Context and practice of the final work of pre graduate student in General Practice / Family Medicine. Use of 3GCP in Integrated Master's of Medicine at the University of Coimbra.

Abstract:
Background
General Practice/Family Medicine includes approaches to the biological, technological, behavioural,
sociological and anthropological domains
Objectives
To document the domains addressed in the final assignments of the Integrated Master’s Degree in
Medicine at the University of Coimbra in area of GP/FM.
Material and methods
Observational study of the titles of final assignments granted by the Faculty of Medicine of the
University of Coimbra. The domain analysis using as codes the International Classification in
Primary Care-2 and the Q-Codes, a context classification in Primary Care, year of elaboration and
gender of author was carried out for each title of final assignment. A descriptive and inferential
analysis was performed.
Results
169 papers were analysed, 23,1% written by male students, with a positive overall growth dynamics
(Δ=+7,0) between 2008-2017. Q-Codes were registered 276 times, while the ICPC-2 codes was
used 133 times. Under the Q-Codes, the “doctor’s issues” is the most frequently addressed (n=112,
67,2%) and under the International Classification in Primary Care-2 classifications, the chapter
“Psychological” was predominant (n=35, 21,0%). Under the Q-Codes, subcategories “primary care
setting” (n=26; 15,6%) , “health issue management” (n=23; 13,8%) and “unable to code, unclear” (22;
13,2%) were dominant. Within the International Classification in Primary Care-2, the subcategories
“diabetes noninsulin dependent” (n=22, 13,2%), “depressive disorder” (8, 4,8%) and “hypertension
uncomplicated” (8, 4,8%) were predominantly focused on.
Conclusions
The 3CGP may become a professional tool, allowing for a more precise identification of final works,
for a better communication method in the medical activity and avoiding the loss of previously
developed works.