Uniwersytet Medyczny w Białymstoku. Curriculum plan.

SYLLABUS

Academic year 2021/2022

Name of a course / module	Family medicine
Name of a department where course is held	Department of Family Medicine and Community Nursing
E-mail of department	zmr@umb.edu.pl
Faculty of	Medicine with Division of Dentistry and Division of Medical Education in English
Name of a field of study	Medicine
Level of education	Uniform master’s degree studies
Form of study	full time x part time £
Language of instruction	Polish £ English x
Type of course	obligatory x facultative £
Year of study / Semester	V and VI	9,10,11,12
Introductory courses with preliminary requirements	The realization of outcomes in terms of knowledge, skills and competences from the previous years of study
Number of didactic hours with specification of forms of conducting classes	5th year lectures-23h, seminars-12h, labs-15h) (+6th year: lectures-20h, seminars-10h, labs-75h
Assumptions and aims of the course	To familiarize students with specificity of a family doctor’s work, his role in the healthcare system, the principles of family medicine as a scientific and clinical discipline. To teach how to deal with common diseases in the population and how to apply prevention
Didactic methods	- providing knowledge in a form of a lecture - discussion - presentation and case description - self study - clinical skills training (e.g with use of models) - participation in patients’ visits to family doctors surgery (observing a family doctor and discussing the decisions regarding patient’s care
Full name of the person conducting the course	Research and teaching staff of the Department of Family Medicine
Full name of the person responsible for teaching	Sławomir Chlabicz

Symbol and number of learning outcomes according to the teaching standards and other learning outcomes	Description of educational outcomes		Form of classes	Verification methods for achieving intended learning outcomes
Knowledge
EW1	nvironmental and epidemiological factors for most common diseases		Lecture	Summative methods ., -- written exam (test) Forming methods,, - observation of the student's work - evaluation of the activity in the classroom - discussion in class - case description
EW2	knows principles of nutrition of healthy and ill children, prophylactic vaccinations, routine check-ups		Seminar Labs
EW3	knows and understands causes, symptoms and principles of diagnostic and therapeutic procedures for most common children diseases, such as: a) rickets, c) acute and chronic diseases of lower and upper airways, asthma, allergic rhinitis, urticaria, anaphylactic shock, Quincke’s edema, d) anemia, e) acute and chronic abdominal pain, vomiting, diarrhea, constipation, digestive tract bleeding, chronic peptic ulcer disease, f) urinary system infections, acute and chronic kidneys inflammation, kidney systemic diseases, micturition disorders, vesico-ureteral reflex, g) growth failure, diabetes mellitus, obesity, maturation and gonadal function disorder; i) most common infectious diseases of childhood;		Lecture Seminar Labs
EW7	Knows and understands causes, symptoms and principles of diagnostic and therapeutic actions in case of adults’ most common internal diseases and subsequent complications: a) circulatory system diseases such as ischemic heart disease, heart failure (acute and chronic), arterial angiopathy, venous angiopathy, primary and secondary arterial hypertension, b) respiratory system diseases such as airways diseases, chronic obstructive pulmonary disease, bronchial asthma, respiratory system infections, c) digestive system diseases, including esophagus disease, stomach disease, duodenum disease, , pancreas disease, liver disease, bile ducts disease, gallbladder disease; d) endocrine system diseases, thyroid disease, different types of diabetes mellitus and metabolic syndrome such as hypoglycaemia, obesity and dislipidaemia; e)renal and urinary tracts diseases:, urinary system infections, g) rheumatic conditions, ostheoarthritis, gout
EW8	Knows and understands the course and symptoms of aging, principles of the entire geriatric assessment and interdisciplinary care of the elderly

EW9	Knows and understands causes and basic differences of most common diseases of the elderly, procedures for basic geriatric syndromes		Lecture Seminar Labs
EW10	Knows and understands basic principles of pharmacotherapy for the elderly diseases		Lecture Seminar Labs
EW14	Knows and understands causes, symptoms and principles of diagnostic and therapeutic procedures of most common nervous system diseases, such as: a) headaches: migraine, tension headache, headache syndromes,		Lecture Seminar Labs
EW20	Knows psychiatric symptoms in the course of somatic disease, their effects on a course and prognosis of the underlying disease, and treatment methods;		Lecture Seminar Labs
EW23	Knows environmental and epidemiologic determinants of most common human neoplasms		Lecture Seminar Labs
EW24	Knows fundamentals of early detectability of neoplasms; principles of screening in oncology;		Lecture Seminar Labs
EW27	Knows and understands causes, symptoms and principles of diagnostic and therapeutic procedures for common problems of palliative medicine: symptomatic treatment of common somatic symptoms, procedures for cancerous cachexia; prophylaxis and treatment of bedsores;most common emergencies in palliative medicine		Lecture, Seminar Labs
EW28	Knows principles of procedures for patient in terminal condition		Lecture, Seminar Labs
EW32	Knows and understands causes, symptoms and principles of diagnosis and therapeutic or preventive procedures for most common bacterial, viral and parasitic diseases		Lecture Seminar Labs
EW33	Knows and understands basic characteristics, environmental and epidemiologic conditions of most common skin diseases		Lecture Seminar Labs
EW36		Knows and understands causes, symptoms and principles of diagnosis and therapeutic for most common diseases and specific problems in family doctor’s practice	Lecture, Seminar Labs
HW34		Knows mechanisms and principles of management of psychoactive substance dependence	Lecture Seminar Labs
HW30		Knows and understands potential benefits and harms releated to sceeening	Lecture Seminar Labs
Skills
EU1	Taking history from an adult patient		Lecture Seminar Labs	Summative assessement - performing a specific skill (with model) Formative ssassement observation of the student's work - evaluation of the activity in the classroom - discussion in class
EU2	Taking history from a child and family;		Lecture Seminar Labs
EU6	examination of hearing acuity, visual acuity and otoscopic examination		Lecture Seminar Labs
EU9	comparing anthropometric measures and blood pressure measures with centile chart data;		Lecture Seminar Labs
EU11	health check-ups		Lecture Seminar Labs
EU12	differential diagnoses of most common adult and children diseases		Lecture Seminar Labs
EU13	evaluating and describing somatic and psychiatric condition of a patient		Lecture Seminar Labs
EU14	recognizing medical emergencies		Lecture Seminar Labs
EU15	recognizing conditions indicating consumption of alcohol, drugs or other stimulants		Lecture Seminar Labs
EU16	planning diagnostic, therapeutic and preventive procedures;		Lecture Seminar Labs
EU17	analysis of unwanted drug effects and drug interactions;		Lecture Seminar Labs
EU18	Suggesting individualization of therapeutic standards or other methods of treatment in case of therapeutic failure or contraindication to a standard therapy;		Lecture Seminar Labs
EU20	referring patient to home or hospital treatment		Lecture Seminar Labs
EU24	interpreting laboratory results and identifying causes of abnormalities		Lecture Seminar Labs
EU27	referring patient for vaccinations		Lecture Seminar Labs
EU29	performing basic medical procedures such as: a) body temperature measurement, pulse measurement, non-invasive arterial blood pressure b) monitoring vital signs by a cardiac monitor or pulse oximeter d) insertion of an airway support device; e) intravenous, intramuscular and subcutaneous injections; peripheral venous sampling, f) nasal, pharyngeal g) i) simple strip tests, glucose concentration measurements		Lecture Seminar Labs
EU 31	interpreting characteristics of pharmaceuticals and critically evaluating medicine advertisements;		Lecture Seminar Labs
EU 32	planning consultations with specialists;		Lecture Seminar Labs
EU 37	recognizing patient’s agony and death;		Lecture Seminar Labs,
EU 38	keeping medical documentation/records of the patient		Lecture Seminar Labs
EU14	recognition of life threatening situations		Lecture Seminar Labs
HU26	can choose appropriate screening tests in relation to gender/age		Lecture Seminar Labs

Social competence
K1	Is able to communicate with patient showing respect		Lecture Seminar Labs	Summative assessement Continuous assessment by teachers (observation) Formative assessement - observation of the student's work - discussion in class
K2	Is directed by patient’s good, putting it on the first place		Lecture Seminar Labs
K3	Is aware of his own limitations and need for continuous education		Lecture Seminar Labs
K4	Respects patient’s confidentiality; and patient’s rights		Lecture Seminar Labs

ECTS points	Należy podać liczbę punktów ECTS przypisaną przedmiotowi.
Student Workload
Form of activity		Number of hours to complete the activity
Classes that require the participation of a teacher
Realization of the course: lectures (according to the curriculum )		23
Realization of the course: classes (according to the curriculum )		75
Realization of the course: seminars; (according to the curriculum)		12
		Total hours: 110 compulsory
Student self-study 1 punkt ECTS oznacza 25-30 godzin pracy studenta w różnych formach, takich jak np.:
Preparation for the theoretical and practical classes (realization of projects, documentation, case description etc.)
Preparation for tests/credits
Preparation for an exam/final test-credit
			Total hours:

Course contents:
Learning outcomes (symbol and number)	Topics
EW36	Principles of family medicine. Definitions. Organization and financing of primary care
EW36, EU1, EU2	Communication in family medicine. Establishing rapport. Patient education. Interviewing techniques
EW1, EU27, HW30, HU26	Care of healthy people: principles of screening and prevention.
EW1, HW30	Screening for risk factors in cardiovascular disease
EW23	Screening for neoplasmatic and metabolic diseases.
EW23, EW24	Alarm symptoms in early diagnosis of cancer in primary care
EW3, EW32, EW36	Antibiotics use in ambulatory care. Principles of judicious antibiotic use.
EW32, EW36	Upper respiratory tract infections, Lower respiratory tract infections. Influenza
EW7,EU12, EU16	Common urinary, gastrointestinal and skin infections.
EW7, EU12,EU16	Chronic conditions: cardiovascular disease in primary care – choice of medications
EW7,EU12,EU16	Chronic respiratory disease in primary care: COPD and asthma
EW7,EU12, EU16	Venous thromboembolism in outpatient setting. Anticoagulation in primary care. Vitamin K antagonists
EW 27, EW28, EU37	Care of the dying patient
EW28, EU37,	Solving clinical problems in terminal care
EU17, EU16,EU11	ASA and oral anticoagulants – indications, monitoring, interactions
E U17, EU18,EW36	Choice of medications in primary care – clinical scenarios
EW7,EU16	Approach to a patient with gastrointestinal problems in primary care: functional and non-functional diseases of the alimentary tract. Diagnosis and management of dyspepsia, gastro-oesophageal reflux, gastritis and gastric cancer.
EW7,EU16	Diagnosis and management of irritable bowel syndrome, infalammatory bowel diseases and colon cancer.
EW20,EU16, HW34	Insomnia, anxiety, depression
EU17, EU18	Empirical use of antibiotics. Clinical scenarios with the use of voting system.
E U29	Clinical skills: female and male catheterization (use of models).
EU11, EU9, EU13	Common pediatric problems,
EU1, EU2	Communication skills. Doctor-patient relationship.. Group analysis of filmed consultations
EW7, EW33, U16	Urinary tract infections – clinical scenarios.
EW33	Skin disorders in primary care.
EU14, EU16	Emergencies in primary care. Clinical cases and improving clinical skills (cardiac resuscitation model).
EW2, EU9, EU11	Care of the newborn. Clinical problem solving. Clinical skills (model of newborn).
EU15	Alcohol and nicotine addiction. Methods of detection and possible interventions
EU6	Clinical skills: otoscopy and ophtalmoscopy (eye and ear models).
EU17, EU16	Practical use of anticoagulants – clinical scenarios
EU29	Interpretation of ECG
EU29	The choice of drug administration: oral versus parenteral route. Clinical skills: intramuscular, intravenous and subcutaneous injections
EU29	Clinical skills: spirometry. Use of spirometry in the differential diagnostics of chronic cough. Appropriate use of inhalers.
EW7, EU16	Chest pain - solving clinical scenarios
EW28	Palliative care: hospice residential and ambulatory care. Pain management. (attachment to hospice)
HU26	Choice of screening tests in different age groups. Clinical scenarios with the use of voting system.
EW7,EU16	Diabetes and lipids disorders
EW1, EW3, EW7, EW8, EW9, EW10, EW33, EU1, EU2, EU6, EU9, EU12, EU13, EU17, EU18, EU20, EU24, EU27, EU29, EU31, EU32, EU38	Attachment to family physicians’ practices

Obligatory textbook:

Robert E. Rakel „Textbook of Family medicine” 15th edition, Saunders Elsevier, 2015

Optional textbook:

Criteria for assessing the achieved learning outcomes and the form and conditions for receiving credit:

Family Medicine course ends with a written exam in the form of multiple choice test. Minimal score of 60% from the test is required to obtain the credit. Additionally attendance is a requirement. We allow for one absence during the whole year without need to retake the class. In case of more absences the student is allowed to attend the same lab or seminar with another group. In case of absences which could not have been attended with another group the class must be credited in written form at the end of the semester. short term (up to 3 days) absences given by the Dean or caused by hospitalizations do not have to be retaken.

…………………………………………………..

(date and signature of the person preparing the syllabus)

……………………………………………… ………………………………………………

(date and signature of the Head of the and (course coordinator)

where the course is held)