PRIMARY CARE ROTATION CourseCode: 1988Degree: Bachelor's in MedicineFaculty of MedicineYear: Year 6 of Bachelor's in MedicineSemester: SpringType: InternshipsLanguage: SpanishECTS credits: 6Lecture: 0Laboratory: 6Hours: 150Directed: 60Shared: 50Autonomous: 40Subject matter: RotationModule: Rotations and Final Degree ProjectDepartment: Clinical MedicineArea: MEDICINECourse instructors are responsible for the course content descriptions in English.DescriptionPre-professional practice in the form of clinical rotations at health centers. Training on an outpatient level in the area of primary care. Family and community.FacultyNameCoordinatorLectureLaboratoryGIL GUILLEN, VICENTE FRANCISCO■■CARRATALA MUNUERA, MARIA CONCEPCION■GOMEZ MORENO, NIEVES VICTORIA■DE LA SEN FERNANDEZ, CARLOS■OROZCO BELTRÁN, DOMINGO LUIS■QUIRCE ANDRES, FERNANDO■Professional interestCompetencies and learning outcomesGeneral competenciesUnderstand and recognize the effects, mechanisms, and manifestations of disease on the structure and function of the human body.Understand and recognize causative agents and risk factors that determine health status and disease development.Comprehend and recognize the effects of growth, development, and aging on the individual and his/her social environment.Understand the basics of action, indications, and efficacy of therapeutic interventions based on available scientific evidence.Acquire and develop a medical history that contains all the relevant information.Perform a physical examination and mental health assessment.Be capable of formulating an initial diagnosis and establishing a rational diagnostic strategy.Recognize and deal with immediate life-threatening situations and those others requiring immediate attention.Establish the diagnosis, prognosis, and treatment, applying principles based on the best information available and under conditions of clinical safety.Indicate the most appropriate therapy for the most prevalent acute and chronic processes, as well as for patients in terminal stages.Raise and propose appropriate preventive measures for each clinical situation.Acquire appropriate clinical experience in hospitals, clinics, and other health care institutions, under supervision, as well as basic knowledge of patient-centered health management and the appropriate use of tests, medications, and other health system resources.Listen attentively, obtaining and synthesizing information relevant to the problems affecting the patient, understanding the content of this information.Write case histories and other medical records that are comprehensible to third parties.Specific competenciesKnowledge and use of the principles of medicine based on the (best) evidence.Recognize, diagnose, and guide management of the principal diseases of the skin.Recognize, diagnose, and guide management of the major blood disorders.Palliative medicine.Family and community medicine: living environment of the ill person, health promotion in the family and community settings.Learn how to perform a complete patient-centered anamnesis oriented towards various pathologies, and interpret the findings.Learn to assess changes in clinical parameters for different ages.Assess the risk/benefit ratio of diagnostic and therapeutic procedures.Understand the indications of biochemical, hematological, immunological, microbiological, anatomopathological, and imaging tests.Know how to interpret results from laboratory diagnostic tests.Learn how to interpret radiological images using a systematic approach.Know how to use drugs appropriately.Objectives (Learning outcomes)01Perform a complete anamnesis in Primary Care, patient-centred and oriented to the various pathologies, interpreting its meaning.02Perform a basic physical examination in Primary Care consultations.03Do in Primary Care a physical scan devices and systems, as well as an exploration of psychopathology, interpreting its meaning.04Rating changes of the clinical parameters at different ages in patients attending health facilities.05Evaluate the relationship raise of diagnostic and therapeutic procedures for patients treated in health centres.06Differentiate between normal and altered analysis in patients treated in Primary Care.07Rating the risk factors and prevention of diseases in the health centers.08Assess nutritional status and develop a diet appropriate to different circumstances in primary care centres.09Rating changes of the clinical parameters at different ages in patients treated in Primary Care.010In a healthcare environment of Primary Care, meet, assess and use clinical and biomedical information sources, and technologies to obtain, organize, interpret, and communicate clinical, scientific and health information.011In a healthcare environment of Primary Care, write stories, reports, instructions, and other records, comprehensible to patients, families and other professionals.012Make an exhibition in public, orally and in writing, of scientific works and/or professional reports in Primary Care centres.013Properly prepare prescriptions adapted to each patient's situation and the legal requirements in primary care centres.014See functional tests, vital parameters to determine and interpret them in the health centres.ContentsLecture topicsTeaching unitsU1CLINICAL PRACTICEU2CLINICAL HISTORIES, REPORTS AND LEAF PROBLEMSU3ASSISTANCE TO SPECIAL TECHNICAL SKILLS I SCANSU4SESSION BASED ON A CLINICAL CASE CLINICALU5TUTORING AND FINAL CLINICAL COMPETENCY DEGREE REVIEWAssociation between objectives and unitsObjective/UnitU1U2U3U4U5010203040506070809010011012013014ScheduleWeekTeaching unitsDirected hoursShared hoursAutonomous hoursTotal hours1U112108302U212108303U312108304U412108305U51210830Course contentsBasic bibliographyBianco Colmenares, Fernando. "MDS III. Manual Diagnóstico en Sexología 3ª edición". Federación Latinoamericana de Sociedades de Sexología y Educación Sexual (FLASSES), 2014.Bianco Colmenares, Fernando (editor jefe). "Avances en sexología médica". Síntesis, D. L. 2015.BICKLEY L.S. BATES B. "Guía de exploración física e historia clínica". Lippincott Williams & Wilkins 10 ed. 2010.BRAUNWALD E, FAUCI AS, KASPER DL, HAUSER HH, LONGO LL, JAMESON JB.HARRISON. "Principios de medicina interna". 18ª ed. Editorial Interamericana. Madrid. 2012.Douglas, G. - Nicol, F. - Robertson, C. "Macleod Exploración clínica". ELSEVIER 13ª ed. Elsevier.2014.Francesc Borrell. "Entrevista Clínica. Manual de Estrategias prácticas.". semFYC Ediciones 2004.GARCÍA-CONDE J, MERINO SÁNCHEZ J. "Patología general. Introducción a la Medicina Clínica". Ed. Marban. 2013.Jordi Espinás y Jordi Vilaseca. http://www.semfyc.es/es/enciclopedia/guia_practica de la salud/ . "Guía Práctica de la Salud. Guía práctica con los principales temas de salud dirigida a pacientes y a médicos de familia.". semFYC 18 octubre 2010 .Manuel Serrano, Verónica Casado, Pablo Bonal. "Medicina de Familia. Guía para estudiantes.". Ariel. Septiembre 2005.NOGUER-BALCELLS. "Exploración clínica práctica". 27ª ed. Masson. Barcelona 2011.PORTH CM. "Pathophysiology". 9ª ed. Lippincott. Philadelphia. 2013.ROZMAN C. "Medicina interna Farreras Rozman". 17ª ed. Elsevier. Barcelona. 2014.SEIDEL H.M, BALL J.W., DAIMS J.E., FLYNN J.A., SOLOMON B.S., STEWART R.W. "Guía Mosby de Exploración Física.". 8ª ed. Elsevier. Barcelona 2015.semfyc. "Tratado de Medicina de Familia y Comunitaria 2ª". Panamericana.SWARTZ M.H. "Tratado de semiología. Anamnesis y exploración". 6ª ed. Saunders 2010.Complementary bibliographyLinksVideos of exploration and SEMIOLOGY. How to do a medical history. Made Dr. José M. Ramos, Department of Medicine, UMHHow to make a basic physical examination in undergraduate studies. Made Dr. José M. Ramos, Department of Medicine, UMHFunctional assessment scales. Made Dr. José M. Ramos, Department of Medicine, UMHVIDEOS AND INTRODUCTORY CLINICAL GUIDELINES. This documentation is prepared by students of Integrated Workshops II from the year 2013-2014. Exploration of the head and neck. Introductory clinical guidelines. Exploration of the head and neck.VIDEOS AND INTRODUCTORY CLINICAL GUIDELINES. This documentation is prepared by students of Integrated Workshops II from the year 2013-2014. Exploration of the head and neck. Introductory clinical guidelines. Exploration of the head and neck.Heart scan. Introductory clinical guidelines. Heart scan.Heart scan. Introductory clinical guidelines. Heart scan.Thoracic and lung scan. Introductory clinical guidelines. Heart and lung scan.Thoracic and lung scan. Introductory clinical guidelines. Heart and lung scan.Exploration of Abdomen. Introductory clinical guidelines. Abdominal explorationExploration of Abdomen. Introductory clinical guidelines. Abdominal explorationOTHER VIDEO TUTORIALS. Neurological examination complete cranial, motor and sensory. The video is very simple and the least that what you need to know. He says the basics without much detail.On this page there are 9 videos for neurological examination. They have more detail and it's made by students. Are the FMM University of the Salle Mexico D.F.I would highlight the following videos: Cranial Pairs IIn this video cranial pairs IIsemFYC Spanish Society of Family and Community MedicineSoftwareMethodology and gradingMethodologyCase studies: Learning through the analysis of actual or simulated cases in order to interpret and resolve them by employing various alternative solution procedures.Cooperative learning: Develop active learning through cooperative working strategies among students and promote shared responsibility to reach group goals.Problem-based learning: Develop active learning strategies through problem solving that promote thinking, experimentation, and decision making in the student.GradingASSESMENTThe attendance is mandatory.The justification of any absence must be included in this portfolio.1. assessment of the degree of competition portfolio: 50%(a) assessment by the clinical tutor of the competences of the student practices and assistance 10%(b) evaluation of the professor in charge of the subject of the clinical tutor of the portfolio: 40%10% (register of patients 80% activity log; Session 20%)10% differential diagnosis(Decisions 50%, 50% problems worksheet report)10% clinical histories (reason for consultation (25%), Anamnesis by organs and apparatus as reason for consultation (25%); Personal history and family related to the reason for consultation; Physical examination conducted according to the reason for consultation, also mentioning his normality (25%)).10% additional competences (assessment of the clinical case presented (90%); Other competitions (10%)2. evaluation through a joint final exam: 50%There will be a call for proposals only in late may or early June. In call only for all clinicians Rotary at the end of May or early June,with 25 questions by Rotary, with a maximum of 270 questions. Each question type failed test, subtraction 0.25 points. Each Rotary has its note of independent evaluation corresponding to 25 questions each. To pass the Rotary must get a 5 out of 10 after the joint assessment of two paragraphs (portfolio and examination).The notebook of the subject must be delivered completed in the Secretary of the Department of Clinical Medicine as rotations are performed and maximum one week prior to the final evaluation test joint corresponding. The student must meet with the received.