Regulation of the Minister of Science and Higher Education on education standards for medical and dental fields, pharmacy, nursing and midwifery1)
of 9 May 2012 (Journal of Laws of 2012, item 631)

(Journal of Laws of 2016, item 1908, Journal of Laws of 2016, item 1332)

Based on Article 9b paragraph 1 Act of 27 July 2005 - Higher Education Law (Journal of Laws of 2012, item 572) is hereby amended as follows:

§1 Educational standards are defined for the following fields of study:

1) medical - annex 1 to the regulation;

2) medical and dental - annex 2 to the regulation;

3) pharmacy - annex 3 to the regulation;

4) nursing - annex 4 to the regulation;

5) midwifery - annex 5 to the regulation.

§2 This regulation shall come into force 14 days after the date of its publication.2)

Annex 1. Standards of education for the field of study: Medicine - uniform master’s studies.3)

I. GENERAL REQUIREMENTS
1. Uniform master’s studies in the field of medicine last for no less than 12 semesters.
2. The number of hours of classes and practice can not be less than 5700.
3. The number of ECTS points is not less than 360.
4. The studies have a general-academic profile.
5. The field of study is in the area of education related to medical sciences, health sciences and physical culture sciences.

II. GENERAL EDUCATIONAL EFFECTS
The doctor's degree is awarded to a graduate in the field of medicine who:
1) in terms of knowledge knows:
a) development, structure and functions of the human body in normal and pathological conditions,
b) symptoms and course of diseases,
c) diagnostic and therapeutic procedures specific to individual conditions,
d) ethical, social and legal conditions for exercising the profession of physician and principles of health promotion, and his/her knowledge is based on scientific evidence and standards;
2) in terms of skills can:
a) identify medical problems and prioritize medical treatment,
b) recognize life-threatening conditions requiring immediate medical attention,
c) plan the diagnostic procedure and interpret its results,
d) implement appropriate and safe therapeutic management and anticipate its effects;
3) in terms of social competence:
a) can establish and maintain a deep and respectful contact with the patient,
b) is guided by the good of the patient, putting it first,
c) observes doctor-patient privilege and patient rights,
d) is aware of own limitations and has an ability to constantly develop oneself.

III. DETAILED EFFECTS OF EDUCATION
A. MORPHOLOGICAL SCIENCES (e.g. anatomy, histology, embryology)
In the field of knowledge the graduate:
A.W1. knows the anatomical, histological and embryological nomenclature in Polish and English;
A.W2. knows the structure of the human body in a topographical (upper and lower limbs, thorax, abdomen, pelvis, back, neck, head) and functional approach (osseo-articular system, muscular system, cardiovascular system, respiratory system, digestive tract, urinary tract, reproductive system, nervous system and sensory organs, skin);
A.W3. describes topographical relationships between individual organs;
A.W4. knows basic cell structures and their functional specializations;
A.W5. knows the micro-architecture of tissues, extracellular matrix and organs;
A.W6. knows the stages of human embryo development, the structure and function of foetal membranes and placenta, and the stages of development of individual organs.
In terms of skills the graduate:
A.U1. uses optical microscope - also with immersion;
A.U2. recognizes in the optical or electron microscope histological structures corresponding to the organs, tissues, cells and cellular structures, describes and interprets their structure, and the relationship between structure and function;
A.U3. explains the anatomical basis of the physical examination;
A.U4. concludes on the relationships between anatomical structures based on live diagnostic tests, in particular radiological (plain X-rays, contrast, CT and nuclear magnetic resonance examination);
A.U5. uses anatomical, histological and embryological terms in speech and writing.

B. SCIENTIFIC BASIS OF MEDICINE (e.g. biophysics, molecular biology, biochemistry with elements of chemistry, physiology, cytophysiology, elements of pathophysiology, computer science and biostatistics)
In the field of knowledge the graduate:
B.W1. describes water-electrolyte management in biological systems;
B.W2. describes the acid-base balance and mechanism of action of buffers and their importance in homeostasis;
B.W3. knows and understands the concepts: solubility, osmotic pressure, isotonia, colloidal solutions and Gibbs-Donnan equilibrium;
B.W4. knows the basic reactions of inorganic and organic compounds in aqueous solutions; B.W5. knows the physical laws describing the flow of fluids and factors affecting blood vessel vascular resistance;
B.W6. knows natural and artificial sources of ionizing radiation and its interaction with matter; 
B.W7. knows the physicochemical and molecular basis of action of sensory organs; 
B.W8. knows the physical basis of non-invasive imaging methods; 
B.W9. knows the physical basis of selected therapeutic techniques, including ultrasound and irradiation; 
B.W10. knows the structure of simple organic compounds that are part of macromolecules present in cells, extracellular matrix and body fluids; 
B.W11. describes the structure of lipids and polysaccharides and their functions in cell and extracellular structures; 
B.W12. characterizes I-, II-, III- and IV structure of proteins; knows the post-translational and functional modifications of proteins and their significance; 
B.W13. knows functions of the nucleotides in the cell, I- and II structure of DNA and RNA, and the chromatin structure; 
B.W14. knows the functions of the genome, transcript and human proteome and the basic methods used in their study; describes the processes of DNA replication, repair and recombination, transcription, translation and degradation of DNA, RNA and proteins; knows the concepts of gene expression regulation; 
B.W15. describes basic catabolic and anabolic pathways, ways of regulating them, and the influence of genetic and environmental factors. 
B.W16. knows metabolic profiles of basic organs and systems; 
B.W17. knows the concepts: oxidative potential of the body and oxidative stress; 
B.W18. knows the enzymes involved in digestion, the mechanism of hydrochloric acid production in the stomach, the role of bile, the course of absorption of digestive products, and disorders associated with them; 
B.W19. knows the consequences of inappropriate nutrition, including long-term starvation, excessive food intake and unbalanced diet;
B.W20. knows the consequences of deficiency of vitamins or minerals and their excess in the body; 
B.W21. knows how to communicate between cells, between cell and extracellular matrix, and cell signalling pathways, and examples of disorders in these processes that lead to the development of cancer and other diseases; 
B.W22. knows the processes, such as cell cycle, proliferation, cell differentiation and aging, apoptosis and necrosis and their importance for the functioning of the organism;
B.W23. knows the basic issues of stem cells and their applications in medicine;
B.W24. knows the basics of stimulation and conduction in the nervous system and higher neural activity, as well as the physiology of the striated and smooth muscles and the function of the blood; 
B.W25. knows the action and mechanisms of regulation of all organs and systems of the human body, including the circulatory, respiratory, digestive, urinary and skin systems and understands the relationships existing between them; 
B.W26. knows the mechanism of action of hormones and the consequences of hormonal regulation disorders;
B.W27. knows the course and regulation of reproductive function in women and men; 
B.W28. knows the mechanisms of aging of the body; 
B.W29. knows the basic quantitative parameters describing the performance of particular systems and organs, including: range of norms and demographic factors influencing the value of these parameters; 
B.W30. knows the relationship between factors that impair the state of balance of biological processes and physiological and pathophysiological changes;
B.W31. knows the basic IT and biostatistics methods used in medicine, including medical databases, spreadsheets, and the basics of computer graphics; 
B.W32. knows basic statistical analysis methods used in population and diagnostic research; B.W33. knows the capabilities of modern telemedicine as a tool to assist the doctor's work; B.W34. knows the principles of conducting research, observational and experimental studies and in vitro research for the development of medicine.
In the field of skills the graduate: 
B.U1. uses knowledge of the laws of physics to explain the influence of external factors, such as temperature, acceleration, pressure, electromagnetic field and ionizing radiation on the body and its elements; 
B.U2. evaluates the harmfulness of the dose of ionizing radiation and applies to the radiological protection; 
B.U3. calculates molar concentrations and percentages of compounds and concentrations of substances in isosomotic, mono- and multi-component solutions; 
B.U4. calculates the solubility of inorganic compounds, determines the chemical base of solubility of organic compounds or its absence, and the practical significance for diet and therapy; 
B.U5. determines pH of the solution and the effect of pH changes on inorganic and organic compounds; 
B.U6. predicts the direction of biochemical processes depending on the energy state of the cells; 
B.U7. describes changes in the functioning of the body in the event of a homeostasis disorder, in particular its integrated response to physical exertion, exposure to high and low temperatures, blood or water loss, sudden verticalisation, transition from sleep to wakefulness; B.U8. performs simple functional tests assessing the human body as a stable regulation system (load and stress tests); interprets figures for basic physiological variables; 
B.U9. uses basic laboratory techniques, such as qualitative analysis, titration, colorimetry, pehametry, chromatography, protein and nucleic acid electrophoresis, 
B.U10. uses simple measuring instruments and evaluates the accuracy of measurements; B.U11. uses databases, including the Internet, and searches for the needed information using available tools; 
B.U12. selects appropriate statistical tests, performs basic statistical analyzes and uses appropriate methods for presenting results; interprets results of meta-analysis and analyzes the probability of survival; 
B.U13. explains the differences between prospective and retrospective, randomized and case-control studies, case reports and experimental studies and serializes them according to the reliability and quality of scientific evidence; 
B.U14. plans and performs a simple scientific study and interprets its results and draws conclusions. 
C. PRE-CLINICAL SCIENCES (e.g. genetics, microbiology, immunology, pathology, pharmacology with toxicology) 
In the field of knowledge the graduate: 
C.W1. knows the basic concepts of genetics; 
C.W2. describes phenomena of conjugation and gene interaction; 
C.W3. describes the correct human karyotype and various types of gender determination; C.W4. describes the construction of chromosomes and the molecular basis of mutagenesis; C.W5. knows the principles of inheritance of various number of features, inheritance of qualities, independent inheritance of traits and inheritance of extra-nuclear genetic information;
C.W6. knows the genetics of human blood groups and the serological conflict in the Rh system; 
C.W7. describes the aberrations of autosomes and heterosomes that cause diseases, including oncogenic tumours; 
C.W8. knows factors affecting the primary and secondary genetic balance of the population; 
C.W9. knows the basics of diagnosing gene and chromosomal mutations responsible for hereditary and acquired diseases including cancer; 
C.W10. defines the benefits and risks of the presence in the ecosystem of genetically modified organisms (GMOs); 
C.W11. knows the genetic mechanisms of acquiring drug resistance by microorganisms and cancer cells; 
C.W12. classifies microorganisms, including pathogenic and physiological flora; 
C.W13. knows the epidemiology of infection with viruses, bacteria and fungal and parasitic infections, taking into account the geographical extent of their occurrence;
C.W14. knows the effects of abiotic and biotic (viruses, bacteria) environmental factors on the human body and the human population and the way they penetrate into the human body; describes the consequences of exposure of the human body to various chemical and biological agents and the principles of prevention;
C.W15. knows invasive human forms or developmental stages of selected parasitic fungi, protozoa, helmint and arthropods, taking into account the geographical extent of their occurrence;
C.W16. discusses the principle of functioning of the host parasite system and knows the basic symptoms of diseases caused by parasites;
C.W17. knows the symptoms of iatrogenic infections, the way they spread and the pathogens that cause changes in particular organs; 
C.W18. knows and understands the basics of microbiological and parasitological diagnosis; C.W19. knows the basics of disinfection, sterilization and aseptic procedures; 
C.W20. knows the basics of development and mechanisms of action of the immune system, including specific and non-specific mechanisms of humoral and cellular immunity; 
C.W21. describes the main tissue compatibility system; 
C.W22. knows types of hypersensitivity reactions, types of immune deficiencies and bases of immunomodulation;
C.W23. knows the issues of cancer immunology; 
C.W24. defines the genetic basis for donor and recipient selection and the basics of transplant immunology; 
C.W25. knows the pathomorphic nomenclature;
C.W26. knows basic mechanisms of damage to cells and tissues; 
C.W27. determines the clinical course of specific and non-specific inflammations and describes the processes of tissue and organ regeneration; 
C.W28. understands the definition and pathophysiology of shock, with particular emphasis on the differentiation of causes of shock and multi-organ failure; 
C.W29. knows the aetiology of haemodynamic disorders, retrograde and progressive changes;
C.W30. knows the issues of detailed pathology of the organs, macroscopic and microscopic images and clinical course of pathological changes in particular organs; 
C.W31. describes the consequences of developing pathological changes for neighbouring topographic organs; 
C.W32. lists external and internal pathogens, modifiable and non-modifiable; 
C.W33. lists the clinical forms of the most common diseases of particular systems and organs, metabolic diseases and disorders of water-electrolyte and acid-base management 
C.W34. characterizes individual groups of therapeutics; 
C.W35. knows the main mechanisms of action of drugs and their changes in the system depending on age;
C.W36. determines the influence of disease processes on metabolism and elimination of drugs; 
C.W37. knows the basic principles of pharmacotherapy; 
C.W38. knows the most important side effects of medicines, including those resulting from their interactions; 
C.W39. understands the problem of drug resistance, including multifocal drug resistance; C.W40. knows the indications for genetic testing for the individualization of pharmacotherapy; 
C.W41. knows the basic directions of therapy development, especially the possibilities of cell therapy and gene therapy and targeted therapy in specific diseases; 
C.W42. knows the basic concepts of general toxicology;
C.W43. knows the groups of drugs the abuse of which can lead to poisoning;
C.W44. knows the symptoms of the most frequently occurring acute poisonings, including alcohol, drugs and other psychoactive substances, heavy metals and selected drug classes; C.W45. knows the basic principles of diagnostic procedures in poisoning.
In the field of skills the graduate: 
C.U1. analyzes genetic crosses and pedigree of human traits and diseases, and assesses the risk of a child with chromosomal aberrations; 
C.U2. identifies indications for prenatal testing;
C.U3. decides about the need for cytogenetic and molecular tests; 
C.U4. performs morphometric measurements, analyzes the morphogram and records the disease karyotypes;
C.U5. estimates the risk of disease in the offspring based on family predispositions and the impact of environmental factors;
C.U6. evaluates environmental hazards and uses basic methods to detect the presence of harmful (biological and chemical) elements in the biosphere;
C.U7. recognizes the most common human parasites based on their construction, life cycles and disease symptoms; 
C.U8. uses the antigen-antibody response in current modifications and techniques for the diagnosis of infectious, allergic, autoimmune, blood and cancer diseases;
C.U9. prepares the preparation and recognizes the pathogens under the microscope; 
C.U10. interprets the results of microbiological tests;
C.U11. correlates images of tissue and organ damage with clinical symptoms, history and laboratory findings; 
C.U12. analyzes reaction, defence and adaptive phenomena and regulatory disorders caused by etiological factors;
C.U13. performs simple pharmacokinetic calculations;
C.U14. selects drugs in appropriate doses to correct pathological events in the body and in particular organs; 
C.U15. designs rational chemotherapy for infections, empirical and targeted; 
C.U16. correctly prepares records of all forms of prescription medicinal substances; 
C.U17. uses pharmaceutical informants and databases of medicinal products; 
C.U18. estimates toxicological hazards in specific age groups and in hepatic and renal insufficiency, and prevents drug intoxication;
C.U19. interprets results of toxicological tests. 

D. BEHAVIORAL AND SOCIAL SCIENCES WITH ELEMENTS OF PROFESSIONALISM (e.g. sociology of medicine, medical psychology, medical ethics, history of medicine, elements of professionalism, English language) 
In the field of knowledge the graduate: 
D.W1. knows the current state of knowledge about the social dimension of health and illness, the influence of the social environment (families, networks of social relations) and social inequalities on health and socio-cultural differences and the role of social stress in health and self-destructive behaviour; 
D.W2. know forms of violence, models that explain violence in the family and in institutions, social determinants of various forms of violence and the role of the physician in recognizing them; 
D.W3. understands the importance of health, illness, disability and old age in relation to social attitudes, social consequences of illness and disability and socio-cultural barriers, and familiarity with the current concept of quality of life as a condition of health; 
D.W4. understands the importance of verbal and non-verbal communication in the process of communicating with patients and the concept of trust in patient interaction; 
D.W5. understands the psychosocial consequences of hospitalization and chronic disease; D.W6. understands the functioning of medical institutions and the social role of the doctor; 
D.W7. knows basic psychological mechanisms of human functioning in health and illness; D.W8. understands the family role in the treatment process; 
D.W9. knows the problem of adapting to the disease as a difficult situation, the adaptation stages to threatening events and needs of the patient, the dying and the process of mourning in the family; 
D.W10. knows the role of stress in etiopathogenesis and disease progression and recognizes the mechanisms of coping with stress; 
D.W11. knows the mechanisms and goals and methods of treating addiction to psychoactive substances; 
D.W12. knows the rules of motivating patients for healthy behaviours and informing about unsuccessful prognosis; 
D.W13. knows and understands the heads concepts, theories, rules and ethical principles serving as a general framework for the proper interpretation and analysis of moral and medical issues; 
D.W14. knows the principles of altruism and clinical responsibility and is aware of the principles of functioning of the therapeutic team; 
D.W15. knows the rules of working in a group; 
D.W16. understands the cultural, ethnic and national determinants of human behaviour; 
D.W17. knows the history of the origins of medicine, the medicine of primitive peoples and the earliest civilizations, and the characteristic features of medieval medicine; 
D.W18. knows the features of modern medicine and its most important discoveries;
D.W19. knows the process of shaping new medical disciplines and reaching the leading representatives of Polish and world medicine; 
D.W20. knows the basics of evidence-based medicine. 
As for the skills the graduate: 
D.U1. takes into account in the course of the therapeutic process, the subjective needs and expectations of the patient resulting from socio-cultural determinants; 
D.U2. notices signs of anti-health and self-destructive behaviours and reacts to it properly; 
D.U3. selects treatment that minimizes social consequences for the patient; 
D.U4. builds an atmosphere of trust throughout the treatment process; 
D.U5. conducts interviews with an adult patient, child and family using active listening and empathy techniques and talks with the patient about his/her situation;
D.U6. informs the patient about the purpose, course and possible risk of the proposed diagnostic or therapeutic actions and acquires his/her informed consent; 
D.U7. provides information to the patient and his/her family about the unfavourable prognosis; 
D.U8. gives advice on compliance with therapeutic and pro-lifestyle guidelines; 
D.U9. identifies the risk factors for violence, recognizes violence and responds appropriately; D.U10. uses primary psychological motivational and supportive interventions; 
D.U11. communicates with team members by providing constructive feedback and support; D.U12. adheres to ethical standards in professional activities; 
D.U13. has the ability to recognize the ethical dimensions of medical decisions and distinguish between factual and normative aspects; 
D.U14. respects the rights of the patient, including: the right to protection of personal data, the right to intimacy, the right to respect for dignity, the right to health information, the right to confidentiality of patient information, the right to consent to treatment or to renounce it, the right to health services, the right to report undesirable effects of the medicinal product and the right to die in dignity; 
D.U15. feels the responsibility to improve his/her skills and to transfer knowledge to others; D.U16. recognizes own limitations, self-assesses deficits and education needs, plans own educational activity; 
D.U17. critically analyzes medical literature, including in the English language, and draws conclusions based on available literature; 
D.U18. communicates with the patient in one of the foreign languages. 

E. CLINICAL HEALTH SCIENCES (e.g. paediatrics, internal diseases, neurology, geriatrics, psychiatry, dermatology, oncology, family medicine, infectious diseases, rehabilitation, laboratory diagnostics, clinical pharmacology). 
In terms of knowledge the graduate:
E.W1. knows the environmental and epidemiological determinants of the most common diseases; 
E.W2. knows the rules of nutrition for healthy and sick children, including natural feeding, immunization and balance of child health; 
E.W3. knows and understands the causes, symptoms, principles of diagnosis and therapeutic treatment for the most common childhood diseases: 
a) rickets, scurvy, seizures,
b) heart defects, myocarditis, endocarditis and pericarditis, cardiomyopathy, cardiac arrhythmias, heart failure, hypertension, syncope,
c) acute and chronic diseases of the upper and lower respiratory tract, congenital respiratory tract diseases, tuberculosis, cystic fibrosis, asthma, allergic rhinitis, urticaria, anaphylactic shock, angioedema,
d) anaemia, hemorrhagic febrile, bone marrow disorders, childhood neoplasms, including solid tumours typical of childhood,
e) acute and chronic abdominal pain, vomiting, diarrhoea, constipation, gastrointestinal bleeding, peptic ulcer, non-specific intestinal diseases, pancreatic diseases, cholestasis and liver diseases and other acquired diseases and birth defects of the gastrointestinal tract,
f) urinary tract infections, congenital urinary tract malformations, nephrotic syndrome, kidney stones, acute and chronic renal failure, acute and chronic nephritis, systemic renal diseases, urinary disorders, vesicoureteral reflux disease,
g) growth disorders, thyroid and parathyroid diseases, adrenal diseases, diabetes, obesity, pubertal disorders and gonadal dysfunction,
h) cerebral palsy, encephalitis, meningitis, epilepsy,
i) the most common childhood infectious diseases,
j) genetic syndromes,
k) connective tissue diseases, rheumatic fever, juvenile arthritis, systemic lupus, dermatomyositis; 
E.W4. knows the issues of: abused child and sexual abuse, mental retardation, behavioural disorders: psychosis, addictions, eating and elimination disorders in children;
E.W5. knows basic methods of foetal diagnosis and therapy; 
E.W6. knows the most commonly occurring conditions of life threat in children and the rules of conduct in these states; 
E.W7. knows and understands the causes, symptoms, principles of diagnosis and therapeutic treatment with respect to the most common internal diseases affecting adults and their complications: 
a) cardiovascular diseases, including: coronary heart disease, cardiac defects, endocarditis, myocarditis, pericarditis, heart failure (acute and chronic), arterial and venous diseases, hypertension: primary and secondary, pulmonary hypertension, 
b) respiratory system diseases, including: respiratory tract diseases, chronic obstructive pulmonary disease, bronchial asthma, bronchiectasis, cystic fibrosis, respiratory infections, interstitial lung disease, diseases of the pleura, mediastinum, obturative and central sleep apnoea, respiratory failure (acute and chronic), respiratory tract malignancies, 
c) gastrointestinal diseases, including oral, oesophageal, gastric and duodenal diseases, diseases of the pancreas, liver, bile ducts and gall bladder,
d) diseases of the internal secretion system, including hypothalamic and pituitary diseases, diseases of the thyroid, parathyroid, cortex and adrenal glands, ovaries and testes, neuroendocrine tumours, polyendocrine syndromes, various types of diabetes and metabolic syndrome: hypoglycaemia, obesity, dyslipidemia, 
e) kidney and urinary tract diseases, including: acute and chronic renal failure, glomeruloneal renal and interstitial kidney diseases, renal cysts, renal calculus, urinary tract infections, urinary tract cancer, especially bladder cancer and renal cancer 
f) hematopoietic diseases, including: bone marrow aplasia, anaemia, granulocytopenia and agranulocytosis, thrombocytopenia, acute leukaemia, myeloproliferative, myeloproliferative and myeloproliferative cancers, myelodysplastic syndromes, mature B and T lymphocytes malignancies, diatheses, thrombophilia, life-threatening conditions in haematology, blood disorders in diseases of other organs; 
g) rheumatic diseases, including: connective tissue diseases, systemic vasculitis, spondylitis, bone metabolic diseases, especially osteoporosis and osteoarthritis, gout, 
h) allergic diseases, including: anaphylaxis and anaphylactic shock, angioedema, 
i) hydro-electrolyte and acid-base disorders: dehydration, overhydration, electrolyte disturbances, acidosis and alkalosis; 
E.W8. knows and understands the course and symptoms of aging, as well as the principles of global geriatric assessment and interdisciplinary care for elderly patients; 
E.W9. understands the causes and the basic differences in the most common diseases in the elderly and the principles of management in basic geriatric syndromes; 
E.W10. knows and understands the basic principles of pharmacotherapy for the diseases of the elderly; 
E.W11. knows and understands the dangers of hospitalization for the elderly; 
E.W12. knows and understands the basic principles of organization of care for the elderly and the burden of the caregiver of the elderly; 
E.W13. knows and understands the basic syndromes of neurological symptoms; 
E.W14. knows and understands causes, symptoms, principles of diagnosis and treatment in the most common nervous system diseases, including: 
a) headaches: migraine, tension headache and headache syndrome and nerve V neuralgia, 
b) vascular cerebrovascular disease, especially stroke,
c) epilepsy, 
d) infections of the nervous system, in particular meningitis, Lyme disease, herpes simplex encephalitis, neurotransmitter diseases, 
e) dementia, especially Alzheimer's disease, frontal dementia, vascular dementia and other dementia syndromes, 
f) basal ganglia diseases, in particular Parkinson's disease,
g) demyelinising diseases, in particular multiple sclerosis, 
h) neuromuscular diseases, especially atrophic lateral sclerosis and sciatica, 
i) cranio-cerebral traumas, particularly concussion; 
E.W15. knows basic concepts of pathogenesis of mental disorders; 
E.W16. knows the general symptomatology of mental disorders and their classification according to major classification systems; 
E.W17. knows symptoms, principles of diagnosis and treatment in the most common mental illnesses, including: 
a) schizophrenia, 
b) affective and adaptive disorders; 
c) eating disorders; 
d) psychoactive substance-related disorders; 
E.W18. knows the principles of diagnosis and management of emergency states in psychiatry; 
E.W19. knows the specificities of mental disorders and their treatment in children, adolescents and elderly; 
E.W20. knows the symptoms of mental disorders in somatic diseases, their effects on underlying disease, prognosis and the principles of their treatment; 
E.W21. has knowledge of human sexuality and basic disorders; 
E.W22. knows the rules regarding the protection of mental health, with special regard to the rules for admission to a psychiatric hospital; 
E.W23. knows the environmental and epidemiological determinants of the most common human cancers; 
E.W24. knows the basics of early detection of cancer and principles of screening in oncology; E.W25. knows the possibilities of modern cancer therapy (including multimodal therapy), the prospects of cell and gene therapy, and their undesirable effects; 
E.W26. knows the principles of combination therapy in oncology, diagnostic and therapeutic algorithms in the most common human cancers; 
E.W27. knows and understands the causes, symptoms, principles of diagnosis and treatment in the most common problems of palliative medicine, including: 
a) symptomatic treatment of the most common somatic symptoms, 
b) treatment in cancer cachexia, prophylaxis and treatment of pressure ulcers, 
c) the most common emergency conditions in palliative medicine; 
E.W28. knows the principles of palliative treatment of the patient in the terminal state; 
E.W29. knows the principles of pain management, including cancer and chronic pain; 
E.W30. knows and understands the concept of cripple hood, invalidism and disability; 
E.W31. knows the role and methods used in medical rehabilitation; 
E.W32. knows symptoms, principles, diagnosis and treatment in the most common bacterial, viral, parasitic and fungal diseases, including pneumococcal infections, hepatitis, acquired immunodeficiency, AIDS, sepsis and hospital infections;
E.W33. knows the basic characteristics, environmental and epidemiological determinants of the most common human skin diseases; 
E.W34. knows and understands the causes, symptoms, principles of diagnosis and treatment in the most common sexually transmitted diseases; 
E.W35. knows and understands the causes, symptoms, principles of diagnosis and treatment in the most common hereditary diseases; 
E.W36. knows and understands the causes, symptoms, principles of diagnosis and treatment in the most common diseases and specific problems in the practice of the family doctor; 
E.W37. knows the types of biological materials used in laboratory diagnostics and the principles of sample collection; 
E.W38. knows the theoretical and practical basis of laboratory diagnostics; 
E.W39. knows and understands the possibilities and limitations of laboratory testing in emergencies; 
E.W40. lists indications for the implementation of monitored therapy; 
E.W41. defines basic pharmacokinetic concepts. 

In terms of skills the graduate: 
E.U1. takes medical history from an adult patient; 
E.U2. takes medical history from the child and its family; 
E.U3. carries out a full and targeted physical examination of an adult patient, 
E.U4. performs a physical examination of children of all ages; 
E.U5. performs a psychiatric examination; 
E.U6. performs an approximate hearing and visual field test and an otoscopic examination; 
E.U7. evaluates the general condition, state of consciousness and awareness of the patient, E.U8. evaluates the state of the newborn on Apgar scale and assesses its maturity, tests neonatal reflexes, 
E.U9. computes anthropometric measurements and blood pressure results with data on centile nets; 
E.U10. evaluates the stage of puberty; 
E.U11. performs balance sheet examinations; 
E.U12. performs differential diagnosis of the most common illnesses of adults and children; E.U13. assesses and describes the patient's somatic and psychological state; 
E.U14. recognizes the states of immediate danger to life; 
E.U15. recognizes the condition after drinking alcohol, drugs and other stimulants; 
E.U16. plans diagnostic, therapeutic and prophylactic procedures; 
E.U17. analyzes possible side effects of drugs and the interaction between them; 
E.U18. proposes individualization of existing therapeutic guidelines and other treatments for ineffectiveness or contraindications to standard therapy; 
E.U19. recognizes the symptoms of drug dependence and proposes treatment; 
E.U20. qualifies the patient for home and hospital treatment; 
E.U21. defines states in which life expectancy, functional status, or patient preferences limit behaviour according to disease guidelines; 
E.U22. performs functional assessment of a disabled patient; 
E.U23. proposes rehabilitation program in the most common diseases; 
E.U24. interprets results of laboratory tests and identifies causes of abnormalities; 
E.U25. uses nutritional treatment (including enteral and parenteral nutrition); 
E.U26. plans to deal with exposure to blood-borne infection; 
E.U27. qualifies the patient for vaccination; 
E.U28. collects material for laboratory diagnostics; 
E.U29. performs basic procedures and medical treatments, including:
a) body temperature, pulse, non-invasive blood pressure measurement,
b) monitoring of vital signs with cardiomonitor, pulse oximetry, 
c) spirometry, oxygen therapy, assisted and replcement ventilation, 
d) inserting an intubation tube,
e) intravenous, intramuscular and subcutaneous injection, peripheral vein cannulation, peripheral venous blood collection, blood culture collection, arterial blood collection, arterialized capillary blood sampling, 
f) nasal, throat and skin swabbing, puncture of the pleural cavity, 
g) catheterization of the bladder in men and women, gastric aspiration, gastric lavage, enema, h) standard resting electrocardiogram with interpretation, electrical cardioversion and defibrillation, 
i) simple strip tests and measurement of blood glucose; 
E.U30. supports the following procedures and medical treatments:
a) transfusion of blood and blood products,
b) drainage of the pleural cavity, 
c) puncture of the pericardial cavity, 
d) puncture of the peritoneal cavity, 
e) lumbar puncture, 
f) fine needle biopsy, 
g) epidermal tests, 
h) intradermal and scarification tests and interpreting their results; 
E.U31. interprets the pharmaceutical characteristics of medicinal products and critically evaluates advertising materials for medicines; 
E.U32. plans specialist consultations; 
E.U33. implements basic treatment in acute poisoning; 
E.U34. monitors the condition of a sick person poisoned with chemicals or drugs; 
E.U35. evaluates bedsores and applies appropriate dressings; 
E.U36. acts properly in case of injuries (puts on dressing or immobilisation, supplies and stitches wounds);
E.U37. recognizes the patient's agony and states death; 
E.U38. carries out the medical records of the patient. 

F. CLINICAL OPERATIVE SCIENCES (e.g. anaesthesiology and intensive care, general surgery, orthopaedics with traumatology, emergency medicine, oncology surgery, gynaecology and obstetrics, urology, otorhinolaryngology, ophthalmology, neurosurgery, transplantology, imaging diagnostics) 
In terms of knowledge the graduate: 
F.W1. knows and understands the causes, symptoms, principles of diagnosis and therapeutic treatment in relation to the most common diseases requiring surgical intervention, including the distinction of childhood, including in particular: 
a) acute and chronic abdominal diseases, 
b) chest diseases, 
c) limbs and head diseases, 
d) bone fractures and organ injuries; 
F.W2. knows selected issues in paediatric surgery, including traumatology and otorhinolaryngology, defects and acquired diseases indicative of surgical treatment in children; 
F.W3. knows the rules of qualification and performance and the most common complications of basic surgical procedures and invasive diagnostic and therapeutic procedures;
F.W4. knows the principles of perioperative safety, patient preparation for operation, general and local anaesthesia and controlled sedation; 
F.W5. knows postoperative treatment with analgesia and postoperative monitoring 
F.W6. knows indications and rules of intensive therapy; 
F.W7. knows the current guidelines for cardiopulmonary resuscitation of newborns, children and adults; 
F.W8. knows the rules of functioning of the integrated state medical rescue system; 
F.W9. knows the reproductive functions of a woman, disorders related thereto, and diagnostic and therapeutic procedures concerning in particular: 
a) menstrual cycle and its disorders, 
b) pregnancy, 
c) physiological and pathological labour and puerperium,
d) genital inflammation and cancers, 
e) birth control, 
f) menopause, 
g) basic diagnostic methods and gynaecological procedures; 
F.W10. knows the problems of contemporary imaging testing, in particular: 
a) radiological symptomatology of basic diseases, 
b) instrumental methods and imaging techniques used for medical treatment, 
c) indications, contraindications and preparation of patients for particular types of imaging studies and contraindications for contrasting agents; 
F.W11. knows organ of vision diseases, in particular: 
a) knows and explains the causes, symptoms, principles of diagnosis and treatment in the most common ophthalmologic diseases, 
b) knows the ophthalmic complications of systemic diseases together with their ophthalmological symptomatology and the correct methods of treatment in these cases; 
c) surgical treatment in individual eye diseases; 
d) knows the basic groups of drugs used in ophthalmology, their side effects and interactions, e) knows the groups of generic drugs that have complications and ophthalmic complications and explains their mechanism; 
F.W12. knows the issues of laryngology, phoniatrics and audiology, including:
a) causes, clinical course, treatment methods, complications and prognosis in the diseases of the ear, nose, paranasal sinuses, oral cavity, pharynx and larynx in adults, 
b) facial nerve diseases and selected neck structure pathologies,
c) principles of diagnostic and therapeutic treatment in mechanical injuries of the ear, nose, larynx and oesophagus, 
d) rules of emergency management in otorynolaryngology, especially in larynx dyspnoea, 
e) principles of diagnostic and therapeutic procedures in hearing, voice and speech disorders, f) principles of diagnostic and therapeutic treatment in head and neck tumours; 
F.W13. knows and understands the causes, symptoms, principles of diagnosis and treatment for the most common central nervous system diseases in the following areas: 
a) cerebral oedema and its consequences, with particular attention to emergencies, 
b) other forms of intracranial tightness with their consequences, 
c) cranio-cerebral injuries,
D) vascular defects of the central nervous system, 
e) tumours of the central nervous system, f) vertebral and spinal cord diseases; 
F.W14. knows the basic issues of surgical transplantology, indications for transplantation of irreversibly damaged organs and tissues and the procedures associated with it; 
F.W15. knows the rules of suspecting and recognizing brain death. 
In the field of skills the graduate: 
F.U1. assists with typical surgical procedures, prepares the operating area and local anaesthesia of the affected area. 
F.U2. uses basic surgical tools; 
F.U3. adheres to the rules of aseptics and antiseptics; 
F.U4. supplies a simple wound, puts on and changes a sterile surgical dressing; 
F.U5. inserts a peripheral venous catheter; 
F.U6. examines the breasts, lymph nodes, thyroid gland and abdominal cavity in the aspect of acute abdomen, and performs rectal examination through the anus; 
F.U7. evaluates the radiological outcome of the most common types of fractures, particularly fractures of the long bones; 
F.U8. performs temporary immobilisation of the limb, selects the type of immobilisation necessary in typical clinical situations and controls the correctness of the limb blood supply after the fixation of the limb; 
F.U9. supplies external bleeding; 
F.U10. performs basic resuscitation operations with automatic external defibrillator and other emergency procedures and gives first aid; 
F.U11. works according to the current algorithm of advanced resuscitation; 
F.U12. monitors postoperative period based on basic vital parameters; 
F.U13. recognizes signs and symptoms of abnormal pregnancy (abnormal bleeding, uterine systolic dysfunction); 
F.U14. interprets the results of the physical examination of the pregnant woman (blood pressure, foetal heart rate) and the results of laboratory tests showing pregnancy pathologies;
F.U15. interprets cardiotocography (CTG); 
F.U16. recognizes the beginning of the childbirth and its abnormal duration; 
F.U17. interprets signs and symptoms at the time of puerperium; 
F.U18. establishes recommendations, indications and contraindications for the use of contraceptive methods; 
F.U19. performs an ophthalmic screening test; 
F.U20. recognizes ophthalmic conditions requiring immediate specialist help and provides initial, qualified assistance in cases of physical and chemical injuries to the eye; 
F.U21. assesses the state of the unconscious patient in accordance with the applicable international point scales; 
F.U22. recognizes symptoms of increasing intracranial pressure; 
F.U23. evaluates the indications to supra-pubic puncture and participates in its performance; 
F.U24. assists with typical urological procedures (diagnostic and therapeutic endoscopy of the urinary tract, lithotripsy, prostate punctures);
F.U25. performs basic laryngological examination of the ear, nose, throat and larynx;
F.U26. performs an approximate hearing test. 

G. LEGAL AND ORGANIZATIONAL ASPECTS OF MEDICINE (e.g. hygiene, epidemiology, public health, medical law, forensic medicine) 
In the field of knowledge the graduate: 
G.W1. knows the methods of assessing the health status of individuals and populations; various systems for classifying diseases and medical procedures; 
G.W2. knows the ways of identifying and testing risk factors, pros and cons of different types of epidemiological studies, and measures showing the presence of causal relationships; 
G.W3. knows the epidemiology of infectious and chronic diseases, how to prevent them at different stages of the natural history of the disease and the role of epidemiological surveillance; 
G.W4. knows the concept of public health, its objectives, its tasks, and the structure and organization of the health system at the national and global level and the impact of economic conditions on health protection options; 
G.W5. knows the principles of health promotion, its tasks and main directions of activity, with particular emphasis on the role of elements of healthy lifestyle; 
G.W6. knows the legal regulations governing the provision of health services, the rights of the patient, the basis of the profession of physician and the functioning of the medical self-government; 
G.W7. knows the basic regulations regarding the organization and financing of health care, universal health insurance and the rules governing the organization of the business of the medical entity; 
G.W8. knows the legal obligations of the physician in terms of stating death; 
G.W9. knows the regulations concerning medical experiment and other medical research; G.W10. knows legal regulations for transplants, artificial procreation, abortion, aesthetic procedures, palliative treatment, mental illness; 
G.W11. knows the principles of pharmaceutical law;
G.W12. knows the rules of medical secrecy, medical records, criminal liability, civil and professional law, 
G.W13. interprets the prevalence of disease and disability, assesses the epidemiological situation of diseases commonly found in the country; 
G.W14. knows and understands the notion of violent death and sudden death, as well as the difference between the concepts of injury and trauma; 
G.W15. knows the legal bases and rules of the physician role during autopsy examination at the place of their disclosure and forensic and medical examination of the corpses;
G.W16. knows the principles of forensic medical diagnosis and judgment in cases of infanticide and reconstruction of circumstances of a road accident;
G.W17. knows the rules of judicial-medical review and giving an opinion on the ability to participate in a trial; biological effect and health impairment;
G.W18. knows the concept of medical error, the most common cause of medical errors and the rule of opinion in such cases; 
G.W19. knows the rules of taking material for toxicological and haemogenetic studies. 
In terms of skills the graduate: 
G.U1. describes the demographic structure of the population and assesses the health problems of the population on this basis; 
G.U2. gathers information on the presence of risk factors for infectious and chronic diseases and plans prevention actions at different levels of prevention; 
G.U3. explains to people who are receiving medical benefits their basic entitlements and legal bases for the provision of these benefits; 
G.U4. applies in practice the legal provisions governing the issuing of medical certificates for patients, their families and external institutions; 
G.U5. during the examination the child recognizes the behaviour and symptoms indicating the possibility of violence against the child; 
G.U6. tries to avoid making a medical mistake in his/her own actions; 
G.U7. draws blood according to the principles of toxicology and secures the material for haemogenetic studies. 

IV. ORGANIZATION OF STUDIES 
The educational process should be organized in the form of: 
1) modules of classes (subjects, courses) corresponding to particular issues in the field of medical sciences (e.g. anatomy, microbiology, surgery or ophthalmology); 
2) integrated modules combining two or more medical science topics (e.g. internal medicine and laboratory diagnostics, infectious diseases and microbiology); 
3) multidisciplinary modules on specific topics (e.g. mechanism and treatment of pain, autoimmune diseases). 
The curriculum of studies includes class modules (subjects, courses) related to university scientific research in the field of medical sciences. They are assigned ECTS scores of more than 50% of the total number of points for the field of studies and are dedicated for students to gain in-depth knowledge and ability to conduct research. The curriculum of studies should provide an opportunity for students to load evenly across the modules so that they can be assigned the same repeatable ECTS (e.g. 5, 6, 10). 

1. MINIMUM NUMBER OF ORGANIZED HOURS AND ECTS POINTS
Group of detailed learning outcomes	Hours	ECTS score	
A. Morphological sciences	300	25	
B. Scientific foundations of medicine	525	43	
C. Preclinical sciences	525	43	
D. Behavioral and social sciences with elements of professionalism	240	12	
E. Clinical non-operative sciences	1060	65	
F. Clinical operative sciences	900	50	
G. Legal and organizational aspects of medicine	100	6	
Practical clinical teaching (30 weeks) + exams	900	60	
Summer internship	600	20	
Total	5150	324	

The university has at its disposal 550 hours of classes (36 ECTS) which can be taken as mandatory or optional, complementing knowledge, skills or competences, provided that the number of hours of elective courses should account for at least 5% of the total number of teaching hours. 
Teaching dedicated to achieving learning outcomes in the A-D and G groups is conducted by persons with professional or scientific competence in the medical sciences suitable for conducting classes.
Teaching dedicated to achieving learning outcomes in the E and F groups related to a particular medical science specialty is carried out by persons with academic credentials, the right to practice as a doctor and a medical specialty corresponding to the learning outcomes of the study, with the participation of other persons with scientific achievements or clinical experience relevant to educational outcomes.
The educational process should use didactic scientific and research and bases as well as infrastructure enabling the full realization of learning outcomes. In particular, it should provide access to the anatomy laboratory and microscope room, and allow for conducting basic and clinical sciences courses in all clinical specializations. 
Practical clinical teaching and holiday internships may be based on own didactic, scientific and research bases and university infrastructure or other therapeutic facilities. Practical clinical teaching and holiday internships should be provided at medical facilities of health care providers in the field of hospital treatment, in particular in hospitals whose specificity allows for the full attainment of the outcomes of education, health care providers in the field of outpatient specialist care or primary health care, units of the State Medical Rescue System and hospices. 
In group D, no more than half of hours can be allocated to teaching English. Additional classes for teaching English or another language may be provided within the hours the university has at its disposal. If the total number of hours of foreign language classes exceeds 200 hours, the institution will increase the overall amount of hours in the curriculum by the surplus. 

2. PRACTICAL CLINICAL TEACHING AT THE SIXTH YEAR OF STUDIES 
Practical clinical teaching at the sixth year of studies includes subjects (seminars, classes) in clinics, hospital departments or simulated clinical conditions in the following specialties, conducted over the following weeks:
▪ internal diseases - 8,
▪ paediatrics - 4, 
▪ surgery - 4, 
▪ gynaecology and obstetrics - 2, 
▪ psychiatry - 2, 
▪ emergency medicine - 2, 
▪ family medicine - 2 and 6 weeks in the specialization chosen by the student. Practical clinical teaching is provided by the learning outcomes of the Groups E and F. 

3. HOLIDAY INTERNSHIPS
Holiday internships should take place in the facilities of the medical entity and include the improvement of professional skills.
Detailed scope of internship 	Number of weeks	
1	2	
Care for the sick	4	
Open care system (family doctor)	3	
Emergency assistance	1	
Internal diseases	4	
Intensive care	2	
Pediatrics	2	
Surgery	2	
Gynecology and obstetrics	2	

Holiday internships should achieve the desired learning outcomes. The program of internships and the way of assessing the results is determined by the university unit responsible for education. 

4. OTHER REQUIREMENTS 
Physical training is optional. Medical schools provide students with free access to sports facilities, enabling them to participate in sports, participate in recreational activities, and develop healthy lifestyles for at least 30 hours a year. 

V. METHODS FOR EVALUATION OF EDUCATIONAL OUTCOMES 
Checking the achievement of learning outcomes requires the application of varied forms of student assessment appropriate to the areas affected by these effects. Learning outcomes in the area of knowledge can be checked by written or oral exams. Essays, reports, short structured questions and tests: Multiple Choice Questions (MCQs), Multiple Response Questions (MRQs), Yes/No questions and Match responses are the available forms of written exams. Oral exams should be standardized and aimed at verifying knowledge at a level higher than knowledge of facts (level of understanding, ability to analyze, synthesize, and solve problems). Validation of learning outcomes in practical skills, both communicative and manual requires direct observation of a student demonstrating ability during a traditional clinical examination or Objective Structured Clinical Examination (OSCE) and its modification (Mini-Cex). The OSCE is specifically indicated as a form of checking the total clinical skills acquired during practical education of the last year of studies.
 This Regulation implements the provisions of Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications (Journal of Laws UE L 255 of 30.09.2005, page 22, as amended).
2) This Regulation was preceded in terms of the education standards for medical, dental, pharmaceutical, nursing and midwifery faculties by the Regulation of the Minister of Science and Higher Education of 12 July 2007 on education standards for particular fields and levels of education and the mode of creation of conditions to be met by the university to conduct interdisciplinary studies and macro-faculties (Journal of Laws No. 164, item 1166 and 2009, No. 180, item 1407), which is repealed with effect from the date of entry into force of this Regulation, based ob the Art. 37 item 1 of the Act of 18 March 2011 on the amendment of the Law on Higher Education, the Law on academic degrees and the title of the scientific title and the degrees and title in the field of art and on the amendment of some other acts (Journal of Laws No. 84, item 455 and No. 112, item 654). 
3) Annex 1, as amended by the Regulation of 17.11.2016 (Journal of Laws of 2016, item 1908), which comes into force on 13 December 2016. The standards for medical education apply from the academic year 2017/2018.