Uniwersytet Medyczny w Białymstoku. Curriculum plan.
  • Ostatnia zmiana 29.11.2023 przez Zakład Medycyny Rodzinnej

    Curriculum plan

     

     

    SYLLABUS

    Academic year 2021/2022

    Name of a course / module

    Family medicine

    Name of a department where course is held

    Department of Family Medicine and Community Nursing

    E-mail of department

    zmr@umb.edu.pl

    Faculty of

    Medicine with Division of Dentistry and Division of Medical Education in English

    Name of a field of study

    Medicine

    Level of education

    Uniform master’s degree studies

    Form of study

    full time x part time £

    Language of instruction

    Polish £ English x

    Type of course

    obligatory x facultative £

    Year of study / Semester

    V and VI

     

    9,10,11,12

     

    Introductory courses with preliminary requirements

    The realization of outcomes in terms of knowledge, skills and competences from the previous years of study

    Number of didactic hours with specification of forms of conducting classes

    5th year lectures-23h, seminars-12h, labs-15h)

    (+6th year: lectures-20h, seminars-10h, labs-75h

     

    Assumptions and aims

    of the course

    To familiarize students with specificity of a family doctor’s work, his role in the healthcare system, the principles of family medicine as a scientific and clinical discipline. To teach how to deal with common diseases in the population and how to apply prevention

    Didactic methods

     

    - providing knowledge in a form of a lecture

    - discussion

    - presentation and case description

    - self study

    - clinical skills training (e.g with use of models)

    - participation in patients’ visits to family doctors surgery (observing a family doctor and discussing the decisions regarding patient’s care

    Full name of the person conducting the course

    Research and teaching staff of the Department of Family Medicine

    Full name of the person responsible for teaching

    Sławomir Chlabicz

     

    Symbol and number of learning outcomes according to the teaching standards and other learning outcomes

    Description of educational outcomes

    Form of classes

    Verification methods for achieving intended learning outcomes

    Knowledge

    EW1

    nvironmental and epidemiological factors for most common diseases

    Lecture

    Summative methods .,

    -- written exam (test)

    Forming methods,,

    - observation of the student's work

    - evaluation of the activity in the classroom

    - discussion in class

    - case description

     

    EW2

    knows principles of nutrition of healthy and ill children, prophylactic vaccinations, routine check-ups

     

    Seminar

    Labs

    EW3

    knows and understands causes, symptoms and principles of diagnostic and therapeutic procedures for most common children diseases, such as:

    a) rickets,

    c) acute and chronic diseases of lower and upper airways, asthma, allergic rhinitis, urticaria, anaphylactic shock, Quincke’s edema,

    d) anemia,

    e) acute and chronic abdominal pain, vomiting, diarrhea, constipation, digestive tract bleeding, chronic peptic ulcer disease,

    f) urinary system infections, acute and chronic kidneys inflammation, kidney systemic diseases, micturition disorders, vesico-ureteral reflex,

    g) growth failure, diabetes mellitus, obesity, maturation and gonadal function disorder;

    i) most common infectious diseases of childhood;

     

    Lecture

    Seminar

    Labs

    EW7

    Knows and understands causes, symptoms and principles of diagnostic and therapeutic actions in case of adults’ most common internal diseases and subsequent complications:

    a) circulatory system diseases such as ischemic heart disease, heart failure (acute and chronic), arterial angiopathy, venous angiopathy, primary and secondary arterial hypertension,

    b) respiratory system diseases such as airways diseases, chronic obstructive pulmonary disease, bronchial asthma, respiratory system infections,

    c) digestive system diseases, including esophagus disease, stomach disease, duodenum disease, , pancreas disease, liver disease, bile ducts disease, gallbladder disease;

    d) endocrine system diseases, thyroid disease, different types of diabetes mellitus and metabolic syndrome such as hypoglycaemia, obesity and dislipidaemia;

    e)renal and urinary tracts diseases:, urinary system

    infections,

    g) rheumatic conditions, ostheoarthritis, gout

     

     

     

    EW8

    Knows and understands the course and symptoms of aging, principles of the entire geriatric assessment and interdisciplinary care of the elderly

     

     

     

     

     

     

    EW9

    Knows and understands causes and basic differences of most common diseases of the elderly, procedures for basic geriatric syndromes

    Lecture

    Seminar

    Labs

     

    EW10

    Knows and understands basic principles of pharmacotherapy for the elderly diseases

    Lecture

    Seminar

    Labs

    EW14

    Knows and understands causes, symptoms and principles of diagnostic and therapeutic procedures of most

    common nervous system diseases, such as:

    a) headaches: migraine, tension headache, headache syndromes,

    Lecture

    Seminar

    Labs

    EW20

    Knows psychiatric symptoms in the course of somatic disease, their effects on a course and prognosis of the underlying disease, and treatment methods;

     

    Lecture

    Seminar

    Labs

    EW23

    Knows environmental and epidemiologic determinants of most common human neoplasms

    Lecture

    Seminar

    Labs

    EW24

    Knows fundamentals of early detectability of neoplasms; principles of screening in oncology;

     

    Lecture

    Seminar

    Labs

    EW27

    Knows and understands causes, symptoms and principles of diagnostic and therapeutic procedures for common problems of palliative medicine:

    1. symptomatic treatment of common somatic symptoms,
    2. procedures for cancerous cachexia; prophylaxis and treatment of bedsores;most common emergencies in palliative medicine

    Lecture, Seminar

    Labs

    EW28

    Knows principles of procedures for patient in terminal condition

    Lecture, Seminar

    Labs

    EW32

    Knows and understands causes, symptoms and principles of diagnosis and therapeutic or preventive procedures for most common bacterial, viral and parasitic diseases

    Lecture

    Seminar

    Labs

    EW33

    Knows and understands basic characteristics, environmental and epidemiologic conditions of most common skin diseases

    Lecture

    Seminar

    Labs

    EW36

     

    Knows and understands causes, symptoms and principles of diagnosis and therapeutic for most common diseases and specific problems in family doctor’s practice

     

    Lecture,

    Seminar

    Labs

     

     

    HW34

    Knows mechanisms and principles of management of psychoactive substance dependence

    Lecture

    Seminar

    Labs

     

    HW30

    Knows and understands potential benefits and harms releated to sceeening

    Lecture

    Seminar

    Labs

     

    Skills

    EU1

    Taking history from an adult patient

    Lecture

    Seminar

    Labs

    Summative assessement

    - performing a specific skill

    (with model)

     

    Formative ssassement

    observation of the student's work

    - evaluation of the activity in the classroom

    - discussion in class

     

    EU2

    Taking history from a child and family;

     

    Lecture

    Seminar

    Labs

    EU6

    examination of hearing acuity, visual acuity and otoscopic examination

    Lecture

    Seminar

    Labs

    EU9

    comparing anthropometric measures and blood pressure measures with centile chart data;

     

    Lecture

    Seminar

    Labs

    EU11

    health check-ups

    Lecture

    Seminar

    Labs

    EU12

    differential diagnoses of most common adult and children diseases

    Lecture

    Seminar

    Labs

    EU13

    evaluating and describing somatic and psychiatric condition of a patient

    Lecture

    Seminar

    Labs

    EU14

    recognizing medical emergencies

    Lecture

    Seminar

    Labs

     

    EU15

    recognizing conditions indicating consumption of alcohol, drugs or other stimulants

    Lecture

    Seminar

    Labs

    EU16

    planning diagnostic, therapeutic and preventive procedures;

    Lecture

    Seminar

    Labs

    EU17

    analysis of unwanted drug effects and drug interactions;

     

     

     

    Lecture

    Seminar

    Labs

    EU18

    Suggesting individualization of therapeutic standards or other methods of treatment in case of therapeutic failure or contraindication to a standard therapy;

     

    Lecture

    Seminar

    Labs

    EU20

    referring patient to home or hospital treatment

    Lecture

    Seminar

    Labs

    EU24

    interpreting laboratory results and identifying causes of abnormalities

    Lecture

    Seminar

    Labs

    EU27

    referring patient for vaccinations

    Lecture

    Seminar

    Labs

    EU29

    performing basic medical procedures such as:

    a) body temperature measurement, pulse measurement, non-invasive arterial blood pressure

    b) monitoring vital signs by a cardiac monitor or pulse oximeter

    d) insertion of an airway support device;

    e) intravenous, intramuscular and subcutaneous injections; peripheral venous sampling, f) nasal, pharyngeal g)

    i) simple strip tests, glucose concentration measurements

     

    Lecture

    Seminar

    Labs

    EU 31

    interpreting characteristics of pharmaceuticals and critically evaluating medicine advertisements;

     

    Lecture

    Seminar

    Labs

    EU 32

    planning consultations with specialists;

    Lecture

    Seminar

    Labs

    EU 37

    recognizing patient’s agony and death;

     

    Lecture

    Seminar

    Labs,

    EU 38

    keeping medical documentation/records of the patient

    Lecture

    Seminar

    Labs

    EU14

    recognition of life threatening situations

    Lecture

    Seminar

    Labs

    HU26

    can choose appropriate screening tests in relation to gender/age

    Lecture

    Seminar

    Labs

     

     

     

    Social competence

    K1

    Is able to communicate with patient showing respect

    Lecture

    Seminar

    Labs

    Summative assessement

    Continuous assessment by teachers (observation)

    Formative assessement

    - observation of the student's work

    - discussion in class

     

    K2

    Is directed by patient’s good, putting it on the first place

    Lecture

    Seminar

    Labs

    K3

    Is aware of his own limitations and need for continuous education

    Lecture

    Seminar

    Labs

    K4

    Respects patient’s confidentiality; and patient’s rights

    Lecture

    Seminar

    Labs

     

     

     

         

    ECTS points

    Należy podać liczbę punktów ECTS przypisaną przedmiotowi.

    Student Workload

    Form of activity

    Number of hours to complete the activity

    Classes that require the participation of a teacher

    1. Realization of the course: lectures (according to the curriculum )

    23

    1. Realization of the course: classes (according to the curriculum )

    75

    1. Realization of the course: seminars; (according to the curriculum)

    12

     

     

    Total hours: 110 compulsory

    Student self-study

    1 punkt ECTS oznacza 25-30 godzin pracy studenta w różnych formach, takich jak np.:

    1. Preparation for the theoretical and practical classes (realization of projects, documentation, case description etc.)

     

    1. Preparation for tests/credits

     

    1. Preparation for an exam/final test-credit

     

     

    Total hours:

        

    Course contents:

    Learning outcomes

    (symbol and number)

    Topics

     

    EW36

     

    Principles of family medicine. Definitions. Organization and financing of primary care

     

    EW36, EU1, EU2

    Communication in family medicine. Establishing rapport. Patient education. Interviewing techniques

     

    EW1, EU27, HW30, HU26

    Care of healthy people: principles of screening and prevention.

     

    EW1, HW30

    Screening for risk factors in cardiovascular disease

    EW23

    Screening for neoplasmatic and metabolic diseases.

    EW23, EW24

    Alarm symptoms in early diagnosis of cancer in primary care

    EW3, EW32, EW36

    Antibiotics use in ambulatory care. Principles of judicious antibiotic use.

     

    EW32, EW36

    Upper respiratory tract infections, Lower respiratory tract infections. Influenza

    EW7,EU12, EU16

    Common urinary, gastrointestinal and skin infections.

     

    EW7, EU12,EU16

    Chronic conditions: cardiovascular disease in primary care – choice of medications

    EW7,EU12,EU16

    Chronic respiratory disease in primary care: COPD and asthma

    EW7,EU12, EU16

    Venous thromboembolism in outpatient setting. Anticoagulation in primary care. Vitamin K antagonists

    EW 27, EW28, EU37

     

    Care of the dying patient

    EW28, EU37,

    Solving clinical problems in terminal care

    EU17, EU16,EU11

    ASA and oral anticoagulants – indications, monitoring, interactions

    E U17, EU18,EW36

    Choice of medications in primary care – clinical scenarios

    EW7,EU16

    Approach to a patient with gastrointestinal problems in primary care: functional and non-functional diseases of the alimentary tract.

    Diagnosis and management of dyspepsia, gastro-oesophageal reflux, gastritis and gastric cancer.

     

    EW7,EU16

    Diagnosis and management of irritable bowel syndrome, infalammatory bowel diseases and colon cancer.

     

    EW20,EU16, HW34

    Insomnia, anxiety, depression

     

    EU17, EU18

    Empirical use of antibiotics. Clinical scenarios with the use of voting system.

     

    E U29

    Clinical skills: female and male catheterization (use of models).

     

    EU11, EU9, EU13

    Common pediatric problems,

     

    EU1, EU2

     

    Communication skills. Doctor-patient relationship.. Group analysis of filmed consultations

     

    EW7, EW33, U16

    Urinary tract infections – clinical scenarios.

    EW33

    Skin disorders in primary care.

     

    EU14, EU16

    Emergencies in primary care. Clinical cases and improving clinical skills (cardiac resuscitation model).

     

    EW2, EU9, EU11

    Care of the newborn. Clinical problem solving. Clinical skills (model of newborn).

     

    EU15

    Alcohol and nicotine addiction. Methods of detection and possible interventions

    EU6

    Clinical skills: otoscopy and ophtalmoscopy (eye and ear models).

     

    EU17, EU16

    Practical use of anticoagulants – clinical scenarios

     

    EU29

    Interpretation of ECG

    EU29

    The choice of drug administration: oral versus parenteral route. Clinical skills: intramuscular, intravenous and subcutaneous injections

    EU29

    Clinical skills: spirometry. Use of spirometry in the differential diagnostics of chronic cough. Appropriate use of inhalers.

    EW7, EU16

    Chest pain - solving clinical scenarios

    EW28

    Palliative care: hospice residential and ambulatory care. Pain management. (attachment to hospice)

    HU26

    Choice of screening tests in different age groups. Clinical scenarios with the use of voting system.

    EW7,EU16

    Diabetes and lipids disorders

    EW1, EW3, EW7, EW8, EW9, EW10, EW33, EU1, EU2, EU6, EU9, EU12, EU13, EU17, EU18, EU20, EU24, EU27, EU29, EU31, EU32, EU38

    Attachment to family physicians’ practices

     

     

    Obligatory textbook:

     

    Robert E. Rakel „Textbook of Family medicine” 15th edition, Saunders Elsevier, 2015

     

     

     

    Optional textbook:

     

     

     

     

    Criteria for assessing the achieved learning outcomes and the form and conditions for receiving credit:

    1. Family Medicine course ends with a written exam in the form of multiple choice test. Minimal score of 60% from the test is required to obtain the credit. Additionally attendance is a requirement. We allow for one absence during the whole year without need to retake the class. In case of more absences the student is allowed to attend the same lab or seminar with another group. In case of absences which could not have been attended with another group the class must be credited in written form at the end of the semester. short term (up to 3 days) absences given by the Dean or caused by hospitalizations do not have to be retaken.

     

     

     

     

    …………………………………………………..

    (date and signature of the person preparing the syllabus)

    ……………………………………………… ………………………………………………

    (date and signature of the Head of the and (course coordinator)

    1. where the course is held)