Course Specification of Internal Medicine University: Assiut Faculty: Medicine Course specifications: Internal Medicine Programme(s) on which the course is given: M. B. B. ch Departments offering the course



Download 0,89 Mb.
Page2/11
Date conversion08.07.2017
Size0,89 Mb.
1   2   3   4   5   6   7   8   9   10   11

F- Define common causes of renal diseases stressing on common causes in Egypt and those related to environment.

G- Define critical cases which need urgent management of renal failure.

H- Mention indications, hazards and dose adjustment in prescribing drugs for patients with renal disease.

II- Professional clinical skills: Medical students should be able to:

A- Take proper history from patients with nephrological problem.

B- Conduct general and abdominal examination for signs of significance in patient with kidney disease.

C- Perform simple bed-side laboratory test (urine examination).

III- Intellectual skills: Medical students should be able to:

A- Analyze clinical data to give logic differential diagnosis.

B- Suggest suitable laboratory and other investigations to reach diagnosis in an economic pattern using least possible necessary steps.

C- Interpret clinical data with investigations.

IV- General and transferable skills: Medical students should be able to:

  1. Write a good medical report for patients with nephrological problem.

  2. Communicate with other medical centre to ask medical service not available in his locality.

C-Discuss with the patient his disease about disease etiology, pathogenesis, clinical features, and complications and give proper medical advice principles of prevention and management.

Teaching and learning methods

Upon successful completion of this course the students, with at least 70% accuracy, will be able to:

A) In written MCQ examination

1. Recognize and identify the causes of an abnormal result in any or all of the parameters of the kidney functions: a) urine parameters, b) tubular functions, c) glomerular function, d) electrolytes and e) acid-base.

 2. Interpret renal imaging studies (plain- x ray, IVU, abdominal ultrasound and renal scan).

 3. Know important types of renal failure (acute and chronic).

4. Discuss the etiology, classification, main symptoms, and clinical laboratory findings of the different renal diseases:  a) glomerulonephritis, b) renal hypertension, c) pyelonephritis, d) renal failure.

 5. Differentiate between acute Nephritic and Nephrotic syndromes.



 6. Manage some renal emergencies ( malignant hypertension, bleeding, metabolic acidosis and hyperkalaemia).

7. Treatment of Nephrotic and Nephritic syndromes.

8. Discuss indications, hazards and precautions of renal replacement therapy.

9. Suitable diet regimens of different renal diseases.

10. Give an account on indications, hazards and dose adjustment in prescribing drugs for patients with renal disease.

11. Discuss the kidney's role in hematopoiesis and bone formation.

B) In oral examination:

1. Can give correct differential diagnosis of simple case as a problem-solving type eg. Generalized oedema, oliguria, hypertension and metabolic acidosis.

2. Give an account on treatment of hyperkalaemia.

3. Give an account on management of hematuria, proteinuria and renal anemia and renal osteodystrophy.

C) In clinical examination: student was evaluated about his ability to:

1. Take and write history and detect physical signs and to reach differential diagnosis.

2. Use patient history and physical signs to reach differential diagnosis.

3. Chose proper investigations, lines of treatment of possible diagnosis.

4. Communicate with the patient and give the patient best medical knowledge to prevent complications and approach cure.

TEACHING METHODS:

1-Lectures

2- demonstrations

3-Clinical course (3 hours per week clinical round with staff members alternatively with clinical teaching of physical signs with the help of assistant lecturers).

The student should be able to

Each 2-3 students visit a patient twice per month and take full history and examination to be demonstrated and discussed next day with staff member in front of other students.

Contents

Topic

No. of Hours

Lecture

Practical

Physiology, structure and investigations

2

2

-

Immunology and the kidney

4

1

3

Glomerulonephritis

10

2

8

Nephrotic syndrome

7

2

5

Acute and chronic pyelonephritis

2

2

-

Acute renal failure

4

2

2

chronic renal failure & replacement therapy

6

3

3

Kidney in systemic disease

4

2

2

Water, electrolytes and acid –base disturbance

2

2

-

Drugs and kidneys

1

1

-

By the end of the course the student should be able to:

1-Know the physiology, structure and function of the kidney.

2-Know the mechanisms of immune-mediated glomerular diseases.

3-Differentiate between primary and secondary glomerular disorders.

4- Know the basic principles of diagnosis and treatment of primary and secondary glomerulonephritis.

5- Have an account on steps of diagnosis and management of nephritic syndrome.

6- Define common causes of renal diseases stressing on common causes in Egypt and those related to environment.

7- Define critical cases which need urgent management of renal failure.

8- Know the indications, hazards and dose adjustment in prescribing drugs for patients with renal disease.

9- take proper history that lead to logic differential diagnosis from patients in the ward of nephrology.

10- Mention proper laboratory investigations for patients in the ward of nephrology and use these data with clinical data to reach diagnosis of simple cases and mention lines of treatment and possible complications.

Corriculum:

Unit I: Introduction to nephrology. This unit introduces the general principles of the structure and function of the kidney and investigations needed for diagnosis of a patient with kidney disease.

Unit II: Glomerular diseases : including pathogenesis , classification, pathological features, investigations and management of glomerulonephritis.

Unit III: Nephrotic syndrome:.includes definition, pathogenesis, clinical picture, complications and treatment.

Unit IV: Diabetic nephropathy: includes its pathogenesis, clinical picture , investigations ,complications and management. 

Unit V:.Acute renal failure : aetiology, diagnosis, complications and management. Unit VI: Chronic renal failure:. Aetiology, diagnosis, complications and management including the renal replacement therapy and its complications.

Unit VII: Kidney in systemic diseases such as vasculitis, systemic lupus erythematosis and Henoch-Schonlein purpura.

Unit VIII: Drugs and kidney: include the indications, hazards and dose adjustment in prescribing drugs for patients with renal disease .

Unit IX: Water, electrolytes and acid – base balance and its disturbance.

Teaching and Learning Methods

1. Lecture

2. Demonstration

3. Small group clinical teaching, discussion and problem solving

Course schedule:


Topic

teaching methods

coverd ilios

hours

time

by whom

structure and function of the kidney

1,2, 3

I, II, III, IV

2

1st weak

Dr Ashraf Al Shazly

chronic renal failure

1,2, 3

I, II, III, IV

2

2nd weak

Pr.Dr Mohammad Tohamy

Nophritic syndrome& renal replacement theropy

1,2, 3

I, II, III, IV

2

3rd weak

Pr.Dr Mohammad Tohamy

Diabetic nephropathy

1,2, 3

I, II, III, IV

1

4th weak

Pr.Dr Mohammad Tohamy

Acute nephritis & Acute renal failure

1,2, 3

I, II, III, IV

2

5th weak

Pr.Dr Maher A. Gaber

Water, electrolytes and acid – base balance

1,2, 3

I, II, III, IV

2

6th weak

Dr Ashraf Al Shazly

Kidney in systemic diseases

1,2, 3

I, II, III, IV

2

7th weak

Pr.Dr Maher A. Gaber

Drugs and kidney

1,2, 3

I, II, III, IV

1

8th weak

Dr.Alaa A. Monem

Student assessment:

        • A set of processes, including 3 MCQ or short note examination (written) 8-10 points in different specialties (1.5 hour test).

        • Assessments of students' achievements in clinical rounds by the attending staff then give structured feedback that supports their continuing learning.

Weighting of assessments:

Mid-term examination………………………20%

End-term examination………………………80% including:

  • Oral examination…………10% ( 2 groups of examiners)

  • Clinical examination………50% (25% short cases & 25% long case)

  • Written Examination………20%

Recommended Reference readingd:

Hutchinson's Clinical Medicine.

Davidson's Principles and Practice of Medicine.


Unit: Gastroenterology
Overall aims of the course: Medical students should be able to:

1-Mention basic principles of diagnosis and treatment of hepatitis – diarrhea –causes of upper and lower GIT bleeding – male absorption

2- can differentiate between different types of jaundice – acute and chronic diarrhea – inflammatory bowel disease .

3- mention - endemic causes of splenomegaly and hepatomegaly .

4- know steps of diagnosis of acute and chronic liver diseases , GIT bleeding, ascites, hepatic malignancy

5- have basic information structure of liver and biliary system and liver function

6- have an account about common types of gastritis – GORD and motility disorder

7- Can determine critical cases which need urgent isolation, blood transfusion, special care or urgent higher centre referral.

8- Know main indications, hazards and precautions of blood products transfusion

Paracentesis – liver biopsy.


Intended Learning Outcomes (ILOs)

I-Knowledge and understanding : Medical students should be able to:

A- Mention basic principles of diagnosis and treatment of hepatitis – diarrhea –causes of upper and GIT bleeding – mal absorption

B - Explain differences between can differentiate between different types of jaundice – acute and chronic diarrhea – inflammatory bowel disease.

C- Mention endemic causes of splenomegaly and hepatomegaly.

D- Mention steps of diagnosis of acute and chronic liver diseases – GIT bleeding – ascites – hepatic malignancy

E- Mention basic information about structure of liver and bleary system and liver function

F- Define neoplastic disorders affecting liver and upper GIT.

G- Define critical cases which need urgent isolation, blood transfusion or special care.

H- Mention indications, hazards and precautions of blood products transfusion and Paracentesis .

II- Professional clinical skills: Medical students should be able to:

A- Take proper history from patients with epigastric pain GIT bleeding – jaundice and ascites.

B- Conduct general and abdominal examination for signs of significance in patient (organomegaly, abdominal masses, skin manifestations of hepatic disease).

III- Intellectual skills: Medical students should be able to:

A- Analyze clinical data to give logic differential diagnosis.

B- Suggest suitable laboratory and other investigations to reach diagnosis in an economic pattern using least possible necessary steps.

C- Interpret clinical data with investigations.

IV- General and transferable skills: Medical students should be able to:

  1. Write a good medical report for patients with GIT or hepatic problem.

  2. Communicate with other medical centre to ask medical service not available in his locality.

C-Discuss with the patient his disease about disease etiology, pathogenesis, clinical features, and complications and give proper medical advice principles of prevention and management.

Teaching and learning methods

LECTURE OBJECTIVES

Upon successful completion of this course the students, with at least 70% accuracy, will be able to:

A) In written MCQ examination

1. Recognize and identify the causes of an abnormal result in any or all of the parameters of the liver function test and hepatitis markers.

 2. Know important types of liver cirrhosis and its sequalae and complication



3. Discuss the etiology, classification, pertinent symptoms, and clinical laboratory findings of the different jaundice

 4. Recognize and identify motility disorder of GIT



 5. Discuss the etiology of ascites

7. Discuss acute and chronic diarrhea.

8. Identify abnormal results of liver function.

9. Differentiate between different types jaundice.

10 Differentiate between U.C and Crohn's disease .

11. Management of a case of peptic ulcer

12. Discuss the causes of GIT bleeding

13. Give an account about drug affecting the liver .

14. Discuss indications, hazards and precautions of liver biopsy.

B) In oral examination:

1. Can give correct differential diagnosis of simple case as a problem-solving type of questions for cases of jaundice, ascites and diarrhea.

3. Give an account in management of GIT bleeding.
C) In clinical examination: student was evaluated about his ability to:

1. Take and write history and detect physical signs to reach differential diagnosis.

2. Use patient history and physical signs to reach differential diagnosis.

3. Chose proper investigations, lines of treatment of possible diagnosis.

4. Communicate with the patient and give the patient best medical knowledge to prevent complications and approach cure.
Clinical course (3 hours per week clinical round with staff members alternatively with clinical teaching of physical signs with the help of assistant lecturers).

The student should be able to

Each 2-3 students visit a patient twice per month and take full history and examination to be demonstrated and discussed next day with staff member in front of other students.

Contents

Topic

No. of Hours

Lecture

Practical

Liver cirrhosis,

jaundice, portal hypertension

10

2

8

hepatitis

4

1

3

Hepatocellular failure,ascites and hepatic focal lesions

10

2

8

GIT bleeding

2

1

1

GERD,IBD

3

3

-

Peptic ulcer, gastritis, diarrhea and dysentry

6

2

2

By the end of the course the student should be

A. able to:

  1. Name the appropriate sites for paracentesis – liver biopsy .

  2. Mention liver function test (written MCQ exam.).

  3. Give correct differential diagnosis of simple case as a problem-solving type of questions (clinical exam.).

  4. Define causes, diagnosis, treatment and, complications of common types of jaundice , GIT , diarrhea and ascites (written and clinical exam.).

  5. Take proper history that lead to logic differential diagnosis from patients in the ward of gastroenterology and hepatology (clinical exam.).

  6. Mention proper laboratory investigations for patients in the ward of hematology and use these data with clinical data to reach diagnosis of simple cases (written and clinical exam.).
1   2   3   4   5   6   7   8   9   10   11


The database is protected by copyright ©sckool.org 2016
send message

    Main page