Summer (10) Type of course

Transcription

1 Module/Course Internal Diseases Faculty Major Syllabus for academic year 2017/2018 Description of the course Basics of hypertensiology. Emergencies in internal diseases. Medical Appendix 5 Group of detailed education results Group Group name code E Specialties Medical Level of studies Uniform magister studies 1 st degree studies 2 nd degree studies 3 rd degree studies postgraduate studies Form of studies full-time part-time Year of studies 5 th year Semester Winter (9) Summer (10) Type of course obligatory limited choice free choice / elective Course major basic Language of instruction Polish English other * mark with an X Number of hours Form of education Unit teaching the course Lectures (L) Seminars (SE) Auditorium classes (AC) Major Classes not clinical (MC) Clinical Classes (CC) Laboratory Classes (LC) Classes in Simulated Conditions (CSC) Practical Classes with Patient (PCP) Specialist Classes magister studies (SCM) Foreign language Course (FLC) Physical Education obligatory (PE) Vocational Practice (VP) Self-Study (Student's own work) E-learning (EL) Winter Semester Department and Clinic of Internal, Occupational Diseases, Hypertension and Clinical Oncology 2 7 Summer Semester Department and Clinic of Internal, Occupational Diseases, Hypertension and Clinical Oncology 2 6 TOTAL per year: 4 13 Educational objectives (max. 6 items) C1. To acquire the knowledge of taking history and performing physical examination in adult patient.

2 C2. To acquire the knowledge of the symptomatology of internal diseases in adult patients. C3. To develop the skills of interpretation of abnormalities found on examination and diagnostics performed in internal diseases. C4. To develop the ability to perform differential diagnosis in adult patients. C5. To know the rules of the contemporary treatment regiments of internal diseases. Education result matrix for module/course in relation to verification methods of the intended education result and the type of class Methods of verification Number of Student who completes the of intended education major education module/course knows/is able to result results (forming and summarising) Number of course education result W 01 E.W7 E.W27 Knowledge and understanding of pathophysiology, diagnostics and therapy of: The most common internal diseases that occur in adults and their complications. Especially for those medical conditions that need emergency intervention and those that require complex diagnostic planning. He knows the causes, symptoms and principles of diagnostic and therapeutic treatment for acute states in arterial hypertension, decompensation of heart failure, ischemic stroke, acute hemostatic disorders (haemorrhagic diathesis, thrombosis, DIC, pulmonary embolism), arrhythmias, pneumonia, exacerbations of COPD and asthma, acute disorders of waterelectrolyte and acid-base, treatment of allergic reactions, diabetes mellitus and endocrine emergencies, gastrointestinal bleeding, anemia, thrombocytopenia and leucopenia. He knows the principles of differentiation of systemic infections and the diagnosis of the most common metabolic and cancer diseases. He knows the etiology, symptomatology, principles of diagnosis and treatment of hypertension according to EBM; He can define precisely causes of water-electrolyte and acidbase disorders: dehydration, overhydration states, electrolyte disturbances, acidosis and alkalosis; Oral response, test, oral examination Form of didactic class **enter the abbreviation L,CC, PCP E.W28. E.W40. B.W1. C.W.1 E.W3. E.W39. E.W17. The student knows the causes, symptoms, principles of diagnosis and treatment in the most common palliative medicine problems, including: A) symptomatic treatment of the most common somatic symptoms, B) treatment in cancer destruction and prophylaxis and treatment of bedsores, C) the most common emergency conditions in palliative medicine; Student can determine the principles of palliative treatment with the patient in the terminal state; The student is able to specify indications for the implementation of monitored therapy The Student can associate morphological abnormalities and dysfunction of organs and systems and clinical symptoms with diagnostic and therapeutic capabilities; The student is able to define the genetic, environmental and epidemiological determinants of the most common diseases, Student can indicate the basic methods of medical examination and the role of additional performances in the diagnosis, monitoring,

3 U 01 E.W18. E.W20. E.U1. i E.U3. E.U2., EU13. i E.U7. E.U12., EU3., EU4., E.U5. i E.U24. E.U6. E.U8. i EU14. E.U9. prognosis and prevention of systemic disorders; Student can determine pathogenesis and symptomatology of respiratory, circulatory, hematopoietic, urinary, immunological, digestive, circulation and endocrine diseases. Student can determine the possibilities and limitations of laboratory tests in emergency conditions. The student knows the causes and mechanisms of cardiac and respiration arrest and the principles of resuscitation and postresuscitation; Student can define life threat situations; The student knows when the patient should be referred to the hospital Skills of taking directed medical history and physical examination of adult patient Student is able to perform differential diagnosis of most common adult diseases; The graduate conducts a medical interview with an adult patient; Student can assess and describe the somatic and psychological state of the patient; Carries out a full and targeted physical examination of an adult patient; Assesss the general condition, state of consciousness and patient awareness; Student is able to plan diagnostic and therapeutic procedures for the most common adult diseases; Interprets the results of laboratory tests; Performs differential diagnosis of the most common illnesses of adults and children; Identifies normal and pathological structures and organs in additional imaging studies (RTG, USG, CT - computed tomography); Interprets laboratory tests and identifies the causes of deviations; The student is able to plan treatment in case of exposure to bloodborne infection; The student is able to recognize the risk of life threatening; Recognizes the states of immediate danger to life; Oral response, test, oral examination CC,PCP E.U10., E.U15. i EU.34. Student can describe and recognize the symptoms of shock and acute circulatory failure; The student is able to recognize the symptoms of brain traumas and vascular brain diseases, dementia syndromes and mental disorders; Recognizes diseases related to smoking, alcoholism and addiction; Recognizes the condition after drinking alcohol, drugs and other stimulants; With regard to interpersonal and social competencies, he / she will make contact with the elderly, the sick, the sick homeless, the alcoholic; Shows appropriate attitude towards patients, their families, medical staff. Shows proper attitude towards other students. Monitors the status of a patient poisoned by chemical substances or drugs; Student can perform basic procedures and medical procedures, including: A) body temperature measurement, pulse measurement, non-invasive blood pressure measurement,

4 E.U29. E.U37. i E.U21. E.U38. i E.U32. E.U16. E.U17. E.U18. E.U29. i E.U32. B) monitoring of vital signs with cardiomonitor, pulse oximetry, C) spirometry, oxygen therapy, assisted ventilation and surgeries, D) inserting an orthogonal tube, E) intravenous, intramuscular and subcutaneous injection, peripheral vein cannulation, peripheral venous blood extraction, blood culture, arterial blood collection, F) collecting swabs from the nose, throat and skin, puncture of the pleural cavity, G) bladder catheterization in men and women, gastric aspiration, gastric lavage, enema, H) standard resting electrocardiogram with interpretation, electrical cardioversion and defibrillation, I) simple strip tests and measurement of blood glucose; The student is able to recognize the patient's agony and report his death; defines the conditions in which time life expectancy, functional status of the patient's preferences or restrict the procedure in accordance with specific guidelines for the disease; Student can result in the patient's medical records, plans to specialist consultations Student can plan diagnostic, therapeutic and prophylactic procedures; The student knows how to analyze the possible side effects of each drug and the interaction between them; Student can suggest individualization of existing therapeutic guidelines and other treatments for ineffectiveness or contraindications to standard therapy; Can perform basic procedures and medical procedures; He can plan specialist consultations; K 01 the student accepts the tasks entrusted to it in the field of emergencies in internal medicine K 02 The student works in a group of doctors CC forming interdisciplinary consultation K 03 Students actively participate in solving the CC issues raised during the discussion syllabus ** L - lecture; SE - seminar; AC auditorium classes; MC major classes (non-clinical); CC clinical classes; LC laboratory classes; SCM specialist classes (magister studies); CSC classes in simulated conditions; FLC foreign language course; PCP practical classes with patient; PE physical education (obligatory); VP vocational practice; SS self-study, EL E-learning. Please mark on scale 1-5 how the above effects place your classes in the following categories: communication of knowledge, skills or forming attitudes: Knowledge: 4 Skills: 3 Social competences: 4 Student's amount of work (balance of ECTS points) Student's workload Student Workload (h) (class participation, activity, preparation, etc.) 1. Contact hours: Student's own work (self-study): 18 Total student's workload 36 ECTS points for module/course Comments CC

5 Content of classes Department and Clinic of Internal and Occupational Diseases, Hypertension and Clinical Oncology Lectures 1. The emergencies in internal and occupational diseases. 2. Enviromental and demographic threats in XXI century Practical classes WINTER SEMESTER Hypertensive disorders 1. (2,33 h) Assessment of the cardiovascular risk. Basic laboratory tests and diagnostic imaging in hypertension. ABPM ambulatory blood pressure monitoring and its interpretation. 2. (2,33 h) The assessment of target organ damage of hypertension, Advanced hormonal and invasive diagnostics performed in patients with resistant long term hypertension Polysomnography 3. (2,33 h) Rules of conduct in specific therapeutic groups of patients with hypertension (metabolic syndrome, diabetes, stroke, pregnancy, old age, chronic kidney disease). Rules for selection of drugs, depending on the profile of the patient causal treatment, Individualization of pharmacotherapy in accordance with the principles of EBM. SUMMER SEMESTER Emergencies in internal diseases 4. (2h) Hypertensive emergencies. A patient with refractory/resistant hypertension causes, diagnosis and treatment. 5. (2h) Stroke Assessment of the patient s consciousness by the NIHSS and Glasgow Coma Scale. 6. (2h) DIC principles of diagnosis and treatment, haemorrhagic diathesis, including iatrogenic overdose of anticoagulants, bleeding in a patient treated with anticoagulant Test Primary and secondary literature 1. Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo Eds. Harrison's Principles of Internal Medicine, McGraw-Hill Professional; 19 edition, NM Kaplan, RG Victor MD, Kaplan's Clinical Hypertension, Lippincott Williams & Wilkins, 2014 Didactic resources requirements Multimedia projector Preliminary conditions Basic anatomy, physiology and pathophysiology Conditions to receive credit for the course 90% ATTENDANCE AND TEST Name and address of module/course teaching unit, contact: telephone and address Department and Clinic of Internal, Occupational Diseases, Hypertension and Clinical Oncology Borowska 213; Wrocław tel fax Coordinator / Person responsible for module/course, contact: telephone and address Prof. Grzegorz Mazur - head of the department Anna Jodkowska, MD, PhD - ED didactic adiunkt; anna.jodkowska@umed.wroc.pl tel List of persons conducting specific classes: full name, degree/scientific or professional title, discipline, performed profession, form of classes. Professors: Prof. Arkadiusz Derkacz CC, L, PCP Prof. Grzegorz Mazur - CC, PCP Prof. Rafał Poręba CC, PCP Prof. Anna Skoczyńska - CC, L, PCP MD, PhD: Dr n. med. Bogusław Beck - CC, PCP Dr hab. n. med. Adrian Doroszko - didactic adiunkt, CC, PCP

6 Dr n. med. Anna Jodkowska - didactic adiunkt, CC, PCP Dr n. med. Helena Martynowicz L, CC, PCP Dr n. med. Anna Szymańska-Chabowska - CC, PCP MD: lek. Maciej Podgórski - CC, PCP PhD candidates: lek. Dominika Bereta CC, PCP lek. Katarzyna Beszłej CC, PCP lek. Maciej Bladowski - CC, PCP lek. Diana Frontkiewicz CC, PCP lek. Maciej Jakubowski CC, PCP lek. Marta Jurdziak CC, PCP lek. Weronika Korzyńska CC, PCP lek. Katarzyna Kożuch-Sajdak CC, PCP lek. Barbara Kwiatkowska - CC, PCP lek. Monika Michałek - CC, PCP lek. Leopold Rehan CC, PCP lek. Magdalena Stępniewska CC, PCP Date of Syllabus development Syllabus developed by Anna Jodkowska, MD, PhD Signature of Head of teaching unit Signature of Faculty Dean......