A real General Practice environment for our medical students

Luís Filipe Gomes, MD, EMGF

A real General Practice environment for our medical students

Portugal

Lisboa - 2

SPAIN

Covilhã - 1

Coimbra - 1

Porto - 2

Braga - 1

8.500 under-graduate1.000 post-graduate

Academic personel 700Support personel 500

University of Algarve

Campi Penha and Gambelas

• Basic sciences teachers Recruited from out of more than 200 scientists

in the Biology field (Ualg)

• Clinical teachers Recruited from out of 260 GP/FP and 400 hospital specialists

(We are bringing some from other universities...)

International Experts Committee• Prof. Sir Colin Berry - Queen Mary and Westfield College, Un.

London; • Prof. António Campos - Faculdade de Medicina, Granada; • Prof. Ruy Lourenço (Dean) - New Jersey Med. School; • Prof. Fernando H. Lopes da Silva – Prof. of Physiology, Dir.

Inst. Neurobiology, Faculty of Sciences, Amsterdam, • Prof. Hugo Lagercrantz – Inst. Karolinska, Stockholm; • Prof. João Lobo Antunes - FMUL; • Prof. António Rendas - FCM, UNL; • Prof. Manuel Sobrinho-Simões - FMUP; • Dr. Mário Carreira - MS.

PBL: St. George’s Medical School, University of London

Three aspects (separately developed in other courses):

• Graduate entry (Warwick, RU);• PBL (Maastricht, Holand);• Primary care based(1) (James Cook, Australia).

(1) Strong component, GP/FM setting immersion, early and constant exposure to GP/FM (first 2 years)

Multiple Mini InterviewsSC = CS + (0.2 x EL) + AD + A + Ualg + Vol

72 for MMI - 32 selected

SC - Serial Classification; EL - English Language; CS - Cognitive Skills: Abstract, Numeric, Verbal; AD - Academic Degree; A – Age; UAlg – Algarve University; Vol – Voluntary work

Problem-solving ability, self-appraisal ability, ability torelate to others, motivation to study medicine, learning styles

• Knowledge PBL (pure PBL)

• Skills Skills lab

• Atitudes Clinics (General Practice setting – first 2 years)

Alternating with Skills Lab

Personal Progress Index, PPI

Understands the primary care team functions

Recognizes the generalist approach, tolerates uncertainty

Understands the patient as a whole person

Demonstrates ability to communicate with the patient

Is able to obtain a history

Is able to conceive a plan for the initial management of the patient’s problems

Knows POMR (Person Oriented Medical Register)

Recognizes professionalism: self balance and personal values (personal presentation, punctuality, assiduity, organization, efficiency)

(Effective communication with the patient, understanding the patient as a person)

Punctuality

Assiduity

Easy contact

Support, elucidation

Person centredness

Feedback

Oportunities to practice

Your Family Doctor

Vila do Bispo

Aljezur

Lagos

Monchique

Portimão

Silves

Lagoa Albufeira Loulé

Faro

S. Brás

Olhão

Tavira

Vila Real

Castro Marim

Alcoutim

GP/FM Tutors

II I

III

Algarve• 700 000 inhabitants (Winter)• 1 800 000 (Summer)

EURACTEuropean Academy of Teachers

in General Practice

And…

• Seminars

• MEE (Students Choice Module)

• SCD (Patient follow-up)

Rotations

• Second year: Short one/two days rotations

• Third and Fourth years: Hospital rotations GP/FM rotations

GPs are involved in:

Management Selection Modules Assessment

Core MMI PBL PPI

Skills Lab OSCE

Clinics Continuing Assessment

Seminars Posters

SCM Essay

PF Report / presentation

Thank you!