Universitat Internacional de Catalunya
Ageing, Pluripathology and Chronicity
Teaching staff
Students may ask lecturers questions at the end of each class. For enquiries outside of class time, students must make an appointment by email:
Subject coordinators
M.Victòria Farré Mercadé mfarre@uic.es (main coordinator)
Enric Garcia Restoy egarciar@uic.es
Other teachers
Margarita Carmona Sánchez mcarmona@cst.cat
Mireia Llonch Masriera mllonch@uic.es
Lluís Guirao Cano llguirao@gmail.com
Daniel Rodriguez González DRodriguez@cst.cat
Nicole Stantonyonge nicolesys@gmail.com
Introduction
The aging of our population is an evident reality that will increase in the coming decades, as the presence of chronic diseases and pluripathology or multimorbidity, defined by the presence of two or more chronic diseases.
For this reason, the World Health Organization (WHO) is committed to promoting and prioritizing knowledge in these areas with the aim of knowledge in these areas in order to improve their management with the aim of giving "life to the years", as prioritized in the WHO's as currently prioritized and promoted in the Decade of Healthy Aging (2021-2030), declared by the United Nations General Assembly in December 2020, which is the main strategy for building a society for all people of all ages, and builds on the framework of the Global Strategy on Ageing and Health (2016). https://www.who.int/es/initiatives/decade-of-healthy-ageing.
Therefore, we should not treat multimorbid and/or elderly patients just because their diseases, but in a comprehensive way taking into account their clinical, functional and social aspects, without forgetting their values and preferences. In this way, we will improve their state of health and quality of life, reduce possible avoidable complications and, in short, improve their care and the associated health care costs.
This course "Aging, pluripathology and chronicity" invites us to get to know the elderly patient with its different typologies, as well as the chronic and pluripathological patient, from the youngest to the oldest.
We will learn how to apply the best model of care to these patients from the detection of their individual needs, through an integral management and following a continuity in their care based on a person-centered interdisciplinary intervention.
Welcome!
M. Victòria Farré and Enric Garcia
Coordinators of the course
Pre-course requirements
None
Objectives
1.- The student will be able to identify the typologies of older adult, chronic, complex chronic and MACA patients and will be able to demonstrate their knowledge of the different models and levels of care for chronicity and their application in the clinical context.
their application in the clinical context.
2.- Demonstrate sufficient knowledge of the theories and physiology of development to understand
concepts such as atypical presentation, and functional loss. And demostrate respect to the older person.
4.- Demonstrate sufficient knowledge of pharmacology (pharmacokinetics and pharmacodynamics) in order to
understand the principles of prescription for the elderly, chronic pluripathological diseases with special attention to the
to pharmacological reconciliation, polypharmacy, drug interactions, adverse drug reactions, and potentially
reactions, and potentially inappropriate prescribing of medicines that meet the STOPP-START criteria.
STOPP-START CRITERIA.
5.- Understand the complex relationship between pathological processes, dysfunctions, handicaps and disabilities, and will be able to
6. Understand the complex relationship between pathological processes, dysfunctions, disabilities and incapacities, and be able to assess the consequences of the disease in the functional sphere. As well as
adaptation through technical adjustments and adaptation to the environment.
7.- As the manifestations of malaltia in these groups is often atypical, manifested by functional impairment and frequently influenced by social factors; an interdisciplinary approach is taken. The student must demonstrate a good understanding of team dynamics, appreciate the contributions of each member and participate in the team.
8.- Demonstrate competence in: obtaining information, communicating with patients with sensory and cognitive deficits, carrying out a detailed comprehensive assessment, drawing up a list of patients with sensory and cognitive deficits, carrying out a detailed comprehensive assessment, drawing up a list of patients with sensory and cognitive and sensory deficits, the implementation of a detailed comprehensive assessment, the elaboration of a list of problems and a prioritised treatment plan, and theproblems and a treatment plan establishing priorities, emphasising the promotion of functionality, independence and quality of life.
9.- Demonstrate an adequate approach to the most common syndromes and diseases among the elderly, and
chronic pluripathological patients including: mobility problems, instability and falls, common syndromes of mental health (dementia, depression, depression, etc.).
mental health syndromes (dementia, delirium and depression), incontinence (urinary and faecal incontinence), cardiovascular diseases (hypertension, HF and AMI), metabolic diseases (DM, osteoporosis, thyroid disorders, water and electrolyte imbalance), ulcers and electrolytes), pressure ulcers, frailty and sarcopenia.
10.- Apply the principles of management of complex illness in the elderly and in pluripathological chronic illnesses in activities such as rehabilitation and rehabilitation of the elderly.
in activities such as rehabilitation and medical care.
9.- Understands the principles of primary, secondary, tertiary and quaternary prevention and incorporates these principles
in their care for these groups.
10. Will understand the limitations in the application of conventional clinical practice guidelines, as well as the different aspects that make the management of chronic, multi-pathological and elderly patients complex.
Competences/Learning outcomes of the degree programme
- 01 - Recognise the essential elements of the medical profession, including ethical principles, legal responsibilities and patient-centered professional skills.
- 02 - Understand the importance of central principles, in particular of professional confidentiality for the benefit of patients, society and the profession.
- 03 - Know how to apply the principle of social justice to professional practice and understand the ethical implications of health in a changing global context.
- 04 - Develop professional practice with respect for patient autonomy, beliefs and culture.
- 05 - Recognize own limitations and the need to maintain and upgrade professional skills, with particular emphasis on autonomous learning of new knowledge and skills and motivation for quality.
- 06 - Develop professional practice with other health professionals, acquiring teamwork skills.
- 10 - To understand and recognise the agents and risk factors which determine health status, and learn how they determine the symptoms and natural development of acute or chronic diseases in individuals and populations.
- 11 - Understand and recognize the effects of growth, development and aging on the individual and their social environment.
- 12 - Understanding the foundations for action, the indications and efficacy of therapeutic interventions, based on available scientific evidence.
- 13 - Obtain and develop a clinical history that contains all relevant information.
- 14 - Perform a physical examination and a mental assessment.
- 15 - Ability to formulate an initial diagnosis and establish a rationalised diagnostic strategy.
- 17 - Establish the diagnosis, prognosis and treatment, applying principles based on the best information possible and safe clinical practice..
- 18 - To indicate the most appropriate (pharmacological, surgical, psychological, social or other) treatments that are pertinent to the most prevalent procedures, in terms of rehabilitation and also terminally ill patients, including an evaluation of their effectiveness.
- 19 - Propose preventive measures appropriate to each clinical situation.
- 21 - Listen carefully, obtain and synthesize relevant information about the problems affecting the patient and understand the contents of this information.
- 24 - Establish good interpersonal communication skills that enables efficient and empathetic communication with patients, relatives, media and other professionals.
- 25 - Recognize the determinants of public health; genetic and sex-dependent lifestyle, demographic, environmental, social, economic, psychological and cultural determinants.
- 26 - Assume role in the prevention and protection from diseases, injuries or accidents and maintenance and promotion of health, both individual and at the community level.
- 27 - Recognize role in multidisciplinary teams, assuming leadership when appropriate, for the delivery of health care, such as interventions for health promotion.
- 31 - Understand, critically evaluate and know how to use sources of clinical and biomedical information to obtain, organize, interpret and communicate scientific and health care information.
- 32 - Know how to use information and communication technology in clinical, therapeutic, preventive health care and research.
Learning outcomes of the subject
- Know the impact of aging on the functioning of the organs and on pathology; longevity and its demographic and epidemiological impact, as well as respecting the elderly and patients with/without multimorbidity.
- Knowing how to identify the types of elderly patients, chronic patients, complex chronic patients and MACA (advanced chronic disease according to NECPAL criteria).
- Know the most relevant national and regional healthcare models for addressing ageing, multipathology and chronicity.
- Know the different levels and care devices available for the management of elderly patients, with multiple pathologies or in a chronic situation, and know how to make the appropriate referral according to individual needs.
- Know the dynamics of the healthcare process, emphasizing the dynamics of multidisciplinary and interdisciplinary teamwork.
- Know the peculiarities of the disease in the elderly patient, the atypical presentation of the disease. Recognize, diagnose and guide the most frequent geriatric syndromes: frailty, dementia and delirium, falls, immobility, pressure ulcers, urinary incontinence, eating disorders (malnutrition), sarcopenia, chronic pain, elder abuse, visual disturbances and more frequent hearing, constipation.
- Recognize, diagnose and guide a patient with a geriatric profile through the Comprehensive Geriatric Assessment. Know the main functional, nutritional, cognitive-affective and social assessment tools.
- Know how to manage polypharmacy in chronic pathology and elderly patients to avoid inappropriate medications and prevent iatrogenicity.
- Know healthy lifestyle habits (diet, exercise, sleep hygiene) in elderly patients with multiple pathologies and chronic conditions. Know the programs that promote community health education in relation to the prevention and promotion of health.
- Know the basic principles of functional rehabilitation and prescription of physical exercise. Identify the functional impairment due to intercurrent acute illness and the limitations associated with prevalent comorbidity. Know the concept of intrinsic capacity.
- Recognise, diagnose and guide the rehabilitation needs of a chronic multimorbid patient, and in advanced age.
- Know the indications for the most common devices and technical aids.
- Recognize, diagnose and guide malnutrition in the elderly, chronically ill and multimorbid patient. Knowing how to apply hydration and nutrition measures in these groups.
- Recognize, diagnose and guide urinary incontinence syndromes.
- Recognize, diagnose and guide the syndrome of instability, balance disorder and falls. Know and know how to apply measures to prevent falls.
- Recognize chronic patients from a multi-pathological complex chronic patient, being able to analyze and address the therapeutic complexity.
- Recognize, diagnose and guide patients with the most frequent comorbidity profiles (cardiovascular diseases - including heart failure and HTA-, cerebrovascular disease and stroke, Chronic obstructive disease and pneumonia, diabetes, renal failure, osteoporosis)
- Know techniques for participation and integration of the core patient-carer-associations. Knowing the disease from the patient's perspective. Develop informative educational materials such as posters, videos.
- Recognize the role of caregivers and work on tools that encourage their training both in caring tasks and in their own self-care.
- Knowing how to recognize the social needs of elderly patients, with multiple pathologies or in a chronic situation.
- Know the medico-legal aspects in relation to the elderly, with multiple pathologies, chronic conditions or loss of autonomy.
Syllabus
Topic 01 (CM1): Aging, Multimorbidity, and Chronicity. Demographic, epidemiological, and technological transition. Definitions. The elderly individual, types. Biology and physiological changes of aging. Comprehensive Geriatric Assessment. Levels of care.
Topic 02 (CM2): Geriatric syndromes: definition and consequences. The Giants of Geriatrics and new geriatric syndromes. Sarcopenia, frailty, constipation.
Topic 03 (TP3): Urinary incontinence: definition. Epidemiology. Anatomy and physiology of micturition. Age-related changes in the lower urinary tract. Clinical, psychosocial, and economic impact. Clinical classification of urinary incontinence types: concept, definition, causes, and treatment.
Topic 04 (CM4): Models of Chronic Care in our environment. Complex Chronic Patient (PCC) and Patients with Advanced Chronic Diseases (MACA). Person-Centered Care: concept, general principles, and fundamental criteria. Areas of intervention and planning.
Topic 05 (CM5): General concepts on Rehabilitation and Chronicity: functional assessment, indications and contraindications for rehabilitation, rehabilitation programs, multidisciplinary team. Functional rehabilitation in patients with acute or chronic illnesses.
Topic 06 (LH1): The interdisciplinary meeting as a vehicle for the therapeutic plan. Concept of interdisciplinarity. Objectives and limitations of the interdisciplinary team. Formal and informal interdisciplinarity. Geriatric nursing. Physiotherapy and Occupational Therapy. Other disciplines involved in the care of the elderly and chronically ill. Levels of care.
Topic 07 (CM6): Decision-making in patients with multimorbidity, multiple pathologies, and complexity. Clinical practice guidelines for patients with multimorbidity and complexity. Most common comorbidities: diagnostic, prognostic, and therapeutic implications. Cumulative complexity model. Minimally disruptive medicine. Therapeutic complexity: factors and consequences.
Topic 08 (TP1): Nutritional aspects in the elderly, chronically ill, and multimorbid patients. Definition. Causes. Diseases related to malnutrition. Consequences. Nutritional status assessment. Nutritional requirements in the elderly. Treatment and prevention. Nutritional supplements.
Topic 09 (LH2): Nutritional approach in elderly, chronically ill, and multimorbid patients.
Topic 10 (TP2, TP3 -ABP1-): Case Study 1: Chronic patient.
Topic 11 (TP4): Pharmacological considerations and general principles of medication prescribing in geriatrics and multimorbid chronic patients: definitions and consequences of polypharmacy, hyperpolypharmacy, polytherapy, and medication adherence. Pharmacodynamic and pharmacokinetic changes with aging. Predisposing factors to therapeutic noncompliance. Mechanisms to optimize polypharmacy: medication reconciliation and deprescribing.
Topic 12 (TP5, TP6): Patient education school (presentation of assignments).
Topic 13 (TP7): Cognitive impairment. Delirium. Dementia. Clinical forms and neuropsychiatric complications. Diagnostic process and interdisciplinary/multidisciplinary therapeutic approach.
Topic 14 (TP8): Instability and falls. Importance of falls. Epidemiology. Related risk factors. Assessment of patients at risk of falling. Prevention strategies. Specific interventions. Consequences of falls: hip fracture. Osteoporosis.
Topic 15 (TP9): Depression and Sleep Disorders. Definitions and classification. Magnitude of the problem. Clinical manifestations and diagnostic evaluation. Treatment. Sleep architecture in aging. Insomnia. Therapeutic approach.
Topic 16 (CM7): Preventive actions and health promotion. Successful aging: healthy elderly care program. Definition and objectives of prevention and health promotion. Types of prevention (primary, secondary, tertiary, quaternary). Healthy elderly program: intervention on lifestyle habits, cardiovascular risk factors, vaccination program, screening of the most common neoplasms.
Topic 17 (TP10): Adaptation to disability: medical prescription of orthoses and assistive devices.
Topic 18 (TP11, TP13 -ABP2-): Case Study 2: Geriatric patient. Application of Comprehensive Geriatric Assessment.
Topic 19 (TP12): Multidisciplinary approach to chronicity: social management. Interdisciplinary social management of the most prevalent chronic conditions.
Teaching and learning activities
In person
| Data | Hora inici (hh:mm) |
Hora fi (hh:mm) |
Modalitat | Nº sessió modalitat | Grup | Aula | Tema | Professor/a |
| 07/09/2026 | 16:00 | 18:00 | CM | TODOS | Aula teòrica | Envejecimiento, Pluripatología y Cronicidad | FARRÉ MERCADÉ, María Victoria | |
| 08/09/2026 | 16:00 | 18:00 | CM | TODOS | Aula teòrica | Síndromes Geriátricos | FARRÉ MERCADÉ, María Victoria | |
| 10/09/2026 | 18:00 | 20:00 | CM | TODOS | Aula teòrica | Modelos de Atención a la Cronicidad.Atención Centrada en la Persona | GARCIA RESTOY, Enric | |
| 17/09/2026 | 16:00 | 18:00 | CM | TODOS | Aula teòrica | Incontinencia urinaria | FARRÉ MERCADÉ, María Victoria | |
| 18/09/2026 | 16:00 | 18:00 | CM | TODOS | Aula teòrica | RHB y Cronicidad | GUIRAO CANO, Luis | |
| 23/09/2026 | 18:00 | 20:00 | CM | TODOS | Aula teòrica | Toma de decisiones en pacientes con multimorbilidad, y complejidad | GARCIA RESTOY, Enric | |
| 29/09/2026 | 16:00 | 18:00 | LH | G4 | CISA | Interdisciplinariedad | GARCIA RESTOY, Enric | |
| 29/09/2026 | 18:00 | 20:00 | LH | G2 | CISA | Abordaje Nutricional | STANTONYONGE SESNIC, Nicole | |
| 02/10/2026 | 16:00 | 18:00 | MC | A | Aula teòrica | Nutrición en Envejecimiento, Pluripatología y Cronicidad | STANTONYONGE SESNIC, Nicole | |
| 02/10/2026 | 18:00 | 20:00 | MC | B | Aula teòrica | Nutrición en Envejecimiento, Pluripatología y Cronicidad | STANTONYONGE SESNIC, Nicole | |
| 09/10/2026 | 16:00 | 18:00 | LH | G1 | CISA | Interdisciplinariedad | GARCIA RESTOY, Enric | |
| 09/10/2026 | 18:00 | 20:00 | LH | G3 | CISA | Interdisciplinariedad | GARCIA RESTOY, Enric | |
| 09/10/2026 | 18:00 | 20:00 | LH | G5 | CISA | Abordaje Nutricional | STANTONYONGE SESNIC, Nicole | |
| 13/10/2026 | 16:00 | 18:00 | LH | G4 | CISA | Abordaje Nutricional | STANTONYONGE SESNIC, Nicole | |
| 13/10/2026 | 16:00 | 18:00 | LH | G5 | CISA | Interdisciplinariedad | GARCIA RESTOY, Enric | |
| 13/10/2026 | 18:00 | 20:00 | LH | G2 | CISA | Interdisciplinariedad | GARCIA RESTOY, Enric | |
| 13/10/2026 | 18:00 | 20:00 | LH | G3 | CISA | Abordaje Nutricional | STANTONYONGE SESNIC, Nicole | |
| 22/10/2026 | 16:00 | 18:00 | MC | A | Aula teòrica | Escuela de pacientes A | GARCIA RESTOY, Enric | |
| 22/10/2026 | 18:00 | 20:00 | MC | B | Aula teòrica | Escuela de pacientes A | GARCIA RESTOY, Enric | |
| 29/10/2026 | 16:00 | 18:00 | MC | B | Aula teòrica | Escuela de pacientes B | CARMONA SANCHEZ , Margarita | |
| 29/10/2026 | 18:00 | 20:00 | MC | A | Aula teòrica | Escuela de pacientes B | CARMONA SANCHEZ , Margarita | |
| 02/11/2026 | 16:00 | 18:00 | ABP | A | Aula mòvil | ABP Paciente Crónico (1) | GARCIA RESTOY, Enric | |
| 02/11/2026 | 18:00 | 20:00 | ABP | B | Aula mòvil | ABP Paciente Crónico (1) | GARCIA RESTOY, Enric | |
| 06/11/2026 | 16:00 | 18:00 | MC | B | Aula teòrica | Adaptación a la discapacidad | GUIRAO CANO, Luis | |
| 06/11/2026 | 18:00 | 20:00 | MC | A | Aula teòrica | Adaptación a la discapacidad | GUIRAO CANO, Luis | |
| 09/11/2026 | 16:00 | 18:00 | MC | A | Aula teòrica | Deterioro Cognitivo. Delirium. Demencia | RODRIGUEZ GONZALEZ, Daniel | |
| 09/11/2026 | 18:00 | 20:00 | MC | B | Aula teòrica | Deterioro Cognitivo. Delirium. Demencia | RODRIGUEZ GONZALEZ, Daniel | |
| 13/11/2026 | 16:00 | 18:00 | ABP | B | Aula mòvil | ABP Paciente Crónico (2) | GARCIA RESTOY, Enric | |
| 13/11/2026 | 18:00 | 20:00 | ABP | A | Aula mòvil | ABP Paciente Crónico (2) | GARCIA RESTOY, Enric | |
| 17/11/2026 | 16:00 | 18:00 | Ex.Parcial | TODOS | Aula informàtica | EXAMEN PARCIAL | FARRÉ MERCADÉ, María Victoria | |
| 20/11/2026 | 16:00 | 18:00 | MC | A | Aula teòrica | Depresión y Transtornos del sueño | RODRIGUEZ GONZALEZ, Daniel | |
| 20/11/2026 | 18:00 | 20:00 | MC | B | Aula teòrica | Depresión y Transtornos del sueño | RODRIGUEZ GONZALEZ, Daniel | |
| 24/11/2026 | 18:00 | 20:00 | LH | G1 | CISA | Abordaje Nutricional | STANTONYONGE SESNIC, Nicole | |
| 02/12/2026 | 16:00 | 18:00 | MC | A | Aula teòrica | Consideraciones farmacologicas | LLONCH MASRIERA, Mireia | |
| 02/12/2026 | 18:00 | 20:00 | MC | B | Aula teòrica | Consideraciones farmacologicas | LLONCH MASRIERA, Mireia | |
| 10/12/2026 | 16:00 | 18:00 | ABP | A | Aula mòvil | ABP Paciente Geriátrico (1) | FARRÉ MERCADÉ, María Victoria | |
| 10/12/2026 | 18:00 | 20:00 | ABP | B | Aula mòvil | ABP Paciente Geriátrico (1) | FARRÉ MERCADÉ, María Victoria | |
| 11/12/2026 | 14:00 | 16:00 | CM | TODOS | Aula mòvil | Actuaciones preventivas en el envejecimiento y enfermo crónico. Envejecimiento activo | LLONCH MASRIERA, Mireia | |
| 16/12/2026 | 16:00 | 18:00 | MC | B | Aula teòrica | Abordaje de la cronicidad desde la multidisciplinaridad:manejo social | CARMONA SANCHEZ , Margarita | |
| 16/12/2026 | 18:00 | 20:00 | MC | A | Aula teòrica | Abordaje de la cronicidad desde la multidisciplinaridad:manejo social | CARMONA SANCHEZ , Margarita | |
| 17/12/2026 | 16:00 | 18:00 | ABP | A | Aula teòrica | Inestabiliad y caídas | FARRÉ MERCADÉ, María Victoria | |
| 17/12/2026 | 18:00 | 20:00 | ABP | B | Aula teòrica | Inestabiliad y caídas | FARRÉ MERCADÉ, María Victoria | |
| 18/12/2026 | 16:00 | 18:00 | MC | A | Aula mòvil | ABP Paciente Geriátrico (2) | FARRÉ MERCADÉ, María Victoria | |
| 18/12/2026 | 18:00 | 20:00 | MC | B | Aula mòvil | ABP Paciente Geriátrico (2) | FARRÉ MERCADÉ, María Victoria |
Evaluation systems and criteria
In person
Assessment, Academic Integrity, and Examination Conduct Policy
- Applicable to any assessable activity.
- Conduct contrary to academic integrity, including the use of electronic devices, recording, the use of AI, etc.
Conduct that violates academic integrity may result in the annulment of the assessment, a failing grade for the activity or the course, and the loss of the right to retake the assessment. In addition, such conduct may lead to the initiation of the corresponding disciplinary proceedings. The conduct covered by this policy will be sanctioned in accordance with the current regulations on student conduct and disciplinary procedures of the International University of Catalonia.
Teaching and Assessment – Academic Year 2026-2027
During the 2026-2027 academic year, all teaching activities for this course will be conducted in person.
Assessment will combine theoretical examinations, group assignments and activities, as well as other activities related to participation, professionalism and individual reflection. The aim is to assess both the knowledge acquired and students’ transversal competencies.
1. Theoretical assessment (60% of the final grade)
The theoretical component will be assessed through two compulsory written multiple-choice examinations.
Midterm examination (15%)
The examination will consist of 30 questions, each with four possible answers.
-
Each correct answer will receive a positive score.
-
Each incorrect answer will incur a penalty equivalent to one third of the value of a correct answer.
-
Unanswered questions will not be penalised.
-
A minimum grade of 5 out of 10 is required to pass the midterm examination.
Final examination (45%)
The final examination will consist of 60 questions, with four possible answers per question and the same penalty system as the midterm examination.
A minimum grade of 5 out of 10 is required in the final examination. Passing the final examination is an essential requirement for passing the course, irrespective of the grades obtained in the other assessment activities.
Each examination will be reviewed on the same day, immediately after the examination has ended.
2. Group assignments and activities (35% of the final grade)
This component includes collaborative activities aimed at promoting clinical analysis, communication, teamwork and active learning.
2.1. Problem-Based Learning – PBL (20%)
Two PBL activities will be carried out:
-
PBL1: sessions TP2 and TP3 – 10% of the final grade.
-
PBL2: sessions TP11 and TP13 – 10% of the final grade.
Each PBL activity will involve group analysis of clinical cases from a biopsychosocial and multidisciplinary perspective.
Attendance at both sessions of each PBL activity is compulsory in order to receive the full score:
-
Attendance at both sessions: students will be eligible to receive 100% of the grade awarded for the PBL activity.
-
Attendance at only one session, without duly justified circumstances of force majeure: the grade obtained for the PBL activity will be reduced by 50%.
-
Failure to attend either session, without duly justified circumstances of force majeure: the grade for the PBL activity will be 0.
Absences due to force majeure must be communicated and justified before the relevant session takes place, in accordance with the general attendance policy set out in this guide.
2.2. Patient School (15%)
This activity will take place during sessions TP5 and TP6 and will account for 15% of the final grade.
Students will work in groups to design and present an educational project aimed at patients and/or caregivers.
Attendance at both sessions is compulsory:
-
Attendance at both sessions: students will be eligible to receive 100% of the grade awarded for the activity.
-
Attendance at only one session, without duly justified circumstances of force majeure: the grade obtained will be reduced by 50%.
-
Failure to attend either session, without duly justified circumstances of force majeure: the grade for the activity will be 0.
Absences due to force majeure must be communicated and justified before the relevant session takes place.
3. Professionalism, attendance, assertive participation and reflective report (5% of the final grade)
This component accounts for 5% of the final grade, distributed as follows:
-
Professionalism, attendance and assertive participation: 2.5%.
-
Individual reflective report: 2.5%.
The assessment of professionalism will take into account aspects including students’ attitude during teaching activities, active and constructive participation, respect for fellow students and teaching staff, punctuality and professional behaviour.
Individual reflective report
Students must prepare an individual report reflecting on their learning and the competencies developed throughout the course.
The report must be submitted between 18 and 31 December 2026, inclusive.
4. Requirements for passing the course
To pass the course, students must obtain a minimum grade of 5 out of 10 in the final examination.
The final grade will be calculated according to the following weighting:
| Midterm examination | 15% |
| Final examination | 45% |
| PBL1 | 10% |
| PBL2 | 10% |
| Patient School | 15% |
| Professionalism, attendance and assertive participation | 2.5% |
| Individual reflective report | 2.5% |
| TOTAL | 100% |
No additional activities, supplementary assignments or other assessments may be undertaken solely for the purpose of improving the final grade obtained.
5. Honours
Students with a final grade of 9 out of 10 or higher may be considered for an Honours distinction, subject to the limits established by the applicable academic regulations.
In awarding Honours distinctions, the teaching team may take into account, in addition to academic performance, criteria such as professionalism, motivation, interest in the subject, participation and respect towards teaching staff and fellow students.
6. Attendance at the Clinical Skills Laboratory
Attendance at Clinical Skills Laboratory sessions is compulsory.
Absences will only be considered justified in cases of duly documented force majeure that has been communicated in advance, in accordance with the general attendance policy for the course.
7. Policy on changes of group
Requests to change groups for PBL, Patient School or Clinical Skills Laboratory sessions must be submitted at least one week before the scheduled session.
To request a change, students must:
-
Send an email to the course coordinator and the lecturer responsible for the session.
-
Explain the reason for the request and, where applicable, provide the relevant supporting documentation.
-
Provide the name of the student from the other group with whom the session exchange has been agreed.
The exchange must have been agreed in advance with another student. Group changes will not be authorised unless this requirement is met.
Submitting a request does not imply that the change has been authorised. The change will only be considered effective once it has been approved by the teaching team.
8. General policy on attendance at compulsory activities
Attendance forms part of the competencies and learning objectives of all in-person activities designated as compulsory.
As a general rule, failure to attend a compulsory activity will result in a grade of 0 for the corresponding activity or session, except where the absence is due to duly justified circumstances of force majeure.
For an absence due to force majeure to be considered justified:
-
it must be communicated before the activity begins;
-
appropriate supporting documentation must be provided, where applicable;
-
the justification must be reviewed and accepted by the teaching team.
Justifications submitted after the activity has taken place will not entitle the student to recover the corresponding marks, and the activity not completed will receive a grade of 0.
This general policy applies without prejudice to the specific criteria established for activities consisting of more than one session, such as PBL and the Patient School.
Exceptionally, circumstances of force majeure which, by their very nature, could not reasonably have been communicated in advance will be assessed individually by the teaching team, provided that appropriate supporting documentation is submitted as soon as reasonably possible.
Bibliography and resources
- Sociedad Española de Geriatria y Gerontologia. Tratado de Geriatria para residentes. https://www.segg.es/tratadogeriatria/index.html
- Pedro Abizanda Soler, et al. Medicina Geriátrica Una aproximación basada en problemas. Editorial Elsevier Masson 2020
- Ministerio de Sanidad Servicios Sociales e Igualdad. Estrategia para el abordaje de la cronicidad en el sistema nacional de salud. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2012.
- Bullich I, Elias T, Ferrando C, Salvà A, Sánchez P. Adequació de la xarxa sociosanitària en l’atenció a la cronicitat. In: Sociosanitari PD, editor. Barcelona: Departament de Salut; 2015. https://canalsalut.gencat.cat/web/.content/Documents/adequa_cronicitat.pdf
- Generalitat de Catalunya. Programa de prevenció i atenció a la cronicitat. Bases per a un model català d’atenció a les persones amb necessitats complexes. Conceptualització i introducció als elements operatius. https://salutweb.gencat.cat/web/.content/_ambits-actuacio/Linies-dactuacio/Estrategies-de-salut/Cronicitat/Documentacio-cronicitat/arxius/doc_complexitat_final_5.pdf
Altres llibres i materials recomanats:
- Abizanda Soler, P, et al. Tratado de medicina geriátrica : fundamentos de la atención sanitaria a los mayores. 2ª edición. Elsevier. 2020.
- Roller-Wirnsberger, R, Singler K, et al. Learning Geriatric Medicine. A Study Guide for Medical Student. Springer, 2018.
- Harrison’s Principles of Internal Medicine.19th edition by Kasper D, Fauci A, Hauser S, Longo DL, Jameson L and Loscalzo J. et al. New York McGraw Hill. 2015
- Farreras Rozman. Medicina Interna. 20ª edición, Rozman Borstnar & Cardellach Elsevier. 2016