SAVASSI, LCM; PEREIRA, RPA. Federal University of Ouro Preto report on rural family medicine teaching: Rural internship and family medicine discipline. Lecture at World Wonca Congress

1. Federal University of Ouro Preto report on
rural family medicine teaching:
Rural internship and family medicine discipline
Medicine School - Federal University of Ouro Preto

2. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Authors
Prof. Leonardo Cançado Monteiro Savassi- MD, PhD
Prof. Rodrigo Pastor Alves Pereira- MD, Msc
Medicine School - Federal University of Ouro Preto

3. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
A little bit of history…

4. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
A little bit of history…
• Mining School (1876)
• First Pharmacy School of South America
(1839)
• Department of Medical Sciences (2007)
• School of Medicine (2015)

5. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
UFOP is a Rural University...

6. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
... teaching in rural and rural-urban settings

7. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Medicine: Undergraduate
• First tier Primary Care: 1st and 2nd semester- field,
politics, health education, medical anthropology
• Second tier Primary Care: 5th, 6th, 7th , 8th
semester- clinical focus
• Third tier Primary Care: 9th semester- Family
Medicine
• Fourth tier Primary Care: 12th – Internal Clerkship

8. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Third tier Primary Care: 9th semester-
Family Medicine
• Clinical Scenario: Primary Care Unities of municipality
• Teaching team: professor, resident
• 4 modules of 10 students (maximum)
• Each module is subdivided on 5 couples
• Division of weekly workload
– 5 hours: supervised clinical care (advanced schedule, home-
care, planning)
– 2 hours: workshops (PCCM, EBM, working with families,
Balint), case discussion, green period
– 2 hours: lectures (core themes of Family Medicine: PCCM,
register, EBM, Primary Care, Screening, Quaternary
Prevention, Working with Families, Home-care)

9. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
• Formative assessment: 2 individual feedbacks
• Summative assessment:
– 40 points: theoretical assessment
– 20 points: clinical development (Calgary Cambridge)
– 15 points: structured learning objectives
– 20 points: group planning work
– 05 points: artistic work
Third tier Primary Care: 9th semester-
Family Medicine

10. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
9th semester- Family Medicine
Same Day
Appointments
Longitudinal
Chronic care
Home Visit
Procedures Protocols
5 hours
Primary care unity
2 hours
in-class activities
2 hours
Skills improvement
2 theoric tests Calgary Cambridge Care Protocols Artistic Activity

11. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.

12. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Artistic
Activity

13. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.

14. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Coletive Health and Family Medicine Internship – 11th
Semester
COMPLEX CLINICAL CASE
Public Health Vigilance Actions Needed
Public Health Policies and Health Network Discussion
Family Approach: GENOGRAM AND ECOMAP
Evidende Based Medicine to clinical problem resolution
Final Presentation: Clinic/ Social/ Familiar Outcomes

15. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Finally,
Some words about teaching in rural settings...

16. Federal University of Ouro Preto report on
rural family medicine teaching
Rodrigo Pastor; Leonardo Savassi
Medicine School
Federal University of Ouro Preto
EMED-UFOP.
Thank you!
Rodrigo Pastor
Leonardo C M Savassi
http://www.medicina.ufop.br