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Training Program of the Complementary Internship in Internal ...

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e) Cl<strong>in</strong>ical Immunology;<br />

f) Pneumology;<br />

g) Nephrology;<br />

h) Gastroenterology;<br />

i) Endocr<strong>in</strong>ology and Metabolism;<br />

j) Cl<strong>in</strong>ical Hematology;<br />

k) Dermatology.<br />

3.2 — Sequence <strong>of</strong> <strong>the</strong> <strong>in</strong>ternships:<br />

3.2.1 — The first and f<strong>in</strong>al years <strong>of</strong> <strong>the</strong> <strong>in</strong>ternship should, ideally, be taken <strong>in</strong> an <strong>Internal</strong><br />

Medic<strong>in</strong>e service<br />

3.2.2 — The rema<strong>in</strong><strong>in</strong>g <strong>in</strong>ternships will follow <strong>the</strong> tra<strong>in</strong><strong>in</strong>g program <strong>of</strong> each <strong>in</strong>stitution.<br />

3.1.3 – The mono<strong>the</strong>rapy <strong>in</strong>tensive care <strong>in</strong>ternship will be preceded by that <strong>in</strong> poly<strong>the</strong>rapy<br />

<strong>in</strong>tensive care.<br />

4 — Location <strong>of</strong> tra<strong>in</strong><strong>in</strong>g <strong>in</strong> each <strong>in</strong>ternship:<br />

4.1 —The <strong>Internal</strong> Medic<strong>in</strong>e <strong>in</strong>ternship will be carried out at an <strong>Internal</strong> Medic<strong>in</strong>e service;<br />

4.2 — The <strong>in</strong>ternship <strong>in</strong> poly<strong>the</strong>rapy <strong>in</strong>tensive care will be carried out at a poly<strong>the</strong>rapy <strong>in</strong>tensive<br />

care service or unit.<br />

4.3 — The optional <strong>in</strong>ternships will be carried out at services or units that enable <strong>the</strong> plan and<br />

objectives <strong>of</strong> <strong>the</strong> practice to be accomplished;<br />

4.4 – <strong>Internship</strong>s <strong>in</strong>volv<strong>in</strong>g observation only, or all those that do not <strong>in</strong>volve direct cl<strong>in</strong>ical activity,<br />

will not be considered valid.<br />

4.5 – The services or units responsible for <strong>the</strong> <strong>in</strong>ternships must have a tra<strong>in</strong><strong>in</strong>g plan that follows<br />

<strong>the</strong> m<strong>in</strong>imum program def<strong>in</strong>ed, appo<strong>in</strong>t<strong>in</strong>g a person responsible for oversee<strong>in</strong>g <strong>the</strong> <strong>in</strong>ternship.<br />

5 — Objectives <strong>of</strong> <strong>the</strong> <strong>in</strong>ternships:<br />

5.1 — <strong>Internship</strong> <strong>in</strong> <strong>Internal</strong> Medic<strong>in</strong>e.<br />

5.1.1 — Performance objectives:<br />

5.1.1.1 —1st, 2nd and 3rd years:<br />

a) Ga<strong>the</strong>r<strong>in</strong>g and elaborat<strong>in</strong>g cl<strong>in</strong>ical histories, giv<strong>in</strong>g provisional cl<strong>in</strong>ical diagnoses, request<strong>in</strong>g<br />

complementary diagnostic tests, <strong>in</strong>terpret<strong>in</strong>g cl<strong>in</strong>ical and laboratorial anomalies, <strong>in</strong>tegrat<strong>in</strong>g all<br />

<strong>the</strong> elements <strong>of</strong> <strong>the</strong> cl<strong>in</strong>ical <strong>in</strong>vestigation, obta<strong>in</strong><strong>in</strong>g a f<strong>in</strong>al diagnosis, prescrib<strong>in</strong>g and execut<strong>in</strong>g a<br />

<strong>the</strong>rapeutic protocol and def<strong>in</strong><strong>in</strong>g a prognosis;<br />

b) Clear oral presentation, ei<strong>the</strong>r detailed or summarized (<strong>in</strong> epicrisis form) <strong>of</strong> medical case<br />

histories, dur<strong>in</strong>g a ward round or cl<strong>in</strong>ical meet<strong>in</strong>g,<br />

c) Ability to give a summary presentation on a group <strong>of</strong> patients, dur<strong>in</strong>g a ward round, service<br />

meet<strong>in</strong>g or urgent shift changeover;

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