Mental Health (Clinical Practice)
Objectives
The learning objectives have been addressed in the document "Graduate Outcomes of Portuguese Undergraduate Medical Education". Regarding attitudes, students are expected to internalize a set of provisions relating to medical practice, as well as to the inter-personal relationship with patients and families. Regarding knowledge and skills, students are expected to integrate in their clinical thinking a sound biopsychosocial perspective, encompassing not only the different psychiatric disorders, but also the psychological aspects of somatic diseases, as well the recent data from basic science with impact in the development of therapeutic interventions.
Thus, the following learning objectives have been set:
To identify symptoms of psychiatric disorder and differentiate them from normal psychological functioning.
To identify pathological elements in personality, behaviour and interpersonal relationships.
To place the patient in their social, work and family context.
To evaluate the functional capacity of patients.
To identify individual and social risk situations.
To collect, record and prepare the information in order to obtain a comprehensive diagnosis.
To learn the referral procedures of individuals with mental health problems.
General characterization
Code
11147
Credits
6
Responsible teacher
Prof. Doutor Miguel Talina
Hours
Weekly - Available soon
Total - Available soon
Teaching language
Portuguese
Prerequisites
Bibliography
Shorter Oxford Textbook of Psychiatry, 6th Edition. Londres, Oxford Medical Publications
http://oxfordmedicine.com/view/10.1093/med/9780199605613.001.0001/med-9780199605613
Instrumentos de avaliação psiquiátrica / Research tools: MINI, MMSE
Documento Graduate Outcomes of Portuguese Undergraduate Medical Education
Teaching method
The Mental Health clerkship has duration of 4 weeks, on a full-time basis, and includes (i) a module of theoretical seminars (first 2 days), (ii) a module for clinical practice, in which students can rotate through hospitalization valences, outpatient clinics, day hospital, child psychiatry, liaison psychiatry, rehabilitation and emergency room (2 weeks) and (iii) a module for practical activities at home (2 weeks).
Teaching methods includes:
A. Group seminars (just during the first 2 days), by means of:
Case presentation and discussion
Problem solving
Videos
Role playing
Presentation of selected themes (eg, stigma)
B. Tutored clinical practice (learning by doing)
Evaluation method
Evaluation: Continuous assessment (includes: punctuality, motivation, participation in clinical activities, level of knowledge, level of skills, history taking, research activities, etc) plus the preparation and discussion of a final report (description of the working period, critical appraisal) after the last day of the clerk.
Subject matter
The Mental Health clerk focuses on three main dimensions: (i) Clinical activity in the areas of adult and child psychiatry; (ii) practical activities at home and (ii) group seminars. The contents are described in the "Graduate Outcomes of Portuguese Undergraduate Medical Education" document. The seminars include the following topics (language: Portuguese):
Mental State Examination
Structured diagnostic interview
Approach to the patient with psychomotor agitation
Approach to the suicidal patient attempt
Assessment of cognitive functions
Stigma issues in mental health