Degree | Type | Year | Semester |
---|---|---|---|
2502442 Medicine | OB | 3 | 2 |
The context in which the subject of Clinical Care Practice III is developed is the first contact of the students, during the clinical training phase, with the health care system of primary health care. It is considered that certain aspects of clinical care practice, such as home care, are considered to be in the field of primary care; the preventive and community approach to behaviors, lifestyles and health problems; continuity of care during the entire life of the patients (including the end of life); the integral management of the pluripathological and fragile patient, and the familiar approach of certain problems.
In addition, primary care is where the diagnostic process of many health problems is developed, where the criteria of interconsultation and referral are defined, and where care is taken to ensure the so-called continuum of care, that is, coordination with other levels of care and with socio-health and community resources.
Due to these characteristics and conditions, the subject aims to make the student aware of the importance of the clinical interview with the patient, the role of preventive activities, diagnostic and therapeutic decision making in an environment of uncertainty and complexity , and patient-centered decision making. Likewise, the bases of how to do research in primary care will be laid.
The following are considered as training objectives of this subject:
- Know the primary care team and its members.
- Appropriate use of the clinical interview in the event of having to give bad news.
- Knowledge of home care.
- Preventive activities.
- Multi-pathological and polymedicated patient.
- Introduction to research in primary care.
This subject is complemented with other subjects, such as AIM and Physiopathology and Clinical Semiology
- Appropriate use of the clinical interview in special situations such as giving bad news that allows: identifying the demands and the reasons for consultation, identifying the aspects and diagnostic and therapeutic possibilities, knowing narrative support techniques, exploration of the guide symptoms and evaluation of psychosocial aspects.
- Knowledge of home care: the reasons for the consultation, the roles of the different professionals, the appropriate use of diagnostic and therapeutic techniques at the head of the patient, the role of the caregiver and the family and community environment.
- Preventive activities: knowledge of the preventive activities of adults (vaccines, screening of cardiovascular risk factors, neoplasm screening, health promotion (physical activity, healthy eating ...), and mental health.
- Pluripatological and polimedicated patient: identify the problems of the management of the pluripathological patient, the use of polymedication and pharmacological interactions and the identification of comorbidities.
- To know the basic elements of the communication of results of clinical research in primary care
Distributive blocks
• A. Clinical interview
• B. Home care
• C. Pluripatological and polimedicated patient
• D. Preventive activities
• E. Introduction to primary care research
This Guide describes the framework, contents, methodology and general norms of the subject, in accordance with the current curriculum. The final organization of the subject with regard to the number and size of groups, distribution in the calendar and dates of examinations, specific criteria of evaluation and review of exams, will be specified in each one of the Hospital Teaching Units ( UDH), which will be explained through their web pages and the first day of class of each subject, through the teachers responsible for the subject at UDH.
For the present year, the professors appointed by the Departments as responsible for the subject at the Faculty level and the UDH are:
Responsible department (s): Medicine
Head of Faculty: Xavier Mundet
Responsible UD Vall d'Hebron: Juan Juvanteny and Xavier Mundet
UD Germans Trias i Pujol: Asunción Wilke and Judith LLussa
UD Sant Pau: Raquel Gayarre i Mª Antonia LLauger
UD Parc Taulí: Rafael Azagra and Montserrat Baré
Methodology
Practices: Typology Clinical Assistance Practices (PCA), directed activity. Clinical practice in PAC, daily, 5 h (x 5 days = 25 hours). Groups 2 students.
Seminars: Typology specialized seminars (SESP). Groups of up to 25 students, 5 sessions of 2 hours (+ 10 minuts for the evaluation). Program location: UHUDHH.
Seminar 1: Clinical interview (How to give bad news)
Seminar 2: The basis of research in primary care
Seminar 3: Home care
Seminar 4: Preventive activities
Seminar 5: The pluripatological and polimedicated patient
Given the characteristics of the seminars (clinical cases) it is necessary that the student has previously studied the contents of the seminars that it will be avaiable on the Virtual Campus.
In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and thepublic health situation, some ofthe theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.
Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.
Title | Hours | ECTS | Learning Outcomes |
---|---|---|---|
Type: Directed | |||
CLINICAL ASSISTANCE PRACTICES (CAP) | 25 | 1 | 1, 3, 11, 4, 6, 5, 7, 8, 9, 10, 12, 13, 17, 16, 18 |
SPECIALIZED SEMINARIS (PCA) | 10 | 0.4 | 3, 11, 4, 6, 5, 8, 10, 12, 13, 17 |
Type: Autonomous | |||
Work preparation / Personal study | 12.7 | 0.51 | 1, 11, 6, 5, 7, 9, 12, 14, 17, 18 |
EVALUATION OF CLINICAL CARE PRACTICE III
The evaluation of the subject is continued through the assistance and assessment of the different types of teaching.
However, to be able to pass the subject IT IS ESSENTIAL:
a) The assistance of the student to the 100% of the Clinical Practices in the CAP (5 days)
b) The student's attendance at 100% of the seminars (5 seminars)
c) Achieve a minimum mark in the final test of the seminars of 5 points (out of 10)
The final evaluation will consist of 3 consecutive evaluations
1.- Evaluation of Practices in the Center of Primary Attention
The evaluation will be done by the clinical tutor of the practices in the CAP, and will consist of:
a) Attendance and punctuality to the practices (maximum 5 points)
b) The attitude of the student (maximum 4 points)
c) Participation and integration in the clinical group (maximum 3 points)
d) The progression of knowledge (maximum 4 points)
e) The progression of skills (maximum 4 points)
The weight of this assessment in the final grade will be 35%.
2.- Evaluation of the Seminars
The knowledge and skills acquired in the seminars will be assessed with a test of short questions (between 2 and 4) or the assessment of a clinical case related to the agenda of the seminar. It will take place at the end of the seminar (10 minutes)
The weight of this assessment in the final grade will be 15%.
3.- Examination of the subject
1) It will be a test-type test with multiple answers and / or short questions
2) In the test-type test there will be several answers. Only one will be correct. The unanswered ones do not
they will be subtracted from the final grade. The incorrectly answered will be deducted from the final score
3) The Matriculation of Honor will be given among the best marks achieved. The minimum score required to access MH is 9.5.
The weight of this evaluation in the final grade will be 50%
NON-EVALUABLE STUDENT
A student will not be assessable in any of the following situations:
a) Not having attended the 5 days of internships at the CAP (100%)
b) Not having attended the 5 seminars (100%)
FINAL RECOVERY TEST
Students who do not pass the exam of the subject with a grade lower than 5 or who for personal reasons have not been able to do it, they will be able to take an extar exam.
Aan exam to improve the note is not allowed.
SUSPENSION OF THE SUBJECT
In the event that the student does not pass the subject, it will be necessary to re-enroll in the next (or later) course.
The student who has failed the subject, if he has done 100% of the practices in the CAP, will not have to repeat the practices in the CAP but will be compulsory the assistance again to the seminars to be able to present again to the examination of the subject.
Title | Weighting | Hours | ECTS | Learning Outcomes |
---|---|---|---|---|
Evaluation of clinical cases and/or skills un the seminars | 15% | 0.8 | 0.03 | 4, 7, 8, 13, 14 |
Evaluation of the practices in the Health Center | 35% | 0.5 | 0.02 | 1, 3, 11, 4, 6, 7, 8, 15, 9, 10, 12, 13, 14, 17, 16, 2, 18 |
Evaluation through objective test: multiple-choice questions | 50% | 1 | 0.04 | 1, 11, 4, 6, 5, 7, 9, 12, 17, 2, 18 |
SPECIFIC BIBLIOGRAPHY
Clinical interview
Home care
Pluripatological patient
Preventive activities
Atención Primaria. Vol. 52. S2 Noviembre 2020 Nº Especial: pag 1-172 Actualización 2020-PAPPS
Research in Primary Care
It is not necesary any special program