Universitat Internacional de Catalunya
Midwifery Practicum
Other languages of instruction: Spanish
Teaching staff
Dra. M. Teresa Coll Sibina: mtcoll@uic.es
Introduction
The course on Maternity and Children Clinical Practice consists of four weeks of clinical rotation in the specialties of Paediatrics, including their specific areas (e.g., Neonatology and Paediatric specialties). During this period, you will be performing clinical tasks, always under the supervision of a professional. The goal of this hands-on work is to allow you to develop the skillset required to practice medicine in the relevant areas, from a general practitioner perspective.
Pre-course requirements
Be enrolled or having passed the course of Paediatrics.
Objectives
- Integrate the knowledge and skills acquired regarding the healthcare of the sick and healthy woman, pregnancy, baby, and child up to 18 years.
- Gain clinical experience in a real clinical setting.
- Engage with women, babies, infants, children, and adolescents with health problems or needs preventive measures, and with their family and social environments.
Competences/Learning outcomes of the degree programme
- 01 - Recognise the essential elements of the medical profession, including ethical principles, legal responsibilities and patient-centered professional skills.
- 02 - Understand the importance of central principles, in particular of professional confidentiality for the benefit of patients, society and the profession.
- 03 - Know how to apply the principle of social justice to professional practice and understand the ethical implications of health in a changing global context.
- 04 - Develop professional practice with respect for patient autonomy, beliefs and culture.
- 06 - Develop professional practice with other health professionals, acquiring teamwork skills.
- 09 - Understand and recognize the effects, mechanisms and manifestations of disease on the structure and function of the human body.
- 10 - To understand and recognise the agents and risk factors which determine health status, and learn how they determine the symptoms and natural development of acute or chronic diseases in individuals and populations.
- 11 - Understand and recognize the effects of growth, development and aging on the individual and their social environment.
- 13 - Obtain and develop a clinical history that contains all relevant information.
- 14 - Perform a physical examination and a mental assessment.
- 15 - Ability to formulate an initial diagnosis and establish a rationalised diagnostic strategy.
- 21 - Listen carefully, obtain and synthesize relevant information about the problems affecting the patient and understand the contents of this information.
- 22 - To write and maintain medical records and other medical documents which can be understood by third parties and are adapted to the protocols and information that is required.
- 23 - Communicate effectively and clearly, both orally and in writing with patients, family members, media and other professionals.
- 24 - Establish good interpersonal communication skills that enables efficient and empathetic communication with patients, relatives, media and other professionals.
- 32 - Know how to use information and communication technology in clinical, therapeutic, preventive health care and research.
- 33 - Maintain and use records with patient data for later analysis, preserving the confidentiality of the data.
- CTP-2 - To develop a perception and understanding of their own emotions and those of others, as well as the intelligence adjust answers.
- CTP-3 - To develop critical thinking and reasoning as well as self-assessment skills.
Learning outcomes of the subject
GOALS AND BASIC SKILLS TO BE ACHIEVED DURING CLINICAL PRACTICE
GENERAL
- Be able to develop a complete anamnesis of the patient, taking into account their characteristics.
- Be able to recognise the specific characteristics of a disease, by exploring anomalies.
- Be able to incorporate both the data of the anamnesis and the results of the clinical exploration into concise documentation that is understandable to third parties
- Guide a diagnosis
- to analyse all available information
- to recognise the most important aspects that require immediate treatment.
- Propose a plan of action
- Record the findings
SPECIFIC TO PAEDIATRIC
- Know how to, and perform, a proper anamnesis of the child, parents or other family members.
- Communicate with infants, school children and adolescents and their families
- Write a concise, clear and comprehensive clinical history, focused on the Paediatric pathology.
- Know how to, and perform, a systematic physical examination of the baby as well as infants, school children and adolescents.
- Know how to assess the severity of a paediatric patient
- Know the procedure to follow on the most common paediatric investigations, as well as its specifications and difficulties
- Know how to provide clinical guidance to paediatric patients
- Know how to lead a differential diagnosis in a paediatric patient
- Know how to lead a therapeutic plan in a paediatric patient
- Know how to lead a prevention plan in a paediatric patient
- Observe or participate in a paediatric surgical process (in the operating room or hospital wards).
- Get acquainted with and participate in the common tasks of a Neonatal Unit.
- Participate in the follow-up of normal baby during the first 48 hours of life (physiological changes, breastfeeding, care of the navel, instructions to discharge.
Syllabus
Pediatrics.
Neonatology (healthy baby, maternity floor, Intermediate neonatal care unit, neonatal ICU), paediatric inpatient, outpatient, emergency (triage, healthy child/sick child), delivery rooms, primary pediatric care.
Teaching and learning activities
In person
METHODOLOGY
Before starting the clinical practice, it is required to review the theoretical materials in the relevant area.
The active participation of the student throughout their stay at clinic is key.
The course will take place in the teaching hospitals of the UIC: Fundació Althaia (Manresa), Hospital Universitari General de Catalunya (Sant Cugat), Hospital Universitari General de Granollers, Consorci Sanitari de Terrassa (CST), Hospital Quirón Salud (Barcelona), Parc Sanitari Sant Joan de Déu (SJD Hospital de Sant Boi), Hospital HM Delfos (Hospital de Nens Barcelona) and Clínica del Vallès de Quirón (Sabadell). All the centers have Paediatric Services, and their Specific Areas, with pre and postgraduate teaching capacity.
The Center where you will make your stay will be determined by the University's own mechanisms.
OPENING HOURS DURING THE INTERNSHIP
The clinical practice schedule will be from 8:00 a.m. / 9:00 a.m. to 2:00 p.m. according to the schedule established by the corresponding teaching unit. Maximum punctuality and assistance during the stay is essential. Punctuality and attendance are fundamental during your stay.
Absenteeism
Any absence must be notified to the University and in the center using the contact telephone number identified in the specific area of moodle. It is required to justify any absences. Lack of attendance or unjustified absences, may prevent the final assessment of the course.
There will always be a clinical tutor assigned. However you do not need to shadow your tutor all the time and you may engage with other areas of the department.
The rotation scheme will be the following one:
Week 1: Paediatric Emergencies (triage, healthy/sick child)
- Week 2: Neonatology (Maternal-Infant ward, Intermediate Neonatal Care Unit, Neonatal ICU, delivery and operating rooms).
- Week 3: Paediatric hospitalisation floor
- Week 4: External consultations of the different Paediatric Specialities.
In each teaching hospital, the rotation around the different areas will be established by the corresponding university clinical tutor.
Completing the stay is a requisite to achieve the general and specific objectives of the course.
SEMINARS
There will be a total of 6 seminars. Attendance to all seminars is mandatory. Seminars will be evaluated independently from the clinical practice.
Seminar will be scheduled outside of the opening hours of clinical work
PE1.- Introduction to the subject. Evaluation system.
PE2.- Paediatric clinical history
PE3.- Paediatric evaluation triangle in the emergency room.
PE4.- Childcare for babies and small infants.
PE5.- Imaging tests in Paediatrics.
PE6.- Feverish infant.
STUDENT ACTIVITIES:
The student should develop:
1. A self-reflection report that will be delivered to the tutor two days before the end of the stay. (2-3 pages) stating "what have you learned? And how have you learned it? "You need to cover: your theoretical knowledge; the skills acquired to develop the medical history, to conduct the physical examination, and to perform the diagnosis or the problem assessment; your integration into the health care team; your professional behaviour, etc.
You may find it helpful to write an “activity diary”, reflecting on your learning and on the skills acquired through the clinical practice.
You can use the "autovaloració" document as guidance; you will find the document in the specific section of the course.
2. A two clinical reports, which can be regarding a patient discharge or an emergency case.
Upon completing the clinical practice internship, you should take some time to reflect on your learning and experience. You should also seek feedback from your tutor and discuss your evaluation with them. It is advisable to already schedule the time for feedback at the start of the internship.
The tutor will observe the student directly during the practices and gather inputs from other professionals who have been in contact with the student, in order to complete the most comprehensive and reliable evaluation for all areas. The tutor will evaluate the student’s self-report, the clinical interest of the case chosen, the formal presentation, and the ability of the student to do an oral presentation of their findings. All this documentation must be included into the educational system (moodle) for its subsequent evaluation by the head of the subject.
Finally, the tutor will assign an overall rating (both qualitative and quantitative) to the student’s internship.
CLINICAL REPORT:
The report must be complete, clear and understandable to other professionals and by the patient and (except you get any specific guidance that states otherwise) it should include the following sections:
-Sanitised yet complete identification of all patient data
- Reason for medical consultation
- Personal history, family, allergies.
- Complete physical examination and by systems.
- Diagnostic
- Complementary examinations requested and results if available.
- Evolution during the stay in hospital
- Therapeutic plan and follow-up
- Final diagnostic
- Procedures carried out
- Recommendations upon discharge from hospital
- Destination on discharge.
- Patient status upon discharge from hospital
Evaluation systems and criteria
In person
EVALUATION OF THE COURSE:
The final evaluation will be carried out by the head of the subject taking into account all the information and documentation available. The system of evaluation will be multiple and consists of the following sections and ratios
70%-direct observation of clinical tutor captured in their evaluation
10%-self-reflection report of the student
20%-exercises delivered to tutor and incorporated into the moodle (hospital release report, emergency report, etc.).
The final grade is the calculation of the weighted average of the various sections, as long as the student has received at least a 6.0 in the tutor’s evaluation. If you do not have the 6.0, you need to repeat a part or the whole internship, depending on the sections required.
If the student fails any of the other sections, the head of the subject and the academic tutor will jointly decide what additional activities are required in order to pass the course, e.g., re-doing any of the reports, preparing abstracts related to the seminars, re-doing the self-reflection report, etc. - as needed in each case.
The grade of the sections passed will be saved for the second evaluation. No grades for any section will be saved in the event of having to retake the course, or if requiring any further attempts to pass all sections of the course, beyond the 2 evaluations mentioned above.
The 5th grade integration of knowledge exam will have an impact on the final grade of the clinical practices course, as long as the grade of the exam is equal or greater than 4.0. In this case, the final grade of the practice course will be increased between 0.2 (if the grade was 4) and 1.5 (if the grade was 10). This increase will not apply if the student has not passed the course.
The grades of the passed section will be kept for the second call. In case of reevaluation of the course or in successive calls none of the grades in any section will be kept.
Bibliography and resources
The same textbooks recommended for the Paediatrics course.