A real General Practice environment for our medical students

1. A real General Practiceenvironment for ourmedicalstudents A real General Practiceenvironment for ourmedicalstudents Luís Filipe Gomes, MD, EMGF

2. Portugal Braga - 1 Porto - 2 Covilhã - 1 Coimbra - 1 SPAIN Lisboa - 2

4. University of Algarve 8.500 under-graduate 1.000 post-graduate Academicpersonel 700 Supportpersonel 500 Campi Penha and Gambelas

5. 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...)

6. International ExpertsCommittee • 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.

8. Threeaspects (separatelydeveloped in othercourses): • Graduateentry(Warwick, RU); • PBL (Maastricht, Holand); • Primarycarebased(1) (James Cook, Australia). (1) Strong component, GP/FM settingimmersion, early and constantexposure to GP/FM (first 2 years) • PBL: • St. George’s Medical School, UniversityofLondon

10. SC = CS + (0.2 x EL) + AD + A + Ualg + Vol 72 for MMI - 32 selected Problem-solving ability, self-appraisal ability, ability to relate to others, motivation to study medicine, learning styles Multiple Mini Interviews SC - Serial Classification; EL - EnglishLanguage; CS - CognitiveSkills: Abstract, Numeric, Verbal; AD - AcademicDegree; A – Age; UAlg – Algarve University; Vol – Voluntarywork

12. Knowledge PBL (pure PBL) • Skills Skillslab • Atitudes Clinics (General Practicesetting – first 2 years)

13. AlternatingwithSkillsLab

16. PersonalProgressIndex, PPI

22. Understandstheprimarycareteamfunctions Recognizesthegeneralistapproach, toleratesuncertainty Understandsthepatient as a wholeperson Demonstratesability to communicatewiththepatient Isable to obtain a history Isable to conceive a plan for theinitialmanagement of thepatient’sproblems Knows POMR (PersonOriented Medical Register) Recognizesprofessionalism: self balance and personalvalues (personalpresentation, punctuality, assiduity, organization, efficiency) (Effectivecommunicationwiththepatient, understandingthepatient as a person)

23. Personcentredness Punctuality Feedback Assiduity Oportunities to practice Easycontact YourFamilyDoctor Support, elucidation

24. Algarve • 700 000 inhabitants (Winter) • 1 800 000 (Summer) III II I Alcoutim Monchique Aljezur Castro Marim Silves S. Brás Portimão Tavira Lagos Loulé Vila do Bispo Albufeira Lagoa Olhão Vila Real Faro GP/FM Tutors

25. EURACT EuropeanAcademy of Teachers in General Practice

26. And… • Seminars • MEE (StudentsChoice Module) • SCD (Patientfollow-up)

34. Rotations • Secondyear: Shortone/twodaysrotations • Third and Fourthyears: Hospital rotations GP/FM rotations

36. GPs are involved in:

38. Thankyou!