Integrated Medicine II (20416)

Qualification/course: Bachelor's Degree in Medicine
Year: 2
Term: 1
Number of ECTS credits: 4
Number of study hours: 20 h face-to-face and 80 h individual work
Course Language(s): Catalan / Spanish
Teaching staff: UPF: Manel Algara, Josep-Eladi Baños and Josep Lloreta. UAB: Ramon Miralles, Enric Samsó, José Felipe Solsona

1. Presentation of the course

The syllabus for the joint degree course in Medicine of Pompeu Fabra University (UPF) and the Autonomous University of Barcelona (UAB) has as one of its main goals the provision of an integrated training in medical knowledge, so that the biological bases of medicine and clinical disciplines should not be considered as self-contained subjects viewed in isolation. For this reason, a group of subjects was included in the syllabus under the title Integrated Biomedicine I, II, III and IV and will be taught during the first four years of the degree course.

Integrated Medicine is, then, the title given to the subjects designed to present health-related problems in a transversal way, whether from a horizontal or vertical approach. This means that not only do students need to achieve educational objectives for the subjects corresponding to their own year of study, but also for subjects from previous or subsequent years.  This obviously means that the degree course is considered to be an inseparable whole, and not just a juxtaposition of six years of study.  In other words, students will need to understand some concepts which in theory correspond to subjects from subsequent years, and, at a later point, will return to concepts from the previous years which they should already have assimilated.

These subjects are intended then to provide a context for the development of basic generic skills, which in some cases will be dealt with implicitly in other subjects but which require specific activities such as those which will be undertaken during the Integrated Medicine course.

2. Competences to be achieved

- To learn about the structure of the cellular function, and the characteristics of biomolecules, their metabolism, regulation and metabolic integration.

- To describe the bases of cellular communication and the behaviour of excitable membranes.

- To learn about the morphology, structure and functioning of the cellular membrane.

- To learn about the morphology, structure and function of the excretory system.

- To learn about the morphology, structure and function of the endocrine system.

- To learn about the morphology, structure and function of the central and peripheral nervous system.

- To understand the principle of the risk factor and its importance in the prevention of illness.

- To understand scientific texts and to interpret them critically.

- To identify, diagnose, and plan the treatment of the main endocrine system diseases.

- To identify, diagnose, and plan the treatment of the main central and peripheral nervous system diseases. 






- To identify, diagnose, and plan the treatment of the main diseases of the blood.

- To identify, diagnose, and plan the treatment of the main kidney and urinary diseases.

- To identify, diagnose, and plan the treatment of the main psychiatric disorders.

- To learn the indications of biochemical, haematological, immunological, microbiological, anatomopathological, and image-based tests.

- To value the benefit/risk relationship in diagnostic and therapeutic processes.

- To learn the fundamental bases of pharmacology for the different body organs and systems.

- To learn how to manage the dynamics of group work.

- To learn to organize personal working time.  

- To make an oral and written public presentation, in the form of scientific projects and/or professional reports.

3. Contents

During the period of the course the students will be required to solve four problems,to which they will dedicate two weeks per problem (except case 4, to which they will dedicate three weeks):

- Case 1. Julia doesn't feel well.

- Case 2. Rolling stone

- Case 3. Nerves

- Case 4. Pale face

 
4. Assessment

The assessment process will take into account the following activities:

- Final examination (60% of the final mark):  consisting of 30 multiple-choice questions which will form part of the regular end-of-term examination (40%) and of a written problem-solving test (20%).

- Case reports (40%):
Cases 1 and 2: individual reports (written presentation)
Case 3: group report (written presentation)
Case 4: group report (oral presentation)

5. Bibliography and teaching resources

5.1. Basic bibliography 

GENERAL WORKS
ANONYMOUS Dorland, diccionario enciclopédico ilustrado de medicina. 30a. ed. Madrid: Elsevier, 2005.
FOZ, M.; LLAURADÓ, E.; RAMIS, J. Diccionari enciclopèdic de medicina. Barcelona: Enciclopèdia Catalana, 2000.
NAVARRO, F. A. Diccionario crítico de dudas inglés-español de medicina. 2a. ed. Madrid: McGraw-Hill Interamericana, 2000.

ANATOMY
MOORE, K. L.; AGUR, A. M. R. Fundamentos de anatomía con orientación clínica. 2a. ed. Madrid: Editorial Médica Panamericana, 2003.
PUTZ, R.; PABST, R. Sobotta atlas de anatomía humana. 22a. ed. Madrid: Editorial Médica Panamericana, 2006.
MOORE, K. L.; DALLEY, A. F. Anatomía con orientación clínica. 5a. ed. Madrid: Editorial Médica Panamericana, 2007.

BIOCHEMISTRY
BERG, J. M. Bioquímica. 6a ed. Barcelona: Reverté, 2008.
VOET, D. Bioquímica. 3a. ed. Buenos Aires: Editorial Médica Panamericana, 2006.

EPIDEMIOLOGY
LILIENFELD, D. E. Foundations of epidemiology. 3a. ed. Nova York: Oxford University Press, 1994.
ROTHMAN, K. J. Epidemiology: an introduction. Oxford: Oxford University Press, 2002.

PHARMACOLOGY
FLÓREZ, J. Farmacología humana. 5a. ed. Barcelona: Elsevier-Masson, 2007.
RANG, H. P.; DALE, M. M.; RITTER, J. M.; FLOWER, R. J.; Rang y Dale Farmacología. 6a. ed. Barcelona: Elsevier-Churchill Livingstone, 2008.

PHYSIOLOGY AND PHYSIOPATHOLOGY
ESTELLER, A.; CORDERO, M. Fundamentos de fisiopatología. Madrid: McGraw-Hill Interamericana, 1998.
FOX, S. I. Fisiología humana. 10a. ed. Madrid: McGraw-Hill Interamericana, 2008.
GUYTON, A. C. Tratado de fisiología médica. 11a. ed. Madrid: Elsevier España, 2006.
GUYTON, A. C.; HALL, J. E. Fisiología y fisiopatología. 6a. ed. Mèxic: McGraw-Hill Interamericana, 1998.
POCOCK, G. Fisiología humana: la base de la medicina. 2a. ed. Barcelona: Masson, 2005.

GENETICS
KLUG, W. S.; CUMMINGS, M. R. Conceptos de genética. 8a. ed. Madrid: Pearson Educación, 2006.

HISTOLOGY
FAWCETT, D. W. Bloom and Fawcett: Concise Histology. 2a. ed. Londres: Arnold, 2002.
JUNQUEIRA, L. C. U. Histología básica. 5a. ed. Barcelona: Masson, 2000.
MCKENZIE, J. C. Basic concepts in cell biology and histology: a student's survival guide. Nova York: McGraw-Hill, Health Professions Divisions, 2000.

IMMUNOLOGY
PAUL, W. E. Fundamental Immunology. 6a. ed. Filadèlfia: Lippincott / William Wilkins, 2008.
REGUEIRO, J. R.; LÓPEZ, C.; GONZÁLEZ, S.; MARTÍNEZ, E. Inmunología. Biología y patología del sistema inmune. 3a. ed. Madrid: Editorial Médica Panamericana, 2002.

INTERNAL MEDICINE
ROZMAN, C. (dir.); FARRERAS-ROZMAN. Medicina interna. 16a. ed. Madrid: Harcourt-Brace España, 2009.
KASPER, D. L. Harrison. Principios de medicina interna. 16a. ed. Mèxic: McGraw-Hill Interamericana, 2005.

5.2. Complementary bibliography

GENERAL WORKS
LAST, J. M. (ed.). Diccionario de epidemiología. Salvat: Barcelona, 1989.

ANATOMY
LLUSÁ, M.; MERÍ, A.; RUANO-GIL, D. Manual y atlas fotográfico de anatomía del aparato locomotor. Madrid: Editorial Médica Panamericana, 2004.

BIOCHEMISTRY
MATHEWS, C. K. Bioquímica. 3a. ed. Madrid: Pearson Educación, 2002.
STRYER, L. Bioquímica. 5a. Barcelona: Reverté, 2003.

EPIDEMIOLOGY
GORDIS, l. Epidemiology. 4a. ed. Filadèlfia: WB Saunders, 2009.
MACMAHON, B.; TRICHOUPOULUS, D. Epidemiología. Madrid: Marban, 2001.
SACKETT, D. L.; HAYNES, B.; GUYATT, G. H.; TUGWELL, P. Epidemiología clínica, ciencia básica para la medicina clínica. 2a. ed. Buenos Aires: Editorial Médica Panamericana, 1991.

PHARMACOLOGY
BRUNTON, L. L.; LAZO, J. S.; PARKER, K. L.; GOODMAN & GILMAN. Las bases farmacológicas de la terapéutica. 11a. ed. Mèxic: McGraw-Hill, 2007.

PHYSIOLOGY AND PHSIOPATHOLOGY
GANONG, W. F. Fisiología humana. 20a ed. Mèxic: El Manual Moderno, 2006.
LEVY, M. N.; STANTON, B. A.; KOEPPEN, B. M. Fisiología: Berne y Levy. 4a. ed. Madrid: Harcourt, 2006.
TRESGUERRES, J. A. F. i d'altres. Fisiología humana. 3a. ed. Madrid: McGraw-Hill Interamericana, 2003.

GENETICS
KLUG, W. S.; CUMMINGS, M. R. Conceptos de genética. 8a. ed. Madrid: Pearson Educación, 2006.

HISTOLOGY
GARTNER, L. P.; HIATT, J. L. Histología. Texto y atlas. Mèxic: McGraw-Hill Interamericana, 1997.
STEVENS, A. Histología humana. 3a. ed. Madrid: Elsevier, 2006.

IMMUNOLOGY
ABBAS, A. K.; LICHTMAN, A. H.; POBER, J. S. Cellular and Molecular Immunology. 6a. ed. Filadèlfia: WB Saunders Elsevier, 2007.
ABBAS, A. K.; LICHTMAN, A. H.; POBER, J. S. Inmunología celular y molecular. 5a. ed. Madrid: Elsevier, 2004.
JANEWAY, C. A.; TRAVERS, P.; WALPORT, M.; CAPRA, J. D. Immunobiology: The Immune System in Health and Disease. 5a. ed. Nova York: Garland, 2001. 
JANEWAY, C. A.; TRAVERS, P.; WALPORT, M.; CAPRA, J. D. Inmunobiología. 4a. ed. Barcelona: Masson S.A., 2000.

6. Methodology
This subject will be conducted in Problem Based Learning (ABP) format.  This method, which has been used at UPF since 2003, involves students working on a problem or case, alone or in groups, during a two-week period, under the supervision of their tutor.


7. Activities schedule
23-9-2010. Presentation of the course to the class group. Explanation of the course and its characteristics, division into groups and answering queries.
27-9-2010. First tutorial session for Case 1. Presentation and debate for Case 1
 04-10-2010. Second tutorial session for Case 1. Presentation of students' findings and resolution of the case. 

08-10-2011. Submission of the individual reports on Case 1 
11-10-2010. First tutorial session for Case 2. Correction of students' reports. Presentation and debate for Case 2
18-10-2010. Second tutorial session for Case 2. Presentation of students' findings and resolution of the case.
22-10-2011. Submission of the individual reports on Case 2

25-10-2010. First tutorial session for Case 3. Correction of students' reports. Presentation and debate for Case 3

8-11-2010. Second tutorial session for Case 3.  Presentation of students' findings and resolution of the case

12-11-2010. Submission of the group reports on Case 3 

15-11-2010. First tutorial session for Case 4. Correction of reports made by student groups. Presentation and debate for Case 4

22-11-2010. Second tutorial session for Case 4. Presentation of students' findings and resolution of the case

29-11-20110 Third tutorial session for Case 4. Oral presentation of students' group report

3-13-2010. Closing session for the subject. Discussion of last queries, comments in preparation for the examination and evaluation of the course.