LF:aVLTZ0833 Theor.Bases of Clinical MedIII

aVLTZ0833 Theoretical Bases of Clinical Medicine III

Faculty of Medicine
spring 2025

Extent and Intensity

0/3/0. 4 credit(s). Type of Completion: zk (examination).

Teacher(s)

Guaranteed by

doc. Ing. Daniel Schwarz, Ph.D.
Department of Simulation Medicine – Theoretical Departments – Faculty of Medicine
Supplier department: Department of Simulation Medicine – Theoretical Departments – Faculty of Medicine

Prerequisites (in Czech)

aVLTZ0732 Theor.Bases of Clinical Med II

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

In the last two semesters of this three-semester interdisciplinary course, teaching builds upon the previously acquired pathophysiological foundation related to all the selected topics (TBCM 1) by addressing specific clinical cases through the study of 14 virtual patients. Each case is approached using the Team-Based Learning (TBL) structure, which includes individual study preparation with preclass-reading materials, completion of individual and team-based Readiness Assessment Tests (iRAT/tRAT), and problem-solving application exercises. During these exercises, teams discuss the progression of the diagnostic-therapeutic process associated with a specific case study. Students consult their solutions with a facilitator and a clinical expert on the topic. Hence, in each topic, the focus is not on covering the entire clinical domain but on developing clinical reasoning skills within the contours of personalized medicine.

Learning outcomes

Upon completion of all instructional units during the 2nd and 3rd semesters of TBCM course, students will be able to:
1. Apply foundational knowledge from pathophysiology to solve specific clinical problems stemming from the 14 chosen case studies - virtual patients;
2. Justify the steps of clinical reasoning based on knowledge acquired from previous studies in theoretical medical fields;
3. Employ principles of evidence-based medicine when deciding on care for a specific – albeit virtual – patient;
4. Defend their stance on the choice of the next step in the diagnostic-therapeutic procedure of a specific case against alternative solutions proposed by peers.

Syllabus

Over the course of two semesters, the topics covered include:
1. Coagulation disorders, pulmonary embolism
2. Metabolic bone disorders in geriatric patient
3. Various infections with fever including those of tropical origin
4. Digestive tract disorders
5. Chronic obstructive pulmonary disease
6. Gastroesophageal reflux disease
7. Breast carcinoma
8. Introduction to psychiatry
9. Liver and biliary tract disease
10. Multiple myeloma
11. Food poisoning, anaphylactic shock
12. Impaired consciousness, delirium, convulsions, poisoning
13. Meningitidis
14. Headaches
The timing of individual topics may vary from one academic year to the next.

Literature

Preclass-reading materiály: pomáhají studentům seznámit se s klíčovými pojmy a informacemi předtím, než se účastní lekce.

Teaching methods

Collaborative learning - TBL (Team-based learning): students work in teams of 7 at tables in a lesson structured into several different activities.
Preclass-reading materials: help students become familiar with key concepts and information before they participate in the lesson. Pre-prepared students can focus more on discussion, questioning, and application of concepts during the lesson instead of a classical lecture. Knowledge of the pre-class reading materials is tested using the RAT tests, see below.
RATs (Readiness Assessment Tests - iRAT/tRAT/gRA): form the introductory part of the lesson, during which the same test is taken three times in sequence; individually, in small teams around a table, and finally as a whole group. Test format: 10 single-best answer, closed-book questions. The results of the individual tests are collected and after successful completion of the test, the student is allowed to continue in the lesson. Team test results are used as formative assessments for individual teams during the lesson. Tests are taken exclusively in the SIMUportfolio app - you must bring your charged smart phone or laptop with internet connectivity (Eduroam/MUNI network or your own data connection).
Application exercise: the virtual patient or interactive fictional patient story allows for practice of clinical reasoning, critical thinking and decision making skills.

Assessment methods

The results of the individual Readiness Assessment Test (iRAT) are registered in SIMUportfolio. In the case of failure in the iRAT - with a score worse than 60 % - it is not possible to continue in the lesson.
Evaluation of team activity: points are awarded at the end of each lesson to whole teams (i.e. all team members present throughout the lesson receive the points allocated) by the content expert based on the monitored activity of each team (clinical reasoning, team communication), with a maximum of 3 points per lesson. Final test: a minimum of 5 lessons (out of 7) and a minimum of 5 team points per semester are required for admission to the final test. The final grade will be composed of 3 components proportionally: the team activity scores in TBCM II and TBCM III; and the final test score.
Classes are contact-based and attendance is mandatory. Students who attend less than 10 lessons (5 lessons in TBCM II plus 5 lessons in TBCM III) will be graded X in TBCM III.

Language of instruction

English

Further comments (probably available only in Czech)

Information on the extent and intensity of the course: 45.

The course is also listed under the following terms spring 2024.

Enrolment Statistics (spring 2025, recent)
Permalink: https://is.muni.cz/course/med/spring2025/aVLTZ0833

LF:aVLTZ0833 Theor.Bases of Clinical MedIII - Course Information

aVLTZ0833 Theoretical Bases of Clinical Medicine III

Other applications