Universitat Internacional de Catalunya - BarcelonaMedical Practicums 1
Main language of instruction: Spanish
Other languages of instruction: Catalan
The Medical Clinical Practice (PCM) program allows students to acquire and develop the knowledge, skills, attitudes and clinical judgment necessary to achieve an adequate professional practice. This is accomplished by applying theoretical learning to clinical practice in a supervised setting. Thus PCM is a critical part of medical student training and an essential part of learning.
PCM1 takes place in the third year of medical school and is the first contact that students will have with patients. This continues into the fourth year with PCM2, where students will further develop and refine clinical skills. Both PCM1 and PCM2 take place in acute care and emergency services divisions of the hospital.
In PCM, the student participates in clinical work with a medical team, applying theoretical knowledge to patient care. The student will obtain and document patient medical histories, an essential tool of medical practice, known as anamnesis, perform physical examination and interpret relevant tests. By critically analyzing this information, using a process of reasoning and clinical judgment, the student will ultimately determine the differential diagnoses and develop a therapeutic plan of care for each patient.
During the days of the PCM internship the student is integrated into the clinical team and is responsible for the monitoring and care of assigned patients. The student is also expected to attend clinical sessions and seminars.
With this experience, students develop clinical skills in an environment of teamwork and transversal skills and communication skills with patients and other professionals who will lead you to greater professional development.
It is essential that the student has completed the following subjects:
The main objective of PCM is to develop the knowledge, skills and attitudes of a general practitioner critical to successful autonomous practice. This is accomplished by preceptorship by practicing physicians and other healthcare professionals.
During each PCM, the student will develop the following skills:
In relation to clinical history:
Goals needed
In relation to the diagnostic process:
Goals needed
In relation to multidisciplinary work:
Goals needed
In relation to interprofessional communication:
Goals needed
At the end of practice, students will be able to:
- Develop a complete medical history with all sections: history, physical examination, evaluation of additional evidence.
-If accurate, analyze and interpret information to reach a diagnosis.
- Develop a hospital admission report.
- Perform relevant literature search to complete the study patient.
- Communicate with the medical team.
- Work alongside clinicians and infirmary team and participate in the discussion of clinical cases.
- Communicate with patients and their families clearly and effectively.
At the end of the course the student must submit:
• Clinical history of one patient.
• Reflective report. Be sure to include what was learned and how.
Boths reports should be provided to tutor two days before the end of your rotation.
It would be desirable to discuss issues related to theoretical knowledge, the skills for conducting clinical history, performing the physical examination, assessment of evidence complementary, reasoning clinical, diagnosis or approach problems, integration into the care team, professional conduct etc ..
You could perform a "Registre d’activitats" with reflections on learning and skills acquired in connection with the activities. This report will be part of the reflective report.
To conduct a systematic anamnesis, oriented clinical syndrome:
Current illness
Allergies and intolerances
Family background
Personal history
Medical history - anamnesis by devices
Common drugs
To conduct a systematic exploration:
Overall rating
Mental health
Interpretation of vital signs
Exploration skin and mucous membranes
Exploration lymphadenopathy
Scan head, neck and breast
Exploration cardiovascular system
Exploration breathing apparatus
Exploration digestive
Exploration nephrourologic
Exploration neurological system
Exploration locomotor - Osteoarticular
Nutritional status assessment
• Record medical history and summary admission report, valuing the additional tests.
• Clinical follow-up of patients assigned. Knowing treatment and continuity of care after discharge.
• Look for information to complete the study of the process / s pathological / s that affect patients.
• Integrate in the work team (attending physician, resident, nurse and other health professionals) providing patient care.
•Attend and participate if appropriate in clinical sessions.
A detailed explanation on how to perform each of these tasks will be provided.
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