Universitat Internacional de Catalunya
Primary Care Practicum
Other languages of instruction: Spanish
Teaching staff
Services to students on request further concerted mail: emgene@uic.es
Introduction
The International Conference of Alma-Ata held in Kazakhstan in 1978 defined the Primary Health Care as "essential care based on practical technologies, scientifically found and socially acceptated methods available to all individuals and families in the community, through their full participation and at a cost that the community and country can afford to maintain at every stage of its development, in a spirit of self-reliance and self-determination. It represents the first level of contact of individuals, the family and the community with the national health system, bringing as close as possible health care to where people live and work and constitutes the first element of a continuing health care process. "
Thus, Family Medicine began in Spain in 1978 as a specialty in order to effectively address problems and comprehensive individual and community health from a biopsychosocial perspective manner.
The competence areas of General Practitioner are five:
1. Core competencies: communication, clinical reasoning, care management and bioethics.
2. Competencies attention to the individual
3. Competencies in family care
4. Competencies in community care
5. Continued education and research.
Family medicine is ultimately a horizontal unlike hospital specialties, that are vertical. This fact means a change in the concept of health care rising from a distant, timely and specific attention to another closer, continuous and comprehensive one.
The profile of the General Practitioner is a professional who values the whole person, with their physical, psychological and social aspects linked to a specific family and social context. This biopsychosocial approach allows him to perform continuous attention to the people he attends and improves the level of healthiness of thre people that are healthy, heal those who are sick and care, counseling and alleviate the effects of the disease, when it is not possible recovery of health.
Pre-course requirements
Objectives
The two weeks of clinical practice in primary care, should allow to apply the theoretical knowledge acquired so far and deepen the relationship between primary care and specialized care.
The objectives are:
1. PRIMARY CARE: Identify the different components of Primary Care Team, their functions and the importance of teamwork.
2. BIOPSYCHOSOCIAL MODEL: Apply the biopsychosocial model focused on the patient and family.
3. PREVALENT DISEASE: Know the strategies of the General Practitioner to the most prevalent health problems (acute and chronic) in primary care.
4. PREVENTION AND HEALTH PROMOTION: meet the prevention and health promotion.
5. MANAGEMENT: Understand the role of the family doctor as a manager of health resources.
6. COMMUNICATION: Gain experience in aspects of communication in the doctor-patient relationship, inter-relationships and continuity of care.
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.
- 06 - Develop professional practice with other health professionals, acquiring teamwork skills.
- 12 - Understanding the foundations for action, the indications and efficacy of therapeutic interventions, based on available scientific evidence.
- 13 - Obtain and develop a clinical history that contains all relevant information.
- 15 - Ability to formulate an initial diagnosis and establish a rationalised diagnostic strategy.
- 19 - Propose preventive measures appropriate to each clinical situation.
- 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.
- 25 - Recognize the determinants of public health; genetic and sex-dependent lifestyle, demographic, environmental, social, economic, psychological and cultural determinants.
- 26 - Assume role in the prevention and protection from diseases, injuries or accidents and maintenance and promotion of health, both individual and at the community level.
- 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
- Recognizes the different professional (doctor, nurse, social worker) who make up the core of the Primary Care Team and what their functions are. (Competence 6).
- Identifies the model of care focused on the person, integrating psychosocial aspects with biological (biopsychosocial model) and based on a close, continuous and comprehensive care. (Competence 1, Competence 20, Competence 25, Competence 26).
- Meet the management of acute pathology prevalent from the aspect Primary Care (headache, renal colic, urinary tract infection, respiratory infection, abdominal pain, chest pain or mechanical osteoarticular pain). (Competence 12, Competence 15, Competence 20).
- Meet the management and monitoring of prevalent chronic disease from the aspect of primary care (COPD, hypertension, diabetes, dyslipidemia, chronic patient complex). (Competence 12, Competence 20, Competence 25).
- You know and implement key strategies in prevention and health promotion according to the Programme of Preventive Activities and Health Promotion -PAPPS- (cardiovascular risk factors, cancer prevention, addiction, vaccinations, lifestyle). (Competence 12, Competence 19, Competence 20, Competence 25, Competence 26).
- Learn about the different types of existing in the Primary Care Center where do the clinical practice (appointment, appointment, spontaneous appointment, urgent visit, home visit virtual tour) and knows assign each to the specific needs visit each patient. (Competence 20).
- Knowing the type of organization and characteristics of primary care center where he makes the (public, concerted, associative entities base) clinical practice. (Competence 20).
- Know the clinical information systems Primary Care Center where do the clinical practices and shared clinical history of Catalonia (HC3). (Competence 20, Competence 32).
- It is able to identify the main information containing clinical information systems, HC3 (Summary, documents, diagnostics, pharmacy, immunizations, identification of chronicity) and use it with confidence. (Competence 20, Competence 32, Competence 33).
- Meet the operation of the electronic prescription and Integral Electronic Prescription System (SIRE) as a tool that integrates the processes of prescribing and dispensing of pharmaceutical services. (Competence 20, Competence 32)
- It is able to communicate with the patient and his family with respect, empathy and assertively. (Competence 21, Competence 23, Competence 24).
- It is able to communicate effectively with all professionals in the Primary Care Team. (Competence 23, Competence 24).
- It is able to synthesize information from clinical interview (exploratory phase and decisive phase) and reflect clearly the clinical course of Primary Care (ECAP). (Competence 13, Competence 22).
- It is able to communicate with the other healthcare level by preparing a report for referral to specialized care in the ER or the request for a supplementary examination. (Competence 6, Competence 20, Competence 22, Competence 23, Competence 24).
- It is able to synthesize and present an (acute, chronic or prevention) clinical health problem at the session of Primary Care Center reviewing the available scientific evidence to justify decisions taken. (Competence 12, Competence 32, Competence 33).
Syllabus
A) Seminars:
4 seminars of one hour will be held on the campus of Sant Cugat. Attendance at these seminars is compulsory.
Seminar 1. acute and chronic prevalent in primary care Pathology: management in rural areas.
Dra. Luz Olmedo.
Seminar 2. Clinical Management Seminar: The family doctor as manager of health resources.
Dra. Marta Pascual
Seminar 3. Attention to advanced chronicity: PCC, MACA, IPPC when identifying helps us make decisions.
Dr. Emili Gené
Seminar 4. Routes care.
Dr. Albert Casasa
B) Clinical stay:
clinical stay for two weeks from 9 to 14 h is performed. The schedule may vary depending on the particularities of each primary care center.
C) Presentation of a clinic or journal club:
Each student at the end of the stay will present a clinic or bibliographic Team Primary Care Centre which has made the clinicl stay.
D) Academic tutoring. Personal growth workshops:
The student will attend four workshops aimed at the development and personal growth to promote professional excellence. In them, mainly, cross-disciplinary skills focused on personal and professional values, the strengths to deal with the decisions, the management of one's own emotions and personal and interpersonal communication will be worked on.
The note is considered: attendance at the workshops, participation in them and the elaboration of a reflective report of each workshop, which will be incorporated into the Moodle of the subject.
Teaching and learning activities
In person
Professor team:
Cap d’Àrea Clínic: Dr. Emili Gené Tous
Atenció a l’alumne prèvia sol·licitud de visita concertada per mail: emgene@uic.es
Primary care coordinators and Primary Care centers:
- Dr. Xavier Segura. EAP Vallplasa (Vallvidrera, les Planes, Sarrià)
- Dr. Òscar Garcia. Castelldefels Atenció Primària CASAP.
- Dr. Albert Casasa. ACEBA
- Dra. Llum Olmedo. Althaia Xarxa Assistencial Universitària. Manresa.
- Dr. Antoni Arévalo. Consorci Sanitari de Terrassa
Professor team:
Dr. Albert Casasa
Dr. Òscar Garcia
Dr. Emili Gené
Dra. Llum Olmedo
Dra. Marta Pascual
Dr. Alan Perna
Dr. Xavier Segura
Dr. Antoni Arévalo
Evaluation systems and criteria
In person
Area of Knowledge evaluated
Rubric -> 50%
reflexive student report -> 10%
Presentation of the clinical session -> 30%
Evaluation of academic tutors -> 10%
Evaluation of the Seminarius -> Mandatory assistance
Criteria to pass the course
* Assistance to the four seminars.
* Assistance to the clinical stay. Attendance will be mandatory
* To pass the subject the final score must be equal to or greater than five.
a) Seminars (10%)
Four seminars at the beginning of the course will be held on the campus of Sant Cugat
Attendance at the seminars will be assessed by monitoring signatures
b) clinical Estancia (50%)
The student will be evaluated by the tutor and the coordinator (rubric).
Two days before clinic stay ends, the student will report to the tutor and the coordinator the reflexive reposrt.
The tutor will give feedback to student over achievements during the stay
c) Evaluation of academic tutor (10%)
The academic tutor will make an Assessment of each student
In addition to the attendance at the Primary Care Centers, the student will attend in a scheduled way in his rotation, 4 workshops of two hours, of compulsory attendance, and 1 personal tutoring, approximately half an hour. This tutoring is very convenient, but voluntary. The workshops and tutoring will be led by one of the academic tutors. This academic tutorial focuses directly on the internship note.
d) Reflexive student report and self evaluation (10%)
the student will make a reflexive report on their learning (model will be available in moodle). This report will have a maximum length of two pages and shall state what the student has learned and how he has learned.
Equally, the student also find in moodle the questionnaire of self evaluation (quantitative evaluation) and must complete it.
Two days before clinic stay ends, the student will report to the tutor and the coordinator the reflexive report.
e) Clinical sesion (30%)
The clinic session will be evaluated by the tutor and CAP's coordinator.
The content (60%) and presentation form will be evaluated (40%).
f) Material to be submitted to the coordinator of the course
Student must enter in the moodle:
- self evaluation
- reflexive report
- ppt for the clinical session
The maximum time to upload this material will be one week (7 days) after the end of the clinical stay. After this time, moodle will not allow you to upload this material.
Finally, in order to evaluate your stay, the student will also do an evaluation of the practices through a link to Google Forms that the student will find at moodle. This response will be anonymized for the centers and tutors.
g) High Honor
The assignment to a qualification of High Honor is to the criterion of the professors of the subject. In any case, students with the final qualification of Excellent will be able to opt for the maximum qualification.
In order to be able to assign the Honor Matriculation, it will be done through a cloister with the teaching coordinators of each Primary Care Center.
h) Second CALL
In the event that the students do not pass the cours in the first call, as the reasons the decision to repeat a portion or the entire practice and clinic session will be taken.
If the reason for the suspense is not attending the seminars, the person in charge of the subject will value asking the student to carry out a task related to the content of the seminars. This task must be presented to the person in charge of the subject.