In clinical practice, Laboratory Medicine is part of a multidisciplinary team at the heart of health care, supporting the identification of risk factors, diagnosis, therapy and monitoring in diseases and in patients. Laboratory testing can support more than 70% of health care and management decisions throughout medical practice, enabling appropriate, effective and safe decisions to be made.
It is a discipline based on the basic knowledge of other disciplines such as Biochemistry, Hematology, Immunology, Microbiology, Virology, Molecular Genetics and Cytogenetics, integrated with the knowledge of the pathophysiology and diagnosis of the disease and with the knowledge about the laboratory technologies.
The aim of the CU of Laboratory Medicine is to increase the perception and knowledge that medical students have about the adequacy of the laboratory tests requested to the clinical situations under study, especially the most prevalent ones, as well as their added value and their clinical integration, for a more sustained use of tests and for an evidence-based medical practice.
In the practice of Laboratory Medicine it is also central to understand how these tests are performed and validated. Students should be able to recognize the different phases of the process in the laboratory, from the pre-analytical, analytical and post-analytical stage, developing critical capacity on the final result.
Prof.ª Doutora Maria José Rego de Sousa
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This CU addresses topics that are transversal to all specialties, so it would be reductive to limit learning to specific manuals. Also it cannot be considered bibliography the books of the specialty of Clinical Pathology, because they are extreme complexity.
In each module will be provided the materials that served as support to the classes and the respective bibliography. It is expected that the student builds his knowledge and that, due to his frequent presence in the classroom, may, due to the collaborative activity between students and teachers, add value to knowledge.
a) Lectures, of an expositive nature, addressed to all students, lasting no more than 50 minutes, which include topics such as:
1. Organization of the Clinical Laboratory.
2. Hematology study.
3. Hemato-oncology study.
4. Hemostasis study
5. Study of Diabetes and the metabolism of carbohydrates and Renal function
6. Study Hepatic and pancreato-biliary function
7. Study of Dyslipidemias and Acute Coronary Syndromes
8. Study of Tumor Markers
9. Study of Endocrine Diseases
10. Study of Proteins
11. Study of Autoimmune Diseases
12. Study of the value of laboratory tests
b) Theoretical-practical classes, which include an expository component and an interactive component, with discussion of clinical cases and directed to small groups of students (no more than 20), lasting no more than 90 minutes.
1. Organization and understanding of the laboratory requisition.
2. CC#0 - Organization and understanding the parameters of the Hemogram (CC#0).
3. CC#1 - Patient with Anemia
4. CC#2 - Patient with Hemostasis alterations
5. CC#3 - Patient with Diabetes and complications
6. CC#4 - Patient with Viral Hepatitis
7. CC#5 - Patient with Acute Coronary Syndrome /NSTEMI
8. CC#6 - Patient with Liver Adenocarcinoma
9. CC#7 - Patient with Thyroid Disease
10. CC#8 - Patient with Monoclonal Gammopathy of Unknown Significance
11. CC#9 - Patient with Systemic Lupus Erythematosus
c) Practical non-clinical classes aim at observational or immersive procedures, directed at small groups of students (no more than 20)
1. Visit to the Laboratory and its functional units
2. Visits to each of the different functional units of the Laboratory related to the topics to be addressed in each module
3. Classes with immersion and / or observation of laboratory procedures
No change of schedule is allowed; If the student is unable to come at his / her time, he / she may request the teacher to attend at another time, but it will always be recorded missing that week.
Evaluation: assessment is by means of a multiple choice test (MCQ) and the active participation of students in the Theoretical-practical classes.
In order to achieve the above mentioned learning goals and to develop the competences and performances, the program contents of this CU are divided into 3 groups:
a) Applying nuclear knowledge of physiology and pathophysiology in transversal medical areas, such as Chemical Pathology, Hematology and Immunopathology
b) Study of the procedures used in the laboratory for screening, diagnosis, monitoring and therapeutics
c) Adequacy of prescription, evaluation and interpretation of laboratory tests applied to real clinical cases situations
Programs where the course is taught: