Family medicine
Family medicine is an academic and scientific discipline,with its own educational content, research,
evidence base and clinical activity, and a clinical specialty orientated to primary care.
Family physician is normally the point of first medical contact within the health care system, providing
open and unlimited access to its users, dealing with all health problems regardless of the age, sex, or
any other characteristic of the person concerned. He coordinates care, working with other
professionals in the health care system, develops a person-centred approach, orientated to the
individual, his/her family, and their community. A unique consultation process establishes a
relationship over time, through effective communication between doctor and patient. Family physician
manages simultaneously both acute and chronic health problems of individual patients, provides
longitudinal continuity of care determined by the needs of the patient. He manages illness which
presents in an undifferentiated way at an early stage, promotes health and well being both by
appropriate and effective intervention. Primary care deals with health problems in their physical,
psychological, social, cultural and existential dimensions.
Teachers:
Dr Krzysztof Buczkowski
Dr Slawomir Czachowski
Mgr Magdalena Frackiewicz
Mgr Dariusz Sandurski
Prof. Roman Junik
Dr Agata Bronisz
Dr Anna Kamińska
Dr Joanna Kłubo-Gwieździńska
Dr Marcin Gierach
Dr Małgorzata Pujanek
Małgorzata Zakrzewska, M.D.
Contact: Dariusz Sandurski, d.sandurski@wp.pl
Syllabus
I. Nicolaus Copernicus University in Torun
Ludwik Rydygier Collegium Medicum in Bydgoszcz - Department of Family Medicine
II.Faculty of Medicine, Medical Program, the 5th year
III. Head of the unit (Course coordinator) – Dr Krzysztof Buczkowski
IV. Form of the classes – seminars (35 hours), tutorials (35 hours)
V. Form of crediting/Assessment – Test Exam, the 5th year
VI. Number of points: ECTS: 4
VII. Topics:
1. Introduction to family medicine
2. Practical antibiotic treatment
3. Respiratory tract infections
4. Fever –treatment
5. Health promotion and prevention – definition, screening tests and preventive programs.
6. Cardiovascular diseases prevention
7. Cancer prevention
8. Preventive medical examinations of children
9. Vaccination of children and adults
10.Nicotine addiction
11.Healthy eating rules, dietary treatment of civilization diseases
12.Obesity as a civilization disease
13.Chronic musculoskeletal pain
14.Rules of treatment with vitamin K antagonists
15.Doctor-patient relationship
16.Doctor-patient communication. Rules of consultation, focused on problem solving problem and
holistic approach to the patient
17.Medically Unexplained Symptoms in general practice
18.Diagnostic Capabilities in general practice, drug prescription, patient compliance
19.Heath problems of the elderly
20.Urinary tract infection in primary care
21.Skills lab- otoscopy, opthalmoscopy, breast examination, bladder catheterization
22. Analysis of the most common reasons of visits in primary care – proceeding based on solving the
problem
23. Exercises in doctor-patient communication
24. Estimation of health condition and cardiovascular risk
25. Case studies presented by students
26. Practical training in the GP’s office
VIII. Booklist:
1. Rakel RE, Rakel D. Textbook of Family Medicine. Elsevier 2011
2. Mengel MB, Schwiebert LP. Family Medicine. Ambulatory Care and Prevention. McGravHill,
New York 2009
3. Nelson Textbook of Pediatrics, 18th edition
Rules and regulations
Neurology
Neurology is the branch of medicine, the science of the causes, mechanism, the diagnosis and
the treatment of the nervous system diseases. Neurology is based on neuroanatomy,
neurophysiology, neurochemistry, neuropathology and genetics. The curriculum of the
medical studies in neurology provides the opportunity to gain both theoretical and practical
skills: the neurological examination, diagnosis and the treatment of the most common
diseases of the nervous system and life-threatening cases.
The realisation of the curriculum of neurology is one of the conditions essential to obtain the
medical doctor certificate and is the basis of opening a specialisation in neurology.
Teachers
Dr n.med Beata Kukulska-Pawluczuk
Dr n.med Magdalena Nowaczewska
Lek. med. Wiktoria Rajczyk
Dr n.med Piotr Rajewski
Lek. med Adam Wiśniewski
Syllabus
I. Department of Neurology
II. Head of the unit: dr hab. n. med. Barbara Książkiewicz, prof. UMK
III. Faculty of Medicine, 5th year, 80 hours
IV. Form of the classes: seminars 40h, classes 40h
V. Form of crediting - exam
VI. Principles course objective: credit, 5 p. ECTS
VII. Topics of the course (detailed plan):
1. Physical examination, anamnesis, examination of the head and cranial nerves – examination
technique and results interpretation.
2. Motor and coordinating system
- Examination of upper and lower limbs - examination technique and results interpretation .
- Defect of the motor system: spastic and flaccid syndrome.
- Location of the injury and the size as well as character of the paresis.
- General motility of the body within the scope of physiology and pathology.
- Examination of the motor coordination - examination technique and results interpretation.
- Role of the coordinating system.
- Injury of the coordinating system and its reasons.
- Parkinson disease and other disease of extrapyramidal system
3. Syndrome of increased intracranial pressure and consciousness disorders.
- Syndrome of increased intracranial pressure and mechanism regulating the intracranial
pressure.
- Symptoms reflecting the syndrome of increased intracranial pressure and symptoms of
cerebral shift.
- Treating the syndrome of increased intracranial pressure.
- Qualitative and quantitative consciousness disorders. Primary and secondary cerebral comas.
Determining the degree of consciousness disorders.
- Life threatening symptoms. Evaluation of circulatory system, respiratory system and renal
disorders.
- General examination. Neurological examination: character and location of the injury within
the central nervous system.
4.
Syndromes revealing injury of the spinal cord and caudal equine.
- Syndrome of hemilateral and transverse core interval.
- Extra-spinal and intra-spinal syndrome.
- Conus medullaris and caudal equine syndrome.
- Posterior-cordal syndrome.
5.
Peripheral nervous syndrome.
- Plexuses: brachial, lumbosacral.
- Scope of innervation and symptoms of medial nerve, ulnar nerve, radial nerve, femoral nerve,
sciatic nerve, common peroneal and tibial nerve damage.
6.
Meningeal syndrome.
- Symptoms of meningeal syndrome, mechanism underlying the above.
- Technique used to examine meningeal symptoms.
- cerebrospinal fluis examination – technique and results
7.
Intracranial and spinal canal tumours.
- Intracranial tumours: definition of intracranial tumour, division of tumours, general
symptoms related with intracranial tumours, focal symptoms of intracranial tumours,
histopathological forms.
- Clinical symptoms and histopathological forms of spinal canal tumours.
- Diagnostic tests, treatment.
8. Epilepsy, other paroxysmal conditions.
- Epilepsy: classification of epilepsy, reasons of epilepsy, morphology of epileptic attacks.
- Differentiating epilepsy from other conditions related with losing consciousness, EEG in
epilepsy.
- Status epilepticus
- Treating epilepsy.
9. Cerebral stroke.
- Definition of stroke, epidemiology, risk factors
- Causes of ischemic and hemorrhagic strokes, subarachnoid haemorrhages.
- Pathophysiology and pathomorphology of strokes.
- Clinical symptoms concerning ischaemic strokes, hemorrhagic strokes and subarachnoid
haemorrhages, additional tests, treatment.
10. Neuroinfections.
- Clinical symptoms of meningitis and encephalitis.
- Diagnostics and clinical differentiation of inflammation with viral, bacterial and tubercular
aetiology.
- Guillain-Barre syndrome.
- Treatment of neuroinfections.
11. Spinal disorders. Neurological rehabilitation.
- Sciatica syndrome, irritation and loss sciatica, high and low sciatica.
- Etiology and clinical symptoms of sciatica and shoulder pain.
- Sciatica of disc aetiology – clinical symptoms, location, differentiation.
- Examining the patient with sciatica: subjective and objective symptoms.
- Additional tests in patients with sciatica: radiological examinations, examination of the
cerebrospinal fluid.
12. Multiple sclerosis, syringomyelia, sclerotic lateral atrophy.
- Aetiology, clinical symptoms, diagnosis, treatment.
13. Headaches as an interdisciplinary problem.
- Division of headaches.
- Reasons and pathomechanisms of headaches.
- Migraine, cluster headache, tension-type headache – aetiology, pathogenesis and treatment.
- Neuralgia within the head with particular consideration of V nerve.
14. Dementia and disorders within higher activities of the nervous system.
- Dementia: definition, aetiology, clinical symptoms, treatment.
- Aphasia: definition, division, diagnostics.
- Disorders related with other higher functions of the CNS.
- Dysarthria.
15. Head injury
- Commotio cerebri - concussion, cerebral contusion, extradural and subdural hematoma
- Clinical symptoms , diagnostics and treatment.
VII. Literature
1. Main book –
Neurology and Neurosurgery Illustrated 5e
Kenneth W. Lindsay
Churchill Livingstone
01/10/2010
2. Additional book – neurological examination
Neurological Examination Made Easy
Geraint Fuller
Churchill Livingstone
01/05/2008
3.Complementary book
Netter's Neurology
H.Royden Jones
W.B. Saunders Company
01/10/2011
Rules and regulations
The student has to be present on seminars and exercises in order to pass.
During exercises assistant shall verify student’s preparation to classes on a regular basis by means of
oral questions, whereas during the practical the student shall be obliged to show his skills to perform
neurological examination. It is also required to write a medical history.
The practical and theoretical (test) examination shall verify the effects of students’ learning efforts.
The practical part of the test shall take part during the last block of the exercises.
The assisting physician, a specialist in neurology shall indicate a patient for each student, and the
student has to examine the patient, indicate deviations concerning the examination, propose local,
etiologic, syndrome diagnosis, as well as differentiation and recommended treatment.
The student elaborates medical history that is to be approved by the assistant.
The assistant evaluates the ability to perform neurological examination, proper naming of
abnormalities observed during the examination, accuracy of the initial diagnosis, perception
concerning differentiation with other ailments of the nervous system.
The theoretical part has a form of a test – 100 questions
The first 45 questions are statements with 5 possible answers – the student has to indicate the most
appropriate answer (a test of choice – 1 proper answer).
The following 45 questions are statements with 4 possible answers – the student selects the answers
he considers right (multiple choice test).
The last 10 questions contain description of cases basing on which the student determines the most
probable reason of the described ailment (a test of choice – 1 proper answer).
Geriatrics
The Geriatrics course consists of 10 hours of seminars and 10 hours of clinical skills. The main goal of
the course is to provide introduction into gerontology and geriatric medicine. Standard algoritms for
diagnosis and management of age-related diseases are presented and discussed.
The Geriatrics course program includes: mechanism of aging process, physiological, psychological,
social and community aspects of aging, problems of etiopathogenesis, clinical symptoms, laboratory
findings, differential diagnosis and treatment of the most common age-related diseases.
Students participate in clinical examination of old-age patients suffered from typical geriatric diseases
(so called “in aging” and “of aging”) and have the possibility to achieve practical aspects of geriatric
medicine during clinical cases presentation.
Teachers:
Prof. dr hab. Kornelia Kędziora-Kornatowska
Dr n. med. Anna Królikowska
Dr n. Med. Anna Koczaj-Syrewicz
Contact: kikgeriat@cm.umk.pl
Syllabus
IDepartment and Clinic of Geriatrics
II Head of the Unit :Professor Kornelia Kędziora Kornatowska
IIIFaculty of Medicine, Medical Program, year 5th
IVCourse coordinator- Kornelia Kędziora Kornatowska M.D., Ph.D. Professor
VForm of classes: seminars, practicals (clinical skills)
VIForm of crediting- credit with grade
VII Number of hours- 10 hours -seminars and 10 hours- clinical skills
VIII Topics of the classes
Seminars:
1. Basis of the physiology of ageing: ageing of the population, theories of ageing,
geriatric care system in Poland
2. Biological, psychological and socio-economical aspects of ageing
3. Specific geriatric problems- diagnosis and treatment
4. Distinctions in presentation and treatment of the most common age-related
diseases, prophylaxis in geriatrics
5. Assessment of geriatric patient and essential social and ethical problems in
geriatrics
Clinic:
1. History taking from elderly patients and their families; physical examination
2. Assessment of patient’s clinical state and clinical symptoms
3. Interpretation of laboratory findings
5. Comprehensive Geriatric Assessment with planning of the diagnostic path, treatment,
rehabilitation and prophylaxis in elderly
patient
Rules and regulations
Information about the course
The coursework of Geriatrics includes 10 hours of seminars and 20 hours of . It is ended with
the Final Test and practical part in the last day of the course.
Booklist:
Basic:
1. Textbook of Geriatric Medicine and Gerontology. Howard M. Fillif; Kenneth
Rockwood; Kenneth Woodhouse
2. The Merck Manual of Geriatrics. Beers M.H.; Berkow R.
Optional:
1. Currrent geriatric diagnosis& treatment; Landefeld C.S; Palmer R.M.; Johnston
C.B.; Lyons W.L.
2. Office Care Geriatrics; Rosenthal T.; Naughton B., Williams M.
Requirements
1.
Students are obliged to prepare the part of material which will be the subject of the next st
topic.
2.
Attendance on seminars and practicals is obligatory. In the case of the illness a sick leave
has to be delivered. Other absences due to important reason must be documented.
3.
One unjustified and undocumented absence make it impossible to take the Final test and
pass the course.
4.
In the case of absence the Student is obliged to pass the material and retake practicals in 4
weeks time.
5.
Any accidents, injuries and other emergencies must be immediately reported to the practice
leader.
6.
Using mobile phones during the labs are prohibited.
Final Test
1.
The Final Test consists of multiple choice questions (only one answer correct).
2.
Students who failed the Final Test are obliged to retake the test in 4 weeks time from the
first term.
3.
An excuse for absence should be submitted to the examiner within three days after the Final
Test
4.
The Final Exam will be assessed according to given marks:
(Fail) – less than 60%
(3) – 60%
(3,5) – 65 %
(4) – 70%
(4,5) – 80 %
(5)
– 90%
Practical part
1.
The practical part of confirmation of the course consists of examination of an
old patient, ability to use basic geriatric scales and case study.
2.
The grade from practical part is the arithmetic mean of all parts of it.
3.
To pass the practical part student have to get positive mark from all its parts.
4.
Students who failed the practical part are obliged to retake it in 4 weeks time
from the first term.
Final grade:
1. The final grade is the arithmetic mean of the grade from the final test and from practical
part.
2. Students have to get positive mark from the test and the practical part. One failed
element makes it impossible to get positive mark from the course. The failed part has to
be retaken.
Clinical Pharmacology
Syllabus
I.
Unit: Department of Pharmacology and Therapeutics
II.
Director: Grzegorz Grześk, MD, PhD
III.
Year: 5th, number of hours: 20
IV.
Number and form of classes:
seminars 10, exercises 10
V.
Course grade: graded credit
VI.
ECTS points: 1
VII.
Subjects:
1. Adverse effects of the drugs, with particular reference to adverse consequences of drug
interactions important in clinical practice.
2. Identification and analysis of adverse drug reactions, including drug interactions.
Data analysis and interpretation of clinical studies results in the aspect of therapy's
modificiation.
3. ADRs reporting requirements.
4. Drugs action changes, determined by disorders of their kinetics in pathological conditions.
Data analysis and interpretation of clinical studies results in the aspect of therapy's
modifiaction.
5. Pharmacotherapy optimization based on genetic studies. Data analysis and interpretation of
clinical studies results in the aspect of therapy's modifiaction.
6. Pharmacoeconomic aspects of therapy. Data analysis and interpretation of clinical studies
results in the aspect of therapy's modifiaction.
7. Liver and kidney function monitoring in terms of drugs elimination. Data analysis and
interpretation of clinical studies results in the aspect of therapy's modifiaction.
8. Drugs regimens in renal failure. Data analysis and interpretation of clinical studies results in
the aspect of therapy's modifiaction.
9. Monitoring therapy. Modified doses and dosing range calculations based on the
measurements of their serum concentrations. Data analysis and interpretation of clinical
studies results in the aspect of therapy's modifiaction.
10. Pharmaceutical characteristics of medical products interpretation and critical assessment of
drugs advertising.
11. Clinical trials performing in accordance with the GCP principles. Ethical aspects of clinical trials
of new drugs and placebo. Interpretation of clinical protocols phase : I, II, III, IV. Clinical trial
planning.
12. References :
 Rang, Dale, Ritter, and Moore, Pharmacilogy, 2012
 Katzung, Basic and Clinical Pharmacology, 2007
SURGERY / NEUROSURGERY
Surgery / neurosurgery course forms the theoretical knowledge and practical skills in the field
of diagnosis and principles of non-invasive and surgical treatment of patients with cranio-cerebral and
spine trauma, patients with vascular diseases of the central nervous system, intracranial and spinal
canal tumors, hydrocephalus, disc disease and other degenerative diseases of the spine, cranial nerve
and spinal nerve injuries, compression syndromes, extrapyramidal system diseases, infectious and
parasitic diseases of the nervous system and patients with limbs spasticity and chronic pain syndromes.
In the diagnosis and recognition of these conditions the course improves clinical skills with special
attention to the presence of symptoms suggesting the damage to the nervous system, and the ability
of certain additional tests commission, depending on diagnosed pathology. The course shapes the
knowledge on patient’s, with diseases listed above, qualifications for surgery or non-invasive
treatment.
Teachers:
Zygmunt Siedlecki
Agnieszka Nowacka
I. Chair and Clinic of Neurosurgery and Neurotraumatology
II. Head of the Unit: dr hab. Maciej Śniegocki
III. Faculty of Medicine, Medical Program, 5th year
IV. Form of the classes: tutorials, lectures
V. Form of crediting/Assessment: credit with grade
I. Couse topics:
1.
2.
3.
4.
5.
Brain edema. Intracranial tightness forms.
Cranio-cerebral injuries.
Vascular CNS defects.
CNS tumors.
Spine and spinal cord diseases.
IV. Literature:
1. Handbook of neurosurgery, Greenberg M. S., Greenberg Graphics USA, 2007
2. Fundamentals of operative techniques in neurosurgery, E. Connolly, Guy McKhann II, Tanvir
Choudhri, Judy Huang, Thieme 2007
Rules and regulations
II. Regulations:
1.
2.
3.
4.
Teaching unit name: Chair and Department of Neurosurgery and Neurotraumatology.
The teaching-head name: dr hab. n. med. Maciej Śniegocki.
Course name: surgery / neurosurgery, study field: medicine, year: V.
The form and terms of course credit:
- presence in all classes,
- practical exam (with the lecturer): examination, evaluation of additional tests and
proposition of a treatment method of a patient hospitalized in the Neurosurgery and
Neurotraumatology Clinic,
- theoretical exam: multiple choice test consisting of 20 questions on issues mentionedabove.
5. Conditions on executing of abandoned classes:
- sick-leave provide,
- submit the request on abandoned classes executing to the teaching-head,
- inclusion of the abandoned classes material (within the period prescribed by the
lecturer) after obtaining the approval from the teaching-head,
- abandoned classes execution with other student’s group (within the period prescribed by
the lecturer),
- unexcused absence is likely to require re-serve the entire block of classes in other time
after obtaining the approval from the teaching-head.
6. Health and safety regulations: as in all Univesity Hospital No 1 Clinics.
Rehabilitation
Teachers:
1. Prof. Wojciech Hagner M.D. , Ph. D.
2. Magdalena Mackiewicz – Milewska M.D.
3. Iwona Szymkuć B.M.
4. Magdalena Hagner – Derengowska M.D.
5. Sabina Lach – Inszczak M.D.
6. Małgorzata Cisowska – Adamiak M.D.
Syllabus
I.
Department of Rehabilitation.
II.
Head: prof. dr hab. Wojciech Hagner
III.
Faculty of medicine, Year V
IV.
Responsible for realization of the program: prof. dr hab. Wojciech Hagner
V.
Activities: seminaries, clinical practice
VI.
Credit of the subject: grade
VII.
Number of hours: 25 h
VIII.
The goal of the activities:
-
comprehending the Polish model of the Rehabilitation
-
getting acquainted with the rehabilitation process in patients with scoliosis
-
getting acquainted with the rehabilitation process in patients after brain damage
-
getting acquainted with the rehabilitation process in patients after spine injury
-
getting acquainted with the rehabilitation process in patients with arthrosis
-
getting acquainted with the rehabilitation process in patients after amputations
IX.
General topics:
-
briefing on the health and safety regulations during the activities, rehabilitation
process of patients after brain damage
-
rehabilitation of patients after spine injury
-
rehabilitation in patients with arthrosis
-
rehabilitation process in patients after stroke and after intracranial bleeding
-
principles of physical medicine
-
rehabilitation in patients after amputations
-
rehabilitation process in patients with arthrosis
-
principles of neuropsychology
-
principles of logopedic treatment in patients with aphasia
-
principles of orthopedic equipment
-
additional examinations: X-RAY, electromyography , computed tomography,
magnetic resonance imaging, scintigraphie
X.
Scope of knowledge for individual study: joint anatomy, joint classification, normal
range of motion of joints, functional anatomy
XI.
Medical Rehabilitation is the discipline of Medicine which deals with complex
treatment of patient following musculoskeletal , neurologic and cardiologic diseases .
The studies are in form of seminaries and practical exercises with patients on the
Rehabilitation Ward.
The students are supposed to learn theoretical bases and practical skills.
The exercises are 5 days a week from 8 a.m. to 2 p.m. and on Friday, last day of the
course there is an practical exam and theoretical test.
Literature:
1. Michael P. Barnes, Anthony B. Ward - “Oxford handbook of rehabilitation
medicine”.
2. V. Robertson, A. Ward, J. Low, A. Reed – “ Physiotherapy – Principles and Practice”
3. S. Lennon, M. Stokes – “ Pocketbook of Neurological Physiotherapy”
4. B.Brotzman, K. Wilk – “Clinical orthopedic rehabilitation”
5. Gordon W. “Advancess in stork rehabilitation”
Head Departament of Rehabilitationprof. dr hab. Wojciech Hagner