Propedeutics of Internal Medicine

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(tylko po angielsku) Practical preparation for the profession of a doctor

Acquiring communication skills with the patient and interdisciplinary cooperation with other team members

To acquaint the student with epidemiology and etiopathogenesis, risk stratification, symptomatology, principles diagnosis and therapeutic management of the most common internal diseases occurring in adults and their complications

(tylko po angielsku) Knowledge – Student knows and understands:

- Development, structure and functions of the human body in normal and pathological conditions

- symptoms and course of diseases

- methods of diagnostic and therapeutic procedures appropriate for specific disease states

- ethical, social and legal conditions for practicing the medical profession and the principles of health promotion,

based on scientific evidence and accepted standards

- methods of conducting scientific research

- principles of proper nutrition of a healthy and sick person and methods of assessing the state of nutrition

- elements of the hospital patient service system

- environmental and epidemiological determinants of the most frequent diseases

- the consequences of inadequate nutrition, including prolonged hunger, excessive food intake and unbalanced

diet, and disorders of digestion and absorption of digestive products

- pathomechanisms of regulation disorders of all organs and systems of the human body, including: circulatory,

respiratory, urinary and digestive systems, nervous system (central, peripheral and autonomous)

- the causes, symptoms, principles of diagnosis and therapeutic management of the most common internal

diseases and their complications in adults: 1) cardiovascular diseases, including ischemic heart disease, heart

defects, endocarditis, myocardial infarction, pericardial infarction, heart failure (acute and chronic), diseases of

arteries and venous vessels, arterial hypertension - primary and secondary, pulmonary hypertension, 2)

respiratory system diseases, including respiratory tract diseases, chronic obstructive pulmonary disease,

bronchial asthma, bronchial dilatation, cystic fibrosis, respiratory infections, interstitial diseases of the lungs,

pleura, mediastinum, obstructive and central sleep apnea, respiratory failure (acute and chronic), respiratory

tumors, 3) diseases of the digestive system, including diseases of the mouth, esophagus, stomach and

duodenum, intestines, pancreas, liver, bile ducts and gallbladder, 4) diseases of the internal secretion system,

including diseases of the hypothalamus and pituitary gland, thyroidism, parathyroidism, adrenal cortex and

medulla, ovaries and testicles, and neuroendocrine tumors, polyglandular syndromes, various types of diabetes

and metabolic syndrome – hypoglycaemia, obesity, dyslipidemia, 5) diseases of the kidneys and the urinary tract, including acute and chronic renal failure, glomerulonephrine and interstitial kidney diseases, kidney cysts, kidney stones, urinary tract infections, urinary tract neoplasms, in particular of bladder and kidney neoplasms, 6) hematopoietic diseases, including bone marrow aplasia, anemia, granulocytopenia and agranulocytosis,

thrombocytopenia, acute leukemia, myeloproliferative and myelodysplastic-myeloproliferative tumours,

myelodysplastic syndromes, mature B and T lymphocytes tumors, bleeding diatheses, thrombophilia, life-

threatening conditions in hematology, blood disorders in other organ diseases, 7) rheumatic diseases, including

systemic connective tissue diseases, systemic vasculitis, joint inflammations involving spinal cord, metabolic bone

diseases, osteoporosis and osteoarthritis in particular, gout, 8) allergic diseases, including anaphylaxis and

anaphylactic shock and angioedema, 9) water-electrolyte and acid-base disorders: dehydration conditions,

overhydration conditions, electrolyte, acidic and alkaline disorders

- activity and mechanisms of regulation of all organs and systems of the human body, including the cardiovascular

system, respiratory system, digestive system, urinary tract and skin layers, and the interrelations existing

between them

-computer-aided decision support for medical decisions with particular emphasis on clinical pathway techniques

- basic neurological symptom syndromes

Skills – Student can:

-Identify medical problems and prioritize medical management

- identify life-threatening conditions that require immediate medical intervention

- plan the diagnostic procedure and interpret its results

- implement appropriate and safe therapeutic treatment and predict its effects

- plan own learning activities and constantly learn in order to update own knowledge

- inspire the learning process of others

- communicate with the patient and his family in an atmosphere of trust, taking into account the needs of the

patient

- communicate and share knowledge with colleagues in a team

- critically evaluate the results of scientific research and adequately justify the position

- use databases, including online databases, and search for the necessary information using the available tools

- assess the reliability of the clinical trial

- carry out a medical history with an adult patient

- conduct a full and targeted physical examination of an adult patient

- assess the general condition, state of consciousness and awareness of the patient

- perform differential diagnosis of the most common diseases of adults and children

- evaluate and describe the somatic and mental state of the patient

- recognize immediate life-threatening conditions

- plan diagnostic, therapeutic and prophylactic procedures

- plan diagnostic, therapeutic and prophylactic procedures

- analyze the possible side effects of individual drugs and their interactions

- recognize states in which the duration of life, functional state or patient preferences limit the conduct in

accordance with the guidelines specified for a given disease

- interpret the results of laboratory tests and identify the causes of abnormalities

- apply nutritional treatment, including enteral and parenteral nutrition

- plan the management of exposure to blood-borne infections

- perform basic procedures and medical procedures including: 1) body temperature measurement, heart rate measurement, non-invasive blood pressure measurement, 2) monitoring of vital signs by means of a patient monitor, pulse oximetry, 3) simple strip tests and blood glucose measurements

- plan specialist consultations

- maintain patient's medical records

- conduct an approximate hearing and field of vision examination, and an otoscopic examination

- perform and interpret anthropometric measurements of nutritional status, is able to gather nutritional history and

make a quantitative and qualitative assessment of intake (taking into account dietary supplements) using a

nutritional computer program

- perform a pathophysiological analysis of selected clinical cases according to the PBCA (Problem Based Case

Analysis) rule

Social competences – Student is ready to:

- to establish and maintain deep and respectful contact with patients and to show understanding for differences in

world views and cultures

- to be guided by the well-being of a patient

- Respect medical confidentiality and patients' rights

- take actions towards the patient on the basis of ethical norms and principles, with an awareness of the social

determinants and limitations of the disease

- perceive and recognize own limitations and self-assessing educational deficits and needs

- promote health-promoting behaviors

- use of objective sources of information

- f formulate conclusions from own measurements or observations

- implement the principles of professional camaraderie and cooperation in a team of specialists, including

representatives of other medical professions, also in a multicultural and multinational environment

- Formulate opinions on the various aspects of the professional activity

- assume responsibility for decisions taken in the course of their professional activities, including in terms of the

safety of oneself and others

(tylko po angielsku) Knowledge of anatomy, physiology and pathophysiology

Ability to master the material and learn independently

Ability to communicate with the patient

(tylko po angielsku) Seminars/ e-learning: multiple choice test: It is necessary to pass the course getting acquainted with the prepared materials and correct answer to audit questions.

Classes classroom observation: multiple choice test : Presence and active participation in classes (a form of assessment continuous preparation for exercises and seminars). In case of unexcused absence of more than 1 day for each 5 days of classes - the need to make up for the absence at the assistant's the lecturer. After the 5th semester - internal credit (in the form of a multiple-choice test and an examination Practical OSCE-1) in Internal Medicine. Integrated test multiple choice consists of 30 questions on internal medicine. The OSCE-1 practical exam consists of 8 stations (3 interview stations, 2 with physical examination of adults, 1 with EKG, 2 auscultation of the heart and lungs) To pass the course it is required to obtain at least 60% of the points from the test and passing 60% of all OSCE-1 stations, with which absolutely must include 2 interview stations. In the second term, oral examination is possible carried out by examiners appointed by course coordinator.

(tylko po angielsku) Knowledge: oral examination, classroom observation,

test, multiple choice test,OSCE examination

Skills: oral examination, classroom observation,

test,M booklet of practical skills, OSCE examination

Social competences: classroom observation

(tylko po angielsku) To be arranged with the coordinator

E-learning
Metody podające - pogadanka
Metody praktyczne - seminarium
Metody problemowe - metody aktywizujące - inscenizacja
Metody problemowe - metody aktywizujące - metoda przypadków

(tylko po angielsku) Case studies, Brainstorming, Exercises, Clinical exercises, Discussion, Computer lab, Seminar, Discussion, OSCE examination, E-learning, Clinical exercises at the bedside

(tylko po angielsku) ECTS: 7.0

Seminar Activity hours: 20

Classes Activity hours: 100

Preparation for classes: Activity hours: 50

Independent: Activity hours: 50

Independent education: Activity hours: 50

preparation for test : Activity hours: 30

Student workload: 250 hours

Workload involving teacher: 120 hours

Practical workload: 100 hours

* hour means 45 minutes

(tylko po angielsku) Not applicable