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)
MUDr. Michaela Bártová (lecturer)
doc. MUDr. Martina Doubková, Ph.D. (lecturer)
MUDr. Martin Harazim, Ph.D. (lecturer)
MUDr. Zdeněk Chovanec, Ph.D. (lecturer)
MUDr. Daniel Ira, Ph.D. (lecturer)
MUDr. Miriam Kollerová (lecturer)
doc. MUDr. Milan Krtička, Ph.D. (lecturer)
MUDr. Andrea Křivanová, Ph.D. (lecturer)
doc. MUDr. Michal Mašek, CSc. (lecturer)
MUDr. Martin Petráš (lecturer)
MUDr. Radek Pikula, Ph.D. (lecturer)
prof. MUDr. Ladislav Plánka, Ph.D. (lecturer)
MUDr. Pavel Smékal (lecturer)
prof. MUDr. Milan Sova, Ph.D. (lecturer)
MUDr. Mgr. Eva Šustrová (lecturer)
Zdeňka Trojanová (lecturer)
doc. MUDr. Lenka Veverková, Ph.D. (lecturer)
MUDr. Jiří Vyskočil (lecturer)
MUDr. Martina Žižlavská (lecturer)
MUDr. Sabrina Adamíková (seminar tutor)
MUDr. Agnes Adamová (seminar tutor)
MUDr. Martin Ambroz (seminar tutor)
MUDr. Martina Ambrozová (seminar tutor)
MUDr. Mária Bakošová (seminar tutor)
MUDr. Štěpán Bartoš (seminar tutor)
MUDr. Veronika Bednárová (seminar tutor)
Mgr. MUDr. Štěpánka Bibrová, Ph.D. (seminar tutor)
MUDr. Róbert Bobák (seminar tutor)
MUDr. Klára Bochníčková (seminar tutor)
MUDr. Tereza Bönischová (seminar tutor)
MUDr. Eliška Boženková (seminar tutor)
MUDr. Dominik Broniš (seminar tutor)
MUDr. Lucia Cabanová (seminar tutor)
MUDr. Jana Čerňanová (seminar tutor)
prof. MUDr. Ivan Čundrle, Ph.D. (seminar tutor)
MUDr. Lukáš Dadák, Ph.D. (seminar tutor)
MUDr. Milan Dastych (seminar tutor)
doc. MUDr. Jiří Dolina, Ph.D. (seminar tutor)
MUDr. Miroslav Dvořák (seminar tutor)
doc. MUDr. Zdeněk Dvořák, Ph.D. (seminar tutor)
MUDr. Dominik Fabián (seminar tutor)
MUDr. Klára Fabiánková (seminar tutor)
MUDr. Jiří Faldík (seminar tutor)
MUDr. Lukáš Fiala (seminar tutor)
MUDr. Martin Flek (seminar tutor)
MUDr. Pavel Fráňa (seminar tutor)
MUDr. Michal Furdek (seminar tutor)
MUDr. František Garncarz (seminar tutor)
MUDr. Katarína Glombová (seminar tutor)
MUDr. Tomáš Grolich, Ph.D. (seminar tutor)
MUDr. Michaela Habánová (seminar tutor)
MUDr. Jakub Habr (seminar tutor)
MUDr. Monika Halmová (seminar tutor)
MUDr. Tomáš Hanslík (seminar tutor)
MUDr. Roman Hasara (seminar tutor)
MUDr. Martin Helán, Ph.D. (seminar tutor)
MUDr. Jiří Hlaváč (seminar tutor)
MUDr. Jan Hlavsa, Ph.D. (seminar tutor)
MUDr. Lukáš Hlouch (seminar tutor)
MUDr. Mária Hrabčaková (seminar tutor)
MUDr. Ondřej Hrdý (seminar tutor)
MUDr. Samuel Hricko (seminar tutor)
MUDr. Kamil Hudáček (seminar tutor)
MUDr. Jan Hudec (seminar tutor)
MUDr. Dominika Ivanecká (seminar tutor)
MUDr. Martin Janků (seminar tutor)
MUDr. Milan Jelínek (seminar tutor)
MUDr. Marek Jeřábek (seminar tutor)
MUDr. Eliška Johnová (seminar tutor)
MUDr. Filip Keller (seminar tutor)
MUDr. David Kiss (seminar tutor)
MUDr. Eva Klabusayová, DESAIC (seminar tutor)
MUDr. Radka Klimánková (seminar tutor)
doc. MUDr. Jozef Klučka, Ph.D. (seminar tutor)
MUDr. Veronika Kočí (seminar tutor)
MUDr. Zuzana Komorová (seminar tutor)
MUDr. Jan Konečný, Ph.D. (seminar tutor)
MUDr. Tomáš Korbička (seminar tutor)
doc. MUDr. Martina Kosinová, Ph.D., FESAIC (seminar tutor)
MUDr. Petra Kostroňová (seminar tutor)
MUDr. Jitka Kotolová (seminar tutor)
MUDr. Adam Koudelka (seminar tutor)
MUDr. Marek Kovář (seminar tutor)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
MUDr. Ondřej Kráčmar (seminar tutor)
MUDr. Bc. Gabriela Králová (seminar tutor)
MUDr. Tereza Kramplová (seminar tutor)
MUDr. Tomáš Kratochvíl (seminar tutor)
MUDr. Martin Krejčí (seminar tutor)
MUDr. Beáta Krejčířová (seminar tutor)
MUDr. Pavlína Krésová, Ph.D. (seminar tutor)
doc. MUDr. Radek Kroupa, Ph.D. (seminar tutor)
MUDr. Petr Krsička (seminar tutor)
MUDr. Darja Krusová, Ph.D. (seminar tutor)
MUDr. Alžběta Kryštofová (seminar tutor)
MUDr. Petra Křemečková (seminar tutor)
MUDr. Adam Křenek (seminar tutor)
MUDr. Ivo Křikava, Ph.D. (seminar tutor)
doc. MUDr. Lubomír Křivan, Ph.D. (seminar tutor)
MUDr. David Kříž (seminar tutor)
MUDr. Dominika Kučerová (seminar tutor)
MUDr. Zsolt Kukel (seminar tutor)
MUDr. Laura Kvasnicová (seminar tutor)
MUDr. Mgr. Petr Kysela, Ph.D. (seminar tutor)
MUDr. Karel Lábr, Ph.D. (seminar tutor)
MUDr. Denis Lekeš (seminar tutor)
MUDr. Karolína Levíčková (seminar tutor)
MUDr. Jolana Lipoldová, Ph.D. (seminar tutor)
MUDr. Lucie Litzmanová (seminar tutor)
MUDr. Adam Lužák (seminar tutor)
MUDr. Soňa Maceková (seminar tutor)
MUDr. Jolanta Mácová (seminar tutor)
MUDr. Dominik Maduda (seminar tutor)
MUDr. Milan Majerník (seminar tutor)
doc. MUDr. Jan Maláska, Ph.D., EDIC (seminar tutor)
MUDr. Filip Marek, Ph.D. (seminar tutor)
MUDr. Gabriela Matejová (seminar tutor)
prof. MUDr. Hana Matějovská Kubešová, CSc. (seminar tutor)
MUDr. Andrej Mazúr, Ph.D. (seminar tutor)
MUDr. Václav Mikoška (seminar tutor)
MUDr. Ladislav Mitáš, Ph.D. (seminar tutor)
MUDr. Karolína Motílová (seminar tutor)
MUDr. Aneta Mrkvičková (seminar tutor)
doc. MUDr. Helena Němcová, CSc. (seminar tutor)
MUDr. Radim Němeček, Ph.D. (seminar tutor)
MUDr. Martina Nevrtalová (seminar tutor)
MUDr. Pavel Niedermayer (seminar tutor)
MUDr. Jan Novák, Ph.D. (seminar tutor)
MUDr. Tomáš Novotný, Ph.D. (seminar tutor)
MUDr. Lukáš Opatřil, Ph.D. (seminar tutor)
MUDr. Martin Pospíchal (seminar tutor)
MUDr. David Pospíšil (seminar tutor)
MUDr. Jan Pospíšil (seminar tutor)
MUDr. Yvona Pospíšilová (seminar tutor)
MUDr. Adam Predáč (seminar tutor)
doc. MUDr. Vladimír Procházka, Ph.D. (seminar tutor)
MUDr. Tereza Prokopová, Ph.D. (seminar tutor)
MUDr. Robert Prosecký, Ph.D., MPH (seminar tutor)
MUDr. Sylwia Pycz (seminar tutor)
MUDr. Jan Resler (seminar tutor)
MUDr. Michal Reška, Ph.D. (seminar tutor)
MUDr. Ivo Rovný, MBA (seminar tutor)
MUDr. Ivan Řiháček, Ph.D. (seminar tutor)
MUDr. Kristýna Řiháková (seminar tutor)
MUDr. Marek Sala (seminar tutor)
MUDr. Milan Sepši, Ph.D. (seminar tutor)
MUDr. Tomáš Skokňa (seminar tutor)
MUDr. Tamara Skříšovská, Ph.D., DESAIC (seminar tutor)
MUDr. Filip Sládek (seminar tutor)
MUDr. Deana Slovjaková (seminar tutor)
MUDr. Olga Smékalová (seminar tutor)
MUDr. Hana Smutná (seminar tutor)
MUDr. Pavel Sochor (seminar tutor)
MUDr. Dana Sochorová (seminar tutor)
prof. MUDr. Miroslav Souček, CSc. (seminar tutor)
MUDr. Martin Staňa (seminar tutor)
doc. MUDr. Libor Streit, Ph.D. (seminar tutor)
MUDr. Petr Suk (seminar tutor)
MUDr. Marek Sůva (seminar tutor)
MUDr. Martin Ščurek, Ph.D. (seminar tutor)
MUDr. Michal Šenkyřík (seminar tutor)
MUDr. Marek Škorňa (seminar tutor)
Jana Šmehlíková (seminar tutor)
MUDr. Petr Štach (seminar tutor)
MUDr. Roman Štoudek (seminar tutor)
prof. MUDr. Petr Štourač, Ph.D., MBA, FESAIC (seminar tutor)
MUDr. Michaela Ťoukálková (seminar tutor)
MUDr. Jakub Turek, Ph.D. (seminar tutor)
Miroslava Vašíčková (seminar tutor)
MUDr. Michal Vondráček (seminar tutor)
MUDr. Kamil Vrbica (seminar tutor)
MUDr. Tamara Vystrčilová (seminar tutor)
MUDr. Ondřej Výška (seminar tutor)
MUDr. Martin Zatloukal (seminar tutor)
doc. MUDr. Vladimír Zbořil, CSc. (seminar tutor)
MUDr. Radek Zukal (seminar tutor)
MUDr. Jan Žák, Ph.D. (seminar tutor)
Natálie Bajerová (assistant)
Lucie Balášová (assistant)
Šarlota Balážová (assistant)
Karolína Banášová (assistant)
MUDr. Filip Bartoš (assistant)
Martin Bartoš (assistant)
Adéla Benešová (assistant)
Kateřina Beníčková (assistant)
Tereza Bogárová (assistant)
Simona Buttová (assistant)
Hana Cibulková (assistant)
Oliver Csizmadia (assistant)
Eva Čechmanová (assistant)
Barbara Černáková (assistant)
Karolína Čierna (assistant)
Petra Čutová (assistant)
Lenka Dobrovolná (assistant)
Karolína Dovalová (assistant)
Inocenc Drábek (assistant)
Barbora Dúbravová (assistant)
Blanka Dvořáčková (assistant)
Zdeňka Dvořáková (assistant)
Adam Dzvinčuk (assistant)
Anežka Faltusová (assistant)
Jakub Filo (assistant)
Jan Foltera (assistant)
Zdeněk Furmánek (assistant)
Jan Gajdošík (assistant)
Michaela Gajdošíková (assistant)
Lea Galová (assistant)
Lucia Görögová (assistant)
Natália Görögová (assistant)
MUDr. Jakub Gregora (assistant)
Janka Greštiaková (assistant)
Aneta Griačová (assistant)
Kateřina Grosche (assistant)
MUDr. Veronika Hándlová (assistant)
Kristína Hardoňová (assistant)
Jan Hlavica (assistant)
Barbora Horniaková (assistant)
Ema Hrušovská (assistant)
Vojtěch Chudý (assistant)
Leyla Isakova (assistant)
Samuel Ivančík (assistant)
Ema Jančovičová (assistant)
Matej Jankovich (assistant)
Alžběta Janýšková (assistant)
Bc. Juliana Jerigová (assistant)
MUDr. Vendula Kabrdová (assistant)
Johana Kamrlová (assistant)
Juliána Kapinová (assistant)
Dominika Karasová (assistant)
MUDr. Dagmar Karlíková (assistant)
Nikola Karlubiková (assistant)
MUDr. Miroslav Kassay (assistant)
Eva Kašpárková (assistant)
Anna Kleinbauerová (assistant)
Zdeňka Klubalová (assistant)
Kristína Kollárová (assistant)
Filip Kopřiva (assistant)
MUDr. Bianka Kořínková (assistant)
Kateřina Koudelová (assistant)
MUDr. Matej Kovář (assistant)
Kateřina Krafková (assistant)
Barbora Krausová (assistant)
Lucie Kučerová (assistant)
Klára Kutáčová (assistant)
Matej Lašan (assistant)
Gabriela Lenická (assistant)
Paulína Liščáková (assistant)
Bc. Dominika Lončaričová (assistant)
Eva Lustigová (assistant)
Gabriela Lyčková (assistant)
Jan Macek (assistant)
Alžběta Macíčková (assistant)
Šárka Máčalová (assistant)
Anna Martinková (assistant)
Karin Matišíková (assistant)
MUDr. Michal Metiľ (assistant)
Tereza Mezníková (assistant)
MUDr. Lukáš Mičko (assistant)
Tereza Michalčíková (assistant)
Anna Miklášová (assistant)
MUDr. Dominika Miklišová (assistant)
Lea Müllerová (assistant)
Richard Naništa (assistant)
Jan Nemčok (assistant)
David Neuman (assistant)
Lucie Odehnalová, DiS. (assistant)
Matúš Ondreják (assistant)
Barbora Ondroušková (assistant)
Robert Opletal (assistant)
Ondřej Pavlíček (assistant)
Michaela Pavlincová (assistant)
Anna Pazderková (assistant)
Natálie Petrziková (assistant)
Markéta Pilková (assistant)
MUDr. Ondřej Pírek (assistant)
Rastislav Priehoda (assistant)
Josefína Přecechtělová (assistant)
Mgr. Petra Růžičková (assistant)
Bc. Barbora Rybnikárová (assistant)
Deana Rýzková (assistant)
Tereza Řezníčková (assistant)
Tomáš Sedláček (assistant)
Erik Scholcz (assistant)
MUDr. Natálie Spurná (assistant)
Alena Stodůlková (assistant)
Matúš Surovčák (assistant)
Marek Svoboda (assistant)
Martin Svoreň (assistant)
Roman Šimek (assistant)
Klára Šotkovská (assistant)
Julie Šudáková (assistant)
Lucie Švarcová (assistant)
Jan Texl (assistant)
Tereza Tichá (assistant)
Katarína Tkáčová (assistant)
Lenka Tomanová (assistant)
Marie Tormová (assistant)
Andrea Valčuhová (assistant)
Simona Vaľková (assistant)
Vanesa Várošová (assistant)
Erik Vitez (assistant)
Viliam Vojtek (assistant)
Tereza Vorlová (assistant)
Simona Vydržalová (assistant)
Matěj Wimmer (assistant)
Darya Yarmosh (assistant)
Eva Zahradníková (assistant)
Robin Zajac (assistant)
Zuzana Zdařilová (assistant)
Hana Zemanová (assistant)
MUDr. Ernest Biroš, Ph.D. (alternate examiner)
MUDr. Vladimír Čan (alternate examiner)
MUDr. Aleš Dvořák (alternate examiner)
MUDr. František Folber, Ph.D. (alternate examiner)
MUDr. Štěpán Hrabovský, Ph.D. (alternate examiner)
MUDr. Jaroslav Ivičič (alternate examiner)
MUDr. Arpád Kerekes (alternate examiner)
MUDr. Miroslav Krejčí, Ph.D. (alternate examiner)
MUDr. Adam Lukáč (alternate examiner)
MUDr. Jozef Michalka (alternate examiner)
MUDr. Petr Moravčík (alternate examiner)
MUDr. Anna Panovská, Ph.D. (alternate examiner)
MUDr. Roman Svatoň, Ph.D. (alternate examiner)
MUDr. Nela Šťastná (alternate examiner)
MUDr. Filip Šustr (alternate examiner)
MUDr. Vítězslav Vaverka (alternate examiner)
MUDr. Robert Vlachovský, Ph.D. (alternate examiner)
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
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

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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