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FEM: Revista de la Fundación Educación Médica

versão On-line ISSN 2014-9840versão impressa ISSN 2014-9832


CANTABRANA, Begoña  e  HIDALGO, Agustín. An experience of early approximation to clinic in the first year of Medicine Degree in the University of Oviedo. FEM (Ed. impresa) [online]. 2018, vol.21, n.1, pp.31-39. ISSN 2014-9840.


To present an experience of approaching the clinic developed with first-year students in the Faculty of Medicine of Oviedo.

Subjects and methods:

The activity was performed over six academic years, in the form of two seminars (4 hours and 45 minutes) as part of a compulsory subject in the first year of the Medical degree of the University of Oviedo. Students (150-155 per year) perform this activity in subgroups of 4-5. In the first seminar, the lecturer explains the general and specific aims, and presents a clinical history with the relevant aspects that the students should observe. During the second of the seminars, each group presents the clinical history selected. Contents, structure, oral presentations and student satisfaction were evaluated.


The number of submitted case histories was 192. The most frequent being sick males, aged between 14 and 44. The most described categories of diseases according to the ICD-10 were those of the nervous system, behavioral and mental disorders, infectious and parasitic diseases, and digestive tract diseases. The most common diseases were infectious mononucleosis, diabetes mellitus and pulmonary tuberculosis. The student scores ranged from 0.89 ± 0.01 to 0.96 ± 0.01 points (maximum score: 1 point). A survey, completed by 93.84% of participant';s, gave a score of 3.77 points out of 5.


The students had a favorable view of the same and they believe that it can contribute to an early approach to some aspects of the medical profession.

Palavras-chave : Approximation to the clinic; Case history; Medical teaching; Medicine.

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