SubjectsSubjects(version: 945)
Course, academic year 2023/2024
   Login via CAS
Psychiatry I - FG10047
Title: Psychiatry I
Guaranteed by: Department of Psychiatry (15-520)
Faculty: Faculty of Medicine in Hradec Králové
Actual: from 2023
Semester: summer
Points: 0
E-Credits: 4
Examination process: summer s.:
Hours per week, examination: summer s.:12/50, C [HS]
Capacity: unlimited
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Level:  
Guarantor: prof. MUDr. Jiří Masopust, Ph.D.
Pre-requisite : {General Medicine 2nd year}, FG10028
Incompatibility : FV10045
Interchangeability : FA0108056, FV10045
Is incompatible with: FVP047, FV10045
Is pre-requisite for: FV097, FV103, FG10054, FG50012, FG50008
Is interchangeable with: FV10045, FVP047
In complex pre-requisite: FG10069, FG10070, FG10071, FG10072, FG10073, FG10076, FG10077, FG10078, FG10079, FG10080, FG10096, FG10097, FG10099
Entry requirements
Last update: Mgr. Libuše Hájková (08.01.2024)

Students completed propaedeutics training in internal medicine and surgery. They know the basics of patient communication. They are able to take a family, personal, drug and social and work history through an interview with the patient. Students are able to perform a physical examination of a patient. Students completed the course in Pharmacology and know the division of psychotropic drugs into individual groups according to effect. Students know the mechanism of action, indications and side effects of psychotropic drugs. 

Students have completed and continue to attend lectures in the subject of Psychiatry. Before starting attendance at practical exercises, they studied the division of mental disorders into groups of organic, addictive, psychotic, affective, neurotic, behavioural, personality disorders, mental retardation, developmental disorders and disorders with childhood onset. Students know the basic symptoms of these diagnostic groups. 

Aim of the course
Last update: Mgr. Libuše Hájková (08.01.2024)

Students know the symptoms and syndromes of individual mental illnesses in order to be able to establish the most likely diagnosis when examining a patient. 

Students are able to carry out an empathic interview with patients and, through it, collect anamnestic data from patients necessary to complete a psychiatric examination. This means finding out a brief summary of the problems, who recommended them for examination and treatment, who admitted them for treatment, with what diagnosis, how many psychiatric examinations or hospitalizations they have already completed. Can take family and personal history. Students know how to take a personal psychiatric history. They are able to find out the history of substance use and gambling. Students are able to find out subjective developmental difficulties and subjective experiences of childhood and adolescence from patients through interviews. They are able to find out the patient's current education and schooling, current employment and functioning of the patient in the work team. They are able to take a patient's sexual and marital history, social history, and ask patients about their past and present legal problems. Students are able to find out from the patients their hobbies, completion of military service and possession of driver's and firearms licenses. They are able to ask patients a subjective opinion about their character traits and other plans for the future. 

When performing a psychiatric examination, students can find out in an interview all the circumstances of the current illness, which are necessary to determine the symptoms and their development over time in patients. 

As part of a psychiatric examination, students are able to examine attention, short-term and long-term memory, working memory, abstract thinking and intellect. 

After examining the patient, students are able to write an objective psychiatric description of the patient using psychopathological terminology. At the same time, they can describe the patient's appearance, willingness to be examined, speech, behaviour, consciousness, orientation, attention, psychomotor speed, mood, perception, thinking, impulses, memory and intellect, premorbid personality and insight into the disease. They are able to describe the syndromes present. 

After examining the patient, they are able to elaborate on the differential diagnosis, stating the arguments for and against the individual probable diagnoses. They are able to determine the most probable diagnosis of the patient and establish a plan for additional examinations to confirm it. I.e. laboratory, imaging, functional, social and, possibly, addition of an objective anamnesis (so-called heteroanamnesis). They are able to determine the patient's treatment plan using psychopharmaceuticals, stimulation methods of treatment, social and work rehabilitation. 

Requirements to the exam
Last update: Mgr. Libuše Hájková (08.01.2024)

Credit:

  • Attendance and activity in practical training and final multiple choice test.
  • Written formulation of psychiatric history and mental status evaluation
Syllabus
Last update: Mgr. Libuše Hájková (08.01.2024)

            Lectures:

  • History of Psychiatry. Etiology and classification of psychiatric disorders. Stigma. Rights and legal position of psychiatric patients.

  • Disturbances of consciousness. Disturbances of affect and mood.

  • Disturbances of perception. Disturbances of though. Disturbances of intellect and memory.

  • Disturbances of voliton and movement. Psychopathology of personality. Suicidal behaviour.

  • Treatment of psychiatric disorders I

  • Treatment of psychiatric disorders II

     

    Lecturer:

  • Prof. MUDr. Ladislav Hosák, Ph.D.

    Prof. MUDr. Jan Libiger, CSc.

  • Prof. MUDr. Jiří Masopust, Ph.D.

  • MUDr. Petr Hrubeš

  • MUDr. Ivan Tůma, CSc.

     

    Practical classes:

  • History in psychiatric assessment, assessment of cognitive function, description of signs and symptoms.

  • Clinical interview and skills. (BOZP)

  • Psychological tests.

  •  Credit clinical interview, history and mental status evaluation.

  • Treatment of chronically ill psychiatric patients.

  • Urgent states in psychiatry I

  • Clinical interview, history and mental status evaluation.

  • Clinical interview, history and mental status evaluation.

  • Urgent states in psychiatry II

  • Clinical interview, history and mental status evaluation.

  • Psychiatric symptoms in physical illness

  • Clinical interview, history and mental status evaluation.

  • Laboratory tests and examination in psychiatric patiens

  • Clinical interview, history and mental status evaluation.

  • Assessment of the credit clinical interview, test, credit.

     

    Teacher:

  • Prof. MUDr. Ladislav Hosák, Ph. D.

  • MUDr. Ivan Tůma, CSc.

  • MUDr. Petr Hrubeš

  • MUDr. Jan Hubeňák, Ph.D.

  • Prof. MUDr. Jan Libiger, CSc.

  • Prof. MUDr. Jiří Masopust, Ph.D.

Literature
Last update: Mgr. Libuše Hájková (08.01.2024)

Compulsory literature

Hosák Ladislav, Hrdlička Michal et al. Psychiatry and Pedopsychiatry. 1st ed., Karolinum Praha 2016, ISBN 9788024633787
 

Recommend literature

B. J. Sadock and V.A. Sadock Synopsis of Psychiatry. 9th ed.,Williams and Wilkins, Baltimore, 2003 and later editions. ISBN 0-7817-3183-6
 
Michael Gelder, Richard Mayou, John Geddes Psychiatry, third edition, Oxford University Press 2005 and later editions, ISBN-0-19-852863-9
 

 

 
Charles University | Information system of Charles University | http://www.cuni.cz/UKEN-329.html