Medicine I and Medical Specialities

Code:

M4_BM03

Acronym:

M1EM

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2024/2025 - 2S (of 14-02-2000 to 13-06-2025)

Active?	Yes
Responsible unit:	Medical Teaching
Course/CS Responsible:	Integrated Masters Degree in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIM	112	Official Study Plan	4	-	15	144	405

Teaching language

Portuguese

Objectives

The student will have to fully integrate the knowledge acquired in the basic sciences with the knowledge acquired in the clinical disciplines. He will have to approach the patient with full integration of pathophysiology, semiology and clinic. He will have to recognize different clinical syndromes and different pathologies, integrating the anamnesis and physical examination; to acquire attitudes and competences in the recognition of the different clinical problems presented by the patient, to recommend a diagnostic strategy and to establish differential diagnoses in a reasoned manner. He will acquire and train his clinical reasoning. The student is expected to know how to elaborate a clinical research plan, namely which complementary diagnostic means (MCDT) should be requested, including its rigorous justification and correct interpretation and integration with clinical findings. Also, the student must know the indications, advantages and limitations of the different MCDT and must present a therapeutic plan and establish a prognosis. The student is expected to develop communication skills with peers and realize the need for multidisciplinary health work particularly in the patient's clinical approach. Finally, the student will have to establish an adequate physician-patient relationship and demonstrate total respect for the confidentiality and privacy of the patient.

Learning outcomes and competences

We intend that, at the end of the school period, the student, in front of a patient, should be able to fully evaluate him in its objective and subjective components and also that such step is carried out based on a proper physician-patient relationship and taking into account socio-cultural factors.

The student will have to possess the necessary theoretical knowledge and skills to be able, through a coherent clinical reasoning, to elaborate a complete clinical history, including a diagnostic and therapeutic strategy.

Students will have to demonstrate communication skills with their peers in the discussion of clinical cases, in practical and theoretical-practical classes. The student should be aware of the need for group work in the clinical approach of a patient.

In the clinical practice, the physician needs to acquire a set of nuclear competences, without which a rapid recognition of pathologies and/or clinical situations requiring timely therapy may be compromised.

In this sense, in each module of the Curricular Unit there will be a set of knowledge and skills considered essential to the practice of medicine. This set is called the competence grid (see documents).

 

Working method

Presencial

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

Adequate knowledge of anatomy, physiology, physiopathology and medical semiology.

Ability to elaborate a full clinical report.

Ability to communicate with patients, teachers, other health professionals and their peers.

Program

Cardiology

Aortic syndromes

Cardiomyopathies

Congenital heart disease

Dysrhythmias

Electrocardiogram (ECG)

Heart failure

Ischemic heart disease

Pericardial diseases

Syncope

Valvular heart disease

Dermatology

Basic principles of dermatology

Cutaneous manifestations of systemic diseases

Dermatological therapy

Infectious Dermatosis

Inflammatory Dermatosis

Neoplastic Dermatosis

Gastroenterology

Chronic constipation

Chronic diarrhea

Eosinophilic esophagitis

Esophageal motility disorders (achalasia and diffuse esophageal spasm)

Gastroesophageal reflux disease

Gastrointestinal bleeding

Helicobacter pylori

Hepatic cirrhosis

Inflammatoy bowel disease (Chron’s disease and ulcerative colitis)

Peptic ulcer disease

Proctological examination and semiology

Viral hepatitis (HBV and HCV)

Hematology

Anemia

Hemostasis and thrombosis diseases

Oncological hematological pathology

Transfusion Medicine

Nephrology

Approach to the patient with urinary alterations

Acute renal lesion

Chronic renal disease

Hydroelectrolytic and acid-base disorders

Glomerular diseases and nephritic and nephrotic syndromes

Renal vascular lesions

Hereditary polycystic kidney disease

Tubulointerstitial renal disease

Pneumology

Basic concepts of interstitial pathology

Bronchial asthma

Bronchiectasis

Chronic obstructive pulmonar disease

Community-acquired pneumonia

Cystic fibrosis, allergies, eosinophilia, anaphylaxis, systemic mastocytosis and ARDS

latent tuberculosis infection

Non-invasive ventilation

Obstructive sleep apnea syndrome

Pleural physiology and pathology

respiratory tuberculosis

Type I and II acute respiratory failure

Mandatory literature

20th Edition; Harrison's principles of internal medicine
8th Ed. McGraw-Hill Education; Fitzpatrick’s Color Atlas, 2017
Elsevier Health Sciences; Dermatology essentials, 2014

Complementary Bibliography

Algumas “guidelines” de Sociedades Científicas Nacionais ou Internacionais serão fornecidas no decorrer das aulas.; .

Comments from the literature

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Teaching methods and learning activities

Theoretical classes

The main programmatic contents are those to which the student must devote a substantial part of his study schedule. These classes are not meant to address in a complete and exhaustive manner the different pathologies and clinical syndromes. They are an important study guide and a place where professors will awaken the need for students to study and what they need to know in order to address their patients with the most varied pathologies they will be confronted with.

 

Theoretical/Practical classes

Excellent space for active, participatory and joint discussion of clinical cases. In each of the eleven classes there will be the possibility to prepare and present, at least, one clinical case. All students will participate in its study and discussion. The clinical case will be disclosed to the course, by the regent, with a week in advance. Each of these cases will also lead to the set of key issues to be addressed and objectives to be achieved with its discussion. These classes are open and held throughout the course. We want this discussion to be active, participatory, where students feel completely comfortable in order to participate, either by giving their opinion about the patient's clinical orientation or by presenting their doubts and questions.

 

Practical classes

Most of them will take place in the sick-wards, near the patients. If possible, a couple of classes will take place at the Biomedical Simulation Center. In this facility it is possible to repeat gestures and attitudes without "disturbing" the patient and to achieve an adequate level of proficiency. After this "first" part with the patient, teachers and students will build a full clinical history. We want an active role of all students.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Prova oral	25,00
Teste	65,00
Participação presencial	10,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	261,00
Frequência das aulas	144,00
Total:	405,00

Eligibility for exams

To be approved, the student must:

1. Have an evaluation ≥ 9,5 values in each of the 3 evaluation components; in continuous assessment, the student must have at least 9,5 values ​​in each of the modules.
2. Be present in 3/4 of the practical classes (for each module), as well as in 3/4 of the theoretical-practical classes; In both cases, attendance will be checked in the first minutes of classes, by calling in the practical class and by signing the attendance sheet in the TP class. It is mandatory to stay until the end of the class.
3. Have a competency grid, per module, filled in ≥ 75%;
4. Elaborate and deliver the clinical history to the professor, in the practical test, in a maximum period of 3,5h (this time already encompasses 30 minutes of tolerance);
5. Students exempted by law from attending practical and/or theoretical-practical classes, will carry out, during the evaluation period of the respective semester, regardless of other evaluations, a supplementary test of knowledge/skills, based on oral discussion of practical situations daily clinic; maximum duration of 60 minutes, with the presence of professors from different specialties. The classification obtained (0 to 20 values) will be included in the formula for calculating the final classification, with a weighting of 10%; that is, equal to the continuous assessment weight.
6. The grade obtained in each assessment component carries over to the following academic year(s). However, any bonus that may have been obtained is only valid for the semester in which the student obtains it.

Calculation formula of final grade

The final classification in the Curricular Unit will be the result of the weighted average of continuous evaluation, practice test and multiple-choice testing. The weightings will be 10%, 25% and 65% respectively.

To this result, a bonus may be added according to the performance, punctuality and attendance of the student (in his/her class) in the theoretical-practical classes. Thus, to be awarded this bonus, the student must have participated in the respective class and must not have missed any theoretical-practical classes. It should also be noted that this bonus is only awarded if the overall final grade is ≥ 10 points. In case of non-approval in the practical test or multiple choice test, you can repeat them at the time of appeal. The practical test must be carried out during normal season, except for reasons of illness (with legal justification) or other absences enshrined in law. The practical test, unlike the written test, is not subject to grade improvement at the time of the appeal.

Thus, to receive this bonus, the student, besides belonging to one of the 3 classes best classified in the presentation and discussion of clinical cases, must have participated in the respective class and can´t have missed any theoretical-practical class. This bonus is only assigned if the student's overall final score is ≥ 10 values.

Grelha de atribuição de bónus:

1 value	1st, 2nd, 3rd highest ranked classes
0.8 values	4th, 5th, 6th highest ranked classes
0.6 values	7th, 8th, 9th highest ranked classes
0.5 values	10th and 11th highest ranked classes

 

 

Erasmus Students

The evaluation will be carried out as follows:

• a) Continuous assessment (the same criteria as students in the general contingent) – 25%
• b) Written test (for the modules for which you are registered; they will be the same questions as the students in the general contingent; it will also be in Portuguese; it will be carried out on paper and not in Moodle) – 75%
• c) To be approved, they must be present in 3/4 of the practical classes (for each module), as well as in 3/4 of the theoretical-practical classes.

Special assessment (TE, DA, ...)

At the special time for the conclusion of the MIM, the final test will be performed through an oral examination, which includes practical proof and theoretical proof. Multiple-choice test will not be performed.

Classification improvement

It will be done by a multiple-choice test. It is always considered the best rate of both. Maintains ratings obtained from other valuation components.

 

Observations

Form of contact/ student audition

Students may contact the regent before the start or end of the weekly TP class for brief matters. Otherwise, you must contact him by email (fmpocas@icbas.up.pt); Depending on the matter to be discussed, this may be resolved by an appropriate response and/or by scheduling a face-to-face appointment. In any case, contact should preferably be made through course representatives.