General medicine

Organization of teaching

Designated Head for English taught courses:

doc. MUDr. Josef Kořínek, Ph.D. (associate doc. MUDr. Petr Kuchynka, Ph.D.)


Office hours will take place at archives, 1st floor, entrance A14b (next to the Eiselt hall) on Thursday every even week from 8:10 to 8:25 a.m,

contact: archives – 1st floor (phone: 22496 2607)


Administrator for English taught courses:

Bc. Denisa Ebelová

contact: archives – 1st floor (phone: 22496 2607)


3rd year - Propedeutics in Internal Medicine (B80632)

Syllabus

The Internal Propedeutics course takes place in the 3rd year, winter semester; consists of lectures and internships and is completed with an exam.


The lectures are held on Wednesday from 12:45 to 14:15 in the lecture hall of the 3rd Internal Clinic (U Nemocnice 1, mezzanine, entrance from the main staircase), the schedule of lectures is available on the webpages of the 3rd Medical Department.


Internal Propedeutics internships take place at the wards of internal clinics Monday-Thursday from 14:30 to 16:45, the schedule of the study groups into internal clinics is provided on the webpages of the 3rd Medical Department.


To participate in the internships, a white coat and a phonendoscope and a visually-mounted student card are required.


The credit is given by the teacher during the last placement of the subject.


The exam is held in the winter semester


Credit and exam of Internal propedeutics

The condition for passing the exam is the credit which the student obtains on the basis of a sufficient attendance and compilation of the medical record with the following parts:


1. Patient´s history


2. Physical examination


3. Conclusion (based on symptomatology): formulation of the conclusion will not be perfect because students can not have the necessary knowledge in the 3rd year. The intent is to make the students prepared to include this part in a medical record from the beginning. Medical record is compiled by the student repeatedly throughout the semester and is supervised by the teacher. It is advisable for the student to process at least 3-5 of these exemplary medical histories during the propedeutic education. In such a case, it is not necessary to prepare another medical record for granting of the credit, and the teacher confirms by the signature that the student's ability to compile the medical record has been verified. It is not necessary to bring the medical record to the exam, it is a condition of granting the credit.


Attendance: participation in internships is mandatory. It is possible to tolerate 1 absence (1absence means 1 internship). In case of multiple absences, it is necessary to excuse the absence in writing to the tutor. If the student is absent for more than one internship, he / she is obliged to replace the traineeship with a different study group upon prior agreement with the tutor. Replacement internships will only be tolerated in exceptional cases.


Examination of internal propedeutics


1. The exam will take place at the clinic where the student has completed the internship.


2. The exam will take place by selecting one pair out of 25 questions.


3. The first of a pair of questions devoted to a certain part of the physical examination will be performed at the patient's bed. Students should demonstrate to the examiner the ability to perform the physical examination on a selected patient. Each student in the group of examinees should perform part of the physical examination under the supervision of the examiner. The area of investigation does not necessarily have to respect the topic of the selected question, especially in the case of overlapping topics.


4. In the theoretical part of the exam, the second question from the pair will be answered.


The discussion of the first question the student has practically performed at the bed can be completed.


5. The student will describe the ECG curve selected from a set of five exemplary, completely basic ECG records.


6. Special emphasis will be placed on the physical examination. The student should demonstrate to the examiner the ability to practice part of the physical examination.


7. The examiner evaluates the student's overall performance by a grade.


The lack of practical skills at least on a "good" level is a reason for repeating the test even with satisfactory theoretical knowledge.


Preparation for the internal propedeutics test:


1. The preparation takes place continuously during the winter semester within the framework of teaching propedeutics. Internship teachers must stimulate students to practice propedeutic skills as much as possible - during the internship at the bed, it is necessary to minimize the substitution of theoretical instruction and, on the contrary, to use the majority of time for

the examination of patients.


2. It is desirable to teach the course according to the syllabus of the subject and to copy the lectures from internal propedeutics thematically.


3. It is also advisable for students to write out medical history continuously throughout the semester and a proportional part of physical examinations that they already obtained in the course to control the ability to classify and combine anamnestic data.


4. Getting knowledge of reading the ECG record. As part of internships at a patient´s bed, it is important to systematically practice the evaluation of ECG recording so that the student can reliably manage the description of the physiological curve and the most common pathologies.


Documents for preparation for the internal propedeutics test:


1. The basic material for study is the textbooks of propedeutics:


• Ladislav Chrobák a kol. Interní propedeutika. Grada 2007, 244 s.


• Pavel Klener a kol. Propedeutika ve vnitřním lékařství. Galén 2009, 324 s.


• Žák, Petrášek: základy vnitřního lékařství, Praha, Galén 2011.


2. Sample medical record and exemplary physical examination


3. The syllabus of the internal propedeutics, which defines the scope of knowledge and skills.


The students perform the exam of the internal propedeutics at the clinic where they have completed the internship. A designated teacher of a specific clinic is responsible for all matters which are related to organization of the exams.


Propaedeutics in Internal Medicine exam questions

5th year - Internal Medicine (B80302 and B81399)

Syllabus Internal Medicine - Cardiology (B80302)

Cardiology course takes place during 3 weeks of summer semester in the 5th year; consists of lectures and internships. The course is completed with the credit based on activity and participation in lectures and ward teaching.


Lectures: 8:30 - 10:00 a.m. or/and afternoon 12:30 - 14:00 p.m.


Internships: 10:15 - 12:00 a.m.


It is necessary to have a clean white coat, slippers, stethoscope, student ID card.


The lectures (Eiselt hall, 2nd Department of Medicine):

Epidemiology and prevention of cardiovascular diseases

Bradyarrhythmias. Tachyarrhythmias

Patient history in cardiovascular disease. Physical examination of the heart

Chronic coronary artery disease

Acute coronary syndromes

Deep venous thrombosis

Valvular heart disease. Copngenital heart disease

Arterial hypertension

Disease of aorta and peripheral vessels. Essentials of endovascular treatment

Cardiac imaging

Cardiomyopathy

Congestive heart failure

Pulmonary circulation

ECG in acute coronary syndromes

Pericarditis, myocarditis, heart tumors

Peripheral arterial disease


Last day of teaching: Lecture + Test of Cardiology / Angiology


Credit can be obtained under the conditions of 95% of attendance and 60% of successfully answered questions.


The basic material for study is the textbooks:

Harrison´s Principles of Internal medicine, 18th edition, 2011 Hardcover, McGraw-Hill Professional


John R. Hampton: The ECG Made Easy, Churchill Livingstone 2003, ISBN: 0443072523


(Jiří Kolář - Kardiologie pro sestry intenzivní péče Praha, Galén 2009)

Exam in internal medicine (B81399)

Student is admitted to the exam only in case he/she received all 7 credits from internal medicine (cardiology, gastroenterology, endocrinology and metabolism, pulmonary diseases, nephrology, rheumatology, hematology).


Internal Medicine exam questions


Cardiology for Erasmus students

Cardiology course for Erasmus students takes place during 3 weeks of winter semester; consists of lectures and internships and is completed with the credit based on activity and participation in lectures and ward teaching.


The specific program will be communicated to students during the introductory lesson, students will receive the schedule of the course from responsible person of Department of Science and Research and International Relations First Faculty of Medicine during enrollment on the subject.


6th year - Internal Medicine Practice before State Examination

The three-week Clerkship before State exam in Internal medicine takes place in the morning in the inpatient wards of Departments of Medicine. Allocation of students to the Departments will be posted in the 1st Department of Medicine.


Students allocated to the 2nd Department of Medicine will meet in front of Eiselt hall, during the introductory lesson (first day of clerkship) you will be provided with importand information and you will be divided into several groups.


IMPORTANT: White medical coat, name tag, phonendoscope, slippers ARE NECESSARY.


Elective subject - Cardiology elective (B80632)


The aim of new courses Cardiology elective A (winter semester) and B (summer semester) is case based teaching of cardiovascular diseases. The whole course will be organized as rounds with experienced mentors who would choose interesting cases of cardiovascular diseases. Students will take the patient history and do physical examination under the supervision of their mentor and then the specific case will be discussed. The focus will be on differential diagnosis, methods and also possible therapeutic possibilities for each particular case. Alternatively, part of the teaching will be performed in several diagnostic laboratories (cathlabs, echolab etc) of our department. Every practical (rounds) will be unique due to the spectrum of at that time hospitalized patients, thus every week there will be a new disease case. This course is not meant to replace standard cardiology course that is organized by our department during the 5th year. But rather to be a complimentary teaching which should help the students to develop superb clinical skills and thinking. The teaching will be performed in maximally interactive way, therefore the students are expected to be very proactive. Due to various cases which will be discussed there will not be exact syllabus ahead of course and the program will be adjusted according to present patients at the department. Thus the course A (winter semester) and B (summer semester) will have different programs and passing course A is not required for course B.


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II. interní klinika

kardiologie a angiologie 1. LF UK a VFN

U nemocnice 2

128 08 Praha 2

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