Early Contact with Patients and their Families II

Code:

OPT11

Acronym:

CPUDFII

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2023/2024 - 1S

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	30	Plano Oficial 2021	3	-	2	19	54

Teaching language

Portuguese

Objectives

To complete successfully this curricular unit, students must achieve the following objectives:

• To develop a clinical approach oriented to the patient, his family and surrounding community, dealing health problems both in the physical, psychological, social, cultural and spiritual dimensions.

• To acquire skills on the continuity of care over time, through a doctor-patient effective communication;

• To promote the simultaneous management of acute and chronic health problems of the patients;

• To use familial evaluation methods at level of Primary Health Care.

Learning outcomes and competences

The methodology will put into practice the acquired knowledge:

• Exploring the relationship between patient and the determinants of health in their psychosocial, familial and community aspects;

• Understanding the influence of health professionals in the attitude towards health and illness of its patients;

• Reflecting on relevant experiences in the lives of families of the students themselves, their cultural contexts and how these may affect their perceptions and feelings about their patients.

Working method

Presencial

Program

Students will contact a Primary Health Care Unit individually or in groups of two at the most. An expert family medicine physician will guide them and introduce them to a patient from his file, which can be a pregnant woman, a patient with chronic disease or disability, or someone with a significant health problem, such as a prolonged hospitalization for surgery or major accident.

During the 4^th semester, students are invited to follow this patient.

The visits aim to take contact with the patient, and through him with his family. Student shall collect the medical history with the demographics, the past and current health problems, integrating the findings on the social rehabilitation scale of Holmes and Rahe, and the evaluation of family dynamics by genogram, psycho-figure of Mitchel, family circle of Thrower, family life cycle of Duvall, Family Apgar by Smilkstein, lifeline model of Mendalie and socio-economic classification of Graffar.

Mandatory literature

Wiliams PR.; Family problems , Oxford University Press, 1989
Taylor RB.; Family medicine: principles and practice, Springer, 2003
Ramos V.; A Consulta em 7 passos, VFBM Comunicação, Lda, 2008
Rakel RE, Case Western Reserve University, Scholl of Medicine; Textbook of familiy practice, W. B. Saunders, 2002
Myerscough PR, Donald AG; Talking with patients: a basic clinical skill, Oxford University Press, 1992
McWhinney IR, Freeman T.; Textbook of familiy medicine, Oxford University Press, 2009
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, 2013
Martín Zurro A; Cano Pérez JF.; Atención primaria: conceptos, organización y prática clínica, Elsier, 2003
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
Goroll AH, Mulley AG.; Primary care medicine: office evaluation and management of the adult patient, Lippincott Williams & Wilkins, 2006
Caeiro R.; Registos clínicos em Medicina Geral e Familiar, Ministério da Saúde de Portugal, 1991
Nunes JM.; Comunicação em contexto clínico, Bayer, 2010
Allen J, Gay B, Crebolder H, Heyrman J, Svab I, Ram P.; The European definition of general practice/ family Medicine, WHO Europe Office:Wonca, 2005

Teaching methods and learning activities

Seminar: Early in the course students will have a three-hour seminar, at the Family & General Medicine Unit, for planning of activities and presentation of the work already done.

 Tutorials: Students will meet their tutor in a Primary Health Care Unit, to be presented to the patient, and to plan the contacts. Three total hours with the tutor are expected. The tutors are specialists in General & Family Medicine, fellows of the Unit of General & Family Medicine - FMUP, who are available to share their experience of practice in Primary Care.

Home visits: Students will go to the residence of the patient individually or in a group of at most two to perform a home visit. It’s expected to last about 4 hours.

Assessment: At the end of the semester, students must submit a report of their activities in the form of a problem-oriented medical record according to the method of Weed, including the description of the visits to the patient and should reflect the observations, their interpretation and their perception and opinion of work. The report should be as clear and concise as possible, and contain references consulted. The report shall be supplemented by an oral presentation of the report.

The final classification of the subject is obtained by the evaluation of the final presentation and the final report.

Evaluation Type

Distributed evaluation without final exam

Assessment Components

Designation	Weight (%)
Participação presencial	20,00
Trabalho escrito	80,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Apresentação/discussão de um trabalho científico	2,00
Estudo autónomo	21,00
Frequência das aulas	9,00
Trabalho de campo	16,00
Trabalho escrito	6,00
Total:	54,00

Eligibility for exams

Presence in at least 75% of school activities
Proof of active participation in the elaboration of the final work

Calculation formula of final grade

The final classification of the subject is obtained by the evaluation of the final presentation and the final report.