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General Practice II. - CVSE6P0001
Title: Praktické lékařství II.
Guaranteed by: Division of General Practice 3FM CU (12-KBPL)
Faculty: Third Faculty of Medicine
Actual: from 2021
Semester: both
Points: 1
E-Credits: 1
Examination process:
Hours per week, examination: 0/30, C [HS]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech, English
Teaching methods: full-time
Teaching methods: full-time
Level:  
Note: you can enroll for the course in winter and in summer semester
Guarantor: MUDr. Martin Seifert
Examination dates   Schedule   
Annotation -
Last update: MUDr. Martin Seifert (19.04.2022)
The course General Practice II is a continuation of the course General Practice I. taught in the 5th year. It consists of a one-week internship in a general practitioner's surgery and a final credit seminar where students, facilitated by the lecturer, will report to other colleagues on their internships and present their case studies from their internships.
Aim of the course -
Last update: MUDr. Martin Seifert (19.04.2022)

The course aims to provide students with a deeper understanding of the field of General Practical Medicine, primarily through their own experience. It introduces students to the holistic view of human health and the complex long-term care that characterizes the work of the general practitioner. Students should gain new insights and greater confidence in the differential diagnosis of common diseases. They should become familiar with the complex care of elderly and poly-morbid patients and its specificities. They should understand the importance and limits of evidence-based medicine in primary care.

 The importance of the course for all medical students lies primarily in demonstrating and practising the integration of all medical knowledge and communication skills in complex patient care.  It shows the necessity of working with epidemiology, general history, patients' background, knowledge of the specifics of different population groups and psychological and psychosomatic rules in diagnosis, therapy, as well as in the long-term care of the bio-psycho-social health of a person. Students should understand the importance of the doctor-patient relationship and become familiar with the terms "overdiagnosis" and "overtreatment". They should learn the principles of differential diagnosis of common diseases and their rational therapy in the field of primary care. They should also learn the principles of patient-oriented care. 
Course completion requirements -
Last update: MUDr. Martin Seifert (19.04.2022)

The course is finished by awarding the credit, which students receive based on:

  •  Completion of a five-day internship in a GP surgery of at least 4 hours per day.
  • Completion of the Internship Report and Primary Care Case Report in the form of a text and one .ppt slide
  • Active participation in the Final Seminar by giving a verbal presentation of your internship as well as your case report using one slide

 More information can be found in the attached documents Credit conditions and Information for students 6th year GP.
Literature -
Last update: MUDr. Martin Seifert (19.04.2022)

Primarily:    Seifert, B., Byma, S., General Practical Medicine, Galén, Prague, 2019

Further recommended literature in Czech and English in alphabetical order:

Czech:

  • Balint, M.: Lékař, pacient a jeho nemoc. Grada, Praha, 1994
  • Baštecký, J., et al. (eds.): Psychosomatická medicína. Grada, Praha, 1993
  • Beneš, V., Seifert, B., Struk, P.: Lékařský slovník, Verlag Dashöfer 2003 - 2004
  • Collins R. Douglas: Diferenciální diagnostika prvního kontaktu, Grada Avicenum, Praha 1993
  • Čeledová L., Čeleda R., Bosák M.: Posudková činnost v ordinaci praktického lékaře, Grada, Praha 2015
  • Honzák, R.: Komunikační pasti v medicíně. Galén, Praha, 1997
  • Honzák R. Psychosomatická prvouka. Vyd. 1. Vyšehrad, 2017. 335 s. ISBN 978-80-7429-912-4
  • Honzák R. et al. Úzkostný pacient. Vyd. 1. Galén, 2005. 180 s. ISBN 80-7262-367-2
  • Chromý, Karel a kol. Somatizace a funkční poruchy. 1. vyd. Praha: Grada, 2005. 216 s. ISBN 80- 247-1473-6.
  • Chvála V., Honzák R., Masner O., Ročňová M., Seifert M., Seifert B., Trapková L. Psychosomatické poruchy a lékařsky nevysvětlitelné příznaky. Doporučený postup SVL ČLS JEP. Vyd. 1. 2015
  • Kalvach, Zdeněk et al. Geriatrie a gerontologie. Vyd. 1. Praha: Grada, 2004. 861 s. ISBN 80- 247-0548-6.
  • Seifert, B., Beneš, V., Býma S. et al, Všeobecné praktické lékařství, Galen, 2013
  • Seifert, B., Screening kolorektálního karcinomu, Maxdorf, 2012
  • Trapková, Ludmila a Chvála, Vladislav. Rodinná terapie psychosomatických poruch. Vyd. 1. Praha: Portál, ©2004. 227 s. ISBN 80-7178-889-9.
  • Tress, Wolfgang, Krusse, Johannes a Ott, Jürgen. Základní psychosomatická péče. Vyd. 1. Praha: Portál, 2008. 394 s. ISBN 978-80-7367-309-3.
  • http://www.svl.cz/ - Společnost všeobecného lékařství ČLS JEP - odborná společnost - Doporučené postupy 

 

English:

  • Engel G. L. The need for a new medical model: a challenge for biomedicine. Science 08 Apr 1977, Vol. 196, Issue 4286: 129-136
  • Epstein R. M., Quill T. E., McWhinney I. R. Somatization reconsidered. Incorporating the patient´s experience of illness. Arch Intern Med. 1999, 159: 215-222
  • Jones R et al. Oxford Textbook of Primary Medical Care, Oxfort University Press, 2006
  • Katič M., Švab I. et al. Family Medicine, Medicinska naklada, Zagreb, 2017
  • Neighbour, Roger: The Inner Physician / The Inner Apprentice
  • Olde Hartman T. C., Blankenstein A. H., Molenaar A. O., Bentz van den Berg D., Van der Horst H. E., Arnold I. A., Burgers J. S., Wiersma T., Woutersen-Koch H. NHG Guideline on medically unexplained symptoms (MUS). Huisarts Wet 2013, 56(5):222-30
  • O'Sullivan, Suzanne: It's All in Your Head
  • Rakel, R., Rakel D., Texbook of Family Medicine, Elsevier, USA, Wisconsin, 2011
Teaching methods -
Last update: MUDr. Martin Seifert (19.04.2022)

Five-day internship with a general practitioner, case study from primary care, final interactive seminar
Syllabus -
Last update: MUDr. Martin Seifert (19.04.2022)

General practice as an incorporating, attractive and developing field

The work of the general practitioner and its specificities

Prevention, screening, diagnosis and curative measures in the GP's office

The position of the general practitioner in the Czech health system

Communication between different segemtns of the health and social system from the perspective of the GP

Outpatient care for polymorbid and chronic patients in the 21st century

Health and social issues - assessment, pensions, spas, home care

The role of the doctor in the community

Communication in the GP practice and its difficulties

Doctor-patient, doctor-family, doctor-doctor, doctor-medical staff communication

The importance and limits of EBM in general practice

Relevance of best practice guidelines in practice

Science and research in GP

Field medicine without complement - differential diagnosis and treatment without diagnosis

Bio-psycho-socio-spiritual model of human health

The patient as a person and as part of a family system, not just a set of diagnoses

Geriatrics in general practice

Palliative care in general practice - dying at home

Psychosomatics as an integral part of 21st century medicine and the daily bread of the GP

Rural medicine as an opportunity for self-fulfilment, including research and academic career

Mental and physical health of the physician

Specialisation in the field and the path to your own practice

Internship in GP surgeries of supervisors
Entry requirements -
Last update: MUDr. Martin Seifert (19.04.2022)

Credit in General Practice I., which is taught in the 5th year.
Course completion requirements -
Last update: MUDr. Martin Seifert (19.04.2022)

The course is finished by awarding the credit, which students receive based on:

  •  Completion of a five-day internship in a GP surgery of at least 4 hours per day.
  • Completion of the Internship Report and Primary Care Case Report in the form of a text and one .ppt slide
  • Active participation in the Final Seminar by giving a verbal presentation of your internship as well as your case report using one slide

 More information can be found in the attached documents Credit conditions and Information for students 6th year GP.
 
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