Lesson plan — Hypertension

The moments of the class

• General introduction. Who we are and what the class does.
• The site. Where the material is, and where it stays after the class.
• Simulations — first round. Pre-class.
• Class — Hypertension. From diagnosis to treatment.
• Class — Cardiovascular risk. From stratification to the prescription on paper.
• Simulations — second round. Post-class.
• Extra. Extra simulations, in-class feedback, and ideas for adjustment.

1. General introduction

• Escola de Pacientes: teaching, research, and outreach in health, active since 2016 at UnB and in the Federal District network.
• What today's class covers: systemic arterial hypertension, from diagnosis to treatment, and the cardiovascular risk that decides management.
• How the session is organized: two rounds of simulation, one before and one after the class, with the averages compared at the end.
• What the first round is and what it isn't: the group's baseline, not an individual assessment.

2. The site

• The class material doesn't end today: it stays published and open.
• Each topic has its own page, with slides, the Treatise chapter, PACK, patient guidance, and the Drive folder.
• This lesson plan page stays online after the class, with all the links.

3. Simulations — first round (pre-class)

• What SimulaPacientes is: a digital patient, a consultation conducted in writing, item-by-item feedback on your own management.
• Why the consultation is written, and what the feedback shows at the end.
• Class code.
• First round, fifteen timed minutes — the QR code at the end of the page opens the case.
• What this round is: the group's baseline, before the class.

4. Class — Hypertension

5. Class — Cardiovascular risk

• Blank sheet. Three prescriptions in the PACK sequence, without consulting the slides: the first with low-dose enalapril, together with the request for stratification tests; the second switching to losartan, when cough appears; the third adding a second antihypertensive to the first. The sheets change hands and the correction is made against the flowchart.

What the regulation requires on the prescription. Under Law No. 5,991/1973, art. 35, as amended by Law No. 14,063/2020, a prescription is only filled if it is written in the vernacular, without abbreviations and legibly, in official nomenclature and units (item I); if it includes the patient's name and home address and, expressly, the way to use the medication (II); and if it includes the date, the health professional's signature, the address of the office or residence, and the professional council registration number (III). The same article says that the prescription is valid throughout the national territory, whichever entity issued it (§ 1), and that an electronic prescription is only valid with an advanced or qualified electronic signature — qualified is mandatory when the drug is under special control (§§ 2 and 3). In SUS, prescribing must use the generic name: DCB or, failing that, DCI (Law No. 9,787/1999). And a specially controlled medication does not go on this sheet: it goes on a Prescription Notification or a Special Control Prescription in two copies, in the model of SVS/MS Ordinance No. 344/1998.

6. Simulations — second round (post-class)

• A quick form on which artificial intelligences each person already uses.
• Second round, now with the class given.
• The averages of the two rounds side by side, in front of the class.
• What the difference between them says — and what it doesn't.

7. Extra: extra simulations

• Anyone who wants can run extra cases, at their own pace.
• Extra in-class feedback on what appeared in these rounds.
• Ideas for adjustment: what to change in the case, in the rubric, and in the class itself.

Open the simulation

Or open it directly: simulation link ↗

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