LF:aVLLP0633c Clinical Introduction III - p

aVLLP0633c Clinical Introduction III - practice

Faculty of Medicine
spring 2025

Extent and Intensity

0/7/0. 5 credit(s). Type of Completion: zk (examination).
In-person direct teaching

Teacher(s)

Guaranteed by

MUDr. Jan Konečný, Ph.D.
First Department of Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Contact Person: Lucie Kučerová
Supplier department: First Department of Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine

Prerequisites (in Czech)

aVLLP0532c Clinical Introduction II && aVLAN0222p Anatomy II - lec. && aVLHE0322p Histology and embryology II -l && aVLBC0422p Biochemistry II - lecture && aVLFY0422p Physiology II - lecture

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

General Medicine (programme LF, M-GM)
General Medicine (eng.) (programme LF, M-VL)

Course objectives

The aim is to teach students the basics of the physical examination of patients in surgery and internal medicine.

Learning outcomes

The student will be able:
- to take complete patient history
- to perform a general physical examination of the patient,
- to perform basic internal, neurological and surgical examination of the patient.
Student will be familiar with basic laboratory and other diagnostic tests.
- to perform and evaluate the ECG
- to recognize basic pathological ECG findings.
- to describe the physiological findings on the chest and abdominal X-rays.
He will be familiar with basic surgical instruments together with their use, will be familiar with immobilization techniques, with the basic techniques of sewing, punching, cannulation, preparation, catheterization.

Syllabus

The student completes 7 hours of practical exercises per week divided into 2 teaching units of 3.5 hours. One teaching block is internal, supplemented by an internship at the anaesthesiology-resuscitation clinic. The second one is surgical supplemented by 1 internship in paediatric surgery and 1 internship in plastic surgery. In the 13th and 14th weeks, teaching is only in SIMU, where the focus is on practicing practical skills.
Internal Medicine: 1. Basic clinical and laboratory, imaging and functional diagnostic methods (chest and abdominal X-ray, principles of ultrasound, fibroscopic and some other examinations) 2. History and examination of pulmonary diseases 3. History and examination of cardiac diseases 4. Basic ECG pathological findings 5. History and examination in renal and urinary tract diseases 6. History and examination in gastrointestinal and liver diseases 7. History and examination in endocrine diseases and diabetes 8. History and examination in haematological diseases 9. History and examination in diseases of peripheral arteries and veins 10. History and examination in rheumatological and immunological diseases 11. ARK/KARIM/KDAR - general and local anaesthesia, anaesthesiologist's role 12. Repetition 13. and 14. SIMU - practice of basic skills 15. Repetition
Surgery: Teaching is done in study groups, topics of each internship: 1. Metabolism and nutrition in surgery - enteral nutrition, parenteral nutrition, diets, fluid balance, replacement solutions, ions and acid-base balance in surgery 2. Infections in surgery - wounds, GIT, urinary, respiratory, sepsis, tetanus, rabies, surgical wounds, purulent hand diseases 3. Injuries of joints, muscles, tendons - open, closed, characteristics, diagnosis, principle of treatment. Wound care - repetition. 4. Nerve and vascular injuries, bleeding control, replacement of blood loss, blood transfusion, shock and its types, drowning, hanging, electric shock. 5. Fractures - healing and treatment, fracture healing disorders, rehabilitation, prosthetics, assessment 6. Surgery - types, indications, pre-operative preparation, post-operative response, risks and complications per-operative and post-operative, prevention of thrombosis, antibiotic prophylaxis 7. Basic surgical approaches and procedures: head, thoracic cavity, abdominal cavity, small pelvis (including scopic approaches), extremities, basic surgical procedures - nomenclature 8. trauma surgery - polytrauma, compound injuries, mass casualties, trauma plan, war injuries (triage and removal of wounded + principles of treatment) including blast syndrome, crush syndrome, 9. Cancer surgery - classification and spread of tumours, prevention, organisation of cancer care. Introduction to transplantation 10. KPECH - Plastic Surgery - plastic surgery charges, flaps, treatment of traumatic amputations, frostbite, burns. 11. KDCHOT Pediatric Surgery- specifics of the pediatric patient 12. repetition 13. and 14. SIMU - practice of basic skills 15. repetition

Literature

required literature

LONGMORE, J. M. Oxford handbook of clinical medicine. 9th ed. New York: Oxford University Press, 2014, 902 s. ISBN 9780199609628. info
Surgery at a glance. Edited by P. A. Grace - Neil R. Borley. 5th ed. Chichester: Wiley-Blackwell, 2013, 207 p. ISBN 9781118522608. info
BLUMENFELD, Hal. Neuroanatomy through clinical cases. 2nd ed. Sunderland: Sinauer Associates, 2010, xxiii, 100. ISBN 9780878936137. info

recommended literature

CHROBÁK, Ladislav, Thomas GRAL and Jiří KVASNIČKA. Physical examination in internal medicine. 1. vyd. Praha: Grada, 2003, 239 s. ISBN 9788024706177. info

Bookmarks

https://is.muni.cz/ln/tag/LF:aVLLP0633c!

Teaching methods

Practicals always have a theoretical and practical part. The theoretical part is devoted to the above-mentioned topic, practical (for which the main emphasis is placed) – at the patient (taking of personal and medical history, examination of individual organs), basic examination methods (ultrasound, X-ray, laboratory findings, ECG). Practical training (about 50 % of the total volume of teaching) is complemented by a comprehensive range of simulation teaching methods on simulators with varying degrees of fidelity, trainers and virtual patients. Simulation results in subsequent debriefing (feedback to the student). There is also problem-oriented learning in the foreground, where the student is taught by solving the problem presented, as well as team-oriented teaching when small groups of students discuss and choose a solution to the problem. Emphasis is also placed on the development of soft skills, incl. so-called "21st-century skills", particularly communication, decision-making skills, critical thinking, crisis communication and teamwork.

Assessment methods

The evaluation consists of several components. In Clinical introduction III, you need to complete attendance requirements in internal medicine and surgery clinics, pass a practical OSCE exam and a theoretical exam.
All the details of the OSCE exam are placed in the interactive course syllabus and the student is obliged to get acquainted with them.

Language of instruction

English

Further comments (probably available only in Czech)

The course is taught annually.
The course is taught: in blocks.
Information on the extent and intensity of the course: 105.

Listed among pre-requisites of other courses

Zobrazit další předměty

The course is also listed under the following terms Spring 2018, spring 2019, spring 2020, spring 2021, spring 2022, spring 2023, spring 2024.

Enrolment Statistics (spring 2025, recent)
Permalink: https://is.muni.cz/course/med/spring2025/aVLLP0633c

LF:aVLLP0633c Clinical Introduction III - p - Course Information

aVLLP0633c Clinical Introduction III - practice

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