5. Technical Specifications
Innovation
(in the context of Portugal)
Integrated
Curriculum
(PBL)
4-year Course Graduate Entry
Emphasis on
Primary Care
6. How we went about it…
The Course
4-year + Integrated (PBL)
St. George’s
FLINDERS
Graduate Entry
Selection
Primary Care
EURACT
7. How we went about it: EURACT
350 GPs
50 trained, highly motivated and
committed tutors
8. How we went about it: the selection
200-300 Candidates
105 Candidates
48 Students
Cognitive Aptitude Test
Multiple Mini-Interviews
9. Putting the pieces together
Curricular
Unit
Acronym
Problem Based
Learning PBL
Seminar SEM
Clinical Skills Lab LAB
Clinical Rotations CLI
Patient Follow-up PFU
Student Selected
Module SSM
Elective ELE
1st Year 2nd Year 3rd Year 4th Year
PBL
SEM
LAB
CLI
SSM
PFU
ELE
10. Putting the pieces together
Curricular
Unit
Acronym
Problem Based
Learning PBL
Seminar SEM
Clinical Skills Lab LAB
Clinical Rotations CLI
Patient Follow-up PFU
Student Selected
Module SSM
Elective ELE
Knowledge Attitudes Competencies
PBL
SEM
LAB
CLI
SSM SSM
PFU
ELE
11. PBL, SEM & LAB
Monday Tuesday Wednesday Thursday Friday
PBL
CLI CLI
PBL SEM/LAB
SEM SEM/LAB SEM
Basic
Science
Clinical
Science
12. CLI – Years 1 and 2
• 12 Health Centers
• 50 Tutors
• 1 day/week
• 1:1 Student/Tutor
• 4 tutors/year
13. CLI – Years 3 and 4
Year 3 Year 4
4 weeks displaced
8 Rotations
25 h/week
4 weeks/rotation
Faro
Portimão
Santiago do Cacém
12 Rotations
35 h/week
2 weeks/rotation
Faro
Portimão
Setúbal
Almada
12 weeks displaced
14. CLI – Years 3 and 4
Year 3 Year 4
Rotation
Gastroenterology
Cardiology
Nephrology
Obstetrics/Gynecology
Pediatrics
Surgery
Pneumology
InternalMedicine
Rotation
ENT
Ophthalmology
Psychiatry
Dermatology
Neurology
Oncology
Orthopedics
Urology
Infectious Diseases
Intensive Care
Family Medicine
Optional
15. PFU, SSM, ELE
Patient Follow-up Student Selected Module Elective
➙ First 2 years
➙ In the community
➙ GP tutor
➙ From November till May
➙ Pregnancy
➙ Dependent/Chronic
➙ First 3 years
➙ Laboratory, Clinical or
free
➙ 5 weeks in year 2 and 3
➙ From September till May
in year 3
➙ Anywhere
➙ 8 weeks
➙ End of year 3 (June-July)
➙ Anywhere (Strongly
encouraged to go
abroad)
➙ Single limitation: a
different experience
16. SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL
Personal
Progress Index
MCQ PBL/SEM
OSCE
Assessment
CLI 1 & 2
Attitudes
1/week
4 rotations/year
32 Samples
CLI 3
Case-based Discussion
3/rotation
+
Global Assessment
CLI 4
Case-based Discussion
1/rotation
+
Global Assessment
PFU, SEM, ELE
Poster presentation
Oral Presentation
Written work
17. Are we getting anywhere? - Really Soft Data
2009 Cohort
Norte
27%
Centro
Algarve
21%
Lisboa 14%
38%
Foundation Year 2014
Norte
14%
Lisboa
Abroad
17%
Algarve 35%
34%
2009 2014
MDs with PhD
in Algarve
2 +6
