Teaching will take place in the Veterinary Teaching Hospital, in special labs, and in some lecture theaters. The proposed teaching methodology may experience some modifications depending on the restrictions to face-to-face activities enforced by health authorities.

Practical teaching: 

Practical sessions are aimed to apply the knowledge that students have gained in the theory lectures of the course \"MICAC I\", as well as to develop the abilities to be able to: administer medications to small animal patients, obtain and process blood samples, assist in surgeries, etc.

The 122 hours are distributed as follows: 

Medicine Block

• 20hs of clinical appointments in groups of 5 students.
• Students will assist with the regular appointments or emergencies that will arrive at the Hospital during 5 days. Students will stay with the responsible clinician each week and they will be able (with the clinician's assistance) to take the clinical history, perform the physical examination of patients, elaborate a differential diagnosis, and propose a diagnostic or therapeutic plan.  The patient's owners will be present at the appointments. 

ICU Block:

• 20hs in the ICU of the Veterinary Teaching Hospital in groups of 5 students. 
• Students will perform the follow-up of hospitalized patients from all specialties (surgery, orthopedics, ophthalmology, neurology, internal medicine) and of all emergencies that might arrive and need critical care. Students will stay with the ICU clinician responsible for the Service each week, and they will discuss together the differentials, treatments, and care of all patients during the 5 days of the rotation.  There will be 1h hour dedicated exclusively to neurology patients every day. 

Surgery block:

• 25hs of surgical practice in groups of 5 students.
• Students will scrub in most of the surgeries performed and will assist the surgeon in performing each surgical procedure. Students are expected to assist during 5 consecutive days. In these practical sessions, students must have already acquired the concepts and abilities taught in the General Surgery course (to scrub and put surgical gloves and gowns on, to identify surgical instruments, to know the aseptic techniques, etc.).
• 4hs of Ovariohysterectomy (OHE) and castration in live cats, in groups of 5 students. Students will perform the surgical procedures in male or female shelter cats. 
• 2hs of Exploratory Laparotomy performed in a cadaver, in groups of 10 students. 

Therapeutics Block:

• 16hs of seminars in groups of 40-50 students.
• 1 hour of clinical case presentations, with special attention to the therapeutic aspects of each case, in groups of 4-5 students.  

Pathology-Cytology Block:

• 2hs of wet lab practice (\"Sample taking for Diagnosis\") in groups of 10 students. 
• 4hs of microscopic interpretation of cytology specimens, in groups of 20 students (microscopy lab). The students may bring with them samples obtained at the Dermatology Service for examination. They will also examine other cytologic specimens (skin, lymph node, bone marrow) of selected cases.

Diagnostic Imaging Block:

• 10hs of clinical rotation at the Diagnostic Imaging Service of the Teaching Hospital in groups of 10 students. In this rotation, students will actively participate in animal positioning and image processing and interpretation in all the diagnostic imaging modalities (radiology, ultrasound, MRI, CT), and will discuss the differentials for all images with the clinicians on clinics during the rotation. 

Reproduction Block:

• 5hs of clinical rotation in groups of 5 students. 
• 1,5 h Seminar Pregnancy and Delivery
• 2hs Seminar Newborn animals

Dermatology Block: students will assist with the dermatology appointments for 4hours one day in groups of 5 students. During this 4 h, students are expected to obtain samples for cytologic diagnosis in the Anatomic Pathology practice. 

Exotic Pet Block: students will assist with the reviews of hospitalized patients or first appointments of the Exotic Pets Service for 3 hours during 1 day.

Specialties Block (Neurology, Ophthalmology, Orthopedics): students will assist with one of the three specialty appointments, so that each student will perform 3h of one of the three specialties. Groups of 5 students. 

This subject does not provide for the single evaluation system

Evaluation of clinical rotations in the Hospital and of Clinical Cases Seminars: 

Assistance to all practical sessions and rotations IS COMPULSORY. Assistance to all the programmed activities is an essential requirement to pass the course. Lack of assistance will need to be justified and then made up for in another session if it is possible.

In order to pass the clinical rotations and seminar sessions, all students must obtain a score of 5 in each one of them. 

Specific and Transverse Competencies will be evaluated through specific forms for Hospital Teaching, that will be common to all the course blocks, and that will evaluate: 

-      Punctuality

-      Initiative

-      Knowledge and application of this knowledge to clinical situations   

-      Ability to obtain a clinical history, oral communication skills in different situations and with different people (colloquial vs. professional language) 

-      Ability to perform a physical examination of patients, sample taking, drug administration 

-      Team workability and cooperation  

-      Self-learning, eagerness to improve/learn

-      Clinical judgment, common sense 

In addition, in some blocks there will be written evaluation tests that will be scored over 10:

- Pathology-Cytology Block: at the end of the last session, there will be a written short answer test about the techniques of sample taking,microscopic interpretation, and so on.  

- Exotic Pet Medicine, Imaging andReproduction Blocks: there will be a short questionnaire after the seminars. 

- Therapeutics Block: Multiple choice test + micropresentation (80% + 20%, respectively). For the multiple-choice test to be weighted with the microcase, you must obtain a score ≥ 5 on the test.

The final score will be the ponderated mean of all scores from all blocks. The specific percentage of the total score for each block will be:

- Medicine: 30% (15% appointments, 15% ICU).

- Surgery: 15% cirurgies i 5% pràctica ovariohisterectomies

- Therapeutics: 15% 

- Anatomic Pathology: 5%

- Dermatology: 4%  

- Diagnostic Imaging: 10%  

- Reproduction: 10%  

- Specialties 3% 

- Exotic Pets: 3%

To pass the course, each student must obtain a minimum global score of 5 in ALL blocks. Students who fail to pass one block or part will have a second chance test. If after the second chance tests, one student still has a \"fail\" in one or in more blocks, they will get a \"fail\" for the whole course. At the end of the academic year, a global score of the course for each student will be published.

The proposed evaluation may undergo some modification depending on the development of the subject during the academic year.

This subject doesn´t have unic evaluation. It will be considered non-evaluable when more than 30% of the scheduled activities have not been attended.

Students who have completed less than 15% of the evaluable activities of the subject will be considered non-assessable.