Universitat Internacional de Catalunya - BarcelonaMedical Practicums 2
Main language of instruction: Catalan
Head instructor
Dr. Miguel Jose ARANDA - mjaranda@uic.es
Office hours
Dr. Miguel Aranda mjaranda@uic.es
The subject Medical Clinical Practice (PCM) looks for students to acquire and develop the knowledge, skills, attitudes and clinical judgment necessary to achieve an adequate professional practice. The goal is to help know how to perform what they have learned in theory and do so in a clinical and supervised environment.
Thus, medical clinical practice is within the plan of training of medical undergraduates an irreplaceable and essential part of learning.
The PCM1 are the first contact of students with patients – it is taught in 3rd year of grade- and PCM2 - taught in the 4th year of grade - progress in learning medical clinical skills. Both are performed in units of acute care hospital and emergency services.
In clinical practice, the student participates in clinical work with a medical team, applying theoretical knowledge in the care of patients and their pathologies. In this tutorial, the student performs a medical history, an essential tool of the medical act, records the information provided in the personal interview with the patient, known as anamnesis, perform physical examination, assess the complementary tests and develops a critical analysis of the information, it must lead to a process of reasoning and clinical judgment, the differential diagnosis and therapeutic plan.
During the days of the internship the student is integrated into the clinical team, keeps track of patients assigned and their care process and assists to 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.
To have studied the subjects:
• Semiology
• Physiopathogenesis
• Cardiovascular system
• Respiratory system
• Neurology
• PCM1
The main objective of the clinical practice is to obtain the knowledge, skills and attitudes of a general practitioner to practice autonomously learning from models: doctors and other healthcare professionals, guided by a professional who is responsible for the accompaniment and facilitates learning.
In relation to clinical history:
• Being able to perform a systematic anamnesis patient-centered, I tend its features.
• Being able to perform routine physical examination
• To recognize abnormalities on physical examination
• Conduct a concise and understandable for third of the registration data history and examination.
• Identify the needs of the patient and the family and social environment.
In relation to the diagnostic process:
• Distinguish acute and chronic symptoms and signs of serious pathology.
• Recognize the normality or abnormality of the findings of additional tests.
• Apply reasoning and clinical judgment to make a differential diagnosis from clinical information. Detect symptoms guide.
• Evaluate the prognosis of diseases.
• Knowing how to find information to supplement the study of cases attended and topics of interest.
Regarding the therapeutic plan:
• Recognize the most important aspects that require immediate treatment.
• Develop a treatment plan in the most prevalent pathologies.
Regarding the multidisciplinary work:
• Know continuity of care after discharge
Regarding the interprofessional communication:
• Integrate the dynamics of the health care team work
• To present clinical cases and participate in their clinical sessions.
With regard to prevention:
• Identify prevention measures based on the pathologies identified.
At the end of practice, students will have developed their skills and be able to:
- Develop a complete medical history with all sections: history, physical and mental state examination, evaluation of additional evidence
- if accurate, analyze and interpret information to reach a syndromic diagnostic orientation.
- Develop an admission hospital report .
- Perform a clinical reasoning from signs and symptoms guide anamnesis, findings of the physical examination and laboratory tests and differential diagnosis.
- Develop a treatment plan in the most prevalent pathologies.
- Establish the prognosis of the disease identified.
- Develop a hospital discharge report.
- Identify prevention of diseases recorded.
- Define the continuity of care after discharge.
- Search information to complete the study patient.
- Communicate with the medical team and prepare a commentary income.
- Work - 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 a patient. (Patient A)
• Hospital discharge report of another patient (patient B)
• Reflective Report: to be provided to tutor two days before the end of your stay. In it will be discussed: "What have you learned?" "How did you learn?".
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 ..
Perform a "Register of activitats" annotated with reflections on learning and skills acquired in connection with the activities.
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 State Evaluation
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 commentary income, valuing the additional tests.
• Conduct a discharge report.
• Identify symptoms and signs guide. Perform clinical reasoning and differential diagnosis. Assess the prognosis of the disease / s.
• Planning treatment plan most prevalent pathologies.
• Clinical follow-up of patients assigned. Knowing treatment and continuity of care after discharge.
• Identify prevention measures related pathologies registered.
• 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.
• Participate in clinical sessions and present clinical cases.
An explanatory and detailed on how to perform each of these tasks will be facilitated document.
Farreras-Rozman: Medicina Interna, 17a edició
Harrison. Principis de Medicina Interna, 19a edició Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo
Exploració clínica pràctica, 27ª edició Noguer-Balcells Prieto Valtueña, J.M