Clerkships

Description: This exchange program in surgical emergency is the training program regularly provided to 5th-year students of the University of São Paulo Medical School (FMUSP) as part of their clinical rotation at FMUSP ́s main teaching hospital (Hospital das Clínicas). 

To obtain knowledge and basic medical and surgical skills on a broad range of common traumatic and nontraumatic surgical emergencies in a different cultural environment:

● Abdominal emergencies and acute abdominal pain. ● Abdominal trauma. ● Cervical trauma. ● Hemorrhagic Shock. ● Introduction to ATLS (Advanced Trauma Life Support). ● Lower intestinal bleeding. ● Principles aspects of the trauma patient. ● Thoracic trauma. ● Upper gastrointestinal bleeding. ● Basic point-of-care ultrasound course for Trauma and Acute Care patients

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School

Responsible Professor: Dr. Edivaldo Utiyama / Dr. Roberto Rasslan

Description: The program consists on two courses (Cancer Cell Biology and Fundamentals of Immunology applied to Oncology) and practical activities involving the development of research protocols on specific themes of experimental cancer research.

Duration: 4 - 16 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Knowledge of basic molecular biology and immunology. From the third year of courses in Medicine and Biomedical/Biological Sciences (International Master of European Schools) 

Responsible Professor: Dr. Roger Chammas

Description: Follow-up of the assistance at the Women's Cardiopathy Outpatient Clinic and participation in seminars and meetings of the discipline.

Duration: 4 weeks (only in June)

Portuguese Knowledge: Not Required

Requirements: More than two years of Medical School

Responsible Professor: Dr. Antonio de Padua Mansur

Description: Follow-up of outpatient care and participation in seminars and scientific meetings of the discipline.

Duration: 4 weeks (only in October)

Portuguese Knowledge: Not Required

Requirements: More than two years of Medical School

Responsible Professor: Dr. Antonio de Padua Mansur

Description: Clinical meetings and discussions, evaluation and functional re-education of sports movement. Reintegration of the athlete to training/competition.

Duration: 10 weeks (between August and December)

Portuguese Knowledge: Required

Requirements: Last two years of student's course (Medicine, Physical Therapy, Occupational Therapy or similar)

Responsible Professor: Dr. Clarice Tanaka


Description: 1. Knowledge of dermatologic semiology techniques.2. Knowledge of the most relevant dermatoses, both for their frequency and for their importance for the formation of the physician: eczematous syndromes, erythematous-squamous diseases, superficial mycoses, dermatoviruses, bacterial diseases of the skin, leprosy, sexually transmitted diseases, zooparasitic dermatoses, pharmacoderms, cutaneous malignant tumors and cutaneous manifestations of systemic diseases.

Endpoints: 1. Apply knowledge regarding Dermatologic Semiology techniques and recognition of elementary dermatologic lesions.2. Perform dermatological clinical history and dermatological physical examination.3.  Demonstrate appropriate communicability with patients, family members, academics and multidisciplinary team.

Duration: 4 weeks (105h in total)

Offering: only in the second semester (between August and November)

Portuguese Knowledge: Required

Requirements: Last two years of Medical School

Responsible Professor: Dr. Celina Maruta / Dr. Valeria Aoki

Description:

The program aims to deepen knowledge of major surgical pathologies of the digestive system, covering diagnosis, staging, and treatment. Topics include:

  • Esophagus: Achalasia, GERD, diverticula, neoplasms.
  • Stomach: Adenocarcinoma, gastric tumors.
  • Obesity: Pathophysiology, bariatric surgery, and complications.
  • Biliary Tract and Pancreas: Cholelithiasis and periampullary neoplasms.
  • Liver: Anatomy, benign tumors, and hepatocellular carcinoma.
  • Colon: Anorectal diseases, inflammatory bowel disease, and colorectal neoplasia.

The course provides a comprehensive and up-to-date approach, preparing participants for evidence-based clinical and surgical practice. Some program modifications may occur as needed.

Evaluation: The evaluation will be conducted through the observation of the student's performance, engagement, attitude, and attendance in the program.

Duration: 4 weeks (105h in total)

Offering: Every month except January, July, and December.

Portuguese Knowledge: Required

Requirements: Last three years of Medical School

Responsible Professors: Paulo Herman / Ulysses Ribeiro Junior


Description: Scientific activities developed by the Applied Physiology and Nutrition Research Group, involving lifestyle promotion interventions (physical activity and nutrition), data collection, laboratory analyses, and discussions of scientific papers and projects.

Duration: 1 - 24 weeks (105h in total)

Portuguese Knowledge: Not Required

Requirements: At least, two years of High Education

Responsible Professor: Dr. Bruno Gualano

Description: Outpatient monitoring of diseases of the esophagus, stomach, inflammatory bowel disease, pancreas. See esophageal and anorectal manometry tests , impedance / pHmetry and electrogastrography. Participate in case discussion meetings at the outpatient clinic and ward as well as tomography and magnetic resonance imaging examinations of gastrointestinal pathologies. Follow-up of patients in the gastroenterology ward

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last years of Medical School

Responsible Professor: Dr. Suzane Kiono Ono

Description: Students can have a different approach to the elderly patient, paying more attention to items like polypharmacy, dementia, Parkinson disease and multimorbidity.

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Intermediate (B1) or higher

Requirements: Last two years of Medical School

Responsible Professor: Dr. Wilson Jacob Filho

Description: The objective of the clerkship program is to provide conditions for the student to acquire develop and strengthen clinical skills and knowledge regarding heart failure and associated with traditional cardiovascular conditions such as hypertension, diabetes mellitus and ischemic heart disease, but also conditions epidemiologically important in Latin America, namely Chagas disease and Rheumatic disease. 

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School

Responsible Professor: Dr. Edimar Bocchi

Description: The student will participate in rounds, outpatient clinics, ICU clinics, heart transplantation in children and clinical research.

Endpoints: to identify children with heart failure, to have basic knowledge in pediatric heart transplantation; to know the semiology of the main congenital heart disease; to learn the principle practice of clinical research in the field

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School.

Responsible Professor: Dr. Estela Azeka

Description: To provide the opportunity of experiencing clinical diagnosis and management of infectious diseases that are epidemiologically relevant in the Brazilian context. This training shall address not only technical aspects and clinical practice in this specialized field, but also interdisciplinary approaches to healthcare, medical communication and ethics with a culture-sensitive attitude. 

Endpoints: Provide students with training and qualification for infectious disease diagnostics and its treatment in the following areas: cognitive, psychomotor and affective.

Duration: 4 weeks (105h in total)

Portuguese Knowledge:  Intermediate (B1) or higher

Requirements: Last two years of Medical School

Responsible Professor: Dr. Ronaldo Cesar Borges Gryschek


Description: To acquire the experience regarding cardiovascular diseases in patients hospitalized with non-cardiac diseases in the General hospital (HCFMUSP). The functional and structural basis of the stage lies in the cardiology referral service in the General Hospital Complex and in the Outpatient Unit of the Interdisciplinary Medicine in Cardiology Unit at the Heart Institute (InCor).

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Students are required to had experienced and acquired at their original medical school skills related to physical exam and minimum clinical reasoning skills

Responsible Professor: Dr. Bruno Caramelli

Description: To obtain knowledge and basic medical and surgical skills on a broad range of common traumatic and non-traumatic neurosurgical and neurological emergencies in a different sociocultural environment. After completion of the training program the student is expected to have acquired both clinical knowledge and clinical skills, such as: to recognize and interpret the main clinical findings of a patient with neurological and neurosurgical emergent conditions, to perform adequate clinical evaluation and preparation of patients for neurosurgery, to recognize physiologic and metabolic changes in the acute neurological/neurosurgical patients, orotracheal intubation, acute and chronic wound care, clinical and neurological examination, pre-operative care of the neurosurgical patient. 

Program: Hospital internship in Neurosurgery and Emergency Neurology, being 3 days (7-19hs) in Neurosurgery and 2 days (7-19hs) in Neurology. On the neurosurgery days, students can choose to attend a detailed Program, Evaluation Method, and Evaluation Criteria, but it is mandatory to attend the elective surgeries held on Thursdays.

Evaluation Method: Evaluation will be based on concepts that take into account attendance, punctuality, academic interest, and commitment to the internship program. The preceptors will be the ones responsible for the evaluation.

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School

Responsible Professor: Dr. Eberval Gadelha

Description:In Gynaecology - Observational internship of activities in: 1) Ward, regarding clinical evolution and discussion of hospitalized cases, in the form of medical visits. 2) Outpatient Clinics, regarding the follow-up of different cases of gynecological disorders. 3) Emergency Room, Surgical Center, according to its own dynamics and characteristics of the patients in attendance.

In Obstetrics - Observational internship of activities in: Obstetric Center, regarding the assistance to childbirth, of low risk pregnancy. Follow-up of Clinical Meetings and Periodic Meetings to discuss cases.

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Intermediate (B1) or higher

Requirements: Last two years of Medical School. Have already completed a practical internship in obstetrics and gynecology at home Institution.

Responsible Professor: Dr. Marco Aurélio Knippel Galletta / Dr. Eduardo Vieira da Motta



Description: To provide the opportunity of experiencing the approach to patients with solid malignancies, emphasizing subtypes more prevalent and epidemiologically relevant in Brazil.

To encourage students to develop their skills and clinical practice in multidisciplinary teams

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required (only English)

Requirements: Last year of Medical School

Responsible Professor: Dr. Paulo Hoff

Program Description: Observational internship in an outpatient setting, operating room, urgent and emergency room. Possibility of supervised care, if language proficiency. Participation as a listener in periodic scientific meetings of the clinic. 

Endpoints: Describe the anatomy of the eye. Knowledge of the main causes of blindness. Recognition of the main ophthalmological emergencies and their initial management. Basic ophthalmological examination. 

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Intermediate (B1) or higher

Requirements: Last two years of Medical School. Previous theoretical knowledge of the subject is desirable

Responsible Professor: Dr. Suzana Matayoshi / Dr. Pedro C. Carricondo

Program Description: Every aspect of Otolaryngology propedeutics and diagnostic tools will be refreshed and emphasized such as otoscopy, anterior rhinoscopy, oroscopy, nasofibrolaringoscopy and balance investigation, which would enable students to recognize the most frequent diagnosis in otolaryngology; Every student will learn principles of treatments of the diseases described above; Students will be in contact with the most important ENT procedures such as treatment of nasal bleeding, miringotomy, and cerumen removal; Students will get a chance to watch ENT most usual surgeries such as tonsillectomy, septoplasty, timpanic membrane tube insertion, timpanoplasty, mastoidectomy.

Endpoints: Overview of diagnosis and treatment of the main diseases in the field of otorhinolaryngology

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Intermediate (B1) or higher

Requirements: Last two years of Medical School

Responsible Professor: Dr. Ricado Bento

Description: The students will be accompanied for a minimum of 2 weeks and a maximum of 8 weeks by the residents, Preceptor and Internship Assistants. They must participate in daily visits and bi-weekly multidisciplinary visits, ward, outpatient and operating room activities, and classes taught in the specialty.

Endpoints: Planning of care: Reviews and summarizes the medical record, focusing on the patient's needs; Clinical History: Favors the report of the context of the patient's life and obtains relevant data from the clinical history in an articulated and chronologically appropriate manner. Clinical Examination: Respects privacy and cares for the patient's comfort; explains and guides the patient about the procedures to be performed; adopts biosafety measures; shows dexterity and adequate technique in the clinical examination Formulation of the patient's problem: Integrates and organizes data from the clinical history and examination, developing diagnostic hypotheses based on the disease production process. Diagnostic Investigation: Requests and interprets complementary resources to confirm or rule out the hypotheses elaborated. They justify their decisions based on evidence, cost-effectiveness, and access to and functioning of resources. Care Plan: Elaborates a care and therapeutic plan, considering the evidence found in the literature and the patient's life context of the patient's life; involves other professionals or community resources when necessary; considers disease prevention actions; considers the degree of resolutivity of the different health care services when referring/counter-referring the patient. Quality of care: Evaluates quality indicators of the health service in which he/she participates and proposes improvement actions. Communication, organization and recording of information: Communicates and records relevant information in an organized and problem-oriented manner for the patient. Interpersonal Relationships: Maintains respectful communication with the patient, his/her family and companion; relates in an empathic manner; establishes a collaborative relationship with colleagues and/or team members. Respectfully makes and receives criticism.

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Intermediate (B1) or higher

Requirements: Last two years of Medical School

Responsible Professor: Dr. Ana Cristina Aoun Tannuri

Description: Principles of Rehabilitation - Definition of functioning, as established by the International Classification of Functioning, Disability and Health - Epidemiology of functioning and disability - Principles of diagnosis and assessment - Principles of rehabilitation strategies.

Understanding the fundamentals of functional assessment and the needs of persons with disabilities; realizing the psychosocial aspects of disability in different age groups; understanding the need for a multidisciplinary approach based upon functional outcomes and the continuum of care; getting to know the core knowledge about the diagnosis and treatment of disabling syndromes, diseases and injuries found in Medical practice; acknowledging the most important aspects of disabling health conditions and impairments; understanding the relevance of a transdisciplinary approach to the medical rehabilitation

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School.

Responsible Professor: Dr. Linamara Rizo Battistella / Dr. Marta Imamura

Description: The Discipline of Plastic Surgery currently counts with specialists who serve an extensive area of action such as Burns, Wounds Complexes, CraniumMaxillo-facial Surgery, Microsurgery and Hand Surgery, Surgery of the Body Contouring in addition to specific service in plastic surgery of the nose and palpebral orbit. There are groups of cleft lip and palate, plastic surgery in the child, breast surgery, aesthetics and reconstruction

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School. Previous experience in surgery is required

Responsible Professor: Dr. Dov Goldenberg

Description:  1. Provide the student with technical and practical knowledge in order to be able to diagnose the most prevalent psychiatric disorders in the population.2. To enable the student to initiate appropriate treatment and to know the referral indications.3. Provide the student with notions on medical ethics and the ethical aspects of the doctor-patient relationship, focusing on psychiatric patients.

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Required

Requirements: Last two years of Medical School.

Responsible Professor: Dr. Francisco Lotufo Neto


Description: Follow outpatient care with pulmonary hypertension patients. Participate in infirmary visits, scientific meetings and meetings to discuss the operability of pulmonary hypertension patients. Correctly diagnose patients with pulmonary hypertension, understand the treatment algorithm of pulmonary hypertension, and discuss the operability of pulmonary hypertension patients

Duration: 4 weeks (105h in total)

Portuguese Knowledge: Not required

Requirements: Last two years of Medical School

Responsible Professor: Dr. Rogerio de Souza