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Clinical Practice IV




Clinical Practice IV


External Academic Practicum (PAE)

Academic year







  • Domingo Ruiz Hidalgo

Sustainable Development Goals (SDG)

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  • 3. Good health and well-being


The Clinical Practice IV subject is equivalent to 9 ECTS in which practical activities adjusted to the student's educational and curricular itinerary are carried out and maintain a direct link with the subjects taught during the fourth year.

These practices are developed in two ways:

General practices

They correspond to intensive periods of clinical stay of 6 consecutive weeks. They involve a continued stay in one or more medical or surgical services or equipment.

Objective: the student must achieve the defined learning outcomes and at the same time integrate into the care center's own dynamics.

As a general criterion, in general practices the knowledge and skills worked on throughout the clinical period of the degree (which have to do with general clinical practice) are deployed, with special emphasis on the critically ill.

Practice Pediatrics

They are carried out during the Pediatrics subject and continue once it is finished. They are carried out in the hospital and ambulatory setting ("the healthy child"). Life support is practiced. subsequently

Specific itinerary:

Students who in previous courses have gone through the 3 compulsory care areas (Hospital Care, Primary Care, Intermediate Care) can choose from a medical and surgical offer.

Therefore, the subject Clinical Practice IV allows the student to put into practice everything he has worked on during the previous courses and becomes the space in which the student can check his level of competence as a "learner", given who is already able to feel how he is progressing and gaining confidence in the exercise of the applied part of the degree in Medicine at UVic-UCC.

In this process, he has the support of various professionals, both from the Faculty itself and from the care centers where he does his practical stays.

It is, therefore, a process of verifying your vocation to be a doctor.

The competence objectives are:

Carry out a clinical history and physical examination of quality adjusted to the reason for consultation and the area of care.
Interpret appropriately any complementary examination.
Make reasoned diagnostic and therapeutic decisions.
Have a sense of communication with patients, relatives and healthcare professionals.
Develop clinical judgment and perform critical analysis.
Acquire professional values and ethical attitudes.


Learning outcomes

  • Acquire the necessary skills for the development of the tasks derived from the clinical stay.
  • Demonstrate skills in communicating bad news.
  • Write histories, reports, instructions, and other records in a way that patients, family members, and other professionals can understand.
  • Assumes different responsibilities in individual or collaborative work and evaluates the results obtained.
  • Recognizes the care environment and the internal and external relationships established within it.
  • Acquire and demonstrate advanced knowledge of theoretical and practical aspects and working methodology in the field of clinical practice.
  • Prepare a medical history and anamnesis correctly.
  • Performs a complete and appropriate physical examination.
  • Prepares correct and consistent differential diagnoses.
  • It defines hypotheses that take into account several variables.
  • Determines the necessary diagnostic tests according to each case.
  • It correctly interprets results derived from the various tests carried out.
  • Show skills for the determination and argumentation of intervention proposals.
  • It moves with desymboltura in the general use of ICT and, in particular, in the technological environments specific to the professional field.


General skills

  • Develop professional practice with due respect for other health professionals and acquire teamwork skills.
  • In professional activity, bring to bear a critical, creative, constructively skeptical and research-oriented outlook.

Specific skills

  • Be able to make an initial diagnosis and establish a rational diagnostic strategy.
  • Carry out professional tasks with due respect for patient autonomy, beliefs and culture.
  • Indicate the most appropriate treatment for the most common acute and chronic conditions, and for the terminally ill.
  • Obtain and make medical records that contain all relevant information.
  • Perform a physical examination and a mental assessment.
  • Understand the basic components of the medical profession, including ethical principles, legal responsibilities and patient-centered professional practice.
  • Understand the principles of action, indications and efficacy of therapeutic interventions, based on the available scientific evidence.

Basic skills

  • Students can communicate information, ideas, problems and solutions to both specialists and non-specialists.
  • Students have demonstrated knowledge and understanding in a field of study that builds on general secondary education with the support of advanced textbooks and knowledge of the latest advances in this field of study.

Core skills

  • Become the protagonist of one's own learning process in order to achieve personal and professional growth and acquire all-round training for living and learning in a context of respect for linguistic, social, cultural, gender and economic diversity.
  • Display professional skills in complex multidisciplinary contexts, working in networked teams, whether face-to-face or online, through use of information and communication technology.
  • Exercise active citizenship and individual responsibility with a commitment to the values of democracy, sustainability and universal design, through practice based on learning, service and social inclusion.
  • Interact in international and worldwide contexts to identify needs and and new contexts for knowledge transfer to current and emerging fields of professional development, with the ability to adapt to and independently manage professional and research processes.
  • Project the values of entrepreneurship and innovation in one's academic and professional career, through contact with a variety of practical contexts and motivation for professional development.
  • Use oral, written and audiovisual forms of communication, in one's own language and in foreign languages, with a high standard of use, form and content.


  1. The clinical history. Elements and their preparation
  2. Development of physical exploration
  3. The differential diagnosis
  4. Determination of the diagnostic hypothesis
  5. Diagnostic tests
  6. Clinical intervention according to different cases and situations
  7. Effective communication
  8. Digital tools and ICT
  9. Organization and operation of the unit
  10. Interprofessional relationship


In the subject Clinical Practice IV three assessment instruments are used:

  • Specific evaluation tests.
  • Delivery of works and projects.

Competence assessment is done through:

  • Portfolio of a case seen during the internship in "Case Report" format (50%).
  • Assessment of Objective and Structured Competencies - ACOE - carried out by the Department of Health of the Generalitat de Catalunya (50%).


The methodology is determined according to the objectives of the practicum.

The clinical practices are deployed through stays in different healthcare centers collaborating with the degree and linked to the territorial teaching units of Vic and Manresa.

During the stay, the students have as main references an academic tutor (teacher of the subject) and a teaching collaborator (doctor from the care center where the practices are carried out who ensures that the results of learning).



Teachers will provide complementary bibliography and compulsory reading throughout the course via the Virtual Campus.

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