Introduction to Clinical Practice
Objectives
By the end of this Curricular Unit the students will be able to:
Communicate both with patients and their families, as well as other professionals involved in patient care;
Identify components of a medical history;
How to perform a proper physical examination and a mental condition examination;
Interpret properly the results obtained from the history and physical examination;
Establish referral connections between pathophysiology and symptoms and signs;
Identify principles of clinical decision making.
General characterization
Code
11124
Credits
11
Responsible teacher
Prof. Doutor Aníbal Ferreira
Hours
Weekly - Available soon
Total - Available soon
Teaching language
Portuguese
Prerequisites
Bibliography
Bickley, Lynn S. (2017) Bates Guide to Physical Examination and History Taking (12.nd Edition). Lippincott Williams & Wilkins.
Castelo-Branco, Luís (2016) Competências Clínicas Práticas e Preparação para o OSCE. Lisboa: Lidel.
Soares, Ducla J. L. (2017) Semiologia Médica: Princípios, Métodos e Interpretação (2.ª Edição). Lisboa: Lidel.
Filmes didáticos.
AccessMedicine - Internal Medicine Clinical Resource: https://accessmedicine.mhmedical.com/
Este recurso médico online disponibiliza casos clínicos divididos por áreas, recursos multimédia (vídeos, áudios e imagens) com casos reais de procedimentos médicos, a ferramenta Diagnossaurus que permite fazer diagnósticos diferenciais por sintomas, doenças e por sistemas de órgãos e um índice com os nomes dos medicamentos e respetivas bulas. Mais informações consultar site Biblioteca NMS|FCM.
Modelos médicos e cirúrgicos.
Textos de suporte às aulas.
Gravações das aulas Teóricas, aulas Teórico-Práticas e aulas de Casos-Clínicos.
Teaching method
Lectures: organs and systems; professional skills.
Clinical cases classes: Major syndrome; symptoms and signs recognition and interpretation.
Lectures-practical classes: lectures topics, focused on symptoms and signs recognition and perform anamnesis of organs and systems.
Nonclinical practical simulation sessions with medical and surgical "training models" and using role play: professional gestures and communication skills practice
Clinical practical classes by Supervised Hospital Training: contact with patients on inpatient situation (ratio of 1 professor / 3-4 students)
Evaluation method
Evaluation:
Final evaluation includes a theoretical evaluation and a practical evaluation:
10% Practical Evaluation:
Attendance training models / simulation: 0%
Hospital training: 10% distributed in accordance with the following parameters:
Hospital Training 0 to 2 points
Interest in hospital activity 0 a 0,4
Patient interview 0 a 0,4
Patient objective examination 0 a 0,4
Theoretical knowledge and background 0 a 0,3
Team work 0 a 0,2
Assiduity / pontuality 0 a 0,3
90% Theoretical Evaluation - written examination of single choice.
For students legally exempt from attending a minimum number of classes:
10% Practical exam, with the following contents:
Simulation: 0%
Hospital training: 10%
90% Theoretical Evaluation - written examination of single choice.
Subject matter
Clinical Interview; Symptoms and Cardinals Signs; Nutrition; Introduction to Infection Control and Antimicrobial Resistance; Cardiovascular System - heart and large vessels; Cardiovascular System - peripheral vascular system; Nephrology; Respiratory System; Nervous System; Psychiatric Semiology; Musculoskeletic System; Gastrointestinal - "medical" semiology; Gastrointestinal - "surgical" semiology; Female Genital System and Breast; Urinary and Genital Male System; Dermatology; Endocrine System; ORL Semiology; Ophthalmologic Semiology; Systematization of Physical Examination; Clinical communication; Activity of daily living in a medical history; Patient Approach in Emergency Room; Training models - Medical and Surgical; Hospital Training - practice in Cardiology and Nephrology hospital departments.