Study Guide

Objectives (course unit)

Internal Medicine
The student
- acquires, processes, evaluates, analyzes and uses a wide range of information on the most common diseases and their treatment in the field of internal medicine
- knows the prevalence of the most common internal diseases e.g. their incidence and prevalence
- knows the genetic background of the most common diseases and can identify the effects of genomic information in the treatment of diseases
- can recognize the symptoms of the most common diseases
- knows the clinical, radiological and clinical-physiological examinations of the most common diseases
- is able to define the findings of the examinations performed in relation to the stage of the disease
- knows the treatments for the most common diseases, the consequences of treatment and is able to identify abnormalities in the patient’s condition
- knows the follow-up, monitoring and prognosis of the most common diseases
- understand that nursing and multidisciplinary activities require the skills described above in patient’s care on a daily basis

Pathology
The student
- knows the basics of the development of various diseases
- understands the principles of treatment of tumors and inflammatory diseases and the process of wound healing in internal medicine and surgery courses
- knows the changes in the body caused by aging
- knows the mechanisms of action of radiotherapy and chemotherapy
- understands the mechanisms of action of antimicrobials in pharmacology
- notices that pathology, or pathology, is a basic science that manifests itself in nursing activities in everyday life on a daily basis

Oncology
The student
- knows the prevalence of cancer, its causes, the role of genetics in the pathogenesis of cancer and the principles of cancer prevention
- knows the principles of the origin, growth and spread of cancer
- knows the general principles and treatments of cancer treatment
- knows the symptoms of lymphomas and leukemias, examinations and their findings, as well as the basics of treatment
- knows the basics of palliative care and terminal care

Content (course unit)

- cardiovascular diseases and the causes of diseases, genetics
- lung diseases and their pathophysiology, genetics
- endocrinology, kidney diseases, genetics
- gastroenterology, genetics
- acute neurology, genetics
- chronic neurological diseases and palliative care, genetics
- pathology
- cancers, genetics

Assessment criteria, satisfactory (1-2) (course unit)

- is able to identify the symptoms of the most common internal diseases
- names the most common internal medicine studies and their findings
- identifies therapies and follow-up for the treatment of the most common internal diseases
- names the genetic factors of the most common diseases
- defines the mechanisms of action of radiotherapy and chemotherapy
- names the mechanisms of action of antimicrobials in pharmacology
- identifies the main pharmacogenetic factors
- identifies the main causes of diseases
- identifies the principles of the origin, growth and spread of cancer
- defines general principles and forms of treatment for cancer
- identifies the symptoms, examinations and findings of lymphomas and leukemias, as well as the rationale for treatment

Assessment criteria, good (3-4) (course unit)

- identifies the symptoms of the most common internal diseases and be able to name studies of the most common internal diseases and explain their findings
- explains the treatment and follow-up of the most common internal medicine treatments
- justifies the effects of the genetic factors of the most common diseases on the treatment of the disease
- justifies the mechanisms of action of radiotherapy and chemotherapy and the principles of treatment choice
- justifies the choice of treatment in pharmacology on the basis of the mechanisms of action of antimicrobials
- explains the main causes of diseases
- explains the principles of the origin, growth and spread of cancer in relation to general principles and forms of treatment for cancer
- explains the symptoms, examinations and findings of lymphomas and leukemias, as well as the grounds for treatment in relation to the nature of the disease and the patient's condition

Assessment criteria, excellent (5) (course unit)

- comprehensively understands the symptoms of the most common internal diseases, is able to name examinations in case of the most common internal diseases and explain their findings, combining them with the treatment and monitoring of the most common internal diseases in a multidisciplinary working community
- analyzes and justifies the mechanisms of action of radiotherapy and chemotherapy and the principles of treatment selection on the basis of the information obtained in the study of pathology and cancer
- combines his or her knowledge in pharmacology based on the mechanisms of action of antimicrobials with treatment selection criteria and in pharmacogenetics with the need for pharmacovigilance
- explains the main causes of diseases
- explains the principles of the origin, growth and spread of cancer in relation to general principles and forms of treatment for cancer
- explains the symptoms, examinations and findings of lymphomas and leukemias, as well as the principles for treatment in relation to the nature of the disease and the patient's condition

Exam schedules

Exam 1 including cardiac diseases, circulatory diseases, respiratory diseases and endocrinology the exam period in Tenttiterraario (Exam-room) is from the 21st of March to the 1st of April, 2022. The re-take period is between the 10th of May and the 29th of May, 2022
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Exam 2 including pathology, oncology and internal medicine part 2 (gastroenterology and neurology, renal diseases) the exam period is from the 11th of April to the 29th of April in Tenttiterraario.
Possible re-takes will be held in Tenttiterraario from the 9th of May to the 6th of June 2022.

Assessment methods and criteria

ime reserved for answering in both exams is 90 minutes. Evaluation is numeric (0-5).
CONDITIONS FOR OBTAINING APPROVAL
The basic prerequisite is that the student does not describe any function or treatment or show lack of knowledge that would harm the patient, endanger the patients health or life in any way or the student does not use incorrect terminology, which could lead to the before mentioned situations.
The minimum score for the approved performance is 50% of the maximum points of the exam.
Grades will be formed by counting the percentage of the maximum points as follows:
Grade 1 = 50-59%, Grade 2 = 60-69%, Grade 3 = 70-79%, Grade 4 = 80-89%, Grade 5 = 90-100%.
The student shall obtain at least 50% of the maximum points of each question.
The total grade of the course will be the average of the two exams.

Assessment scale

0-5

Teaching methods

Contact hours, which are reinforced with online course and with independent tasks. Teaching and learning methods are Flipped Classroom (=Independent studying according to given questions and tasks before attending the contact hours, contact hours and independent learning after the contact hours), Case Based Learning connecting theory into practice (examples of patents undergoing clinical-physiological examinations) and Constructive Learning (the student builds the new information and knowledge on the basis achieved in previous courses).

Learning materials

Harrison's principles of internal medicine
Fauci, Anthony S., Hauser, Stephen L., Jameson, J. Larry, Kasper, Dennis L., Longo, Dan L., Loscalzo, Joseph, McGraw Hill Education ©2015. 19th edition
or other textbook pointed during the course
Moodle material, course

Student workload

The course consist of 3 ECTS each meaning 81 hours for the student to study.

Content scheduling

INTERNAL MEDICINE, PATHOLOGY, ONCOLOGY
- will be studied during weeks 13-22
Heart and circulation
- coronary artery disease, pathology and genetics
- hypertension, cardiac insufficiency, atrial fibrillation
Respiratory diseases
- asthma
- COPD
- pulmonary embolism
- respiratory infections
- pathology of infections
- acute breathing difficulties
Endocrinology
- diabetes
- diseases of the thyroid
- diseases of the adrenal glands
Exam 1
Nephrology (independent studying)
- acute kidney insufficiency and chronic renal disorders
- urinary tract infections
Gastroenterology and Oncology (genetics of cancer)
- GERD
- IBD, IBS
- hepatic diseases
Neurology
- acute neurology
- chronic neurological diseases
Pathology
- the main causes of diseases
- development and healing of cell and tissue damage
- body response to damage: inflammatory reaction
- the effects of aging on the body
- basics of pharmacogenetics
Oncology
Cancers, genetics
- how cancer develops
- different types of cancer and their treatment criteria
- lymphomas
- leukemia
- basics of palliative care
- principles of terminal care
Exam, part 2

Assessment criteria - fail (0) (Not in use, Look at the Assessment criteria above)

Suomeksi
INTERNAL MEDICINE, PATHOLOGY, ONCOLOGY
Time reserved for answering to each of the exams is 90 minutes. Evaluation is numeric (0-5).
CONDITIONS FOR OBTAINING APPROVAL
The basic prerequisite is that the student does not describe any function or treatment or show lack of knowledge that would harm the patient, endanger the patients health or life in any way or the student does not use incorrect terminology, which could lead to the before mentioned situations.
The minimum score for the approved performance is 50% of the maximum points of the exam and 50% of the maximum points of the exam or 50% in all of the answers of the exam.
0, rejected
The student shall obtain at least 50% of the maximum points of each question.
The total grade of the course will be the average of the two exams.
The student describes some function or treatment or shows lack of knowledge that would harm the patient, endanger the patients health or life in any way or the student does not use incorrect terminology, which could lead to the before mentioned situations.
The student does not reach the minimum score for the approved performance which is 50% of the maximum points of the exam or 50% in all of the answers of the exam.

Assessment criteria - satisfactory (1-2) (Not in use, Look at the Assessment criteria above)

The student
- knows the basic causes of diseases, their prevalence, symptoms and examinations and their findings, as well as the treatment methods and disease monitoring for the most common diseases involving internal medicine.
- is able to identify the symptoms of the most common internal diseases
- names the most common internal medicine studies and their findings
- identifies therapies and follow-up for the treatment of the most common internal diseases
- names the genetic factors of the most common diseases
- defines the mechanisms of action of radiotherapy and chemotherapy
- names the mechanisms of action of antimicrobials in pharmacology
- identifies the main pharmacogenetic factors
- identifies the main causes of diseases
- identifies the principles of the origin, growth and spread of cancer
- defines general principles and forms of treatment for cancer
- identifies the symptoms, examinations and findings of lymphomas and leukemias, as well as the rationale for treatment
Level 1 achieves 50-59% of the maximum exam score
Level 2 achieves 60-69% of the maximum exam score

Assessment criteria - good (3-4) (Not in use, Look at the Assessment criteria above)

The student
- identifies the symptoms of the most common internal diseases and be able to name studies of the most common internal diseases and explain their findings
- explains the treatment and follow-up of the most common internal medicine treatments
- justifies the effects of the genetic factors of the most common diseases on the treatment of the disease
- justifies the mechanisms of action of radiotherapy and chemotherapy and the principles of treatment choice
- justifies the choice of treatment in pharmacology on the basis of the mechanisms of action of antimicrobials
- explains the main causes of diseases
- explains the principles of the origin, growth and spread of cancer in relation to general principles and forms of treatment for cancer
- explains the symptoms, examinations and findings of lymphomas and leukemias, as well as the grounds for treatment in relation to the nature of the disease and the patient's condition
Level 3 achieves 70-79% of the maximum exam score
Level 4 achieves 80-89% of the maximum exam score

Assessment criteria - excellent (5) (Not in use, Look at the Assessment criteria above)

Suomeksi
INTERNAL MEDICINE, PATHOLOGY, ONCOLOGY
The student
- is able to apply his/her knowledge of the original causes of disease, its prevalence, symptoms and tests and their results, as well as intervention methods and disease monitoring in the most common internal medical specialties in the comprehensive care of the patient at the level required by his/her studies.
- comprehensively understands the symptoms of the most common internal diseases, is able to name examinations in case of the most common internal diseases and explain their findings, combining them with the treatment and monitoring of the most common internal diseases in a multidisciplinary working community
- analyzes and justifies the mechanisms of action of radiotherapy and chemotherapy and the principles of treatment selection on the basis of the information obtained in the study of pathology and cancer
- combines his or her knowledge in pharmacology based on the mechanisms of action of antimicrobials with treatment selection criteria and in pharmacogenetics with the need for pharmacovigilance
- explains the main causes of diseases
- explains the principles of the origin, growth and spread of cancer in relation to general principles and forms of treatment for cancer
- explains the symptoms, examinations and findings of lymphomas and leukemias, as well as the principles for treatment in relation to the nature of the disease and the patient's condition
Level 5 achievs 90-100% of the total exam score