout and microcrystalline arthropathies

8 - Osteoporosis

9 - Familiar Mediterranean Fever and other auto-inflammatory diseases

10 - Juvenile Idiopathic Arthritis and other rheumatic pathology in pediatric age.

11 - Soft Tissue rheumatic diseases.

 

THEORETICAL-PRACTICAL CLASSES (Case based):

1 - Patient with polyarthritis (Rheumatoid arthritis)

2 - Patient with monoarthritis (Gout)

3 - Patient with Systemic Syndrome (SLE / Scleroderma)

4 - Patient with acute back pain (Osteoporosis)

5 - Various clinical cases

 

PRACTICAL CLASSES:

Presence in the Outpatient Clinic (External Consultation, Day Hospital and Rheumatic techniques sector) and in the hospital

Mandatory literature

Anthony S. Fauci; Harrison's Rheumatology, Anthony S. Fauci, 2013. ISBN: 978-1-259-83627-5
João Eurico Cabral da Fonseca, Helena Canhão e Mário Viana Queiroz.; Reumatologia fundamental, LIDEL
José António Pereira da Silva; Reumatologia prática, DIAGNÓSTEO
John Imboden, David Hellmann, John Stone. 3rd Edition; Current diagnosis and treatment in Rheumatology

Comments from the literature

Articles on some topics will be available in Moodle for possible consultation.

Teaching methods and learning activities

Teaching methods and learning activities

The teaching methodology involves theoretical-seminars, theoretical-practical and practical classes.

The theoretical-seminars will be previously recorded and are online in the Moodle.  The subject will traverse the proposed themes in the contents above, being exposed by teachers with clinical experience in the areas.

The theoretical-practical classes, begining each morning,  will happen in online direct sessions to alow interaction with the students, and include clinical sessions with discussion of cases, in collaboration with the integrated units of Radiology, Anatomo pathology and Physical Medicine and Rehabilitation.

Next, the practical classes in which students will be integrated into assistance activities of Orthopedic, Rheumatology and Physical Medicine and Rehabilitation departments.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Teste	80,00
Participação presencial	5,00
Prova oral	15,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	53,00
Frequência das aulas	8,00
Realização de Estágio	20,00
Total:	81,00

Eligibility for exams

Presence in 75% practical classes

Calculation formula of final grade

Written test : multiple choice ( 0 to 16 , 40 questions of 0.4 points each)

(0 to 16 points ​​in total) *
*minimum grade: 9 points

 

Practical evaluation: (To be held in one of the practical classes),

Internship work/project

The Course Unit does not require the elaboration of a project.

Special assessment (TE, DA, ...)

For student workers, association leaders and other special situations (with the impossibility of attending practical classes), continuous evaluation may be replaced by a 60-minute practical examination with 2 teachers.

Classification improvement

See regulation No. 593/2021 of June 30 - DR 2ª serie