General and Familiar Medicine I

Code:

M5_BM02

Acronym:

MGF1

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2024/2025 - 1S (of 16-09-2024 to 10-01-2025)

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	69	Official Study Plan	5	-	6	64	162

Teaching language

Portuguese

Objectives

 

The program of this unit of study aims to inform the family doctor as a health agent which acts at the level of Primary Health Care, who knows and manages problems affecting individuals, their family and their community, and are, mainly, the gatekeeper of the health system

Internationally were outlined by The EURACT (European Academy of Teachers in Family Medicine /General Practice) in his Educational Agenda, the fundamental characteristics which the Unit of study and the teaching of Family Medicine must contain, grouping them into six core competencies that once acquired are converted into performance skills aiming its practical application in health care. The core competencies are: Primary Care Management; Person-centered care; Specific problems solving skills; Comprehensive approach; Holistic modelling; Community Orientation.

It is intended that during the semester students acquire knowledge, attitudes and skills necessary for a good performance in general practice. Anticipating what will be the year vocational education, it is hoped that through a guided practice, students receive education and training necessary for the practice of medicine in the context outside the hospital.

 

Learning

1 - Goals. Aims future physicians for the acquisition of knowledge in an area with its own characteristics and a specific scope of action. Cause to be learned skills related to the needs of the individual (patient-centered approach), family, and community.

Learning outcomes and competences

 Area of expertise. Know the concept of Primary Health Care and its historical evolution. Meet the guiding principles of family medicine and the organizational context of their practice. Knowing the most common pattern of complaints and health problems of the community. Knowing the possibilities for health promotion, disease prevention, surveillance and rehabilitation. Meet the family dynamics. Knowing how the social and family environment affect the binomial health / disease. Clinical communication. Basic principles of clinical research. Basic principles of Clinical Governance

 

Area of skills. Collect and process information required to formulate diagnostic hypotheses and develop plans therapeutic decision, taking into account factors somatic, psychological and social. Identify risk groups. Identify vulnerable groups. Medicine Based care. Critical appraisal of literature. Developed skills in teamwork ( respect, leadership and  organization).

Area of attitudes. Adapt communication to individual characteristics of the user/patient. Training techniques and negotiating clinical interview outline the plan of action each user. Engage the patient to participate in managing their own problems (empower).

Working method

Presencial

Program

• Family Medicine (FM) and Primary Care based health system


• Fundamentals of FM


• Profile and functions of the Family Physician


• Bases of communication: verbal and nonverbal communication, communication attitudes, communication errors and how to avoid them


• Clinical Interview: Types of interview FM, Interview Techniques, Simulation interviews (role-play)


• Person-centered approach


• Health Promotion and Prevention


• Groups with specific health needs (vulnerable and risk groups and others)


• The patient with chronic illness Disease and illness; Prevalence of chronic illness; Domicliary care and consultation.


• Multimorbility and polypharmacy


• Family Dynamics: The family as a system; Family, Types and classification, function and family dysfunction, family crises, family resources


• Methods Family Assessment


• Clinical Records •


• Research in FM: over diagnosis; Kinds of studies and epidemiologic tests; Risk; nnt and nnh


• Medical literature: critical analysis of medical information or clinical data; methodological evaluation


• Clinical Problems frequently in daily practice (case discussion)

Mandatory literature

Goroll A. H. et al ; Primary Care Medicine, Lippincott Williams and , 2009
McWhinney, I.R; Textbook of Family Medicine, Oxford University Press, 1997
Caniço Hernâni, Bairrada P., Rodríguez E., Carvalho A. ; Novos Tipos de Família , Imprensa Universidade de Coimbra, 2010
Balint M. ; O médico, o seu doente e a doença, 1.ª Ed. Climepsi, 1998
Ramos V.; A Consulta em 7 passos, VFBM Comunicação Lda, 2008
Caeiro R. ; Registos Clínicos em Medicina Familiar, Direcção Geral da Saúde/Instituto de Clínica Geral da Zona Sul, 1991
José Mendes Nunes; Comunicação em contexto clinico, 2007
Hardup Singh, Traber Davis Giardina et al; Types and origins of diagnostics errors in Prymary Care Setting, JAMA Intern Med.2013;173 (6):418-425, 2013
Maria João Lage.; Segurança do doente: da teoria à prática clinica, Rev Port Saude publica.2010; volTemat(10): 11-16, 2010

Teaching methods and learning activities

Practical* and theoretical lessons and practical in clinical context, flipped classroom.

Oral exposition

Working groups

Role-play

Analysis and discussion of  clinical case

 
*observational and participative trainning in a Health Center: 4 hours every 15 days: Training of clinical gestures and communicational attitudes in the context of practice
(* In exceptional epidemiological situations that may occur, for the safety of patients, students and health professionals, this activity may be impossible to carry out

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	70,00
Participação presencial	30,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	98,00
Frequência das aulas	64,00
Total:	162,00

Eligibility for exams

A minimum of 75% attendance is required for the theoretical and theoretical-practical lessons. An absence rate of over 25% implies failure to pass the course.

Calculation formula of final grade

 Distributed evaluation with final exam:

1. Distributed evaluation: Evaluation of work, problem cases and quizzes - 5 marks (taking into account the quality of the presentation, the theoretical knowledge and oral discussion of the work).
2. Global evaluation in context of Practice - 1 mark
3. Final Examination: written test multiple response- 14 marks

Special assessment (TE, DA, ...)

Final Examination: written test multiple response, analysis and comments on a clinical case.

Classification improvement

Written test multiple response

Observations

Way of work: In presence

In exceptional situations in which the possibility of face-to-face teaching activities may be impaired, teaching/learning will be taken care of though audiovisual/distance learning using different tools or platforms adjusted to the contents and objectives ( Zoom, slides with audio, Moodle, etc.). The communication of the Curricular Unit with the students will be done via Moodle where , in due time, all necessary detailed information will be disseminated.

2. Performance global assessment by the Tutor in Health Center* - 1 marks

In exceptional situations in which the possibility of face-to-face activities may be prohibited (impaired), and it is not possible to observe the student performance by the Tutor and the respective assessment, this component will be integrated into the distributed assessment which will have a weight of 30%.

In the context of the COVID-19 pandemic, teaching / learning methodologies will depend on the existing epidemiological situation and we can have one of the 3 scenarios:

A. Face-to-face - classes will take place in the usual manner

B. Blended format for contact hours:

. Theoretical classes will be held with presence of some students or totally remotely via Zoom in a synchronous way.

. TP classes will be held with presence of some students or totally remotely via Zoom in a synchronous way with discussion of clinical cases.

. Practical classes: the groups will be divided into two parts, half should have contact with the real patient and the other half with the virtual patient or perform another activity indicated by the teacher, alternating the following week.

C. Distance learning - this model will only be applied if the conditions for semi-face-to-face teaching are impossible due to pandemic and will be done entirely with the use of virtual patients and digital platforms.