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



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Unit : Neurology and Psychiatry Unit

Course Specification : Psychiatry Medicine


- Overall aims of the course :

Medical students should be able to :

  1. Know Ethics in psychiatric practice.

  2. Know the common symptoms and signs of different psychiatric disorders.

  3. Know types, clinical picture, prevalence, common etiology, differential diagnosis and broad line of management of anxiety, schizophrenia, mood and somatoform disorders.

  4. Know common psychiatric disorders that affect childhood period and its brood line of management (Mental Retardation and Attention Deficit Hyper activity Disorder).

  5. Mention criteria of substance use disorders and its types and how to manage this patient.

  6. Identify some psychiatric emergency, and some treatment modalities in psychiatry.

  7. Perform psychiatric interview and elicit symptoms and signs of psychiatric disorders.

  8. Formulate and implement treatment plan of different psychiatric disorders.

  9. Discussion with patient and his family about her/his psychiatric disorder, and prognosis.

Intended learning Outcome (ILOs)

Contents

a. Knowledge


Medical students should be able to:

a.1- Know Ethics in psychiatric practice .

a.2- Recognize common errors in psychiatric and role of psychiatrists in legal problems.

a.3- Mention and define, basic symptoms and signs of different psychiatric disorders.

a.4- Know items basic information of the psychiatric interview.

a.5- Know models of doctor patient relationship and communication skills needed for clinical competence.

a.6- Define and classify anxiety disorders and know its common symptoms.

a.7- Know prevalence, clinical picture and management of panic disorder, phobic disorders, OCD, PTSD and GAD.

a.8- Know prevalence, clinical picture and management of somatoform disorders.

a.9- Know prevalence, classification, etiology, clinical picture and management of mood disorders.

a.10- Know lines of management of depression and manic episode.

a.11- Know definition, prevalence, etiology and types of schizophrenia.

a.12- Know clinical picture, differential diagnosis and treatment of schizophrenia.

a.13- Know meaning of substance use disorders and types, diagnostic criteria, risk factor of substance dependence and broad line of its management.

a.14- Enumeration of psychiatric disorders in children, mention definition, diagnostic criteria, epidemiology and etiology, of Mental Retardation and Attention Deficit Hyperactivity Disorders.

a.15- Know some psychiatric emergences (suicide, Aggression, Neuroleptic Malignant Syndrome and panic attacks and know how to manage these conditions).

a.16- Mention, indications and side effect of different groups of psychotropic medications, psychotherapy and Electro-convulsive Therapy.

a.17- Engage in lifelong learning program and updated regularly.

b. Professional clinical skills :

Medical student should be able to :

b.1- Obtain accurate psychiatric history and elicit different symptoms and signs of psychiatric disorder.

b.2- Perform both complete and an organ system examination and mental state examination.

b.3- Perform simple bed-side psychometric test (MMSE, quick evaluation of IQ of the patient). Brief test of anxiety and depression .

b.4- Select and interpret the results of commonly used test for evaluation of intelligence, anxiety, depression and dementia.

b.5- Integrate above history, mental state examination, physical laboratory and psychometric findings in to a meaning diagnostic formulation.

b.6- Recognize patients with immediately life threatening psychiatric condition.

c- Intellectual skills :

Medical student should be able to :

c.1- Reason deductively in solving clinical psychiatric problems (recognize, define and prioritize problems; analyze, interpret, objectively evaluate and prioritize information).

c.2- Integrate the results of history, physical and laboratory test findings into a meaningful diagnostic formulation.(define problem and formulate differential diagnosis)

c.3- Identify and locate, when possible, the crucial pieces of missing clinical information, and determine when it is appropriate to act on incomplete information.

c.4- Construct appropriate management strategies (both diagnostic and therapeutic) for patients with common psychiatric conditions, both acute and chronic and those requiring short- and long-term rehabilitation.

c.5- Recognize and outline an initial course of management for patients with serious psychiatric conditions requiring critical care.

c.6- Identify factors that place individuals at risk for psychiatric disorders , to detect patients at risk for these disorder.

c.7- Retrieve, analyze, and synthesize relevant and current data and literature, using information technologies and library resources, in order to help solve a clinical problem (EBM).

c.8- Propose clinical decisions utilizing methods which integrate the best research evidence with clinical expertise and patient values (EBM).

d- General and transferable skills:

Medical student should be able to:

d.1- Communicate effectively with patients, their families and the community through verbal, written and other non-verbal means of communication, respecting the differences in beliefs and backgrounds among patients and students.

d.2- Establish professional relationships with patients, their families (when appropriate) and community that are characterized by understanding, trust, respect, empathy and confidentiality.

d.3- Deliver information to the patient and family (as appropriate) in a human manner, and in such a way that it is easily understood, encourages discussion and promotes the patient’s participation in decision-making.

d.4- Gather information, and develop and interpret a treatment plan, while considering the influence of factors such as the patient’s age, gender, ethnicity, cultural and spiritual values, socioeconomic background, ethical conditions, and communication challenges.

d.5- Demonstrate the importance of cooperation and communication among health professionals so as to maximize the benefits to patient care and outcomes, and minimize the risk of errors.

d.6- Develop a care plan for a patient he/she has assessed, including investigation, treatment and continuing care, in collaboration with the members of the interdisciplinary team.

d.7- Respect, be willing to work through systems, collaborate with other members of the health care team, and accept appropriate responsibility for the health of populations.

d.8- Participate in community activities directed at improving health, utilizing the best evidence, effective teamwork and communication skills.

d.9- Describe the importance of the individual physician/patient relationship, and develop it appropriately, as a means to identify and implement individual health and disease management strategies on an individual basis.

d.10- Demonstrate altruism, honesty and integrity and respect in all interactions with patients, families, colleagues, and others with whom physicians must interact in their professional lives.

d.11- Demonstrate compassionate treatment of patients and respect for their privacy and dignity and beliefs.

d.12- Be reliable and responsible in fulfilling obligations

d.13- Recognize and accept the limitations in his/her knowledge and clinical skills, and demonstrate a commitment to continuously improve his/her knowledge, ability and skills and leadership, always striving for excellence.

Topic

No. Hours

Lecture

Tutorial

Practical

- Symptoms and signs

- Ethics

- Dr. Pt. Relationship


- Psychiatric interview

- Anxiety disorders

- Somatoform disorders

- Mood disorders

- Schizophrenia

-Substance use disorders

- Childe psychiatry

- Psychiatric emergencies.

- Treatment in psychiatry

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