PP-603 : Are medical students theoretically prepared to tackle the commonly existing diseases at the health primary care?

Patricia Silveira, André Luis David, Caroline Walger da Fonseca, Luana Longen Petermann, Michelle Stoppa Castro, Rodrigo Moreira da Cunha Lima, Taiane Belinati Loureiro, Brazil
To evaluate whether the proposed theoretical base caters for the commonly existing diseases in the primary care setting.

The training of 5th year medical students from a Brazilian medicine school, who are undergoing the Public Health internships, is carried out in public ambulatory, which adopt the primary care model. The theoretical basis is acquired through family medical instruction and health policies, respecting Brazilian Ministry of Education directions. Apart from that, the students prepare weekly seminars using topics pre-established by the teachers.

A report regarding one year of attendance was revised, from July 2008 to July 2009, at a public family practice – Curitiba, city – Brazil. The prevalent diagnostics (CID-10) were identified and compared to the themes discussed in the classroom. The topic debated in the seminars were: essential hypertension (HTN); diabetes mellitus; hyperlipidaemia , cardiovascular risk; health periodic examination; children, adolescents and elder health care; climacterium, sexuality; pain management, work-related injuries; psychosocial approach through clinical trials. Throughout this period 10043 attendances were carried out: the frequent reason were : respiratory diseases ,1705 cases; factors that affect health, 1677; circulatory diseases, 1514; endocrine diseases, 672; mental disorders 640. The most common disorder was HTN, 1355 cases; infections of the upper respiratory tract (1113); routine exams (786); diabetes (482); infections of the lower respiratory tract (468).

After relating the topics discussed in the seminars, it could be concluded that the proposed theoretical base corresponded to the prevalent diseases, at the family practice that served for medicine students training.