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

Will be informed during the course and added to the implementation plan during November
Two retake opportunities in Exam

Assessment methods and criteria

INTERNAL MEDICINE, PATHOLOGY, ONCOLOGY
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.

Assessment scale

0-5

Teaching methods

Some of the information may be updated before 15.11.

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 meaning 81 hours for the student to study.

Content scheduling

INTERNAL MEDICINE, PATHOLOGY, ONCOLOGY
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

Further information

The student will be divided into groups where each group will consist of 3-4 students each. These groups will be given tasks which are problem-based learning (PBL) where clinical cases, practical information which was not thought in the class will be discussed. Each week, tasks will be given, and the members of the group will jointly find solutions to the clinical problems. Materials for the PBL shall be handed to students or uploaded in Moodle. At the end of the course, examinations will be given separately where each PBL group will jointly do the clinical exam. The clinical case exam.
The aim of the PBL is to familiarise the students with teamwork and to be able to search and used approved materials such as clinical guidelines to systematically take a history, medical examination, clinical investigations, and imaging to arrive at the diagnosis of several diseases and profound prepare nursing care for the patients.
The PBL exams will be similar to the task done during the PBL discussion. Active participation and attendance in the PBL is a requirement to pass the PBL exam.
PBL shall constitute 40% of the exam grade.

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

The student does not meet the criteria for satisfactory evaluation

INTERNAL MEDICINE, PATHOLOGY, ONCOLOGY
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.

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