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 between the 27th of September and 11th of November 2023. The 1st re-take period is between 27.11.-15.12.2023 and the second re-take period will be in the beginning of the spring semester 2024. Exact dates will be given during the course.
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Exam 2 including pathology, oncology and gastroenterology and neurology, renal diseases will be between the 13th of October to the 5th of December 2023 in Tenttiterraario (exam-room). The 1st re-take period will be 11th of December to the 22nd of December 2023 and the 2nd re-take period in the beginning of the spring semester 2024. Exact dates will be given during the course.

Assessment methods and criteria

The total grade of the course will be the average of the grades of the two exams. Time reserved for answering in both exams is115 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.
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 patients undergoing clinical-physiological examinations) and Constructive Learning (the student builds 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

Student workload

The course consist of 3 ECTS each 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
- clinical physiology: examination connected to cardiac diseases and respiratory functions
Respiratory diseases
- asthma
- COPD
- pulmonary embolism
- respiratory tract 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