Introduction to Clinical Medicine

Supervisor

Sergejs Babikovs

Study Course Description

Course Description Statuss:Approved

Course Description Version:3.00

Study Course Accepted:16.08.2018

Study Course Information
Course Code:		ISK_199		LQF level:		Level 6
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Medicine; Internal Medicine		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Sergejs Babikovs
Study Course Implementer
Structural Unit:		Department of Internal Diseases
The Head of Structural Unit:		Aivars Lejnieks
Contacts:		Rīga, Hiprokrāta iela 2, iskrsu[pnkts]lv, iskrsu[pnkts]lv, +371 67042338
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)		4	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		8
Classes (number)		11	Class Length (academic hours)		3	Total Contact Hours of Classes		33
Total Contact Hours								41
Study course description
Preliminary Knowledge:
Student has attended at least 5 Communication Skills classes before starting current course. Normal anatomy, histology, normal physiology, biochemistry and principles of medical physics, biology and basics of genetics. Normal hematopoesis. Normal blood counts. Normal blood coagulation/hemostasis.
Objective:
Introduction to Clinical Medicine: 1. Instruct students on medical history documentation - chief complaint, history of present illness, past medical history. 2. Develop bedside physical examination skills according to the clinical case - the interview, inspection, palpation, percussion, auscultation. 3. To teach the ways of combining patient subjective experience in an illness with the data from physical examination and come to a possible diagnosis. Hematology: 1. Learn about hematological patients examination methods. Learn recognize and define changes in red blood cells, white blood cells and platelets. 2. Learn to define anemia, recognize symptoms and signs of anemia. Learn laboratory diagnostic of anemia, laboratory classification of anemia. 3. Learn types of bleeding disorders, symptoms and signs, laboratory diagnostic methods.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Introduction to Clinical Medicine. From symptom to syndrome.			Lectures		1.00	auditorium
2	Pulmonology patient: approach to chest examination. Principles of chest auscultation.			Lectures		1.00	auditorium
3	Abdominal patient: approach to abdominal examination.			Lectures		1.00	auditorium
4	Pulmonary function tests. COPD vs Bronchial Asthma.			Lectures		1.00	auditorium
5	General medical examination. Basic clinical skills.			Classes		1.00	clinical base
6	Extremities: Peripheral Vascular System and Lymph Nodes			Classes		1.00	clinical base
7	Thorax and The Lungs. Hands-on examination.			Classes		1.00	clinical base
8	Clinical cases with pulmonary function tests.			Classes		1.00	clinical base
9	Upper abdominal examination: hands-on at the RUQ and LUQ.			Classes		1.00	clinical base
10	Lower abdominal examination: hands-on at the RLQ and LLQ.			Classes		1.00	clinical base
11	General examination of the renal excretory system.			Classes		1.00	clinical base
12	Assessment of the Patient. Group Work.			Classes		1.00	clinical base
13	Symptoms and signs of hematological diseases. Examination methods of hematological patients. Changes in blood counts.			Classes		1.00	clinical base
14	Symptoms and signs of anemia. Laboratory diagnostic and laboratory clasification of anemia.			Classes		1.00	clinical base
15	Types of bleeding disorders. Symptoms and signs of bleeding disorders. Laboratory analyses for bleeding disorders.			Classes		1.00	clinical base
Assessment
Unaided Work:
Students are required to individually look up latest information on patient physical examination methods, both theoretical basis and hands-on, clinical manipulations from the source of their choosing. For each class students prepare for the multiple choice question test (MCQ) or open questions according to the topic to be ready to successfully write a test during the class.
Assessment Criteria:
Introduction to Clinical Medicine: Pass/Fail for class tests is registered in the e-studies Grade Book. Course is considered as passed if the 3 criteria are met: 1. Present or has retaken each mandatory class 2. Completed a class test - MCQ or open questions 3. Student is active in the class and ir able to demostrate a correct way to perform a clinical manipulation Haematology cycle : 1. Tests during the lessons; 2. Situation tasks during the lessons; 3. Written examination (test questions, at least 75% of correct).
Final Examination (Full-Time):		Test (Semester)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		After the course, the students will be able to: - structurally interview and record patient medical history - perform clinical examination according to presented disease/condition - summarize symptoms into syndromes and into preliminary diagnosis - explain terminology used in the clinical setting.
Skills:		Upon successful completion of the course, students will be able to: - talk to patients, their relatives, colleagues, other persons involved in the process of health care - specify the complaints, medical history - perform inspection, palpation, percussion, auscultation - measure forced expiratory volume - recognize signs of clinical and laboratory kidney and liver pathology.
Competencies:		1. Evaluate symptoms, reveal interconnections between pathologies. 2. Analyze situations, substantiate, logically formulate and explain their opinion. 3. Evaluate lung functional examination data, relate it to the certain clinical case. 4. Evaluate urine test results, attribute to a specific clinical case and general examination data. 5. Evaluate blood test results, recognize main hematology disorders, attribute to a specific clinical case and general examination data.
Clinical Skills:
No.	Skill					Level
1	-					A - Theoretical
2	-					A - Theoretical
3	-					A - Theoretical
4	-					A - Theoretical
5	-					A - Theoretical
6	-					A - Theoretical
7	-					A - Theoretical
8	-					A - Theoretical
9	-					A - Theoretical
10	-					A - Theoretical
11	-					A - Theoretical
12	-					A - Theoretical
13	-					A - Theoretical
14	-					A - Theoretical
15	-					A - Theoretical
16	-					A - Theoretical
17	-					A - Theoretical
18	-					A - Theoretical
Bibliography
No.	Reference