Introduction to Clinical Medical Practice III

Objectives

Know, understand and demonstrate: Principles of medical techniques of general clinical examination; (BP, pulse, temp, pain, etc..) Recognition of large entities: shock and its types, general clinical signs, other; Basic gestures of intervention - introducing gastronasal tube, Bladder tube, venous and arterial punctures Know, understand and demonstrate: how to communicate with - the "problem" patients; The complaints of the patients; How to break bad news; How to deal with "difficult" patients; children, the elderly and psychiatric patients
Know and understand: peri-operative care convenient in the surgical patient
Know, understand and demonstrate: Good practice and quality in health, which are end of life care (palliative, etc.); What is Medical Futility
Know and demonstrate what is defensive medicine

Program

- Principles of medical techniques of general clinical examination (BP, pulse, temp, pain, etc..)
- Recognition of large entities: shock and types, general clinical signs, other
- Basic gestures intervention - introducing GNT, Bladder tube, venous and arterial punctures
- Problematic patients
- Complaints from patients
- How to break bad news
- How to deal with "difficult" patients
- Specifics in children, the elderly and psychiatric patients
- Perioperative Care
- Good practices and quality in health
- End of Life Care (Hospice, etc.)
- Medical Futility
- Defensive Medicine

Teaching Methodologies

Lectures; practical classes in simulation models, role-playing and videos; final seminars integrating the knowledge and skills of all aspects of the course by demonstration through interactive clinical cases
Assessment:
Exam:50%
Test:20%
Seminar or study visit report:20%
Other:10%

Bibliography

"Comunicação e Medicina" – Pio Abreu, Virtualidade, 1998
"O Desenvolvimento das Perícias de Comunicação e Aconselhamento em Medicina" – Roslyn Corney (coord.), Climepsi, 1991/1996 Ed. Port.
"Psicologia das Relações Interpessoais" – M. Odete Fachada, Rumo, 8ª Ed. 2006
"Clinical Ethics – a practical approach to ethical decisions in clinical medicine" – Jonsen AR, Siegler M, Winslade WJ, McGraw and Hill, 7th Ed., 2010.
Ética, medicina e sociedade - CARLOS A. M. GOTTSCHALL www.amrigs.com.br/revista/50-04/espcremers.pdf
Ética para os futuros médicos – Nedy Cerqueira Neves www.portalmedico.org.br/arquivos/etica_futuros_medicos.pdfwww.portalmedico.org.br/arquivos/etica_futuros_medicos.pdf
CAMPBELL, A et al. Medical ethics. Oxford University Press. 2005.
BERG J. Informed consent – legal theory and clinical practice. Oxford University Press. 2001
MARQUES, Adelino - Segredo Profissional. Coimbra Médica, 11:53, 1990.