Universitat Internacional de Catalunya - BarcelonaRotation in Medical Specialities
Main language of instruction: Catalan
Other languages of instruction: Spanish
Head instructor
Dra. Marta ELORDUY - melorduy@uic.es
Office hours
(Common to all subjects of the Clinical Rotation, excep Social Rotation)
During the sixth year, “tutored clinical practice rotations” are conducted,in which students, supervised by a tutor practice medicine with greater autonomy (hereafter, “Rotatorio”). Thath implies a qualitative leap in regard to clinical practices they have been carrying out in previous courses.
The purpose is that by rotating students through different levels of care and clinical specialties, they acquire a higher level of professional competence and become able to deal with more complex pathologies and integrate knowledge and skills acquired, in a manner that allows them to take sound decisions and develop patient-centred ethical attitudes, values and conduct.
The “Rotatorio” consists of 6 subjects that move the student to pass through the following levels of assistance:
(Common to all subjects of the Clinical Rotation, except for the Community Health Rotation that can be done when the third year is finished)
For evaluation of clinical rotation, students must have passed 95% of the credits from previous courses.
(Common to all subjects of the Clinical Rotation, except for the Community Health Rotation that can be done since the fourth year)
Clinical rotation objectives are as follows:
Incorporate into the work environment of the profession in its care aspect.
(Common to all the subjects of the Clinical Rotation with the exception of the Community Health Rotation)
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Aspects or areas |
Learning outcomes |
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Theoretical knowledge |
- Integrates and appropriately apply knowledge acquired. - Foresees possible complications and abnormal progress. - Recognizes the steps of a protocol. - Keeps scientific knowledge up to date for study of clinical cases. - Demonstrates these learning results adapted to simulated patients. - Knows the rights and duties of patients and professionals, as well as bioethical principles. |
|
Technical skills |
- Suitably gathers and documents the clinical history thereby obtaining the most useful information. - Performs a physical examination appropriate to each situation and is able to gain the maximum benefit from it. - Conducts techniques and procedures effectively and with the least risk and discomfort for the patient. - Drafts clear, precise clinical reports and prepares them in a timely manner. - Proposes treatments tailored to the diagnosis. - Knows how to judiciously apply the steps of a clinical protocol. |
|
Diagnostic skills |
- Focuses/guides diagnoses and problems. - Raises various differential diagnosis hypotheses in terms of aetiopathogenesis. - Uses reasonable criteria when making a diagnosis or approaching problems. |
|
Use of resources |
- Proposes the proper use of complementary examinations (in terms of risk, effectiveness and taking into account expense/benefit). - Know the limitations of the tests. - Properly interprets results from diagnostic tests performed. |
|
Decisions making |
- Takes decisions when asked. - Assumes the role held within the care team in simulated or real situations. - Performs clinical management actions required for a simulated patient in the specified time. - Make decisions in work situations as part of a team with colleagues/students. |
|
Use of information |
- Locate, riddle and synthesizes reliable and updated information. - Manages properly personal and health information, with the required level of confidentiality. |
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Professional, patient and family relationship |
- Facilitates patients general information required, risks and alternatives to decide autonomously and knowledge, before a test or treatment requiring consent. - Acts accordingly to the rights and duties of the patients. - It facilitates to the patients and relatives the necessary general information, of risks and alternatives to be able to decide with autonomy and knowledge, before a test or treatment that requires the consent. - Learn about the social and community transcendence of medicine. - Demonstrates interest in sharing knowledge with the rest of professionals / students. - Assume professional secrecy. - It behaves as an effective and active member of the healthcare team. |
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Professionalism |
- Respect the life and dignity of the patients it treats. - Respect the rights and duties of patients and act accordingly. - Consult when you feel insecure without waiting to make the decision wrong. - You know when you cannot take responsibility. - Recognize your limitations. - Reflect on own experience and professional practice. - Assume patients as their own. |
The complete “Rotatorio” consists of 30 weeks of face-to-face training, held in full days from Monday to Friday and a minimum of 6 emergency shifts of 12 hours in daytime. The students have to get into the assistance teams, attending general clinical or service sessions or seminars that are specifically prepared to complete their training.
The distribution of the 30 weeks will be made according to the following distribution.
• Medical rotation - 9 weeks
• Surgical rotation - 9 weeks (At least 2 weeks of Traumatology and 2 of Gynecology/Obstetrics)
• Free rotation - 6 weeks (Any specialty in minimum periods of 2 weeks)
• Primary Assistance Rotation - 2 weeks
• Health and Social Care Rotation - 2 weeks (Includes geriatrics, palliative care, convalescence ...)
• Community Health Rotation - 2 weeks (*). Volunteer and social care.
• 6 Emergency shifts of 12 continued hours out of the schedule of the Rotation practices.
(*) It will not be possible to choose a free choice to expand the rotation of a social type.
The choice of hospitals in which the student has to rotate will be coordinated by the university.
The students will choose the specialties and center paths, by order of marks.
Placements will be carried out in the associated centers. Some of the weeks (not more than 16) can be carried out on other centers than those associated, in international or national rotations. The requirement will be to have an average record of 1,5 and 2, respectively.
Anyway, all the centers of practice need to assure the accreditation for teaching degree-level and an updated agreement with the university. Also, accept the requirements of the objectives and the evaluation system, committing itself to allow the student to perform the practices with certain autonomy.
Explicit consent by the center for the student’s health insurance coverage is needed, and an agreement between the center and the university, is required.
It will be used the next teaching methodology:
Clinical practice in healthcare institutions: Learning is performed based on the model of doctors and other medical staff in a real environment. In this course, the student already has had to develop a sufficient level of competence that allows a certain degree of autonomy.
In clinical practice, the students are assigned to different clinical tutors who accompany them during their stay, supplying their learning. Through direct and indirect observation, allow to evaluate their performed at the end of this clinic stay. Scenarios or jobs are as varied as the same care practice: acute hospital wards, emergency departments, outpatient clinics, surgical areas, intensive care services or primary care areas, social or socio- medical devices....
In addition to the internships, students will receive theoretical and practical sessions at the facilities in Universitat Internacional de Catalunya.
Practical laboratory simulation and clinical skills: Students have the opportunity to integrate and implement the theoretical, technical and clinical skills in the training center without risk to patients. The wil go trhough clinical procedures, behavioral situations, training of "decision making", etc.
The tutors track and reinforce knowledge, skills or procedures in order to prepare students for and "Objective Structured Clinical Evaluation" ( OSCE), that will be used as an additional assessment methodology to reports, made by clinical tutors during their stays.
Individual and group tutoring: A tutor will be assigned to the student that will accompany him/her throughout the year, helping him/her to have a global vision of learning and acquisition of skills in the entire rotatory. The tutor will have an special attention to train in professionalism and transversal competences, as well as a good orientation towards the choice of specialty.
Master Class - Exhibition method: The teacher exposes and transmits the knowledge in a classroom to the whole group of students promoting the maximum participation, with the intention of the integration of the knowledge acquired throughout the whole degree.
Debate and discussion: The development of debates and discussions in a large or small group that favor critical sense and judgment. Participation and initiative are encouraged, the construction of constructive questions and the presentation of new problems that promote critical thinking.
The student will draw up, at each medical rotation, a material that has agreed with the clinical tutor and will complete a final report for the Medical Rotation course.
The clinical tutor is expected to make a feedback with the student about those remarkable aspects or those that must be reinforced or improved
The academic tutor is responsible for global follow-up of the rotations of the students that has assigned. He/she assesses the participation in the various organized tutorial activities (independent of stays in the centers), and reviews the reflective reports made in each subject.
In summary, these are the instruments and assessment percentages of the subject Medical Rotation:
40%: Clinical tutors evaluation
10%: Academical mentoring and professionalism
50%: OSCE
Once all the rotations have been completed and the results of the OSCE are obtained, each student is assessed, in a global cloister of the entire “Rotatorio”. In the cloister participates: members of the OSCE Commission, the academic tutors, the coordinator of the “Rotatorio” and the coordinator of the sixth course. Each subject will have the own mark: Medical Rotation, Surgical Rotation, Free Rotation, Primary Care Rotation, and Social HealthCare Rotation.
The Community Health Rotation is independently assessed