1. SylabUZ
2. Faculty of Medicine and Health Sciences
3. winter term 2023/2024
4. WLiNZ - oferta ERASMUS / Medical - Long-cycle studies leading to MS degree (6 years)
5. Internal Diseases

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Internal Diseases - course description

Aim of the course

1.Familiarising the Student with environmental and epidemiological conditions and causes, symptoms, diagnoses and therapeutic procedures with regard to the most frequent internal diseases in adults and related complications

2. Practical learning to recognise medical problems and prioritise medical management, taking into account life-threatening conditions and those requiring immediate intervention for internal medicine reasons.

3. Correct planning and interpretation of test results, making a diagnosis, differential diagnosis.

4.To implement appropriate and safe therapeutic management with anticipation of its consequences.

5. Acquire skills in conducting medical record

6. Acquiring the ability to communicate properly with patients and their families and to convey unfavourable information, respecting medical confidentiality and patient rights.

7. Principles of teamwork and interdisciplinary collaboration, sharing knowledge and skills.

8. Preparing the student to practise medicine

Prerequisites

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Credits from the course propedeutics of internal diseases and particular departments of internal diseases.

Scope

Causes, symptoms, diagnoses and therapeutic procedures with regard to the most frequent internal diseases in adults and related complications:  

1. circulatory system diseases incl.: ischemic heart disease, organic heart diseases, endocardium,  myocardium and pericardium diseases, heart failure (acute and chronic), angiopathy, primary and secondary hypertension and pulmonary hypertension,  
2. respiratory tract diseases incl.: airway diseases, chronic obstructive pulmonary diseases, bronchial asthma, bronchiectasis, mucoviscidosis, respiratory tract infection, interstitial disease of lungs, pleura and mediastinum, obstructive and sleep apnea, acute and chronic respiratory failure, respiratory system neoplasm
3. alimentary system diseases, inlc.: stomatopathy, esophagus diseases, gastrosis, diseases of duodenum, enteropathy, diseases of hepatopathy, pancearopathy, cholepathy, cholecystopathy
4.  endocrine system diseases, incl.: disorders of hypothalamus, hypophysis, thyroid, parathyroid, adrenal cortex, adrenal medulla, ovariopathy, orchiopathy, neuroendocrine tumour disease, endocrine polyglandular syndrome, different types of diabetes and metabolic syndrome, hypoglycemia, obesity and dyslipidemia
5. nephropathy and diseases of  urinary tract  incl. : acute and chronic renal failure, diseases of renal glomerules and interstitial diseases of  kidneys, renal cyst, nephrolithiasis, urinary tract infections, urinary tract neoplasm, in particular bladder cancer and renal cancer  
6. diseases of hematopoietic system, incl.: panmyelophthisis, anemia, granulocytopenia and granulocytosis, trombocytopenia, acute leukemia, myeloproliferative and myelodysplastic-myeloproliferative diseases,  myelodysplasia syndrome, B and T cell lymphoma, hemorrhagic diathesis,  thrombophilia, life-threatening states in hematology, dyshematopoiesis in the failure of other organs 
7. rheumatic diseases, incl.: systemic  connective tissue disease, systemic vasculitis  arthritis of the spine, metabolic diseases of bones, in particular osteoporosis and arthrosis, uratic gout
8. allergic  diseases, incl.: anaphylaxis and anaphylactic shock, angioneurotic edema
9. water-electrolyte and base-acid disorders: dehydration, overhydration, electrolytic equilibrium disorder, acidosis and alkalosis

       The above-mentioned scope of problems will be implemented in thematic blocks during classes in individual Clinical Departments and specialist outpatient clinics.

Each student in a 2-3 person group will work under the supervision of 1 doctor in a given department.

 

Teaching methods

Clinical exercises at the bedside. Demonstration and exercise classes.  Case analysis. Discussion. Group work. Tutoring. Mentoring. Practical activities of the PBL type - "Problem Based Learning". Practical classes in outpatient clinics

CONSULTATIONS:

During the course of the internal diseases curriculum, instructors will be available to students outside of class hours, and information on the dates of the consultations of individual teachers will be posted on the website and/or platform of CM UZ

Learning outcomes and methods of theirs verification

Outcome description	Outcome symbols	Methods of verification	The class form

Assignment conditions

1.Preparation for classes, attendance and active participation in classes are the basis for the student's admission to the examination.

In the case of 1-2 excused absences in a given class block, the form of making up for them should be agreed with the course tutor.

In the case of more than 2 excused absences, the whole class block should be repeated with another group.

Absences must be justified by an appropriate document certifying illness (sick leave) or a fortuitous accident.

 A student's absence during an examination that has been excused entitles the Course Coordinator to set an examination date, which will be treated as the first date for the Student concerned.

2.Confirmation in the Practical training record book of the knowledge and practical implementation of procedures in the field of internal diseases (confirmation of all required procedures is a condition for to take the practical exam)

 

Examinations and Grades:

Passing of the practical exam (minimum grade of satisfactory-3,0), which will be conducted on the last day of the course by the class instructor or Clinical Department Head in which the group finishes the programme block( in the summer semester). This pass is a prerequisite for taking the test examination.

Passing of the test examination organised by the Course Coordinator after completion of the classes by all groups - single-choice test, closed questions.

To pass the  test student must score more than 59% positive answers. When scores:

- from 0% - 59% gets unsatisfactory (2.0) and fails the final exam

- from 60% - 67% gets satisfactory ( 3.0 )

- from 68 % - 75% gets fairly good ( 3.5)

- from 76 % - 84% gets good ( 4.0 )

- from 85 % - 93% gets better than good ( 4.5 )

- from 94% - 100% gets very good ( 5.0 )

A make-up exam (second term of an exam) may be in the written or oral form (test or open task or oral exam).

Students will be allowed to make up missed first term of the final exam if, and only if, they are excused in advance by the course coordinator or they complete Internal Diseases Course after first term of the test exanimation (eg. if they fail an integrative test). Special consideration will be given, however, in the case of unanticipated and excused emergencies such as accident, sudden serious illness, etc.

FINAL GRADE – is the grade for the test.

For students who passed second term of test (a make-up exam) final exam grade is calculated as an arithmetic mean of two grades. The results of the weighted mean are determined according to the principle: mean 3.25 is the final mark of 3.5; mean 3.75 is the final score of 4.0; mean 4.25 is the final score of 4.5; the mean of 4.75 is the final score of 5.0.

Regulations on credit conditions correspond to the conditions for direct credit, subject to the possibility of changes in the event of the need to switch to remote credit in the regulatory time, before the start of the session.

Other regulations not mentioned are specified in the Rules and Regulations of the University  of  Zielona Góra https://www.uz.zgora.pl/index.php?regulamin-studiow

Recommended reading

Essentials of Internal Medicine - 4th Edition - Elsevier

Written by Nicholas J Talley, Simon O'Connor and Brad Frankum

https://www.elsevier.com › books

 

Further reading

Notes

Modified by dr n. med. Iwona Towpik (last modification: 14-05-2023 23:28)