Woman's Medicine

Code:

M604

Acronym:

MM

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2024/2025 - SP (of 16-09-2024 to 23-05-2025)

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	178	Official Study Plan	6	-	6	65	162

Teaching language

Portuguese

Objectives

Learning Objectives
(knowledge, skills and competences to be developed by students)
a) the ability to obtain a complete obstetrical history,
b) to recognize symptoms and signs and perform a structured and oriented physical examination
c)the utilization, indications and interpretation of diagnostic tests,
d) to formulate the different differential diagnoses,
e) the ability to formulate a definitive diagnosis,
f) to know the medical and / or surgical therapeutics for the proposed diagnosis, as well as for differential diagnoses,
g) to be aware of different surgical approaches,
h) the ability to predict the evolution, clinical prognosis,
i) to know the degree of severity of the disease and its form of resolution, to a "normal" degree, urgency or emergency,
j) to have knowledge of epidemiology, principles of prevention and screening

Learning outcomes and competences

After completing the Women's Medicine (and incorporating theoretical and practical knowledge acquired in the fifth year in Gynecology and Obstetrics), students should be able :

- to collect a complete medical and obstetric history, identifying problems that involve patient referral.
- to advise pregnant women about lifestyles, diet and habits that are favorable and unfavorable to the well-being of the mother and the fetus.
- to understand what information to obtain from routine laboratory tests and ultrasound and at what gestational ages, analyze these results and know what to do and when to refer if they are abnormal.
- to identify and resolve common and minor problems that may occur during pregnancy and puerperium.
- to perform routine obstetrical physical exams such as speculum vaginal inspection, perform bimanual pelvic exploration, detect fetal cardiac activity, measure uterine height and diagnose fetal presentation through abdominal palpation at term.
- To fill  the antenatal care records and the Pregnancy Health Bulletin, and to know how to transmit this information as a whole to other doctors and health professionals.
- to demonstrate the knowledge of how and when to refer a pregnant woman in the national health service

 

They must also be able :
- to demonstrate an understanding of the various aspects of reproductive physiology
- to obtain satisfactory clinical information
- to perform a gynecological exam correctly
- to identify the various contraceptive methods
- to identify couples with infertility problems
- to determine risk factors for genital and breast cancers, identifying at-risk women
- to deal with postmenopausal problems
- to diagnose uterine, cystocel and rectocel problems
- to diagnose the various types of gynecological infections
- to examine vaginal deposits identifying trichomonas and candida
- to identify the most common causes of bleeding during intercourse
- to recognize certain aspects of pathologies such as irregularities of the menstrual cycle, menorrhagia and metrorrhagia, dysplasias of the cervix and amenorrhea
- to determine the need for abdominal ultrasound and mammography

Working method

Presencial

Program

Obstetrics:
- The need for health routines during normal pregnancy, delivery and postpartum
- To monitor normal pregnancy, and ability to identify a high-risk pregnancy
- To attend labor, delivery and cesarean delivery
-To screen for maternal, fetal and medical complications
- The knowledge of abnormal pregnancy conditions

Gynecology
- to understand the various aspects of reproductive physiology
- clinical examination and additional diagnostic procedures
- contraception; cancer screening; menopause
- to deal with postmenopausal problems and advice on HRT

Mandatory literature

Beckmann and Ling`s; Obstetrics and Gynecology 8th Edition
15th Edition; Berek and Novak's Gynecology
Eighth Edition; Clinical Gynecologic Endocrinology and Infertility

Complementary Bibliography

Prof. Luís Mendes Graça; Medicina Materno-Fetal
Consensus of the Portuguese Society of Gynecology:; Menopause, Contraception, Gynecological cancer, Sexually transmitted infections, Cervical vulvar pathology
Carlos Freire de Oliveira; Manual of Gynecology, Permanyer Portugal, 2010

Teaching methods and learning activities

Practical classes.

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

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	85,00
Teste	15,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	97,00
Frequência das aulas	65,00
Total:	162,00

Eligibility for exams

In order to obtain attendance, it is necessary to be present in 3/4 of the practical classes.

Calculation formula of final grade

Will be evaluated:
1. Attendance: 3 points
2. Filling out medical acts: 4 points
3. Presentation and discussion of two clinical cases - 10 points
4. Final exam - 3 points

Special assessment (TE, DA, ...)

Oral exam

Classification improvement

By means of oral examination.