Pathomorphology
Pathology is a science which combines the basis fields of medicine and clinical medicine. Pathology is
a study of causes, mechanisms, course and consequences of the disease. The pathology is classically
divided into general and organ pathology. Proper clinical diagnosis is based on clear understanding
etiology, pathogenesis, morphological and functional changes in specific diseases processes.
The pathology course includes lectures, seminars and microscopic labs. During classes and lectures cell
injury and cell death, inflammations, hemodynamic disorders, neoplasms, genetic and environmental
diseases will be discussed first. In the next semester the changes of diseases in particular systems will
be discussed. Each of the pathology issues will be illustrated by guided and self-performed microscopic
slides studies. The 3rd year pathology is completed if student passes all tests after each blocks of
laboratories and seminars. After 4th year pathology course students are obligated to pass written test
exam to obtain a credit for whole pathology course.
Teachers:
Prof. Andrzej Marszałek MD, PhD
Magdalena Bondar PhD
Ewa Wiśniewska PhD
Łukasz Szylberg MD
Joanna Maciejewska MD
Natalia Skoczylas-Makowska MD
Izabela Neska-Długosz MD
Contact: Łukasz Szylberg, l.szylberg@cm.umk.pl
Syllabus
I.
Department of Clinical Pathomorphology Collegium Medicum Nicolaus Copernicus
University, Skłodowskiej-Curie 9, 85-094 Bydgoszcz
II.
Head of the unit: Prof. Andrzej Marszałek MD, PhD
III.
Faculty of Medicine, Medical Program, 4th year
IV.
Course coordinator: Łukasz Szylberg MD
V.
Form of classes: seminars, labs
VI.
Form of crediting: Credit with grade, 7 ECTS points
VII.
Number of hours: Seminars for 4th year – 40 hours, Autopsy labs for 4th year – 20 hours
VIII.
Aim of the course
After completing the pathology course student has to know causes, pathomachanisms,
clinical course and consequences of the disease and understand morphological and
functional changes in specific diseases processes.
IX.
Topics of lectures/ tutorials/ seminars - program of the pathology course for the 4th year
Week I
Monday:
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Pathology of the central nervous system – part I 8:00 a.m.-9:30 a.m
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Pathology of the central nervous system – part II 11:30 a.m.-1.00 p.m.
Tuesday:
-
Pathology of the liver and biliary ducts – part I 8:00 a.m.-9:30 a.m.
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Pathology of the liver and biliary ducts – part II 11:30 a.m.-1.00 p.m.
Wednesday:
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Pathology of the digestive system – part I 8:00 a.m.-9:30 a.m.
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Pathology of the digestive system – part II 11:30 a.m. -1.00 p.m.
Thursday:
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Pathology of the respiratory system – part I 8:00 a.m.-9:30 a.m
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Pathology of the respiratory system - part II 11:30 a.m.-13.00 p.m.
Friday:
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Pathology of the female reproductive system 8:00 a.m.-9:30 a.m.
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Pathology of the breast 11:30 a.m.-1.00 p.m.
Week II
Monday:
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Pathology of the erytropoietic and lymphatic system 8:00 a.m.-9:30 a.m.
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Pathology of the bones and soft tissue 11:30 a.m.-1.00 p.m.
Tuesday:
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Pathology of the kidney and urinary tract 8:00 a.m.-9:30 a.m
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Pathology of the prostate and urinary bladder 11:30 a.m.-1.00 p.m.
Wednesday:
-
Pathology of the fetus and the newborn 8:00 a.m.-9:30 a.m.
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Pathology of the childhood diseases 11:30 a.m.-1.00 p.m.
Thursday:
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Pathology of the endocrine system – part I 8:00 a.m.-9:30 a.m.
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Pathology of endocrine system – part II 11:30 a.m.-1.00 p.m.
Friday:
-
Pathology of the circulatory system and vessels – part I 8:00 a.m.-9:30 a.m.
-
Pathology of the circulatory system and vessels – part II 11:30 a.m-1.00 a.m.
From 9:40 a.m. till 11:10 a.m. students are given autopsy or laboratories or reviews.
X.
Self study topics
See program for 4th year
XI.
Booklist (basis/ additional)
“Robbins Basic Pathology” Kumar, Abbas, Aster; Elsevier 2012, 9th ed (BASIC BOOK)
“Robbins & Cotran Pathologic Basis of Disease” Kumar, Abbas, Aster; Saunders 2009, 8th ed.
XII.
Detailed list of required practical skills and confirmation of completing
Practical skills examination includes slide discussion during the pathology course.
Rules and regulations
Department of clinical pathology rules for 3rd and 4th year student of 6 year M.D
1.
Classes are held in class rooms on the first floor of the Department of Clinical Pathomorphology
at Skłodowskiej-Curie 9 (University Hospital No 1) so called “Nowa Patomorfologia”.
2.
Classes are for the 30 weeks for the third year (3 hours a week in fifth semester and 4 hours a
week in sixth semester) and for two weeks for the forth year (4 hours of seminars and two
hours of laboratories a day)
3.
Labs for the third year starts at 7:15 a.m and last till 9:15 a.m. (in the fifth semester) and to
10:15 a.m. (in the sixth semester). Seminars for the fourth year start at 8:00 a.m and last to
1:00 p.m.
4.
Course of pathology includes lectures, seminars and classes.
5.
There is an introductory at beginning of each lab but the assistant can also check the
knowledge in oral form.
6.
The attendance to all classes is obligatory and carefully recorded. .
7.
In case of absence the student have to make up the classes with another group in this same
week.
8.
The student should make notes and drafts of the microscopic slides during labs.
9.
If the student fails lab credit the second chance is given within week.
10.
During the course of pathology the student has to pass six tests after each part of labs.
11.
If the student fail test he will have one more chance during last exercise in each semester.
12.
The student receives semester credit if passes all schedules tests.
13.
4th year student have to credit all seminars in two-week block of pathology (written or oral
form)
14.
4th year students have got one week time after completing blocks of seminars to pass failed
seminar test.
15.
Informations for students (the program of the course) are published on the website and notice
board of Department of Clinical Pathomorphology.
16.
During first lab the student is informed about all administrative regulations
17.
There is no permission for smoking, drinking, talking loudly in lab rooms.
18.
During autopsy labs the protective clothes are required.
19.
The students are divide into groups set by the Dena’s Office ( the student can change the group
in case of making up for missed labs)
20.
The students who fail the credit of the 3rd year pathology course are not allowed to start 4th
year pathology course.
21.
During 4th year pathology course the full 3rd year pathology knowledge is required.
Pharmacology and Toxicology
Pharmacology is the study of drug action. It is the study of the interactions that occur between a living
organism and chemicals that affect normal or abnormal biochemical function. If substances have
medicinal properties, they are considered pharmaceuticals. The field encompasses drug composition
and properties, interactions, toxicology, therapy, and medical applications and antipathogenic
capabilities. The two main areas of pharmacology are Pharmacodynamics and Pharmacokinetics. The
former studies the effects of the drugs on biological systems, and the latter the effects of biological
systems on the drugs. In broad terms, Pharmacodynamics discusses the interactions of chemicals with
biological Receptors, and Pharmacokinetics discusses the absorption, distribution, metabolism, and
excretion of chemicals from the biological systems. Pharmacology is not synonymous with pharmacy,
which is the name used for a profession, though in common usage the two terms are confused at
times. Pharmacology deals with how drugs interact within biological systems to affect function. It is
the study of drugs, of the reactions of the body and drug on each other, the sources of drugs, their
nature, and their properties. In contrast, pharmacy is a biomedical science concerned with
preparation, dispensing, dosage, and the safe and effective use of medicines.
Teachers:
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dr hab. n. med. Grzegorz Grześk
prof. dr hab. n. med. Leszek Szadujkis-Szadurski
dr n. med. Tomasz Kornatowski
dr n. med. Marek Krzyżanowski
dr n. med. Anna Witkowska
dr n. med. Ahmad Sinjab Thabit
dr n. med. Katarzyna Szadujkis-Szadurska
dr n. med. Rafał Szadujkis-Szadurski
dr n. med. Michał Wiciński
lek. Grzegorz Matusiak
Contact: kizfarmak@cm.umk.pl
Syllabus
I.
Name of the unit offering the course: Pharamcology and Therapy.
II.
Head of the unit: MD, PhD, EC. Grzegorz Grześk.
III.
Faculty of Medicine, Medical Program, year 4th
IV.
Course coordinator: MD, Ph D, EC. Grzegorz Grześk.
V.
Form of classes (tutorials / seminars/ lectures): lectures, tutorials and seminars.
VI.
Form of crediting:
Lectures: Exam, 5 ECTS points
Tutorials: TEST
VII.
Number of hours: tutorials – 30 hours, seminars - 15hours
VIII.
Aim of the course:

Understanding the mechanism of action of drugs, their use;

Understanding the mechanism and effects of drugs with particular emphasis on therapeutic
activities, adverse reaction (side effects), toxicity, teratogenic and carcinogenic effects;

Assimilate the principles of reasonable therapy and evaluation of drug action, analysis of the
risks and benefis;

IX.
Understanding paths of drug dosing, pharmacokinetic basics and principles of drug dosing.
Topics of lectures/ tutorials/ seminars
Seminars and tutorials:
A) Glucocorticoids and non-steroidal anti-inflammatory drugs (NSAIDs or NAIDs).
B) Calcium channel blockers:

Phenylalkylamine derivatives: Verapamil, Gallopamil, Tiapamil, Anipamil, Levemopamil;

Benzodiazepine derivatives: Diltiazem,Clentiazem, Diclofurmine;

1,4 – Dihydropyridine derivatives: Nifedipine, Nicardipine, Nifludipine, Nimodipine,
Nitrendipine, Nisoldipine, Azidopine, Felodipine,
Isradipine;

Other: Flunarizine, Cinnarizine, Lidoflazine, Bepridil, Prenylamine.
C) Angiotensin-converting enzyme inhibitors and angiotensin receptor antagonists AT1 and AT2.
D) Drugs for respiratory:
 Drugs affecting respiration;

Drug for bronchial asthma;

Expectorants, mucolytics and expectorants drugs;
E) Drugs acting on the cardiovascular system:
 Drugs affecting heart function;
 Drugs affecting the vascular system;

Anti-atherosclerosis drugs;

Drugs affecting coagulation (drugs affecting the coagulation cascade), antiplatelet drugs and
fibrynolitic drugs;
Drugs affecting homeostasis;

F) Drugs acting on the urinary system:

Diuretic, Loop diuretic;

Drugs acting on proximal part of distal tubule;

Potassium-sparing drugs (potassium-sparing diuretics): Spironolactone, Triamterene and
Amiloride;

Osmotic diuretics (changing urine pH).
G) Drugs acting on the gastrointestinal tract/alimentary system:

Drugs that inhibit acid secretion;

Antacids are stomach acid neutralizers;

Drugs that protect the mucosa;

Emetics and antiemetic;

Drugs acting on the bowel motility;

Drugs acting on the bile ducts.
H) Drugs acting on the nervous system:

Topical anesthetic

Analgesics

Anesthetic drugs
I)
Anxiolytic (also antipanic) and sedative drugs:

Benzodiazepines

Benzodiazepine antagonist

Buspirone

Barbituratem
J) Antipsychotics:
 Neuroleptics typical:

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
Phenothiazines
Butyrophenones
Thioxanthenes
 Neuroleptics atypical.
K) Drugs used in affective disorders:

Tricyclic antidepressants: Imipramine, Desipramine, Amitriptyline, Clomipramine;

Selective serotonin reuptake inhibitors (SSRI): Fluoxetine, Fluvoxamine, Paroxetine,
citalopram;


Serotonin-norepinephrine reuptake inhibitors (SNRIs): Duloxetine, Milnacipran, Venlafaxine;

Monoamine oxidase inhibitors (MAOIs) - MAO-A and MAO-B:
First generation:
Non-selective irreversible - Iproniazid, Tranylcypromine, Phenelzine;
 Second generation:
Selective irreversible - Clorgyline, Deprenyl;
 Third generation
Selective reversibly.
L) Epilepsy drugs:
Medications Used to Treat Parkinson's Disease.
M) Basic principles of chemotherapy:

Cancer chemotherapy;

Antibacterial drugs.
1) β -Lactam Antibiotics;
2) Antibiotics that Inhibit Protein Synthesis;
3) Antimycobacterial:

Antivirals;

Antifungals
N) Cytokinez:

Interleukin;

Colony growth factors;

Erythropoietin;

Interferons.
O) Individual variability and drug interactions, drug poisoning.
P) TEST.
X.
Self study topics - none
XI.
Booklist
XII.
Detailed list of required practical skills and confirmation of completing
STUDENT COMPETENCY CARD
COURSE SYLLABUS: PHARMACOLOGY AND TOXICOLOGY
MEDICAL FACULTY – 4TH YEAR OF STUDY
Students name/surname: .........................................................................................................
Practical assessment
Elaboration of therapeutics
strategies- filling prescriptions
on medicines and magistral
preparation in present disease
entity.
Determination of antiepileptic
drugs concentrations of.
Analysis of the results.
Elaboration of strategies for
drugs dosing in renal failure
and liver and chronic
circulatory failure.
Interactions elimination of
polipharmacotherapy.
Date of pass
Instructor’s
Confirmation
Remarks
Rules and regulations
Skin and Veneral Diseases
Our mission is to provide patient care, perform basic and clinical research in dermatology and
to conduct training program for residents and students. The Clinic consists of the ward and
following outpatient clinics: Basic Dermatology, Photobiology, Cutaneous Lymphomas,
Bullous Diseases, Connective Tissue Diseases and Disorders of Pigmentation. We have also
modern laboratories: Dermatopathology, Immunodermatology, Molecular Biology of the Skin
and Ultrasonography of the Skin. Our students are engaged in the daily routine in ward and
diagnostic laboratories as well as in outpatient clinics. Scientific investigation are mainly
focused on disorders of pigmentation and skin neoplasms.
The main objectives of the education is providing the essential theoretical knowledge and
practical skills corresponding to the standards adopted in European Union in the field of skin
and venereal diseases in general practice.
Teachers:
dr hab. n. med. Rafał Czajkowski
dr n. med. Dariusz Grzanka
dr n. med. Luiza Marek-Józefowicz
dr n. med. Marek Jankowski
lek. med. Ewa Stypczyńska
lek med. Czanita Cieścińska
lek. med. Sebastian Kaszewski
mgr. Tadeusz Tadrowski
Contact: kikderm@cm.umk.pl
Syllabus
I.
Course name: Skin and Veneral Diseases / Choroby skórne i weneryczne
II.
Name of the Unit offering the course: Chair and Clinic of Dermatology, Sexually
Transmitted Diseases and Immunodermatology
III.
Course offered to: English Division Medical program, 4th year
IV.
Course code: 1655-LE4CHSW-J
V.
Erasmus code: ?
VI.
ECTS credits: 5 ECTS points
VII.
Assessment: written exam test and practical skills examination
VIII.
Language of tuition: English
IX.
Repeated assessment : no
X.
Group of courses: ?
XI.
Study time: 30h of lectures, 60h of practical training
XII.
Results of tuition – knowledge: knowledge of the anatomy and physiology of the skin and
genitals. Knowledge of etiology, epidemiology, symptoms, differential diagnostics and treatment of
the common dermatological disorders including viral, bacterial, fungal and parasitis skin
infections; sebaceous glands disorders; psoriasis; allergic skin diseases ; leg ulcers; lichen
planus ; erythematous diseases; autoimmune bullous diseases and connective tissue
diseases; granulomatoid disorders, tumors of the skin
Knowledge of etiology, epidemiology, symptoms, differential diagnostics and treatment of the most common
sexually transmitted diseases
XIII.
Results of tuition – practical skills: ability to take medical history, to perform dermatological
examinations and to differentiate skin lesions; ability to plan diagnostic procedures (bacteriological,
serological, mycologic, histologic and immunohistochemic) and proper interpretation of results;
ability to plan the systemic treatment (dose selection, monitoring of the treatment) and topical
treatment including contraindications ability to qualify and determine the dose (UVA, UVB, UVB
311) in irradiated patients; ability to assess dermoscopy images
XIV.
Results of tuition – social skills: ability to communicate withthe patient with regard to medical
history taking; ability to to communicate with the patient with regard to sexual health issues
XV.
Teaching methods: lectures, medical rounds, patient examination, case discussion
XVI.
Prerequisites: passed exam and good command of Anatomy, Histology and Genetics
XVII.
Abbreviated course description: The main aim of the course is to provide the essential
theoretical knowledge and practical skills corresponding to the standards adopted in
European Union in the field of skin and venereal diseases in general practice
XVIII.
Full course description:
Lectures topics:
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Basic skin lesions - Semiotics of skin diseases
Viral skin infections
Fungal skin infections
Parasitic skin infestation
Bacterial skin diseases
Sebaceous glands disorders
Psoriasis
Allergic skin diseases
Leg ulcers
Lichen planus
Erythematous diseases
Bullous diseases
Connective tissue diseases
Tuberculosis and sarcoidosis
Benign tumors of the skin
Premalignancies and malignant tumors of the skin
Syphilis
Other sexually transmitted diseases
Skin symptoms in AIDS
Practical training topics:
 Dermatological examination of the patient with the differentiation of skin lesions
 Dermoscopy procedure and examination of nevi
 Skin tests in dermatological practice
 Phototherapy in dermatology
 Basic immunological diagnosis of the skin
 Mycology and trichology
 Laboratory tests in venereal diseases
 Histopathological examination of skin samples
Self study topics:
 Ability to take patient medical history
 Preparation a patient medical history
XIX.
Booklist:
Thieme Clinical Companions. Dermatology. Wolfram Sterry, Walter Burgdorf, Ralf Paus; Thieme 2006.
Fitzpatrick's Color Atlas and Synopsis of Dermatology, 6th edition, Klaus Wollf, Richard Allen Johnson,
McGraw-Hill
Braun-Falcos Dermatology 3rd edition 2008, Walter Burgdorf; Springer Verlag
XX.
Assessment criteria:

according to the attached Practical Skills Card 'Skin and venereal diseases'

compliance with Occupational Health and Safety regulations

Final term to receive positive grade of non-passed tests is one day before the end of
training.
Absence from training (for explicable reasons) student may make up with the next group
after consultation with Head of Unit, assistant professor or assistant.
Evaluation of patient medical history takes place during the training.
Evaluation of medical history at a later date (after the end of training) is impossible.
The examination of the subject of skin and venereal diseases consist of practical and final
theoretical (test) exams.
Students take a practical exam on the last day of the training. Examiner might be Head of
Unit, assistant professor or assistant.
Students with average grade = 5.0 (tests, practical exam) are eligible to take final theoretical
exam as a “pre-term exam” (term zero).
“Pre-term exam” (oral exam) is made during the practical exam or during the first week after
the end of training in skin and venereal diseases.
Other students take a first term of final test exam at a date consulted with Head of Unit
According to the regulations, by the end of re-sit examination session, student must pass a
theoretical exam and this might be noted in personal student’s index.
General and detailed regulations of Occupational Health and Safety (OHS) required for the
teaching process in the unit. On the first day of the training students are informed about
regulations of OHS. Emergency exit is presented to students. This is mandatory that student
must comply with OHS regulation students are required to use protective clothing such as
aprons and footwear and disposable gloves (when performing diagnostic and therapeutic
procedures). Training taking place in patient’s rooms, and specialized labs: Dermoscopy,
Phototherapy, Immunology, Mycology, Venerology and Histopatology. Safety instruction and
manual of diagnostic equipment which is in the lab rooms is given to students during the
training.
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XXI.
Internship required: no
Name/Surname of student: …………………………………………..………………...
The year of study; group: ………………..
Academic year: ………………..
type of practical skills
Test I (anatomy and physiology of the skin and genitals)
Test II Dermatology - primary and secondary skin lesions; bacterial,
viral, parasitic and fungal skin infections
Ability to take medical history, to perform dermatological
examinations and to differentiate skin lesions.
Test III Dermatology - selected diseases of the skin
1.
2.
3.
4.
Test IV
The ability to plan diagnostic procedures (bacteriological,
serological, mycologic, histologic and immunohistochemic)
and proper interpretation of results.
The ability to plan the systemic treatment (dose selection,
monitoring of the treatment) and topical treatment
including contraindications.
The ability to qualify and determine the dose (UVA, UVB,
UVB 311) irradiated patients.
The ability to assess dermoscopy images
Venerology - the most common sexually transmitted diseases
The ability to perform diagnostic and therapeutic procedures in
selected sexually transmitted diseases.
Medical History
Average grade (tests)
PRACTICAL EXAM
THEORETICAL TEST EXAM
date of
completing
confirmation by a
person qualified
grade
Rules and regulations
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


Final term to receive positive grade of non-passed tests is one day before the end of
training.
Absence from training (for explicable reasons) student may make up with the next group
after consultation with Head of Unit, assistant professor or assistant.
Evaluation of patient medical history takes place during the training.
Evaluation of medical history at a later date (after the end of training) is impossible.
The examination of the subject of skin and venereal diseases consist of practical and final
theoretical (test) exams.
Students take a practical exam on the last day of the training. Examiner might be Head of
Unit, assistant professor or assistant.
Students with average grade = 5.0 (tests, practical exam) are eligible to take final
theoretical exam as a “pre-term exam” (term zero).
“Pre-term exam” (oral exam) is made during the practical exam or during the first week
after the end of training in skin and venereal diseases.
Other students take a first term of final test exam at a date consulted with Head of Unit
According to the regulations, by the end of re-sit examination session, student must pass
a theoretical exam and this might be noted in personal student’s index.
General and detailed regulations of Occupational Health and Safety (OHS) required for the
teaching process in the unit:
On the first day of the training students are informed about regulations of OHS. Emergency exit is
presented to students. This is mandatory that student must comply with OHS regulations.
Students are required to use protective clothing such as aprons and footwear and disposable
gloves (when performing diagnostic and therapeutic procedures). Training taking place in
patient’s rooms, and specialized labs: Dermoscopy, Phototherapy, Immunology, Mycology and
Venerology. Safety using and manual instruction of diagnostic equipment which is in the lab
rooms is given to students during the training.
Hygiene and epidemiology
Epidemiology is considered to be the essential science of public health. Epidemiology is a quantitative
basic science built on a working knowledge of medical statistics and a method of casual reasoning
based on developing and testing hypotheses pertaining to occurrence and prevention of morbidity and
mortality. Epidemiology is also a well known tool for public health action to promote and protect the
public's health based on science casual reasoning, and dose of practical common sense. Applied
epidemiology areas are the monitoring of reports of communicable diseases in the community in all
known aspects.
Teachers
dr hab. n. med. Jacek J. Klawe, prof. UMK
dr n. med. Paweł Zalewski
dr n. med. Małgorzata Andrzejewska
dr n. med. Małgorzata Szady-Grad
lek. med. Roman Graczykowski
Contact: dr n. med. Paweł Zalewski e-mail: p.zalewski@cm.umk.pl
Syllabus
I.
Department of Hygiene and Epidemiology.
II.
Head of the Department: Dr hab. n. med. Jacek J. Klawe, prof. UMK.
III.
Faculty of Medicine, year: fourth.
IV.
Programme Tutor: dr hab. n. med. Jacek J. Klawe, prof. UMK.
V.
Lectures and tutorials.
VI.
Assessment: written reports and final written test, 2 ECTS points.
VII.
Subject hours: Lectures 20h, tutorials 40h.
VIII.
Aims of the Course:
Lectures:
1.
The aim of the hygiene and epidemiology course is to provide the students with an overview
of the principles and concepts of hygiene and epidemiology with a brief introduction into the clinical
epidemiology.
Tutorials:
1.
Measuring disease frequency.
2.
Describing patterns of disease occurrence.
3.
Investigating outbreaks of disease.
4.
Assessing the utility of diagnostic tests.
5.
Identifying the causes of diseases.
6.
Predicting the outcome of illness.
7.
Summarizing evidence on clinical questions.
IX.
Topics of lectures / tutorials:
Lectures:
1.
Introduction to hygiene and epidemiology.
2.
Fundamentals of medical epidemiology. Condition of health status.
3.
Polish and European Sanitary and Epidemiology Inspector bodies and organs.
4.
Water and food sanitation – EEA and international regulations.
5.
Air as an element of natural human environment.
6.
Hygiene and sanitary control.
7.
Principle and practise of health promotion
8.
Communicable disease control.
9.
Nutrition and epidemiology. GMO, food policy and applied nutrition
10.
Introduction to public health. Social determinants of health.
11.
Basics of health management. Globalisation and health
12.
Epidemiological situation in Poland, Europe and in the World.
13.
Epidemiology of infectious and non-infectious diseases. Hospital infections.
Tutorials:
1.
Working environment: ionizing radiation, electromagnetic radiation, noise and pollution.
Measuring of disturbance factors in working environment.
2.
Drinking water standards. Meaning of water in human household. Hygienic estimation of
water, estimation norms. Water pollution.
3.
Soil parameters measuring. Main role of soil distribution of disease. Hygiene of food and
nutrition. Food distribution in sanitary aspects. Characteristics of products group and their nutritional
property. Lack of nutrition. Main role of food distribution in disease control.
4.
Physical, chemical and biological factors and their influence on children and adults. School
environment hygiene and epidemiology. Health risks among children.
5.
Epidemiological research methods. Demography and sociology in epidemiological aspects.
6.
Medical statistics. Statistical method in epidemiology. Evidence Based Medicine. Medical and
epidemiological data bases. Medical documentation.
7.
Written report on a selected topic.
X.
Self-study topics: Studying professional literature.
XI.
Literature:
Basic:
1. Essential Epidemiology: An introduction for Students and Health Professions (Essential Medical
Texts for Students and Trainees) by Penny Webb and Chris Bain
2. Epidemiology, Biostatistics and Preventive Medicine: With STUDENT CONSULT Online Access, 3 e
by James F. Jekel MD MPH, David L. Katz MD MPH, Dorothea Wild MPH Dr Med and Joann G.
Elmore MD MP.
3. Bonita R, Beaglehole R, Kjellstrom T. Basic epidemiology. WHO 2006, 2nd edition.
4. Grrnberg RS, Daniels SR, Flanders WD. Medical epidemiology. New York: McGraw-Hill Companies,
Inc; 2001.
5. Mayhall CG. Hospital epidemiology and infection control. Philadelphia: Lippincott Williams &
Wilkins; 2004.
6. Rothman KJ, Grrenland S. Modern epidemiology. Philadelphia: Lippincott Williams & Wilkins; 2008.
Additional:
7. Bailey L, Vardulaki K, Langhman J. Introduction to Epidemiology (Understanding Public Health.
London: Open University Press, 2005.
8. Bruce N, Pope D. Quantitative Methods for Health Research: A Practical Interactive Guide to
Epidemiology and Statistics. London: Willey-Blakwell; 2008.
XII.
List of practical skills of completing:
1.
Describe the main uses of epidemiology.
2.
Develop a research question from a health-related problem.
3.
Write an outline protocol for a given study question.
4.
Explain the basic statistical measures and concepts underlying the analyses of
epidemiological data.
5.
Iidentifying factors that suggest a disease has an infectious cause.
6.
Understanding practical applications of epidemiological methods through the study of
research papers on specific diseases.
7.
Understanding key epidemiological concepts in the study of three infectious diseases of
global health importance: HIV/AIDS, tuberculosis and malaria.
8.
Understanding the rationale for a life-course approach to the etiology of non-communicable
diseases.
Rules and regulations
Information about the course:
The coursework of Hygiene and Epidemiology includes 20 hours lectures and 40 hours of exercises
conducted during one semester. It is ended with the Final Exam (test). The final test will be timed in
the schedule of session.
Obligatory textbooks:
Bonita R, Beaglehole R, Kjellstrom T. Basic epidemiology. WHO 2006, 2nd edition.
Grrnberg RS, Daniels SR, Flanders WD. Medical epidemiology. New York: McGraw-Hill Companies,
Inc; 2001.
Mayhall CG. Hospital epidemiology and infection control. Philadelphia: Lippincott Williams
& Wilkins; 2004.
Rothman KJ, Grrenland S. Modern epidemiology. Philadelphia: Lippincott Williams & Wilkins; 2008.
Additional textbooks:
Bailey L, Vardulaki K, Langhman J. Introduction to Epidemiology (Understanding Public Health.
London: Open University Press, 2005.
Bruce N, Pope D. Quantitative Methods for Health Research: A Practical Interactive Guide to
Epidemiology and Statistics. London: Willey-Blakwell; 2008.
Requirements:
1. Students are obliged to prepare the part of material for each exercises from the topic.
2. The exercises and lectures are obligatory. In the case of the illness a sick leave has to be delivered.
Other absences due to important reason must be documented.
3. Two unjustified and undocumented absences make it impossible to pass the semester and take
the Final test.
4. Each Student is obliged to come for the exercises and lectures on time. Delayed Students can
enter the class only if the time of delaying does not exceed 15 minutes from the moment a exercises
has been started.
5. In the case of absence or delay (more than 15 minutes) the Student is obliged to pass the material
which was covered during the exercises within 2 weeks.
6. Eating, drinking and using mobile phones during the exercises are prohibited.
Final Exam:
1. Students can take the Final Exam on condition that they pass the exercises (tutorials).
2. The Final Exam consists of open-answer writing test.
3. Students who failed the Final Exam are obliged to retake the test.
4. The final scores of the Final Exam are not changeable.
5. An excuse for absence should be submitted to the examiner the next day, or in justified
circumstances, within three days after the Final Exam.
6. The Final Exam will be assessed according to given marks:
(Fail)- less than 60%
(3,0)- 60%
(3,5)- 65%
(4,0)- 70%
(4,5)- 80%
(5,0)- 90%
Internal diseases-cardiology
The topics of the classes and seminars cover the commonest cardiologic diseases occurring in the
general population. Students are taught and explained how to take patients’ medical history and to
perform physical examination. Special care is given to teach the students how to comprehend
isolated clinical symptoms and connect them together to form a clinical plot leading to establishing
final diagnosis. Prior conversance with physiology and pathophysiology of the cardiovascular system
is necessary for understanding of the discussed issues. To successfully work with patients students
also need a basic knowledge of general diagnostics provided during the third year of the studies.
Teachers:
dr med. Wojciech Krupa
dr med. Eliano Pio Navarese
dr Tomasz Fabiszak
mgr Konrad Kopacz
Contact: kikkardiol@cm.umk.pl
Syllabus
I.
Chair and Clinic of Cardiology and Internal diseases
II.
Head of the unit: Prof. dr hab. Jacek Kubica
III.
Faculty of Medicine, 4th year
IV.
Course coordinator Prof. dr hab. Jacek Kubica
V.
Form of classes : tutorials, seminars
VI.
Form of crediting – credit with grade, 5 ECTS points
VII.
Number of hours : 30 seminars, 60 tutorials
VIII.
Topics of the classes:
Seminars – 12:15 p.m. – 02:00 p.m.
Topics of seminars:
1. Electrocardiography basics – part 1. (dr Wojciech Krupa)
2. Electrocardiography basics – part 2. (dr Wojciech Krupa)
3. Atherosclerosis – risk factors, prevention, vascular consequences of atherosclerosis
(dr Eliano Navarese)
4. Stable angina (dr Eliano Navarese)
5. Acute coronary syndromes without ST-elevation (dr Eliano Navarese)
6. Acute coronary syndrome – ST-elevation myocardial infarction (dr Eliano Navarese)
7. Acute heart failure – shock and pulmonary oedema (dr Eliano Navarese)
8. Chronic heart failure (dr Eliano Navarese)
9. Valvular heart diseases – aortic stenosis and aortic insufficiency, mitral stenosis and mitral
insufficiency (dr Eliano Navarese)
10. Infective endocarditis – (dr Eliano Navarese)
11. Arrhythmias – atrial fibrillation (dr Eliano Navarese)
12. Sudden cardiac death (dr Eliano Navarese)
13. Pulmonary embolism (dr Eliano Navarese)
14. Primary cardiomyopaties: hypertrophic cardiomyopathy, dilated cardiomyopathy,
constrictive cardiomyopathy (dr Eliano Navarese)
Seminars – 11:15 a.m. – 12:00 (noon)
The topics:
1st Week
Monday: Physical examination – brief review
Tuesday: Cardiac murmurs –
Wednesday: Non –invasive tests in cardiology – ECG exercise test
Thursday: Non –invasive tests in cardiology – echocardiography
Friday: Non –invasive tests in cardiology – Holter ECG
2nd Week
Monday: Drugs in cardiology: Antiplatelet drugs
Tuesday: Drugs in cardiology: Beta-blockers
Wednesday: Drugs in cardiology: Angiotensin converting enzyme inhibitors
Thursday: Drugs in cardiology: Anticoagulants and antithrombotic drugs
Friday: Lipid disorders – the role and use of statins
3rd Week
Monday: Rehabilitation in cardiology – specificity of postinfarction rehabilitation
Tuesday: ECG training
Wednesday: ECG training
Thursday: ECG training
IX. Booklist
the newest edition of “Internal Diseases” by Harrisson and al. Individual textbook
RULES AND REGULATIONS
Didactic regulations for the 4th year students of the Medical Faculty
A. Department name – The Department of Cardiology and Internal Diseases
B. Head of Department – Professor Jacek Kubica MD, PhD
C. The name of the object of the study – internal diseases – cardiology
1. The cardiology classes will be provided for 3 weeks (15 working days). They consist of
practical classes and seminars.
The
practical classes (bedside teaching) are held from 08:00 a.m. to 11:00 a.m. in The
Department of Cardiology.
The seminars are delivered in The Main Library building from 11:15 a.m. to 02:00 p.m. in
two time-blocks split by a 15-minute break (from noon to 12:15 p.m.). Schedule and
topics of the seminars as well as room numbers where they will take place are showed
separately.
2. For the practical classes the students come with their own white coats, protective shoes
and stethoscopes.
3. The main focus of the practical classes is teaching how to take medical history and
perform physical examination of patients. All topics and skills to be covered, which
students are expected to be familiar with by the end of their training in the Department
of Cardiology and Internal Disease are outlined and summarized in “Student`s practical
skills syllabus”.
4. When coming to seminars, students are expected to be initially conversant with the
discussed topics. The recommended reference text-book is the newest edition of
“Internal Diseases” by Harrisson and al. Individual textbook – and other resourses-based
learning is strongly encouraged as the seminars do not cover the entire spectrum of
knowledge required to be mastered by the students.
5. Daily attendance at classes and seminars is mandatory. Each case of absence requires
presenting a legitimate excuse. For absence periods exceeding one day students have to
make up by doing extra hours (specific timeframe to be accepted by the academic
assistant).
6. At the end of the cardiology course, knowledge of theory and practical skills will be
tested with a written test exam consisting of 30 questions (10 short clinical case reports
and 3 questions to each of them).
7. Non-passers are allowed to take a resit examination – timeframes and details to be
discussed with The Head of department.
Internal medicine - Gastroenterology
Students become aware in such issues as definition, incidence, etiology, pathogenesis, clinical
symptoms, differential diagnosis and application of additional diagnostic tests in proper diagnosis and
planning treatment of gastrointestinal system diseases. Practicals (clinical classes) are dedicated to
improve student’s skills in medical history obtaining, physical examination, endoscopic examinations
interpretation, planning and interpretation of additional diagnostic laboratory, biochemical and
radiographic tests, planning of therapy, including pharmacological and dietetic treatment in patients
with gastrointestinal diseases. Students will be trained in performing ultrasonographic examinations,
paracentesis in cases of ascites. Students should have enough knowledge from basic sciences, like
anatomy, physiology, biochemistry, pathology, biochemical diagnostic procedures and radiographic
methods of gastrointestinal tract diseases diagnosis.
Teachers: Jarosław Koza
Contact: (kikgast@cm.umk.pl, jaroslaw.koza@cm.umk.pl )
Syllabus
I. Chair and Clinic of Gastroenterology, Vascular Diseases and Internal Diseases
II. Head of the Unit: prof. dr hab. Maciej Świątkowski
III. Faculty of Medicine, Medical Program, fourth year
IV. Course coordinator: prof. dr hab. Maciej Świątkowski
V. Form of classes: seminar, exercise
VI. Form of crediting: credit with grade, 1 p. ECTS
VII. Number of hours: 16 hours of seminars, 30 hours of exercises , total: 46 hours
VIII. Aim of the course:
Seminars:
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of esophageal diseases, including functional diseases
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of gastric and duodenum diseases
Improvement of diagnostic methods in functional gastrointestinal diseases; high resolution
manometry and pH-impedance measure
The main subject is the presentation of small bowel diseases as the reason of malabsorption
syndrome, with the explanation of anatomic, physiologic and pathologic basis, as well as the results
of radiologic and other additional examinations results
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of colon diseases. Screening for colorectal cancer.
-
Functional gastrointestinal tract diseases, healthcare costs, medical point of view
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of liver diseases
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of gallbladder and biliary tract diseases
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of pancreas diseases
Interventional procedures in gastrointestinal bleeding from upper and lower part of the
digestive tract, chronic bleeding and secondary anemia
Indications, contr-indications and side effects or endoscopic examinations og the lower and
upper part of the digestive tract
Indications, contr-indications and side effects or endoscopic retrograde
cholangiopancreatography, as the diagnostic and therapeutic method in pancreatic and biliary tract
diseases in comparison with surgery methods. Fine needle aspiratory biopsy from changes in
gastrointestinal organs
Repetition of main symptoms and reasons of abdominal pain, dysphagia, nausea, diarrhea,
constipation, jaundice and ascites
-
Interpretation and practical application of laboratory test results in digestive tract diseases
Role of additional oral and intravenous nutrition in the treatment of gastrointestinal tract
diseases
Classes (practicals) conducted in gastroenterology and interventional medicine departments,
outdoor patient department and laboratories are dedicated to:
Examinations of patients with upper gastrointestinal tract diseases, diagnostic procedures,
treatment, observation, follow-up in outpatient department
Examinations of patients with lower gastrointestinal tract diseases, diagnostic procedures,
treatment, observation, follow-up in outpatient department
Examinations of patients with liver diseases, diagnostic procedures, treatment, observation,
follow-up in outpatient department
Examinations of patients with pancreatic and biliary tract diseases, diagnostic procedures,
treatment, observation, follow-up in outpatient department
Taking part in endoscopic examinations of upper and lower gastrointestinal tract, taking care
of patient during the whole procedure
Methods of biological treatment (anty-TNF) of gastrointestinal tract diseases, screening of
colorectal cancer: indications, compliance
After completing the course of gastrointestinal tract diseases (lectures, seminars) student is able to:
-
Name, define and diagnose diseases and syndromes of gastrointestinal tract
-
Plan and interpret the results of additional tests
-
Plan additional invasive examinations of the digestive tract
-
Recognize patients with alarm symptoms
-
Recognize acute cases which should be hospitalized
-
Plan screening procedures to recognition and follow-up of pre-cancer cases
-
Plan out-patient treatment and follow-up
Student is able to:
-
Use theoretical knowledge to take care of patients with gastrointestinal tract diseases
Plan and interpret additional examinations (laboratory, radiographic) to prepare proper
diagnosis
Discus about differential diagnosis of typical symptoms of gastrointestinal symptoms
diseases
Conduct interpretation of medical history and medical documentation to propose a proper
diagnosis
-
Use data from carefully conducted anamnesis to the final diagnosis
Use all methods of physical examination in gastrointestinal tract diseases diagnostic
procedures
Present all obtained data and discuss the case report, diagnostic procedures and treatment
strategies
Rules and regulations
Student is obliged to:
-
Wear medical gown, shoes and have stethoscope during clinical trainings
-
Pass the initial test checking the knowledge from the previous learning years
-
Pass the exam of theoretical knowledge and physical examination
-
Work out and present one medical case
-
Pass final test
-
Attend every lecture, class and workshops during entire course and show adequate activity
-
Absence with the written excuse will be executed by additional activity
The final credit (credit with grade) depends on all above mentioned components.
Literature
Harrison’s Principles of Internal Medicine - 18th Edition, editors Dan L. Longo et al., Mc Graw Hill
Medical
Internal diseases - Endocrinology and diabetology
The course includes 16 hours of seminars and 32 hours of exercises conducted during 7 days. Topics of
seminars are concerned with the most frequent diseases of endocrine system, including diabetes. The
aim of the course is to provide students with the knowledge about clinical symptoms, diagnosis and
current treatment of endocrine diseases. During exercises students have the opportunity to use this
knowledge in clinical practice and to acquire or improve practical skills.
Teachers:
prof. dr hab. Roman Junik
dr n.med. Agata Bronisz
dr n. med. Marcin Gierach
dr n. med. Anna Kamińska
lek. med. Małgorzata Szafrańska
Contact: dr n. med. Anna Kamińska amikam@wp.pl
Syllabus
I.
Department of Endocrinology and Diabetology
II.
Head of the Unit: prof. Roman Junik, M.D.
III.
Faculty of Medicine, Medical Program “Endocrinology and diabetology (in Internal
Diseases)”, year IV
IV.
Course coordinator: prof. Roman Junik, M.D.
V.
Form of classes: seminars, practical exercises
VI.
Form of crediting: credit with grade, 2 p. ECTS
VII.
Number of hours: seminars: 16 hours, exercises: 32 hours
VIII.
Aim of the course:
The ability of critical assessment of symptoms typical for endocrine diseases
The development of students’ communication skills (with patients and their
families) in order to provide proper diagnostic and therapeutic process
The improvement of technique of physical examination
The knowledge of basic therapeutic methods and the ability of assessment of their
effectiveness
The acquirement and improvement of practical skills (point XII)
IX.
Topics of seminars
1. Definition, symptoms and classification of diabetes mellitus. Pathomechanism of type
1 diabetes mellitus. Diagnosis, goals of treatment, criteria of good metabolic control.
Autoimmune polyglandular syndromes.
2. Type of insulins. Insulin treatment in type 1 and type 2 diabetes mellitus
(conventional insulin therapy, temporary insulin therapy, intensive functional insulin
therapy). Elementary problems of insulin therapy.
3. Acute metabolic complications of diabetes; definition, causes, diagnosis and
treatment of : hypoglycaemia, diabetic ketoacidosis, hyperosmolar non-ketotic
hyperglycaemia, lactic acidosis. Peri-operation care of patient with diabetes.
4. The hypothalamic – pituitary axis. Diseases of hypophysis. Osteoporosis.
5. Disorders of the parathyroid glands. Diseases of the adrenal glands.
6. Emergency in endocrinology. Neoplasms of endocrine glands. Menopause.
Gynaecomastia. Testes dysfunction.
7. Androgenesis syndromes: polycystic ovary syndrome (PCO), hirsutism, virilization,
congenital enzymatic deficiencies. Nutrition disorders (anorexia and bulimia
nervosa).
X.
Self-study topics
Clinical course, diagnosis and treatment of diseases discussed during practical exercises
XI.
Booklist
Basic:
J. Larry Jameson: Harrison’s Endocrinology, 2nd edition, Mc Graw Hill Medical, 2010
Additional:
D.R. Meeking: Understanding Diabetes & Endocrinology – a problem oriented
approach, Manson Publishing Ltd., 2011
A. Syrenicz: Endocrinology in clinical practice, Copyright by Pomeranian Medical
University in Szczecin, 2011
S. Melmed : Williams Textbook of Endocrinology, 12th edition, W.B. Saunders
Company, 2011 (selected chapters)
XII.
Detailed list of required practical skills
The assessment record
Name, surname:
Year of the study:
group number:
Academic year:
Practical skill
Date
Confirmation
(signature)
The interpretation of the results of
hormone concentrations
The interpretation of ultrasound
examination of thyroid gland
The interpretation of oral glucose tolerance
test (OGTT)
The composition of diet for the patient with
diabetes
Confirmation of completing
Comments
Obtainment of a credit is confirmed by the entry in a Student Record Book, in a term results card and
in the credit protocol.
Rules and regulations
I.
Form of crediting – credit with grade. The conditions of obtaining the credit:
-passing entrance colloquium (obtaining positive mark)
-obtaining the credit of all seminars and classes
-obtaining positive mark for description or presentation of case record
- passing the final colloquium (positive mark).
Final mark will be calculated as arithmetic mean from marks for entrance and final colloquium and
case record.
II.
Form of crediting the seminars and exercises
During seminars and exercise student’s knowledge is systematically verified by assistants.
The conditions of crediting the seminars and exercises:
a. active participation in all seminars and exercises
b. the acquirement of practical skills (as shown in assessment record)
c. obtaining positive mark for description or presentation of case record.
III.
-
Form and conditions of passing colloquium
The entrance colloquium is carried out during first day of the course and has written form (3
questions concerning with anatomy and physiology of endocrine system). Topics for entrance
colloquium will be hung on the board in the Department of Endocrinology and Diabetology at
least 2 weeks before the course. If the student fails colloquium, re-sit colloquium will be carried
out during the first week of the course by assistants.
-
The final colloquium is a 10-questioned test and is carried out in the last day of the course. In
individual cases the date of final colloquium may be delayed. If student fails the colloquium,
he/she has the right to re-sit it. Re-sit colloquium takes place in one term for all students from IV
year. The date of re-sit colloquium should be established with the Head of the Unit.
Marks:
100% of right answers – 5,0
90% of right answers – 4,5
80% of right answers – 4,0
70% of right answers – 3,5
60% of right answers – 3,0
Less than 60% - fail
- Failing re-sit colloquium results in failing the whole course. If the mean mark (from entrance
colloquium and case record) is lower than 4,0, the student must repeat the whole course.
IV.
Form of exam
The course “Internal diseases” is ended with the exam at the end of summer semester of 5th year of
studies. The conditions of passing the exam are resolved in separate regulations.
V.
Rules of make-up the classes missed
The participation in seminars and classes is obligatory. Students who were absent should participate
in seminars and classes with another group. If it is not possible due to organizational reasons,
alternative form of make –up the classes missed is the participation in emergency service (1 hour for
one hour missed). The participation in emergency service should be approved by physician on duty.
In case of absence on seminar student is obliged to pass the colloquium that covers the material
which was presented during the seminar. The colloquium is carried out by Head of Unit or by
delegated person.
VI.
Deadlines to deliver elaboration, reports or different forms required in the Unit
Case record should be delivered in the last day of the course.
VII. General and detailed Management of Health and Safety at Work Regulations required during
teaching program in the Unit
Students are obliged to comply with general Management of Health and Safety at Work Regulations.
All procedures carried out during classes by students are supervised by assistants.
Students are obliged to wear white, clean coats, change shoes and wash hands. Eating and drinking
in the Department of Endocrinology and Diabetology is prohibited.
Internal diseases-allergology and immunology
Allergic diseases are an important and increasing problem of health care. Upper 30% population
suffers from asthma, allergic rhinitis, atopic dermatitis and other allergic diseases. We offer
interesting lectures about pathogenesis, symptoms and treatment of these diseases. The speaker,
Professor Zbigniew Bartuzi, the head of Department of Allergy, Clinical Immunology and Internal
Diseases and member of Polish Scientists Academy, EAACI and Polish Allergy Society, presents
current knowledge about food allergy, asthma, venom immunotherapy, anaphylaxis, drug
hypersensitivity and other allergic diseases . In our Department and Outpatient Clinic you can take a
part in workshop in immunologic laboratory, spirometry room, provocation tests room and
alimentary tract endoskopy room where we teach about modern diagnostic methods. In seminary
which lead experienced doctors we discus about novel methods in diagnosis, treatment and discus
progress in research of allergic diseases. Assistants demonstrate medical thinking from patients
examination to diagnosis and treatment, and show how to lead immunotherapy in patients with
hypersensitivity to venom and aeroallergens.
Teachers:
Prof. zw. dr hab. Med. Zbigniew Bartuzi
Dr n. med. Krzysztof Pałgan
Dr n. med. Magdalena Żbikowska-Gotz
Dr n. med. Jacek Gocki
Dr n. med. Joanna Kołodziejczyk
Dr n. med. Michał Przybyszewski
Lek. med. Katarzyna Napiórkowska
Mgr Robert Zacniewski
Contact: Dr n. med. Jacek Gocki, j.gocki@cm.umk.pl
Syllabus
I.
Name of department: Chair and department of Allergology, Clinical Immunology and
Internal diseases.
II.
Head of the unit: Prof. zw. dr hab. med. Zbigniew Bartuzi
III.
Faculty of Medicine, Medical Program, year: IV
IV.
Name of subject: Internal diseases – Allergology and immunology
V.
Form of classes: seminars, excecise
VI.
Form of crediting: 2 points of ECTS
Number of hours:
Seminary: 16 hours
Exercise: 30 hours
VII.
Aim of education:
Basic knowledge of immunology
Knowledge of pathophysiology, pathomorphology and clinical manifestation of primary and
secondary immunodeficiency and other immunological diseases
Knowledge of diagnostic and treatment immunological diseases
Knowledge of immunological mechanisms, pathophysiology and pathomorphology of allergic
diseases
Knowledge of genetic disorders in allergic diseases
Knowledge of allergens and environmental factors which play role in allergic diseases
Knowledge of symptomatology of allergic diseases
Knowledge of treatment of allergic diseases
VIII.
Topics of the seminars/tutorials
Seminary:
Basic terms in allergy – allergy, allergen, IgE mediated allergy etc
From allergic diseases come
Immunoligical base of allergic diseases and general immunology
Food allergy
Allergic rhinitis and coniunctivitis
Asthma and environmental factors in allergic diseases
Anaphylactic shock
Immunological diagnosis in allergic diseases
Primary and secondary immuodeficiency
Sing allergy
Exercises:
Anamnesis an physical examination of patients with allergic and immunological diseases
Basic medical documentation – case history – how to lead
Diagnosis allergic and immunologic diseases
Symptomatology of allergic diseases (asthma, COPD, Rhinitis, Urticaria, Egzema, Food allergy,
Drug allergy, Sting allergy, Anaphylactic shock)
Treatment in allergic and immunological diseases
IX.
Self-study topics
Knowledge basic of immunology
Knowledge basic immunological, pathophysiological and pathomorphological mechanisms of
primary and secondary immunodeficiency diseases and other immunological diseases.
Recognize, diagnosis and treatment primary and secondary immunodeficiency diseases.
Knowledge basic immunological, pathophysiological and pathomorphological mechanisms of
allergic diseases
Recognize, diagnosis and treatment of allergic diseases
Interpretation of skin prick tests, spirometry, and immunological tests
Knowledge most popular allergens
Knowledge basic rule of immunotherapy
Treatment patient with anaphylactic shock
Methods of education
Seminary, exercises, visual presentation, work with doctor. Presentation of clinical cases.
Workshop in immunological laboratory, tests room, spirometry room, and endoscopy room.
X. Booklist:
S.T. Holgate, M.K. Church, L.M. Lichtenstein.: Allergy. Second edition. Mosby International
Ltd
D. Male, J. Brostoff, D.B. Roth, I. Roitt.: Immunology. Seventh edition. Mosby Intrenational
Ltd
Supplementary literature
Middleton`s Allergy Principles and Practice. Sixth edition. Mosby International Ltd.
Self-education Student must prepare case history one patent with allergic or immunological
disease
Rules and regulations
Information about the course
The course includes 16 hours of seminars and 30 hours of clinical training. It is ended with the final
test. Clinical training takes place in groups of maximum 6 students. Each group is caring for a one
assistant. During the workshop each group also takes classes in the immunological laboratory, and
rehabilitation classes.
Obligatory textbook:
 S.T. Holgate, M.K. Church, L.M. Lichtenstein.: Allergy. Second edition. Mosby
International Ltd
 H. Chapel, M. Haeney, S. Misbah, N. Snowden: Essentials of Clinical Immunology.
Blackwell Publishing Ltd
Additional textbooks:
 D. Male, J. Brostoff, D.B. Roth, I. Roitt.: Immunology. Seventh edition. Mosby
Intrenational Ltd
 Middleton`s Allergy Principles and Practice. Sixth edition. Mosby International Ltd.
Requirements
1.
The seminaries and clinical exercises are obligatory.
2.
In case of absence on clinical exercise student must come on doctors duty, for equal hours of
absence.
3.
In case of absence on seminaries student must pass the material of this seminaries
4.
Students should be active during clinical training and seminaries.
5.
During clinical training students must wear white medical coat and medical shoes.
6.
Students are obliged to bring stetoscope.
7.
Student must maintain the principles of occupational health and safety for health workers.
8.
Student must follow the instructions of an assistant and other clinic staff
9.
Any accidents, injuries and other emergencies must be immediately reported to the leading
assisstant.
10. All organizational matters should be consulted with the leading assistant
Point system
1.
Activity on clinical training and seminaries.
2.
Preparing case history one patient with allergy or immunological diseases
3.
Pass final test at the end of the course
Internal diseases - Nephrology
Nephrology (from Greek nephros, "kidney") is a branch of internal medicine dealing with the study of
the function and diseases of the kidney.
Nephrology concerns itself with the diagnosis and treatment of primary kidney diseases including
glomerulonephritis and nephrolithiasis and secondary kidney diseases such as diabetic nephropathy
and hypertensive nephropathy. Nephrology focuses also on patients requiring renal replacement
therapy (haemodialysis and peritoneal dialysis) and renal transplant recipients. Nephrology deals with
water and electrolyte disturbances as well.
Many diseases affecting the kidney are systemic disorders not limited to the organ itself, and may
require special treatment. Examples include acquired conditions such as diabetic nephropathy,
systemic vasculitides and autoimmune diseases (eg lupus erythematosus), as well as congenital or
genetic conditions such as polycystic kidney disease.
During nephrology courses students will be training in the diagnosis and medical management of
kidney disease - acute kidney injury and chronic renal failure, glomerular and vascular disorders,
tubular/interstitial disorders, mineral metabolism, clinical pharmacology, hypertension, treatment of
acid-base and electrolyte disturbances, nephrolithiasis (kidney stones), epidemiology and nutrition.
Students get the opportunity to see some diagnostic procedures as native kidney biopsies with
ultrasound guidance and therapeutical procedures as placement of temporary dialysis catheters,
placement of tunneled hemodialysis catheters and placement of peritoneal dialysis catheters.
Students will be taught how to plan and monitor dialysis therapy.
Main problems which nephrology concerns:
•
Acute renal failure, a sudden loss of renal function
•
Chronic kidney disease, declining renal function, usually with an inexorable rise in creatinine
•
Hematuria, blood loss in the urine
•
Proteinuria, the loss of protein especially albumin in the urine
•
Kidney stones, usually only recurrent stone formers
•
Chronic or recurrent urinary tract infections
•
Hypertension that has failed to respond to multiple forms of anti-hypertensive medication or
could have a secondary cause
•
Electrolyte disorders or acid/base imbalance
Teachers:
dr med. Paweł Stróżecki
dr med. Beata Sulikowska
dr med. Mariusz Flisiński
dr Rafał Donderski
Contact: dr Rafał Donderski, rafdon@o2.pl
Syllabus
I.
Department of Nephrology, Hypertension and Internal Diseases
II.
Haed of the unit: Prof. dr hab. Jacek Manitius
III.
Faculty of Medicine, Medical Program, year: IV
IV.
Course coordinator: Dr Rafał Donderski
V.
Form of classes: seminars, tutorials
VI.
Form of crediting: 8 ECTS points
VII.
Number of hours: 18 hours of seminars, 36 hours of tutorials
VIII.
Aim of the course:
1.
A thorough approach to the patient with kidney diseases, taking appropriate history and
physical examination and generating appropriate differential diagnosis
2.
A thorough understandind of the laboratory and imaging methods used to evaluate patients
with kidney diseases
3.
Understand the priniples of rental physiology and rental pathology, hypertension, glomerular
diseases, diabetic nephropathy, acute rental failure, chronic kidney disease, dialysis delivery, vascular
access
4.
Have a thorough understanding of the principles of hemodialysis, peritoneal dialysis,
continuous rental replqacement therpies and manage complications of these therapies continuous
real replacement therapies and manage complications of these therapies.
IX.
Seminars/tutorials topics
1.
Acute renal failure, a sudden loss of renal function
2.
Chronic kidney disease, declining renal function, usually with an inexorable rise in creatinine
3.
Hematuria, blood loss in the urine
4.
Proteinuria the loss of protein especially albumin in the urine
5.
kidney stones, usually only recurrent stone formers
6.
chronic or recurrent urinary trac infections
7.
hypertension that has failed to respond to multiple forms of anti-hypertensive medication or
could have a secondary cause
8.
electrolyte disorders or acid/base imbalance
X.
Self- study topics:
Case report presentation of patient admitted to the Clinic during the nephrology course
XI.
Booklist:
Basic:
Johnson R.J., Feehally, J. (eds.). Comprhensive Clinical Nephrology. Philadelphia, Elsevier Limited,
2007.
Additional:
Brenner, B.M., Levine, S.A. (eds.). Brenner and Rector’s The Kidney. W. B. Saunders Company
XII.
Detailed list of required practical skills and confirmation of completig:
Assessment of physical examination sills and interpretation of some laboratory tests, for example
urinalysis, acid-base abnomalities, BUN, creatinine, eGFR, uric acid levels, calcium, phosphorus,
potassium abnormalities, water and sodium disorders. Confirmation of completing- students
individual confirmation card.
Rules and regulations
Pediatrics
The aim of the subject of Children’s diseases is to present the theoretical information and practical
knowledge on major issues of epidemiology, pathogenesis, symptomatology, diagnosis and treatment
of diseases in childhood and in developmental age
Pediatric gastroenterology and allergology
Teachers:
Dr n. med. Monika Parzęcka
Dr n. med. Inga Adamska
Dr n. med. Joanna Gąsiorowska
Dr n. med. Aleksandra Nowak-Oczkowska
Dr n. med. Ewa Łoś-Rycharska
Dr n. med. Hanna Zielińska-Duda
Dr n. med. Bartosz Romańczuk
Lek. Julia Gawryjołek
Lek. Agnieszka Sala-Sacharczuk
Contact:
Dr hab. n. med. Anna Szaflarska-Popławska, prof. UMK
zendogasped@cm.umk.pl
Pediatric Hematology and Oncology
Teachers:
Dr n. med. R. Dębski
Dr n. med. K. Dylewska
Dr n. med. A. Jatczak- Gaca
Dr n. med. E. Grześk
Dr n. med. K. Jankowska
Dr n. med. S. Kołtan
Dr n. med. A. Krenska
Dr n. med. I. Pałgan
Dr n. med. B.Tejza
Contact:
Prof A. Kurylak andrzej@kurylak.pl
Dr n. med. K. Jankowska kat_jank@poczta.onet.pl
Pediatric cardiology
Children’s Hospital in Toruń 2015.01.12.-16. and 2015.04.13.-17.
Teachers:
Dr n. med. Janusz Czarnecki
Lek. med. Karolina Narębska
Lek. med. Krzysztof Narębski
Dr n. med. Anna Perdzyńska
Lek. Med. Ewa Zbucka- Jachowska
Contact:
Dr n. med. Janusz Czarnecki jcmed@autograf.pl
Syllabus (Pediatric gastroenterology and allergology)
I. Name of the unit offering the course
a) The Chair and Department of Pediatrics, Allergology and Gastroenterology
b) The Departament of Pediatric Endoscopy and Gastrointestinal Function Testing
II. Head of the unit :
ad. I a) prof. dr hab. Mieczysława Czerwionka-Szaflarska,
ad. I b) dr hab. n. med. Anna Szaflarska-Popławska prof. UMK
III. Faculty of Medicine, Medical Program, the 4th year
IV. Subject: Children’s diseases
V. Subject Hours: seminares - 40 h, exercises - 80 h, total -120 h
VI. Form of credit: Credit with grade
VII. ECTS points: 7
VIII. Aim of the subject
The aim of the subject of of pediatric gastroenterology and allergology is to present the theoretical
information and practical knowledge on major issues of epidemiology, pathogenesis,
symptomatology, diagnosis and treatment of gasroenterological and alergological diseases in
childhood and in developmental age (up to 18 years old).
IX. Topics of lectures/ tutorials/ seminars
The Chair and Department of Pediatrics, Allergology and Gastroenterology
The Departament of Pediatric Endoscopy and Gastrointestinal Function Testing
1. Topics of lectures / tutorials of pediatric gastroenterology and allergology:
1. Food allergy
2. Asthma and allergic rhinitis
3. Functional gastrointestinal disorders
4. Inflammatory bowel disease
5. Acute and chronic diarrhea
6. Ulcers of the stomach and duodenum
7. Celiac disease
8. Diseases of the liver and pancreas
9. Life-threatening condition in pediatric gastroenterology
10. Test
Topics of tutorials of pediatric gastroenterology and allergology
1. Food allergy - a case of the patient with an allergy to food, skin tests, DBPCFC. Cross-allergy.
Elimination diet, presentation of preparations for infants with cow's milk proteines allergy.
Rules of calcium and vitamin D supplementation in children.
2. Asthma - the presentation of a patient with asthma, the principles for assessment of asthma
control, lung function tests in bronchial asthma - measurement of PEF, the principles of
spirometry in children, principles of asthma drug inhalation. Atopic dermatitis in children - a
case, evaluation of skin lesions by SCORAD, care and treatment of patients with AD, the
safety of local corticosteroids.
3. Abdominal pain in children - a case, the principles of diagnosis, the warning signs of
abdominal pain in children. Constipation in children - diagnostic and therapeutic principles
of diet.
4. Acute and chronic diarrhea in children - a case report and diagnostic principles.
Practical assessment of nutritional status in children. Malnutrition in pediatrics - case studies,
the principles of enteral nutrition through a gastrostomy, and the indications for parenteral
nutrition.
5. Gastroesophageal reflux disease in children - a case report. Inflammatory bowel disease presentation of cases.
6--10 Classes in The Departament of Pediatric Endoscopy and Gastrointestinal Function Testing
X. Booklist (basis/ additional):
a) The Chair and Department of Pediatrics, Allergology and Gastroenterology
Illustrated Textbook of Paediatrics: with STUDENT CONSULT Online Access Tom Lissauer, Graham
Clayden, Mosby; 4 edition (30 Sep 2011)
Practical Paediatrics: With STUDENT CONSULT Online Access David Isaacs, Don M. Roberton, Michael
South Churchill Livingstone; 6 edition (November 13, 2007)
Clinical Paediatrics and Child Health David Candy, Graham Davies, Euan Ross, Saunders, Toronto,
last edition
XI. Detailed list of required practical skills and confirmation of completing
Detailed list of required practical skills and confirmation of completion:
KNOWLEDGE - know the symptoms and the most common disease entities in the field of
gastroenterology, pediatric cardiology and respiratory diseases and inflammatory tissue
SKILLS - At the end of the course, the student shall be able to: use the medical nomenclature,
conduct an appropriate physical examination of children, interpret laboratory investigations, prepare
diagnostic plan and treatment plan, including dietetic treatment
Gastroenterology:
- interpretation of the results of endoscopy
- interpretation of the results of functional gastrointestinal test
- assessment of nutritional status of children and knowledge of nutritional recommendations for
gastrointestinal diseases
Allergology
- assessment of the degree of asthma control
- ability to interpret spirometry and skin prick tests results
XII The methods and criteria of assessment
- The presence et all the exercises and seminars
- Theoretical preparation for classes on the basis of the given literature
- A written final test
- Confirmation of completing practical skills
Syllabus (Pediatric Hematology and Oncology)
XXII.
Name of the unit offering the course: Department of Pediatric Hematology and Oncology
XXIII.
Head of the unit: Prof. Mariusz Wysocki
XXIV.
Faculty of Medicine, Medical Program, year IV
XXV. Course coordinator: Prof. Andrzej Kurylak, Dr Katarzyna Jankowska
XXVI.
Form of classes (lectures, tutorials, seminars)
Seminars
8 hrs
Tutorials
20 hrs
Credit
2 hrs
XXVII. Form of crediting: Credit
XXVIII. Number of hours: 30 hours
XXIX.
Aim of the course
A. Course is designed for medical students to get basic knowledge about the most frequent acute
infections of upper and lower respiratory tract in children: Principles of etiology, diagnostics, x-ray
examinations and therapy, including antibiotic therapy and aerosol therapy.
B. Presentation of basics of chronic lung disorders in children: bronchial asthma, cystic fibrosis and
tuberculosis: etiology, diagnostics, x-ray examinations and therapy.
XXX.
Topics of seminars
1. Upper respiratory tract infections. Bronchitis and bronchiolitis.Recurrent obstructive
bronchitis
2. Pneumonitis
3. Systemic diseases of connective tissue in children
4. Chronic lung diseases: cystic fibrosis, tuberculosis
Topics of tutorials








XXXI.
Hiperbilirubinemia
Crying and colic in infants
Sleep disorders
Breath-holding attacks
Thumb suck and other habits
Cough (self-defence mechanism, pathological symptom)
Adenotomy and tonsilectomy,
Pain of the ear
Self-study topics
1. Developmental screening and assessment
2. Vaccination
3. Principles of antibiotic therapy
4. Diseases of neonatal period
XXXII. Booklist (basic / additional)
Lissauer T, Clayden G. Illustrated Textbook of Paediatrics.
Levy HB, Sheldon SH, Sulayman RF. Diagnosis and management of hospitalized child.
XXXIII. Detailed list of required practical skills and confirmation of completing
Required practical skills and confirmation of completing
Pediatrics (IV year)
Student Name and Surname:
Year IV, group:
Academic year:
Practical skills
Pulmonology:
Date
Confirmation
Comments
- assessment of respiratory tract function,
- assessment of bronchial asthma severity
- application of inhaled drugs
Syllabus Pediatric cardiology
I.
Name of the unit offering the course: Department of Pediatric Hematology and Oncology
II.
Head of the unit: Prof. Mariusz Wysocki
III.
Faculty of Medicine, Medical Program, year IV
IV. Course coordinator: Prof. Mariusz Wysocki
V.
Form of classes (lectures, tutorials, seminars)
Seminars
15 hrs
Tutorials
17 hrs
Credit
2 hrs
VI.
Form of crediting: Test
VII.
Number of hours: 34 hours
VIII.
Aim of the course
A. The course is designed for medical students to get basic knowledge about the most frequent
congenital diseases , diseases of myocardium and hypertension in children: Principles of diagnostics,
cardiac examination ,electrocardiography, echocardiography, x-ray examinations, routine laboratory
tests.
B. Presentation of congenital diseases in children: Atrial Septal Defect , Ventricular Septal Defect,
Coarctation of the Aorta , Valvular Aortic Stenosis, Mitral Valve Prolaps, Pulmonary Stenosis,
Pulmonary Hypertension, Heart Failure, Hypertension : diagnostics and therapy.
IX.
Topics of seminars
1. Non cyanotic congental heart diseases
2.
Cyanotic congenital heart diseases
3.
Heart Failure
4. Diseases of the myocardium.
5.
Disturbances of rate and rhythm. Syncope.
6. Hypertension secondary and primary.
Topics of tutorials :
1.
2.
3.
4.
5.
6.
X.
1.
2.
3.
4.
5.
XI.
Tools of Diagnosis
Echocardiography
Electrocardiography.
Holter monitoring.
Hypertension. Measurement. ABPM.
Table Blood Levels for Girls( Boys) by Age and Height Percentile.
Self-study topics
Cardiac Examination
Electrocardiography and assessment
Holter monitoring
Hypertension .Measurement. ABPM. Management algorithm.
Table Blood Levels for Girls(Boys) by Age and Height Percentile
Booklist (basic / additional)
1.Nadas’ Pediatric Cardiology .Edited by John F. Keane, M.D. James E. Lock, M. D. Donald C. Fyler,
M.D /basic/.
2.Nelson Textbook of Pediatrics/ additional/
3.Echocardiography in Pediatric Heart Disease .A. Rebecca Snider .Gerald A. Serwer/additional/
XII.
Detailed list of required practical skills and confirmation of completing
Required practical skills and confirmation of completing
Pediatrics (IV year)
Student Name and Surname:
Year IV, group:
Academic year:
Date
Practical skills
Confirmation
Comments
Pediatric Cardiology:
-assesment of murmurs
-assesment of congenital heart diseases
-assesment of electrocardiography
- assessment of hypertension , measurement, ABPM
Rules and regulations
A. Name of the teaching entity: Paediatrics, Haematology and Oncology Department
B. Name of the teaching supervisor: Prof. Andrzej Kurylak
C. Course: Children’s illnesses
Medical programme, years: 4, 5, 6
I.
Form and conditions for the obtaining of a course credit
Attendance at all the classes is a condition for the obtaining of a course credit in the given year of
study. Class absences need to be made up for. Students shall only be permitted to take a test or an
exam if they have obtained credits in their Practical Skills Sheets provided to them at the start of the
4th, 5th, and 6th year of study.
II.
Form and conditions for the obtaining of credits for discussions/workshops (in accordance
with I. above).
III.
Form and conditions for the obtaining of a test credit
4th and 5th year students who have completed a course block are required to obtain a credit for the
final test (written or oral) by a date specified in the course block timetable.
IV.
Form of a course examination
6th year students shall only be permitted to sit the final exam in children’s illnesses if they have
obtained credits for all the discussions, seminars, if they have developed a case history and
presented their credits in the Practical Skills Sheet.
Children illness examination conditions are governed by Appendix 1 hereto (attached).
V.
Conditions for the making up for absences from classes for valid reasons or classes for which
students have not obtained credits for other reasons
Making up for discussion absences shall only take place at a time and date scheduled by the teaching
supervisor. Students shall also be required to obtain a credit for a seminar session they have been
absent from from the seminar instructor. (Final) test absences shall be made up for at a scheduled
date after the end of the autumn or spring semester in the given academic year.
Students who do not report for a test at a scheduled time and date will receive an Unsatisfactory
grade. If a student is absent for a valid reason, the absence should be reported within three days of
the test date or within three days after the end of the period covered by a doctor’s certificate. The
test date is agreed upon with the teaching supervisor.
With regard to credit matters, students may appeal against their test results within three
days of their announcement to the unit head who may order that the student’s knowledge and/or
skills should be re-examined.
VI.
Deadlines for the submission of studies, reports or any other forms required by the given
university unit:
Deadline: by the end of the last course block in the given year.
VII. General and specific health and safety regulations applicable to the teaching process at the given
unit.
Students are required to wear protective clothes on the Clinic’s premises: a white coat or a shirt and
skirt/trousers, and they are required to change shoes. The cloakroom is on the ground floor.
Students are required to comply with the health, safety and sanitary regulations adopted by
the Clinic which shall be communicated to them before the commencement of classes by assistants.
Failure to comply may result in non-admission to classes.
EACH STUDENT SHOULD READ THE ABOVE POLICY BEFORE THE START OF THE COURSE IN
CHILDREN’S ILLNESSES
.............................................
Manager
.............................................. signed by the Clinic
signed by the Teaching Supervisor
...........................................
the Medical Department
...............................................
Dean of the Medical Department
Students’ Council of
Date:
Policy on the examination in children’s illnesses
for medical programme students
The examination in children’s illnesses is a comprehensive examination. i.e. it consists of the
theory and practice parts in a test format, and the theory part again (oral exam). The test exam is
uniform for the all the students in the given year of study and you can only take the oral exam if you
have passed the test exam.
Oral examiners are independent research fellows. Students select their examiners within the
limits of the number of students allowed to be examined by each examiner.
Only those who have complied with all their teaching process requirements are permitted to
take the comprehensive examination in children's illnesses.
The test exam in children’s illnesses takes place at a time and date agreed upon with the year
prefect. The examination includes 100 theory questions and 10 practice questions (with a point for
each right answer). The examination time depends on the size of the examination questions, as
follows:
<= 35,000 characters: 120 minutes;
> 35,000 <= 38,000 characters: 130 minutes;
> 38,000 <= 41,000 characters: 140 minutes;
> 41,000 <= 44,000 characters: 150 minutes;
> 44,000 <= 47,000 characters: 160 minutes;
> 47,000 <= 50,000 characters: 180 minutes;
Students should bring their record books or USOS data to exams with entries confirming that
they have obtained course credits. Where children’s illness classes end in the autumn semester for
all the groups, it is possible to take the exam in the winter examination period provided that the
group prefects and the year prefect request that.
The examination test should be taken without consulting others. Any contact with others or
use of forbidden materials may lead to terminating the test exam and the student's failure to obtain
a credit for the exam.
Any printing errors noticed in a test by an examinee may be reported thereby in writing; they
will be verified during the exam. Any medical errors noticed in test questions by an examinee may be
reported thereby in writing during the exam; they will be verified after the exam, before the
announcement of its results.
Test exam grades are as follows:
< 60 %
(0-65 points)
– unsatisfactory (2)
>=60% i <68 % (66-74 points) – satisfactory (3)
>=68% i <75% (75-82 points)
>=75% i <82% (83-90 points)
>=82% i <90% (91-98 points)
>=90%
(99-110 points)
– satisfactory plus (3.5)
– good (4)
– good plus (4.5)
– very good (5)
The final grade for the comprehensive examination in children’s illnesses is the average of
the grades for both of its parts, provided that the grade for each part is satisfactory.
Students who fail the exam on the first scheduled date take the exam on the second
scheduled date during the re-sit examination period, on the same terms and conditions as on the
first scheduled date. The examination date will be agreed upon with the year prefect. If the number
of people who take the re-sit examination is small, it may be taken orally.
Failure to sit an exam on the scheduled date without a valid explanation is tantamount to
getting an Unsatisfactory grade entered in the student's record book and the examination sheet. The
reasons for such absence should be provided to the secretariat of the clinic which organises the
examination within three days of the examination date.
When the summer session takes place in an odd year, the examination is organised by the
Paediatrics, Allergology and Gastroenterology Department and Clinic, and when it takes place in an
even year, the examination is organised by the Paediatrics, Haematology and Oncology Department.
Exam results are entered by oral examiners.
The selection and preparation of questions in each year is the responsibility of Department
Heads and teaching supervisors.
Surgery
A full – time clinical activity. Students actively participate in perioperative management and operations
of patients requiring surgery for cancer, endocrine disease and other selected general surgical
problems. Cases include goiter, inguinal and incisional hernia, obesity, gastrointestinal cancer,
gallbladder disease. Students also work parallel to attending staff providing surgical consult to ER staff,
under proper supervision; they also attend workshops on basic surgical skills. Attending rounds and
teaching conferences daily.
Teachers:
Dr hab. Stanisław Dąbrowiecki
Dr n. med. Wojciech Szczęsny
Dr n. med. Jacek Szopiński
Dr n. med. Jakub Szmytkowski
Contact: jakubszmytkowski@gmail.com
Syllabus
I.
Name of unit offering the course: Dept. of General, Vascular and Endocrine Surgery
II.
Head of the unit: prof. Stanisław Dąbrowiecki
III.
Faculty of Medicine, Medical Program, 4th year
IV.
Course Coordinator: dr Jakub Szmytkowski
V.
Form of classes: seminars, clinical activity (tutorials)
VI.
Form of crediting: credit with grade, 7 ECTS points
VII.
Number of hours: 80 hours of tutorials , 28 hours of seminars
VIII.
Aim of the course: To acquaint students with the world of general surgery.
1.
By the completion of the course, the student should have an appreciation of the similarities
and differences between surgery and other medical specialties.
2.
The course is intended to give the student the fundamental skills on which to build during
later, more advanced courses in invasive medicine.
3.
The course will place more emphasis on cognitive skills than on procedural and technical
skills. Basic surgical skills will, however be taught to the student.
IX.
The student will develop an understanding of the role of the primary care physician in the
care of the patient with a surgical problem.
X.
Topics of seminars:
•
Basic rules of behavior in the operating suite
•
Nutrition in surgery
•
„Minor surgery” and purulent infections
•
Abdominal hernias
•
Malignant tumors – introduction to surgical management
•
Preparing a patient for surgery and perioperative management
•
Wound management. Surgical instruments. Wound suturing.
•
Acute gastrointestinal hemorrhage
•
Diagnostic ultrasound in surgery
•
Acute bowel obstruction
•
Endoscopy – a diagnostic tool in surgery
•
History of surgery
•
Appendicitis, peritonitis and shock
•
Thermal injuries
Booklist:
-
basic:
-
additional reading: Mastery of Surgery, J. Fischer
Detailed list of required practical skills upon completion of the course:
1)
surgical history and clinical examination
2)
aseptic / antiseptics
3)
bladder catheterisation
4)
gastric tube placement
5)
digital rectal examination
6)
wound closure
7)
vein cannulation
8)
abscess incision and drainage
9)
the rules of resuscitation and management of internal hemorrhage
List of seminars, General Surgery, 4th Year Medical Faculty
12 Nov
Welcome notes. Abdominal hernias- dr J Szmytkowski
13 Nov
„Minor surgery” and surgical infections- dr J. Szopiński
14 Nov
Appendicitis, peritonitis and shock- dr P. Wierzchowski
15 Nov
Acute gastrointestinal hemorrhage- dr J. Szopiński
16 Nov
Thermal injuries- dr med J. Szmytkowski
19 Nov
Basic rules of the operating suite - prof. A. Jawień
20 Nov
Acute bowel obstruction- dr J. Szopiński
21 Nov
Abdominal trauma- dr A. Jundziłł
22 Nov Diagnostic endoscopy in surgery.- dr W. Szczęsny
23 Nov
Nutrition in surgery- dr J. Szopiński
26 Nov Aseptic and antiseptic techniques. Principles of wound healing- dr A. Migdalski
27 Nov
Wound management. Surgical instruments. Wound suturing- dr A. Migdalski
28 Nov
Malignant tumors – introduction to surgical management- dr P. Brazis
29 Nov
Preoperative and perioperative management- dr R. Piotrowicz
30 Nov
History of surgery - dr J. Szmytkowski
Test- dr med Migdalski / dr med Szmytkowski
RULES AND REGULATIONS
1. The students are required to come to classes dressed suitably for a surgical ward
(scrubs or lab coats & skirt or trousers; change of footwear)
2. The classes take place in a regular hospital ward under normal operation. Please
behave appropriately.
3. The theoretical classes take place in the auditorium. The hands-on activities take
place in patient rooms, recovery rooms or operating suites. During breaks, students
may leave the ward or remain in the auditorium. Loitering in corridors and
unauthorized access to patient rooms / operating suites is strictly prohibited.
4. The classes last from 7: 30 to 13: 45.
5. The students are expected to get acquainted in advance with the topics of the
seminars.
6. Unauthorized use of any surgical / medical equipment is strictly prohibited. The
students can and will be held accountable for any damage resulting from
unauthorized use of such equipment.
7. Students are required to observe doctor – patient confidentiality. Any confidential
information acquired during the course of study must not be divulged to anyone.
Unauthorized access to patient case files is prohibited.
Radiology
The coursework of Radiology and Diagnostic Imaging includes 90 hours of tutorials and seminars.
Tutorials and seminars are prepared in a week cycle. The course is divided into Core Radiology on 4th
year and Organ-Based Radiology on 5th year. Core Radiology ends with a credit only. Organ-Based
Radiology curriculum ends with a final test exam. The final test will be timed in the schedule of the
session.
Teachers:
dr Zbigniew Serafin
dr Agnieszka Chyczewska
lek. Fabian Przygoński
Syllabus
I.
Name of the Unit: Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus
University, Collegium Medicum.
II.
Head of the Unit:Prof. Władysław Lasek, M.D., Ph.D.
III.
Faculty of Medicine, Medical Program, year 4, 5.
IV.
Course Coordinator: Dr. Zbigniew Serafin, M.D., Ph.D.
V.
Form of classess:
4th year: tutorials, seminars
5th year: tutorials, seminars
VI.
Form of Crediting:
4th year: credit with grade, 7 ECTS points
5th year: credit with grade, 4 ECTS points
VII.
Number of Hours:
4th year: tutorials (10), seminars (20)
5th year: tutorials (4), seminars(70)
VIII.
Aim of the Course:
4th year, Core radiology
To provide basic knowledge on cross-sectional anatomy, physical and technical principles of medical
imaging, indications and contraindications for particular imaging techniques, and radiation safety.
5th year, Organ-based radiology curriculum
To provide basic knowledge on diagnostics of the most common pathologies with the use of modern
imaging modalities.
IX.
Topics of Classes:
4th year, Core radiology
CXR, fluoroscopy, IR: physics concepts in clinical radiology, radiation safety, contrast media,
indications and contraindications for imaging, technique-specific complications.
CT: physics concepts in clinical radiology, radiation safety, contrast media, indications and
contraindications for imaging, technique-specific complications.
MRI: physics concepts in clinical radiology, safety, contrast media, indications and contraindications
for imaging, technique-specific complications.
Ultrasound: physics concepts in clinical radiology, radiation safety, contrast media, indications and
contraindications for imaging, technique-specific complications. RIS and PACS. Key modality
differences.
Referring for imaging. Evidence-based medicine and evidence-based radiology. Weighting patient’s
risk. Financial costs. Test.
5th year, Organ-based radiology curriculum: technical aspects, normal anatomy, common
pathological conditions, invasive procedures, algorithms.
Neuroimaging.
Head and neck imaging.
Chest imaging.
Cardiovascular imaging.
Abdominal imaging.
Musculoskeletal imaging.
Women’s and pediatric imaging.
Emergency radiology.
Interventional radiology.
Exam.
X.
Self-study Topics:
4th year: Core radiology
Technical concepts of digital radiography, 3D imaging and molecular imaging.
5th year: Organ-based radiology curriculum
Solution of a student-sensitive diagnostic case (imaging options, diagnosis, discussion).
resources:
http://www.med-ed.virginia.edu/courses/rad/
http://www.learningradiology.com/
XI.
Booklist
Basic:
Weissleder R., et al.: Primer of Diagnostic Imaging. 4th ed, Mosby Elsevier, 2007.
Gibson R, et al.: Essential Medical Imaging. Cambridge University Press, 2009.
Moeller T.B., Reif E.: Pocket Atlas of Sectional Anatomy, Computed Tomography and Magnetic
Resonance Imaging, Vol. 1-3. Thieme Verlag, 2007.
Additional:
Daffner R., et al.: Clinical Radiology. Lippincott Williams & Wilkins, 2007.
Vilensky J. et al.: Medical Imaging of Normal and Pathologic Anatomy. WB Saunders Company, 2010.
Suetens P.: Fundamentals of Medical Imaging, Cambridge University Press, 2009.
XII.
List of Practical Skills: PACS access and image download, CXR image processing, MPR image
reconstruction on CT and MR workstation, acquiring basic projections on abdominal
ultrasound.
Rules and regulations
Requirements and crediting
11. The classes are obligatory. In the case of the illness a sick leave has to be delivered. Other absences
due to important reason must be documented. In the case of the absence the respective topics
have to be credited. Students presenting with unjustified and uncredited absences will not be
credited and allowed for the final exam.
12. Each Student is obliged to come for the classes on time. Delayed Students can enter the class only
if the time of delaying does not exceed 15 minutes from the moment the classes have been
started.
13. Students are obliged to prepare the respective part of the material for each classes. Topics are
listed in Syllabus. The knowledge and the activity of each Student will be noted. In the case of a
negative note the Student has to pass the respective topics till the end of the course.
14. Students are obligated to clean up after themselves. Eating, drinking, and using mobile phones
during the labs are prohibited. Any accidents, injuries and other emergencies must be
immediately reported to the Tutor.
15. Students are obliged to follow ethical rules as well as the rules of deontology, especially when
attending live cases.
16. Students are obliged to observe copyright and respect the right of intellectual property of
electronic publications as well as printed collections (published works, master’s and bachelor’s
dissertations, course books etc.)
Final Exam
1.
The final exam consists of multiple choice questions (only one answer correct).
2.
Students who failed the Final Exam are obliged to retake the test.
3.
The final scores of the final exam are not changeable.
4.
The scores of the failed final exam and the retake will be confirmed by a signature in the Student
Book as two separated scores but not as the mean of these two.
5.
In the case of an absence a sick leave has to be submitted to the examiner within three days after
the final exam.
6.
The final exam will be assessed according to the following scores:
Note
Score
Unsatisfactory (2)
< 60%
Satisfactory (3)
60-64%
Fairly Good (3,5)
65-69
Good (4)
70-79
Very Good (4,5)
80-89
Excellent (5)
≥ 90%
PSYCHIATRY
Teachers:
Doc. Dr hab. Wiktor Drożdż
Dr Ewa Pilaczyńska-Jodkiewicz
Dr Mirosław Dąbkowski
Dr Małgorzata Dąbkowska
Dr Anna Szota
Dr Monika Wiłkość, psychologist
Lek. Wojciech Kosmowski
Lek. Borys Gniot
Lek. Michał Danek
Lek. Lech Giziński
Lek. Maurycy Araszkiewicz
Lek. Iga Zdaniuk
Lek. Aleksandra Łojko
Lek. Agata McCarthy
Mgr. Agnieszka Szałkowska, psychologist
I.
Department of Psychiatry
II.
Head of the unit: Prof. Aleksander Araszkiewicz, M.D.
III.
Faculty of Medicine, 4th year
IV.
Course coordinator Anna Szota; e-mail: julias@vp.pl
V.
Form of classes : tutorials, seminars
VI.
Form of crediting – credit with grade, 3 ECTS points
VII.
Number of hours : 20 seminars, 40 tutorials
VIII.
Aim of the course: The course is designed for medical students as “an
introduction to psychiatry”. It has to provide students with basic information on
psychopathology, diagnosis and skills of proper interviewing mentally disordered
patients.
IX.
Topics of seminars:
1. Introduction to psychopathology
2. Psychiatric interview- presentation of patients in psychiatry clinic
3. Schizophrenia- psychopathology, etiology. What does it mean “psychotic”?part 1
4. Affective disorders- etiology
5. Anxiety disorders- etiology
6. Laboratory tests in psychiatry
7. Alcohol abuse – psychopathology
8. Personality disorders
9. Child Psychiatry- etiology
X. Self-study topics due to topics of seminars listed above.
XI. Booklist
1. Basic:

Psychiatry for Medical Students by Robert J. Waldinger 3rd Edition
1997

Clinical Psychiatry for Medical Students by Alan Stoudemire 3rd
Edition, 1998

Synopsis of Psychiatry : Behavioral Sciences Clinical Psychiatry by
Harold I Kaplan, Benjamin J. Sadock 10th Edition, 2010.
2. Additional:
X.

Psychiatry Crash Course by Cameron , Bloye , Davies

The Maudsley Handbook of Practical Psychiatry

ICD-10
To complete the course students are obliged to presence at seminars and
tutorials and pass final test exam at the end of the course .
RULES AND REGULATIONS
1. Seminars and tutorials take place in Collegium Medicum UMK, in Bydgoszcz,
Jagiellońska 13 street, Skłodowskiej Curie 9 street and Kurpińskiego 19 street,
according to the schedule.
2. Presence at seminars and tutorials is obligatory.
3. White coats during tutorials and seminars are not obligatory.
4. Students are required to come to class on time.
5. Tutorials will count on the basis of an oral response and/or writing.
6. The absence up to 3 days will be excused on a basis of a sick-leave given by a
physician or other institutions, but a student has to contact with all assistants who
had seminaries and tutorials these days and present orally the knowledge from the
abandon classes.
7. The absence above 4 days is treated as a non-classified course and a student has to
repeat all course in next Academic Year.
8. Abandoned classes should be classified within 7 days after exemption period.
9. Unexcused absence from class will be treated as a non-classified tutorial.
10. At the end of the IV th year a test will be conducted.
11. At the beginning of the V th year the entry test from the topics of the IV th year will
be conducted.
12. The final exam contains a practical part and a written test which are performed after
the 5th year. The final exam will take place on the last day of the psychiatry course and
begins with a practical part. The student who will not pass the practical part of the exam
will not be able to enter for the written test until passes the practical part.
13. The practical part of the exam is an interview with a patient. After conducting the
interview the student has to estimates the patient mental health in 3 areas: 1. symptoms
of disease; 2. diagnosis; 3. treatment. For each area the student may get 0-2 points,
maximum 6 points. Student needs at least 3 points to pass the practical part of the exam.
14. The written test includes 60 questions based on the knowledge from all seminars
and tutorials. It is essential to have at least 65% of good answers to pass the written
exam.
15. The final grade from psychiatry contains points from the written test plus points from
practical part of the exam.
16. Improving non-passed written test will be held within a period of time specified by
the assistant teacher.
17. Obtaining the unsatisfactory grade of the final test results in non-pass of a course.
18. It is unacceptable to use mobile phones and the internet during seminars and
tutorials.
19. Recording seminars, tutorials and patient’s interviews is not allowed.
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
Dr n.med Piotr Rajewski
Lek. med Adam Wiśniewski
Lek. Med. Wiktoria Rajczyk
Contact:
Dr Magdalena Nowaczewska magy_mat@by.onet.pl
Dr Piotr Rajewski praj@by.onet.pl
Syllabus
I. Name of the unit: Department of Neurology
II. Head of the unit: dr hab. n. med. Barbara Książkiewicz, prof. NCU
III. III.
Faculty of Medicine, Medical Program, year IV
IV. Course coordinator: dr hab. n. med. Barbara Książkiewicz, prof. NCU
V. Form of teaching: seminars, classes
VI. Form of crediting: credit with grade, 3 ECTS points
VII. Hours: seminars(20), classes (40) - 60 hours in total.
VIII. Aim of the classes:
The purpose of seminars and classes is to learn the neurological examination and symptomatology
of the lesions of the nervous system structures.
IX. Topics of the course (detailed plan):
1. Preliminary evaluation. The initial interview.
2. Examination of the head and cranial nerves.
3. Motor system.
• Examinations of the arms and legs.
• Anatomy and physiology of the central and peripheral motor system.
• Lesions of the motor system: upper and lower motor neuron lesions.
• Location of the lesion and the nature of the paralysis.
• Total body motility in physiology and pathology.
4. Coordination system.
• The role of coordination.
• Anatomy and physiology of the extrapyramidal system, cerebellum, vestibular pathways.
• Causes, signs and symptoms of the coordination system diseases.
• The examinations of motor coordination.
5. Intracranial pressure increase
• Increased intracranial pressure syndrom and intracranial pressure regulating mechanisms.
• Clinical presentation of increased intracranial pressure and brain displacement.
• Neuroradiologic abnormalities of the intracranial hypertension.
• Treatment of increased ICP.
6. Disturbances of consciousness and examination of the unconscious patient.
• Disturbances of consciousness, quantitatively and qualitatively. Causes of coma. Evaluation of the
level of consciousness.
• Life-threatening symptoms.
• General physical and neurological examination: the location and degree of CNS dysfunction.
7. Spinal cord and cauda equine syndromes.
• Structure and vascularization of the spinal cord.
• Spinal cord syndromes (tranverse lesion, hemisection, central, anterior, posterior)
• Spinal cone and cauda equine syndromes.
8. Peripheral nervous system.
• Anatomy of spinal nerve.
• The brachial and lumbosacral plexus.
• The spectrum of innervating and symptoms of paralysis of peripheral nerves: the radial nerve, the
ulnar nerve, the median nerve, the femoral nerve, the sciatic nerve, the common peroneal nerve, the
tibial nerve. Carpal tunnel syndrome.
9. Meningeal Irritation. Lumbar puncture and examination of cerebrospinal fluid.
• The signs of meningeal irritation: pathophysiology, examination, causes.
• Indications and contraindications for lumbar puncture.
• Fractional Queckenstedt's maneuver.
• Normal CSF.
• CSF in intracranial hemorrhage, meningitis: bacterial, viral, fungal, TB, in multiple sclerosis, tumors
of the brain and spinal cord.
10.Supplemental diagnostic procedures.
• Purpose and importance of supplemental diagnostic in neurology.
• X-ray of the skull and spinal column, TCD, Doppler examination, scyntigraphy, myelography,
cerebral angiography, electromyography, nerve conduction studies, evoked potentials, EEG,
electronystagmography
• Neuroimaging: magnetic resonance imaging (MRI),computed tomography, angio-CT, angio-MR, PET
X.
Self-study topics: neuroanatomy, neurophysiology, theoretical basis of neurological
examination, symptomatology of the nervous system lesion.
XI.
Booklist:
Basic
Neurology and Neurosurgery Illustrated 5e, Kenneth W. Lindsay, Churchill Livingstone, 5th edition
Neurological Examination Made Easy, Geraint Fuller, Churchill Livingstone, 4th edition
Additional
Netter's Neurology, H.Royden Jones, W.B. Saunders Company, 2nd edition
XII.
Detailed list of required practical skills and confirmation of completingInterview
Neurological examination
Neurological examination of unconscious patients
Diagnosis- syndromes, location.
Medical history- record keeping
Rules and regulations
The student has to be present on seminars and exercises in order to pass.
During exercises assistant shall verify students’ 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 final element essential to pass the course is a test written on the last day of the course. The test
has 40 questions – statements. The student has to indicate whether the given statement is true or
false. In order to pass, the student needs to obtain 60% of all possible points.
Rehabilitation
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.
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.
Krzysztof Szwed M.D.
6.
Waldemar Kuczma M. Ph.
7.
Małgorzata Cisowska – Adamiak M.D
Contact: klreh@cm.umk.pl
Syllabus
I.
Department of Rehabilitation.
II.
Head: dr hab. Wojciech Hagner, prof. UMK
III.
Faculty of medicine, Year IV
IV.
Responsible for realization of the program: dr hab. Wojciech Hagner, prof. UMK
V.
Form of the classes: seminars, tutorials
VI.
Assessment: credit with grade
VII.
Number of hours: 15 h- seminars, 15h tutorials, total: 30
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.
Booklist:
M. Barnes, A. Ward - “Oxford Handbook of Rehabilitation Medicine”.
V. Robertson, A. Ward, J. Low, A. Reed – “ Physiotherapy – Principles and Practice”
S. Lennon, M. Stokes – “ Pocketbook of Neurological Physiotherapy”
XI.
Scope of knowledge for individual study: joint anatomy, joint classification, normal
range of motion of joints, functional anatomy
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.
Name of the unit offering the course - Nicolaus Copernicus University in Torun
Ludwik Rydygier Collegium Medicum in Bydgoszcz
Department of Family Medicine
II.
Head of the unit – Dr Krzysztof Buczkowski
III.
Faculty of Medicine, Medical Program, the 4th, 5th, 6th years
IV.
Course coordinator – Dr Krzysztof Buczkowski
V.
Form of classes – seminars, tutorials
VI.
Form of crediting – Test, the 6th year
VII.
Number of hours – 46 (seminars), 59 (tutorials)
VIII.
Aim of the course – The aim of the course is to shape the attitudes of medical expectancy in
general practice and to familiarize students with new model of primary health care based on the
family doctor. Direct contact with the patient in general practice gives an opportunity to recognize
basic medical and social problems and their solutions. The purpose of phantom classes is to improve
student’s practical skills for use in primary care. Classes allow for improved communication between
the doctor and the patient and his family.
IX.
The 4th year of study
-
Department of Family Medicine: (seminars – 6 hours, tutorials – 6 hours)
1.
Definition and principles of Family Medicine
2.
Prevention and heath promotion in general practice
3.
Nicotine dependence and smoking cessation
4.
Case studies
5.
Skills lab- otoscopy, breast examination, examination of the prostate, bladder
catheterization, Basic Life Support
Instructors:
Dr Krzysztof Buczkowski
Dr Sławomir Czachowski
Magdalena Frąckiewicz M.D.
Dariusz Sandurski M.D.
-
Department of Endocrinology and Diabetology: (seminars – 6 hours)
1.
Diabetes mellitus type 2 in primary care. Prevalence of type 2 diabetes in the world and in
Poland. Pathogenesis of type 2 diabetes. Symptoms, diagnosis and treatment type 2 diabetes
mellitus. Non-pharmacological procedures: therapeutic education, diet and lifestyle modification.
Oral antihyperglycaemic drugs.
2.
Obesity – epidemiology, pathogenesis, diagnosis and treatment.
3.
Thyroid diseases: symptoms, recognition and treatment.
4.
Growth retardation: diagnosis and therapy.
Instructors:
Prof. Roman Junik
Dr Agata Bronisz
Dr Anna Kamińska
Dr Joanna Kłubo-Gwieździńska
Dr Marcin Gierach
Dr Małgorzata Pujanek
Małgorzata Zakrzewska, M.D.
The 5th year of study
-
Department of Endocrinology and Diabetology: (seminars – 6 hours)
1.
Diabetes mellitus type 2 in primary care. Prevalence of type 2 diabetes in the world and in
Poland. Pathogenesis of type 2 diabetes. Symptoms, diagnosis and treatment type 2 diabetes
mellitus. Non-pharmacological procedures: therapeutic education, diet and lifestyle modification.
Oral antihyperglycaemic drugs.
2.
Obesity – epidemiology, pathogenesis, diagnosis and treatment.
3.
Thyroid diseases: symptoms, recognition and treatment.
4.
Growth retardation: diagnosis and therapy.
Instructors:
Prof. Roman Junik
Dr Agata Bronisz
Dr Anna Kamińska
Dr Joanna Kłubo-Gwieździńska
Dr Marcin Gierach
Dr Małgorzata Pujanek
Małgorzata Zakrzewska, M.D.
-
Department of Pediatrics, Allergology and Gastroenterology:
(seminars – 6 hours)
1. Abnormal laboratory tests in children and youth
2. Principles of rational antibiotic therapy
3. Prophylactic vaccination – news, plans, problems
4. Pediatric diseases requiring hospitalization
Instructors:
Dr Inga Adamska
Dr Ewa Łoś-Rycharska
-
Department of Nephrology, Hypertension and Internal Medicine
(seminars – 6 hours)
1.
Hypertension - diagnosis and treatment
Instructors: Dr Rafał Donderski
The 6th year of study
-
Department of Family Medicine: (tutorials – 53 hours)
1.
Practical training in the GP’s office
2.
Skills lab- otoscopy, breast examination, examination of the prostate,
bladder catheterization, Basic Life Support
3.
Case studies
4.
Doctor – patient communication
5.
Patients with psychosomatic symptoms (unexplained symptoms)
Instructors:
Dr Krzysztof Buczkowski
Dr Sławomir Czachowski
Magdalena Frąckiewicz M.D.
Dariusz Sandurski M.D.
- Department of Geriatrics (seminars – 10 hours)
1.
Physiology of aging. Total multidimensional geriatric assessment. The differences in the
courses of diseases in elderly people.
2.
Nutrition requirements
3.
Psychological problems of aging and senility.
4.
Geriatric giants. Osteoporosis.
Instructors:
Prof. Kornelia Kędziora-Kornatowska
Dr Anna Królikowska
Dr Anna Koczaj-Syrewicz
-
Department of Pediatrics, Allergology, and Gastroenterology:
(seminars – 6 hours)
1.
Short stature and eating disorders in children and youth
2.
Fever as a pediatric problem
3.
Headache in pediatric practice
4.
Abdominal pain in children – schema of action
Instructors:
Dr Inga Adamska
Dr Ewa Łoś-Rycharska
X.
Self-study topics - advancing the knowledge about cases from practical training in the GP’s
office and the student’s case study.
XI.
Booklist
Basic:
1.
Mengel MB, Schwiebert LP. Family Medicine. Ambulatory Care and Prevention. McGravHill,
New York 2009
2.
Beers M.H., Berkow R. The Merck Manual of Geriatrics. Merck Co., NJ, 2000
3.
Landefeld C.S., Palmer R.M., Johnson M.A., Johnson C.B., Lyons W.L. Current geriatric
diagnosis & treatment. McGraw-Hill Medical, NJ, 2004 Rosenthal T., Naughton B., Williams M. Office
Care Geriatrics. Lippincott Williams & Wilkins, 2006
4.
Manual of Hypertension of the European Society of Hypertension. Ed. by: M. Mancia; G.
Grassi; S.E. Kjeldsen. Informa UK LTD, 2008
5.
2007 Guidelines for management of arterial hypertension. The Task Force for the
Management of Arterial Hypertension of European Society of Hypertension (ESH) and European
Society of Cardiology (ESC). Europ Heart J 2007; 28:1462
6.
Reappraisal of European guidelines on hypertension management: a European Society of
Hypertension Task Force Document. J.Hyertens 2009; 27:2121
7.
Nelson Textbook of Pediatrics, 18th edition
Additional:
1.
M. Bisconcin, G. Maso, N. Mathers. The European Textbook of Family Medicine. Passoni
Editore 2006
2.
XII.
Case Files. Family Medicine. McGravHill, New York 2010
Detailed list of required practical skills and confirmation of completing:
The student should:
(i)
be able to diagnose and treat patients in accordance with the principles of evidence-based
medicine,
(ii)
be able to communicate with patients and
their families in order to create appropriate conditions for the patient's treatment,
(iii)
demonstrate knowledge of the health care system.
Clinical skills should include specific work in primary health care (treatment of infections, care for
the chronically ill patient, vaccination and health promotion).
Rules and regulations