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Course, academic year 2014/2015
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Module of Internal Medicine - Internal Medicine II. - CCINTXX46I
Title: Modul oborů vnitřního lékařství - Vnitřní lékařství - II. (ak. r. 2013/2014)
Guaranteed by: Department of Internal Medicine 3FM CU and UHKV (12-2INK)
Faculty: Third Faculty of Medicine
Actual: from 2013 to 2015
Semester: winter
Points: 14
E-Credits: 14
Examination process: winter s.:
Hours per week, examination: winter s.:0/240, C [HT]
Extent per academic year: 240 [hours]
Capacity: unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech
Teaching methods: full-time
Teaching methods: full-time
Level:  
Guarantor: prof. MUDr. Michal Anděl, CSc.
prof. MUDr. Jiří Horák, CSc.
prof. MUDr. Petr Widimský, DrSc.
Attributes: Modul oborů vnitřního lékařství
Examination dates   Schedule   
Annotation -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)
Training in clinical internal medicine for students in 6th year. Training has a practical and a theoretical part. In the practical part, students participate in the routine medical care of the patient under the supervision of qualified physicians. The students are also obliged to take part in the patients admission and assist by some of the diagnostic and invasive procedures. During the rotating training scheme, students work at the admission of internal patients and at the departments of internal medicine (department of cardiology, pneumology, gastroenterology, hepatology, nefrology, diabetology and endocrinology, hematology and intensive care unit). In the seminars, held by senior teachers or professors, lectured subspecialties of internal medicine are discussed. Final state exam: multiple-choice test, practical and oral examination.
Aim of the course -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

The aim of this course is summarization of basic diagnostical and therapeutical tools in internal medicine. The course exposes students to physician´s role by daily bedside activities. The objective is to expand student´s knowledge and clinical skills in internal medicine.

Literature -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

Harrison`s Principles of Internal Medicine

Additional literature:  Kumar and Clark´s Clinical Medicine, Harrison´s Principles of Internal Medicine (handbook)

Teaching methods -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

In the academic year of 2014/2015 the study of internal medicine shall be conducted in the following manner:

The prerequisite for participating in a pre-state examination block of internal medicine is passing all examinations of years 3, 4 and 5. This will be inspected at the Study Department before any enrolment into the module.

In order to be accepted, knowledge of propaedeutics and examined subjects of previous years are a prerequisite. A big emphasis will be put on practical knowledge. In the practical part, practice in hospitals outside Prague is preferred.

1.       Tuition timetable

Tuition takes 12 weeks with the following timetable: first two weeks of mandatory seminars on internal medicine, then one week of occupational medicine, eight weeks of practice, one week for preparation for examinations, and the last week is reserved for internal medicine state examinations.

2.       Obligatory  seminars

The obligatory seminars will always take place in the first two weeks through the internal medicine block according  to the schedule so as to cover basic issues of internal medicine. The seminars will take place from 8.30 a.m. to  3.45 p.m.

During the introductory seminar (Monday 8:30, classroom of the 2nd internal clinic, pavilion S1, ground floor) students will receive all information and documents including a schedule of seminars, a logbook (syllabus of skills which a student should acquire during the internship) and letters for senior doctors of internal wards, where practice will be held. Confirmation about participation in individual forms of tuition will be recorded into the mentioned documents and signed by the teacher. Students may request special seminars from either the head of the department prof. Anděl or head of 6th year classes  as. Hnaníček.

3.       Practice before state examinations

The training preceding the state examination will take place in contractual hospitals. These are hospitals in Ostrov nad Ohří, Kadaň, Ústí nad Labem, Teplice, Chomutov, Most, Liberec, Mladá Boleslav, Mělník,Kolín, Brandýs nad Labem, Nymburk, Čáslav and Tábor or as the case may be in the University Hospital of Královské Vinohrady or in other Prague hospitals.

Students may also arrange practice individually, even in other (non-contractual) hospitals. As part of this practice, students will work under supervision at a ward as junior doctors, i.e. full 8.5 hours per day. They will attend morning reporting, large ward rounds, X-ray rounds or other seminars. Under supervision they will conduct a ward round at an assigned room, and will actively report on patients during rounds. All student entries in medical documentation must be legibly signed and must be always verified by the treating or supervising doctor. Students do not prescribe even a therapy or a more complex examination (such as an endoscopic examination or X-ray). They, however, participate in diagnostic and therapeutic reports and autopsies.

Requirements to the exam -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

Credit

A credit is to be granted prior to the oral part of internal medicine of the SRE by the Head of Department and shall be entered into the faculty register (SIS). In order to be granted the credit, the student must bring a confirmed report on lessons taken. (i.e. logbook and statement of participation of seminars.) The credit shall be granted on the condition that the student has at least 80% attendance and 100% confirmation of skills and training at a hospital.

Illness is excused within 1 week by the head of class, a longer absence by the department head.

Advanced state examination - internal medicine

SRE- the internal part medicine is to consist of:

a/ a field part - examination of a patient and completion of their medical record (the Head of Study allocates students to examiners)

b/ a written multiple-choice test (the Head of Study determines  the date of the test)

c/ an oral examination (only those who have taken the test and the field part of the examination may take the oral examination.)Topics for the oral examination are posted up on the webpage of the Third Faculty of Medicine of Charles University. The oral examination is commissional with examiners of the Third Faculty of medicine of Charles University present as well as with other invited specialists from other medical faculties.

Registration for the examination:

Students shall register electronically - in the electronic enrolment system. It is not possible to register for individual examiners. The examination may only be taken after all student obligations have been fulfilled.

Cancellation of registration for an examination:

A student may cancel their registration in the electronic enrolment system one week before the date of the examination at the latest. If a student wants to cancel their registration less than one week before the examination,they must present a doctor´s confirmation of illness as an excuse. In the event of other serious reasons students must excuse themselves to the Head of Department.

Syllabus -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

1. Haematology

Anaemia

Leukaemia

Lymphoma and multiple myeloma

Coagulopathy

2. Revmatology

Rheumatoid arthritis. Seronegativ arthritis.

Systemic diseases of connective tissue

3. Gastroenterology

Disease of oesophagus

Peptic ulcer disease

Malabsorption syndromes and coeliac disease

Idiopathic Inflammatory bowel disease

Tumors of the liver and subhepatal region

Tumors of the digestive system

Abdominal ultrasound

4. Diabetology, endocrinology and nutrition

Diabetes mellitus of type 1 and 2

Acute and chronic complication of diabetes mellitus

Thyropathy

Osteoporosis

Hyperlipidemia a atherosclerosis

Parenteral and enteral nutrition

Sepsis

5. Nephrology

Methods of investigation in nephrology

Haematuria, proteinuria, nephrotic syndrome

Acute, rapidly progressive and chronic glomerulonephritis

Tubulointersticial nephritis

Acute and chronic renal failure

6. Hepatology

Icterus, hepatitis, cirrhosis

Acute and chronic liver failure

7. Cardiology a angiology

Hypertension

Pulmonaly embolism

Coronary disease, myocardial infarction

Heart failure

Arrhytmias

Valvular heart disease

Cardiopulmonary resuscitation

Interventional angiology

8. Pneumology

 
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