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clerkship-students-logbook.pdf | Jitka Nováková | |
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FINAL Syllabus, learning objectives 2025_26 aj.docx | Syllabus, learning objectives, questions, literature Internal Medicine IV | Ing. Veronika Psutková |
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The 10-week Internal Medicine Clinical Clerkship aims to acquire the clinical skills, knowledge and professional behavior required in the study and care of adult patients with the close supervision of the medical staff and faculty of the Internal Medicine Clinic. The purpose is to educate the student in the evaluation, diagnosis, management, and treatment of common acute and chronic medical problems encountered in internal medicine, which may occur in inpatient or outpatient settings. In addition, the student should also continue to develop skills in systematic medical problem solving and patient management abilities, and develop inter-professional relationships and communication skills.
- Students adopt the practical care of patients in common clinical situations encountered in inpatient and outpatient care, such as anemia, edema, dyspnea, cough, chest pain, abdominal pain, back pain, hypertension, fever, liver dysfunction, kidney dysfunction, congestive heart failure, electrolyte and acid-base balance disorders, pain stomach, constipation, diarrhea etc. - Know the practical implementation of procedures in patients with acute problems such as chest pain, shortness of breath, hypoxemia, hypotension, sepsis, heart rhythm disorders, syncope, shock, disorders of consciousness, confusion, anuria, bleeding into the GIT, adverse effects of anticoagulant and antiplatelet medication, anaphylaxis etc. Last update: Psutková Veronika, Ing. (20.02.2026)
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In summary, the requirements for credit are: a) confirmed completion of a clerkship (10 weeks or the equivalent of 250 working hours), b) completion of a practical exam, c) submission of a completed logbook to secretary of Dept. of Medicine 1 in Plzeň - send a scan of the logbook in PDF format to the e-mail address psutkovav@fnplzen.cz + submit the original logbook for the state exam. State examination in internal medicine the state exam takes place in the week given by the official schedule, one week after the end of the 10-week clerkship. The exam is oral only. The student draws two questions from internal medicine, one question from pulmonary medicine and gets three ECG records to describe. Last update: Psutková Veronika, Ing. (20.02.2026)
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amboss.com 2. osmosis.org 3. lectures 4. Davidson's Principles and Practice of Medicine, last ed., Author: Stuart H. Ralston et al. 5. The ECG Made Easy, last Edition; Author: John R. Hampton 6. Macleod's Clinical Examination, last Edition; Authors: Graham Douglas & Fiona Nicol & Colin Robertson. 7. The ECG In Practice, last ed. Author: John R. Hampton 8. 150 ECG Problems, last Edition Author: John R. Hampton 9. Davidson's 100 Clinical Cases, 2nd Edition; Authors: M. Strachan, S. Sharma, J. Hunter Last update: Psutková Veronika, Ing. (20.02.2026)
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The 10-week Internal Medicine Clinical Clerkship aims to acquire the clinical skills, knowledge and professional behavior required in the study and care of adult patients with the close supervision of the medical staff and faculty of the Internal Medicine Clinic. The purpose is to educate the student in the evaluation, diagnosis, management, and treatment of common acute and chronic medical problems encountered in internal medicine, which may occur in inpatient or outpatient settings. In addition, the student should also continue to develop skills in systematic medical problem solving and patient management abilities, and develop inter-professional relationships and communication skills. - Students adopt the practical care of patients in common clinical situations encountered in inpatient and outpatient care, such as anemia, edema, dyspnea, cough, chest pain, abdominal pain, back pain, hypertension, fever, liver dysfunction, kidney dysfunction, congestive heart failure, electrolyte and acid-base balance disorders, pain stomach, constipation, diarrhea etc. - Know the practical implementation of procedures in patients with acute problems such as chest pain, shortness of breath, hypoxemia, hypotension, sepsis, heart rhythm disorders, syncope, shock, disorders of consciousness, confusion, anuria, bleeding into the GIT, adverse effects of anticoagulant and antiplatelet medication, anaphylaxis etc. - Specifically, the student performs the work of a secondary physician under the direct supervision of a physician designated by the head of the ward or department. The content of this activity is: 1) Admissions of patients in the internal ward (i.e. obtain a full patient history and physical examination, preliminary diagnosis, differential diagnosis, proposal for additional diagnostic - treatment reasoning) 2) Daily rounds of assigned patients, participation at grand rounds of the entire ward (includes patient references) 3) Interpretation of auxiliary examination methods (ECG, laboratory values, imaging methods, etc.) in the context of common pathologies. 4) Participation in all reports/operations of the department, attendance at teaching and lunch conferences (e.g., resident noon conference, morbidity and mortality conferences (M&M), etc.). 4) Participation in diagnostic and treatment procedures (incl. performing simple procedures: basics of bed-side ultrasonography (POCUS), venipuncture, blood transfusion, pleural puncture, urinary catheter insertion, nasogastric tube insertion, non-invasive hemodynamic monitoring, arterial puncture for pH and blood gas analysis etc.). The student records these medical procedures in a logbook. 5) Rotations can comprise the following settings: - internal medicine wards including specialized wards (e.g., cardiology, gastroenterology, nephrology etc.) - 5 days participation in work at the medical emergency department of the hospital, - one “on-call” duty, i.e. at least 4 duty hours (approx. from 4 to 8 p.m. or other time outside normal working hours as agreed with the doctor on duty, at the medical emergency department) - 5 days participation in work at the ICU - the days of stay in each ward are written down by the student and confirmed by physician in the logbook Summative Clinical Assessment At the end of the clinical clerkship course a practical examination in Internal Medicine is performed by the Director of the course and members of the Faculty of the Clinic. Examination includes evaluation of the following skills, knowledge and professional behavior: 1. complete and focused history and physical examination 2. presentation of patient case in a way that identifies and interprets key historical features, exam findings 3. formulation of the differential diagnosis of commonly presenting signs and symptoms and diagnostic approaches individualized to specific patients 4. demonstration skills in clinical reasoning, diagnostic decision-making, and the development of therapeutic approaches, high-value care, and patient entered care. 5. Recognition and institution of appropriate initial therapy for patients with urgent and/or emergent conditions in internal medicine The student does not have the patient's medical records available for the exam. The exam topic and student's evaluation (grade) is entered by the examiner (head of the ward or designated physician) in the logbook. Last update: Psutková Veronika, Ing. (20.02.2026)
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The 10-week Internal Medicine Clinical Clerkship aims to acquire the clinical skills, knowledge and professional behavior required in the study and care of adult patients with the close supervision of the medical staff and faculty of the Internal Medicine Clinic. The purpose is to educate the student in the evaluation, diagnosis, management, and treatment of common acute and chronic medical problems encountered in internal medicine, which may occur in inpatient or outpatient settings. In addition, the student should also continue to develop skills in systematic medical problem solving and patient management abilities, and develop inter-professional relationships and communication skills. Students adopt the practical care of patients in common clinical situations encountered in inpatient and outpatient care, such as anemia, edema, dyspnea, cough, chest pain, abdominal pain, back pain, hypertension, fever, liver dysfunction, kidney dysfunction, congestive heart failure, electrolyte and acid-base balance disorders, pain stomach, constipation, diarrhea etc. Last update: Psutková Veronika, Ing. (20.02.2026)
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