Medical University of Warsaw 2nd Faculty of Medicine - English Division 61 Żwirki i Wigury Street 02-091 Warsaw Phone: + 48 (22) 5720 502 Fax:+48 (22) 5720 562 e-mail: english@wum.edu.pl http: www.wum.edu.pl 3rd YEAR CURRICULUM 4-year program Warsaw, 2010/2011 ENDOCRINOLOGY Department of Internal Medicine and Endocrinology Address: 1a Banacha Street, 02-097 Warsaw Phone: 022 599 29 75 Head: Prof. Ewa Bar-Andziak, MD; PhD Curricular affairs: Bogusław Skórka MD; PhD, Krzysztof Chojnowski MD;PhD. Number of teaching hours: - seminars 4 hours (every day from 8.00 am to 10.00 am) - practical training 6 hours ( every day from 10.30 am to 1.30 pm) The aim of the course: The aim of the training is to prepare medical students to work as a general practitioners with a knowledge of common endocrinological disorders. Students are also taught how to select patients that should be diagnosed and treated in reference centers /i.e. University Hospitals/. Topics of seminars: 1/ Thyroid autoimmune diseases 2/ Thyroid tumors 3/ Pituitary tumors 4/ Adrenal tumors Topics of practical classes: Presentation and the discussion of cases actually hospitalized in the department with: thyroid diseases, Cushing syndrome, acromegaly, pituitary insufficiency and others. Students are expected to have knowledge of standards in patient interview and basics physical exams. Students will be assigned to the assistants to help in communicating questions and commands to the patients. After completion patients will be discussed in the interactive mode. Basic textbook: Basic and Clinical Endocrinology by F.S.Greenspan & D.G.Gardner. Lange Medical Books/ McGraw-Hill. Seventh edition. 2004. DIABETOLOGY Chair and Department of Internal Diseases and Diabetology Address: Bródnowski Hospital, 8 Kondratowicza Street; 03-242 Warsaw Phone/fax: 022 326 58 17; e-mail: klindiab@amwaw.edu.pl Head: Prof. Anna Czech MD, PhD, Curricular affairs: Prof. Jan Tatoń, MD, PhD, Marek Kowrach MD, PhD Assistants: Roman Kuczerowski MD, Zofia Szczeklik-Kumala MD, Małgorzata Bernas MD, Marek Kowrach MD, Anna Rubiec MD, Sylwia Zawada-Targoni MD, Jerzy Marek MD, Paweł Piątkiewicz, MD Number of teaching hours: Seminars: 10 hours Clerkships: 10 hours and also voluntary additional activities (Students Scientific Circle, duty –assistance) – accordingly to individual arrangements Assessment of students performance: Attendance and activity during clinical classes, oral colloquium, written case history and: 1. Oral periodical colloquium, quizzes 2. Practical exam, final 3. Oral exam, final Grades 1-5 and “outstanding level” The aim of the course: Diabetology as a part of internal medicine becomes very important field of clinical activities as diabetes epidemiological indexes start to grow due to increasing prevalence of obesity and physical inactivity. The main aim of this course is to give the student practical knowledge and skills of prevention and management of diabetes. It also give the overview of chronic complications of diabetes and their management. Seminars with case presentation: 1. Pathophysiological basis for glucose metabolism disorders classification. Metabolic Syndrome. 2. Diabetes type 2 and type 1 - differences in pathophysiology. Goals of treatment 3. Clinical context of manifestation of diabetes – how to recognize and first step of management 4. Insulin in the treatment of diabetes 5. Oral hypoglycemic agents in the treatment of diabetes 6. Acute complications of diabetes –part 1 7. Acute complications of diabetes –part 2 8. Chronic complications of diabetes – retinopathy and nephropathy 9. Chronic complications of diabetes – neuropathy and diabetic foot 10. Cardiovascular diseases in diabetes Topics of clerkships 1. How to obtain the detailed history of diabetes and its complication 2. Clinical examination of patient with diabetes – focus on hypertension and dyslipidemia 3. Clinical examination of patient with diabetes – focus on nephropathy and retinopathy 4. Clinical examination of patient with diabetes –focus on neuropathy and diabetic foot 5. Clinical management of patient with diabetes and cardiovascular disorders 6. Special situations in clinical diabetes– pregnancy, surgery 7. How to order oral hypoglycemic drugs 8. Insulin regimens in clinical practice 9. Insulin in clinical practice – insulin pumps 10. Blood glucose monitoring in diabetes 11. The whole year plan of management of diabetic patient Invitation to “Students Scientific Circle” and voluntary students initiatives enriching the program. Our Department offers to all students the voluntary, facultative activities under the care of academic teacher. Students may choose an research topic, perform studies, write and present results. This activity may be mentioned in the characteristics of the students performance. Basic textbooks: 1. Textbook of Diabetes by John Pickup, Gareth Williams; 3 rd edition; Blackwell Science; 2002 2. Williams Textbook of Endocrinology by Robert Hardin Williams / P. Reed Larsen / Henry M. Kronenberg / Shlomo Melmed / Kenneth S. Polonsky / Jean D. Wilson / Daniel W. Foster, W.B. Saunders Company , 2002 3. Harrison’s Principles of Internal Medicine by Dennis L. Kasper, Eugene Braunwald, Anthony Fauci, , Stephen Hauser, Dan Longo, J. Jameson; Mc Graw-Hill Professional; 16th edition. 2004; 4. Cecil Textbook of medicine by Lee Goldman, Denis Ausiello, Saunders Company; 22th edition, 2003. Recommended sources in internet for medical information 1. Medscape (www.medscape.com) 2. Entrez PubMed (http://www.ncbi.nih.gov/entrez/query.fcgi) 3. Diabetes care (http://care.diabetesjournals.org/) 4. American Diabetes Association (http://www.diabetes.org/home.jsp) The curriculum may also be the subject for individual adjustment with students aimed at improving its pedagogic potential. INTERNAL MEDICINE Department of Family, Internal and Metabolic Medicine Address: 19/25 Stępińska, 00-739 Warsaw phone/fax: 022 318 6325/022 318 6325 Head: Prof. Kazimierz Wardyn, MD, PhD Curricular affairs: M. Olędzka-Oręziak, MD Number of teaching hours: lectures 30 seminars 10 practical classes 90 Assessment of student performance: Attendance and active participation during clinical bedside classes is required and expected. Each student will be required to take a written case history of a real patient and present the case to the class (Grades 1-5 and “outstanding level” will be given). Attendance and activity during clinical classes, written case history (Grades 1-5 and “outstanding level”), final oral exam. Any material that may be on examination based on Harrison's - this material will be specifically indicated to the students during the lectures and seminars. If a follow-up examination is required, please contact Dr. Olędzka-Oręziak within 2 weeks of failing the first examination. If the student does not contact Dr. Olędzka-Oręziak within the required two weeks, the second test will automatically be a failure. The two failures will then be reported to the Dean of the 2nd Faculty of Medicine. The aim of course: During the 3 weeks of this course, students are expected to build upon the knowledge and skills in history taking, physical examination, interpretation of laboratory results and principles of common clinical procedures that were learned by the students in the Introduction to Clinical Medicine Course they attended in Year 2. They are expected to expand on all of these skills in addition to developing new ones. Concentration of this course will be in developing Differential Diagnostic Skills at the patient bedside. Students are required to participate actively at the bedside and should be prepared at the bedside with fundamental knowledge of examination methods and common disease processes that are commonly encountered in Internal Medicine. The textbook that should be utilised by the student should be Harrison's Principals of Internal Medicine and Bate's Guide to Physical Examination and History Taking. Topics of lectures: 1. Labolatory values – out of range ( blood chemistry, hematology, cardiac enzymes) Case reports. Part I 2. Lecture Labolatory values – out of range ( blood gases, thyroid function, urinanalysis) . Case reports. Part II 3. Cardiac arrhythmia – causes, symptoms, types and diagnosis. 4. Clinical application of molecular biology ( Introduction to Molecular Diagnostics) 5. Acute kidney failure – how to investigate the underlying cause of kidney damage. 6. Prevention, diagnosis and treatment of heart failure. 7. Diabetes and its chronic complications. 8. Problems with electrolyte balance – sodium and potassium. 9. Arterial hypertension – signs and symptoms, diagnosing, treatment and life style modification. 10. Skin manifestation of internal diseases. 11. Tuberculosis.- still a common infectious disease. 12. Urinary tract infections 13. Carcinoma of unknown primary. 14. Enteral and parenteral nutrition therapy. 15. Diagnostic dilemma in abdominal pain. Topics of seminars: 1. How to present the findings of the history and physical examination using the problem oriented (SOAP) recording method 2. ECG interpretation – case records 3. Epidemiology of respiratory infections. 4. Diagnostic work-up in syncope patients 5. Chronic Obstructive Pulmonary Disease. Case records. 6. Pulmonary embolism. – how to diagnose 7. Jaundice - potential causes, and tests that can help determine the underlying cause and its severity 8. Gastrointenstinal bleeding. Case records. 9. Inflammatory joint diseases 10. Procedures in internal medicine. Topics of classes: 1. Conduct a focused and comprehensive physical examination for the purpose of health promotion, physical diagnosis, and treatment utilizing advanced health assessment techniques. 2. Analyze the findings from the health history, physical examination, and diagnostic procedures to differentiate normal from abnormal findings. 3. Synthesize the findings from the health history, physical examination, diagnostic procedures, and differential diagnoses to formulate a problem list. Basic textbooks: 1. Harrison’s Principles of Internal Medicine by Dennis L. Kasper, Eugene Braunwald, Anthony Fauci, Stephen Hauser, Dan Longo, J. Jameson; Mc Graw-Hill Professional;7th edition. 2008 2. Bates’ Guide to Physical Examination and History Taking, by Lynn S. Bickley,Peter G. Szilagyi, Lippincott Williams & Wilkins Publishers; 10th edition, 2008; CARDIOLOGY I Chair and Department of Cardiology Address: 1a Banacha Street., 02-097 Warsaw Phone: 022 599 29 58; fax: 599 19 57; e-mail: cardiology@wum.edu.pl www.wum.edu.pl/cardiology Head: Prof. Grzegorz Opolski, MD, PhD, FESC Curricular affairs: Michał Marchel, MD, PhD Number of teaching hours: 2 week training, including 1 week at Coronary Care Unit (CCU). The course covers 60 hours of classes, divided in: - 20 hours of seminars - 40 hours of clinical practice Teaching time: 8.15 – 9.15 Seminar 9.30 – 11.30 Bedside classes 11.45 – 12.45 Case Report During the Cardiology II course classes will take place at the Dept. of Cardiology, in the Central University Hospital, 1a Banacha St., block D 1st floor. All seminars will take place in Teaching Room, block D, 1st floor at 8:15. Case reports will take place in Teaching Room, block D, 1st floor at 11:45. Assessment of student performance: Students are assessed on the grounds of their regular attendance at seminars and active participation in bedside classes as well as at least satisfactory result of the test provided on the last day of the course. The test consists of 30 multiple choice questions. A minimum 18 correct answers is needed to pass the test. In case of two and more absences every student meet the responsible assistant to discuss the possibility of other forms of positive assessment arraigned individually (additional test, participation in medical duty, preparation of case report etc.). The aim of the course: The course program offers the students the basic knowledge of cardiology and its three main diseases: coronary heart disease, heart failure and arrhythmias. Topics of seminars: 1. Signs and symptoms of cardiovascular diseases 2. Cardiovascular imaging 3. Ischemic heart disease – pathogenesis, clinical features, primary and secondary prevention 4. Invasive cardiology 5. Pulmonary embolism 6. Acute coronary syndromes with persistent ST elevation 7. Acute coronary syndromes without persistent ST elevation 8. Bradyarrhythmias and cardiac pacing 9. Tachyarrhythmias and ablation 10. Heart failure Topics of case reports: 1. Basics of ecg 2. Echo lab 3. Exercise test 4. Holter monitoring 5. Invasive cardiology 6. Tachyarrhythmias and ablation 7. Pulmonary edema 8. Pulmonary embolism 9. Pacemaker implantation Topics of classes: 1. Management of acute coronary syndromes with persistent ST elevation 2. Management of acute coronary syndromes without persistent ST elevation 3. Management of acute heart failure 4. Reanimation procedures 5. Management of life-threatening arrhythmias Basic textbooks: 1. Eugene Braunwald, Lee Goldman, ed., Primary Cardiology, second edition, Elsevier Science, 2003. 2. Eugene Braunwald, ed., Heart Disease. A Textbook of Cardiovascular Medicine, 7th edition, Philadelphia: W.B. Saunders Company, 2004. 3. John Camm, Thomas F. Lüscher, Patrick Serruys The ESC Textbook of Cardiovascular Medicine, Wiley-Blackwell, 2006. 4. Brian P. Griffin, Eric J. Topol Manual of Cardiovascular medicine, 2nd edition, Lippincott Williams & Wilkins, 2004. PULMONOLOGY National Tuberculosis and Lung Diseases Research Institute 3rd Clinic of Chest Diseases Address: 26 Płocka Street, 01 – 138 Warsaw Phone: 022 43 12 218 Head: Prof. Kazimierz Roszkowski MD, PhD. Curricular affairs: Janusz Szopiński, MD, PhD, Mirosława Kostek, e-mail:m.kostek@igichp.edu.pl Number of teaching hours Lectures 10 hrs Seminars 10 hrs Practical classes 40 hrs Assessment of student performance: On completion of the course students are expected to take final oral examination. The aim of the course: The programme for English-speaking students in respiratory diseases contain: Some aspects of diagnosis of respiratory disease including radiology, bronchoscopy, functional aspects (obstruction, restriction, respiratory failure) Role of surgery in the diagnosis and treatment of respiratory diseases. Pneumonia – community acquired, nosocomial, in immunocompromised patients. Chronic obstructive pulmonary disease. Topics of lectures: 1. Some aspects of the diagnosis of chest diseases. 2. Spirometry. 3. Diagnosis of restrictive lung diseases. 4. Radiology of the chest. 5. Interstitial lung diseases. 6. Lung cancer. 7. Chronic obstructive pulmonary disease (COPD). 8. Tuberculosis - pathogenesis, differential diagnosis and treatment. 9. Bronchoscopy in the diagnosis of the diseases of lung and bronchi. 10. Thoracic surgery. Topics of seminars: 1. The diseases of the pleura. 2. The role of smoking in the pathogenesis of the diseases of the lungs and bronchi. 3. Pneumonia. 4. Bronchiectasis - new aspects of patophisiology. 5. Bronchoscopy in the treatment of the diseases of the bronchi. 6. Pulmonary diseases in immunocompromised host (AIDS). 7. Pulmonary vasculitis. 8. Respiratory failure. 9. Embolic and thrombotic diseases of the lung. 10. Extra-pulmonary tuberculosis. Topics of practical classes: Physiophatology Bronchoscopy Radiology Intensive care unit Obstructive sleep apnoea Thoracic surgery Chest diseases - 4 hours - 4 hours - 4 hours - 4 hours - 4 hours - 4 hours - 16 hours Basic textbooks: Harrison’s Principles of Internal Medicine. ed. Kurt J. and. McGraw-Hill, Inc., 2001 Clinical Pulmonary Medicine ed. Little, Brown and Company, Boston, 1992 GASTROENTEROLOGY Department of Dietetics and Hospital Nutrition, and Gastroenterology and Metabolic Diseases Address: 8 Kondratowicza Street, 03-242 Warsaw Phone: 022) 326 58 16 Head: Prof. Mirosław Jarosz, MD, PhD. Curricular affairs: Prof. Mirosław Jarosz, MD, PhD, Michał Kożuch, MD, PhD Number of teaching hours Seminars 20 hrs Practical classes 40 hrs SEMINARS 1 2 Diagnosis of gastroenterology disorders Gastrointestinal procedures (ultrasonography, upper gastrointestinal endoscopy, flexible sigmoidoscopy, small bowel enteroscopy, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography) 3 Esophageal and gastric disorders (gastroesophageal reflux disease, peptic ulcer disease, gastric cancer) 4 Small and large bowel disorders (inflamatory bowel disease, irritable bowel syndrome, colon noplasms) 5 Pancreatic and biliary tract disorders (acute pancreatitis, chronic pancreatitis, pancreatic cancer, gallstone disease) PRACTICAL OCCUPATION 1 Echosonography (USG) 2 3 Upper gastrointestinal endoscopy and colonoscopy Endoscopic retrograde cholangiopancreatography 4 Bedside diagnosis 5 Bedside diagnosis References and suggested reading 1. Quigley E.M.M., Gastric and small intestinal motility in health and disease, Gastroenterol. Clin. North Am., 1996, 25, 113-145 2. Sleisenger M.H., Fordtran J.S., Gastrointestinal disease pathophysiology diagnosis management, 5th, ed. Philadelphia, W.B. Saunders, 1993, 150-162 3. Wolfe M.M., Therapy of digestive disorders, Philadelphia, W.B. Saunders, 2000, 711-716 4. Falk G.W., Gastroesophageal reflux disease and Barrett’s esophagus, Endoscopy, 2001, 33(2), 109-118 5. Goyal R.K., Diseases of the esophagus, w: Harrison’s principles of internal medicine, Fauci A.S., Braunwald E., Isselbacher K.J. et al. eds., New York: McGraw-Hil, 1998, 1588-1596 6. 7. 8. 9. 10. 11. 12. Cohen H., Peptic ulcer and Helicobacter pylori, Gastroenterol. Clin. North Am., 2000, 29, 775-789 Graham P.Y., Therapy of Helicobacter pylori current status and issues, Gastroenterology, 2000, 118, 52-58 Rex D.K., Johnson D.A., Lieberman D.A. et al., Colorectal cancer prevention 2000 screening recommendation of the American College of Gastroenterology, Am. J. Gastroenterol., 2000, 95, 868 Camilleri H., Management of the irritable bowel syndrome, Gastroenterology 2001, 120, 652-668 Grendall J.H., Acute pancreatitis, Clin. Perspect. Gastroenterol., 2000, 6, 327-333 Etemad B., Whitcomb D.C., Chronic pancreatitis: diagnosis, classification and new genetic developments, Gastroenterology 2001, 120, 682-707 Diehl A.K., Epidemiology and natural history of gallstone disease, Gastroenterol. Clin., North Am., 1991, 20, 1-19 SURGERY 2nd Chair and Department of General, Vascular and Oncological Surgery. Address: 19/25 Stępińska Street, 00-739 Warsaw Phone/fax: 022 841 15 92, 022 31 86 391; deptsurg@polbox.pl Head: Prof. Jerzy A. Polański, MD, PhD Curricular affairs: Paweł Białek MD, PhD Number of teaching hours: Seminars - 30 hr Practical classes - 120 hr Teaching time: 8.00 am- 1.00 pm. Assessment of student performance: On completion of the course student are expected to take their final oral examination. The aim of the course: The program is based on teaching students general surgery knowledge including perioperative diagnosis, surgical treatment and postoperative care. The program comprises general, vascular and oncological surgery. Topics of seminars: 1. The surgery of thyroid gland. Goiter. Benign and malignant thyroid tumors. 2. Portal hypertension. 3. Biliary tract cancer. Biliary drainage. 4. Adenocarcinoma of the pancreas. 5. Breast cancer. 6. Liver surgery. Benign and malignant liver tumors. 7. Extracranial carotid arteries surgery. 8. Peripherial arterial insuffiscience. The role of surgery. 9. Abdominal aortic aneurysm. Topics of practical classes: 1. Bed-side teaching 2. Assisting at the operations 3. General surgery out-patient therapy participation Basic textbooks: 1. „Current Surgical Diagnosis and Treatment” Lawrence W. Way, 10th edition or older one. ONCOLOGICAL SURGERY 2nd Chair and Department of General, Vascular and Oncological Surgery. Address: 19/25 Stępińska Street, 00-739 Warsaw Phone/fax: 022 841 15 92, 022 31 86 391; deptsurg@polbox.pl Head: Prof. Jerzy A. Polański, MD, Ph.D. Curricular affairs: Paweł Białek MD, PhD Number of teaching hours: Seminars - 5 hrs Practical classes - 15 hrs Teaching time: 8.00 am- 1.00 pm. Assessment of student performance: On completion of the course student are expected to take their final test The aim of the course: The program is based on teaching students oncological surgery knowledge including perioperative diagnosis, surgical treatment and postoperative care. Topics of seminars: 1. Gastric cancer 2. The tumors of the pancreas. 3. Liver tumors. Liver resections. 4. Tumors of the extrahepatic bile ducts. The role of surgery. 5. Thyroid gland cancer. Topics of practical classes: 1. Bed-side teaching 2. Assisting at the operations 3. Oncological surgery out-patient therapy participation Basic textbooks: 1. „Current Surgical Diagnosis and Treatment” Lawrence W. Way, 10th edition or older one. NUCLEAR MEDICINE Departament of Nuclear Medicine Address: 1a Banacha 1a Street, 02-097 Warsaw Phone: 022 599 22 70 fax: 022 599 11 70 Head: Prof. Leszek Królicki, MD, PhD Number of teaching hours: Seminars – 5 hrs Practical classes – 10 hrs Assessment of student performance: On completion of the course students are expected to take a final assessment test. The aim of the course The course program offers to students the basic information concerning diagnosis and therapy by using of radioisotope procedures. Topics of practical classes 1. Equipment used in nuclear medicine department – A.Bajera 2. Radiopharmaceuticals – P.Ochman 3. Diagnostic procedures in evaluation of brain and heart diseases - M.Kobylecka 4. Diagnostic procedures in evaluation of bone and lung diseases J. Mączewska 5. Therapeutic procedures in treatment of thyroid, joints, bone metastases, other tumors – J.Kunikowska Basic textbooks: Nuclear Medicine. Science and Safety. AC Perkins John Libbey and Company Ltd, London SW 18 4HR, England. 1995 Complementary textbooks: The Lancet. Nuclear medicine Sextet. Vol 354. August 21, 1999. THORASIC SURGERY National Tuberculosis and Lung Diseases Research Institute 3rd Clinic of Chest Diseases Address: 26 Płocka Street, 01 – 138 Warsaw Phone: 022 43 12 218 Head: Prof. Kazimierz Roszkowski MD, PhD. Curricular affairs: Janusz Szopiński, MD, PhD, Mirosława Kostek, e-mail:m.kostek@igichp.edu.pl Number of teaching hours Lectures 3 hrs Seminars 3 hrs Practical classes 12 hrs Assessment of student performance: On completion of the course students are expected to take final oral examination. The aim of the course: The programme for English-speaking students in thoracic surgery Topics of seminars The role of the surgery in diagnosis of chest diseases The role of the surgery in treatment of chest diseases part 1 The role of the surgery in treatment of chest diseases part 2 Thoracic surgery Emergencies in thoracic surgery Lung transplantation Basic textbooks: Harrison’s Principles of Internal Medicine. ed. Kurt J. i wsp. McGraw-Hill, Inc., 2001 Clinical Pulmonary Medicine ed. Little, Brown and Company, Boston, 1992 CARDIAC SURGERY Cardiac Surgery Department Medical University of Warsaw Address: 1a Banacha Street, 02-097 Warsaw Phone: 022 599 21 41; Fax. 22 599 21 42; e-mail: kardiochir.am.waw@wp.pl Head: Prof. Kazimierz B. Suwalski MD, PhD Curricular affairs: Piotr Suwalski MD, PhD Number of teaching hours: Lectures – 2 hours Seminars – 2 hours Practical classes – 8 hours Assessment of student performance: On completion of the course students are expected to take final assessment test. The aim of the course: The course program offers to students the basic information on: - surgical treatment of cardiovascular diseases - patient qualification to cardiac surgical treatment - peri- and postoperative care of patients referred to cardiac surgical procedures - incoming novel strategies in cardiac surgery Topic of lectures and seminars: - surgical treatment of coronary artery disease - surgical treatment of cardiac valve disease - surgery for aorta, cardiac arrhythmias and heart failure - perioperative cardiac surgical intensive care Topics of practical classes: - qualification and preoperative care of cardiac surgical patients - video and life cases of cardiac surgical procedures - postoperative course in intensive care unit - how to treat the post cardial surgical patients after hospital discharge Basic texbook: - proper materials and hand-outs will be given during the course Complementary textbook: - L.H. Cohn, L.H. Edmunds “Cardiac Surgery in the Adult”, 2003 - J.W. Kirklin, B.G. Barrat-Boyes “Cardiac Surgery”, 1993 VASCULAR SURGERY Head and Department of General, Vascular and Transplant Surgery Address: 1a Banacha Street, 02-097 Warsaw (Block B, 4th Floor) Phone: 022 599 24 67; fax: 022 599 14 68 e-mail: jszmidt@amwaw.edu.pl, tomj@am.edu.pl, Head: Prof. Jacek Szmidt MD, PhD. Curricular affairs: Tomasz Jakimowicz, M.D., Ph.D. Numbers of teaching hours: Seminars 6 hrs Practical classes 24 hrs Assessment of student performance: On completion of the course students are expected to take a final assessment test. The aim of the course To provide students with basic knowledge of most common vascular diseases their clinical manifestations, pathology, diagnosis and treatment. Topics of seminars Abdominal Aortic Aneurysm – diagnosis and treatment Peripheral Vascular Disease – diagnosis and treatment Carotid Artery Disease – diagnosis and treatment Basic textbooks Current Diagnosis & Treatment in Vascular Surgery Edited by: Richard H. Dean, James S.T. Yao, David C. Brewster Publisher: McGraw-Hill/Appleton & Lange, 1996 Complementary textbooks: 1. Current Surgical Diagnosis & Treatment (11st Ed.) Author: Lawrence W. Way; Publisher: McGraw-Hill, 2002 2. Vascular Surgery, 6th Edition By Robert B. Rutherford (Editor) Publisher: W B Saunders Co, 2005 UROLOGY Chair and Department of General, Oncological and Functional Urology Address: SK 1 “Dzieciatka Jezus”, 4 Lindleya Str, 02-005 Warsaw (building No 7). Phone/fax : 022 502 17 02 – office opened from Monday till Friday 8.30 -14.00 The course starts at 8.30 AM in conference room, 3rd floor (from lifts – right) Head: Prof. Andrzej Borkowski, MD, PhD Curricular affairs: Associate Professor Piotr Radziszewski, MD, PhD Bartosz Dybowski, MD, PhD Number of teaching hours: lectures and seminars 15 hours practical classes 15 hours Assessment of students’ performance: Presence at all seminars and clinical classes is the prerequisite for credit with urology in the student’s index. Absence or unjustified being late may result in not gaining the credit. Exceptionally , the omitted hours may be worked during emergency duties, which requires additional arrangement with the senior doctor on duty. MCQ examination conducted by associate professor and tutors is taken on the final day of the course or in the closest examination session. Aim of the course: General knowledge of the genitourinary system diseases in urology (epidemiology, symptoms, diagnosis, treatment) especially stone disease, oncology, emergencies, congenital malformations, urinary incontinence and traumatology. Topics of seminars: 1. Introduction to urology 2. Urological emergencies 3. Urolithiasis 4. Genitourinary oncology 5. Prostatic diseases (benign and malignant) 6. Genitourinary trauma 7. Urinary incontinence 8. Congenital malformations 9. Live surgery videos Topics of practical classes: 1.Cystoscopy 2.Open surgery and endourology (OR) 3.Stone clinic (OR) Basic textbooks: 1.Smith's General Urology (LANGE Clinical Medicine) by Emil Tanagho and Jack McAninch (Paperback - Nov. 21, 2007) 2.House Officer Urology (House Officer)(4th Edition) by Michael T. Macfarlane (Paperback June 1, 2006) 3.Oxford Handbook of Urology (Oxford Handbooks) by John Reynard, Simon Brewster, and Suzanne Biers (Paperback - Apr. 15, 2009) Complementary textbooks: 1.Glenn's Urologic Surgery (Urologic Surgery (Glenn's)) by Sam D Graham and Thomas E Keane (Hardcover - Oct. 1, 2009) 2.Adult and Pediatric Urology (3-Volume Set) (Includes a Card to Return to Receive the Free CD-ROM) by Jay Y Gillenwater, John T Grayhack, Stuart S Howards, and Michael E Mitchell (Hardcover - Jan. 15, 2002) 3.Campbell-Walsh Urology by Alan J. Wein (Editor), Alan W. Partin (Editor), Andrew C. Novick (Editor), Louis R. Kavoussi (Editor), Craig A. Peters (Editor) Paperback - February 2007 ORTHOPAEDICS Department of Orthopaedics and Physical Rehabilitation Address: 8 Kondratowicza Street, 03-242 Warsaw Phone: 022 326 58 54 Head: Prof. Jarosław Deszczyński, MD, PhD Curricular affairs: Artur Stolarczyk MD, PhD Number of teaching hours: Seminars – 20 hrs Practical training – 40 Duration of the course: 2 weeks Assessment of student performance: On completion of the course students are expected to take a final assessment test. The aim of the course: The course program offers the basic information about general orthopaedics, regional injuries, and both traumatic and non-traumatic disorders Topics of seminars: 1. Injuries of musculoskeletal system – basic definitions and concepts of the treatment 2. Injuries of the lower limb 3. Injuries of the pelvis 4. Injuries of the spine 5. Osteoarthritis 6. Bone tumours 7. Injuries of the upper limb 8. Injuries of the shoulder girdle 9. Patophysiology of the bone healing 1. 2. 3. 4. 5. 6. Topics of practical classes: Diagnosis of orthopaedic disorders Physical examination Clinical and radiological features of fractures Principles of fracture treatment Complications of fractures Basic concepts of rehabilitation Basic textbook: 1. „“Textbook of orthopaedics”, John Ebenezar, Anshan, 2006 1. 2. 3. 4. Complementary textbooks: Blueprints Orthopedics” Grant Cooper, Blackwell Publishing, 2005 “Orthopaedics”, Robert H. Fitzgerald, Mosby, 2002 “Orthopaedics and Trauma”, Ronald McRae, Churchill Livingstone, 1996 “Outline of Orthopaedics” 13E, John Crawford Adams, Churchill Livingstone, 2001 GYNAECOLOGY & OBSTETRICS Chair & Department of Obstetrics, Gynaecology & Oncology Address: 8 Kondratowicza Street. 03-242 Warsaw Phone/fax: 022) 326 58 18 Head: Prof. Jerzy Stelmachów, MD, PhD Curricular affairs: Karol Wypych, MD, PhD Number of teaching hours: seminars - 90 hours practical classes - 150 hours Assessment of students performance: Students are supposed to participate in all lessons actively. Student’s presence must be confirmed on the control sheet. Student’s absences during ward lessons should be worked out on duties in terms coordinated by tutor. Student missing the seminar is to write an essay and discuss it with the lecturer. Absences must be worked out within 2 weeks after having lessons finished. Only 2 absences are allowed to be worked out (ward lessons and/or seminars together). There is no credit for student who was missing more lessons. On the last day of study (or during 2 weeks after having the lessons finished) students are to pass the oral crediting. The aim of the course: 1. To obtain the theoretical knowledge on physiology and pathology of the pregnancy and the delivery as well as physiopathology of the neonatal period. 2. To obtain practical ability of gynaecological examination and examination of pregnant patient and patient in labour. 3. To obtain practical ability in management of normal delivery. 4. To gain basic informations about gynaecologic diseases and diagnosis and treatment of female genital organs malignancy. 5. To continue practical abilities in obstetrics and physiopatology of the newborn. Topics of seminars: OBSTETRICS: 1. Diagnosis of the pregnancy. Physiological changes during pregnancy development. Methods of electronic (CTG, USS) and biochemical monitoring in pregnancy and labour. 2. Abortion – classification, diagnosis and treatment. Premature labour – treatment with β-mimetics. 3. Anaemias in pregnancy. Heart diseases in pregnancy. Urinary tract infections in pregnancy. Liver diseases in pregnancy. Infectious diseases in pregnancy. 4. Haemostasis and coagulation disorders in pregnancy. Shock in obstetrics. Premature ablation of the placenta. Intrauterine fetal death. Amniotic fluid embolus. 5. Uterine function disorders – Atony. Threatened rupture of the uterus. Post-term pregnancy and induction of labour. 6. P.E.T. and Eclampsia. The puerperium – normal changes and complications. Breast feeding. 7. Pregnancy in diabetic woman. Rh incompatibility. 8. Life threatening and emergency cases in obstetrics. 9. Physiopathology of the newborn. GYNAECOLOGY: 1. Infections and inflamations of female genital organs. Acute diseases of the abdominal cavity in gynaecology. 2. Menstrual cycle and menstrual disorders. Some selected endocrine syndroms: Gonadal dysgenesis, Turner’s syndrome, Testicular feminisation syndrome, Polycystic ovarian syndrome. 3. Puberty and climacterium. Hormonal replacement therapy. Gestational Trophoblastic Disease. 4. Congenital disorders of female genital organs. Vaginal prolapse. Urinary incontinence in women – diagnosis and treatment. 5. Fibroid uterus. Abnormal uterine bleeding. Pathologic endometrial hyperplasia. Endometrial cancer. 6. Pathology of the uterine cervix. Cervical cancer. Couple infertility. Contraception. 7. Pathology of the vulva. Vulvar cancer. The role of gynaecologist in diagnosis and treatment of breast diseases. 8. Ovarian malignancy. Ovarian cancer. Topics of practical classes (obstetrical phantom demonstrations): 1. Normal delivery. (Diagnosis of the onset of labour. Stages of labour. Mechanism of labour in the vertex presentation. 3-rd stage of labour management and evaluation of the placenta). 2. Breech delivery. (Mechanism of labour. Methods of manual assistance.). 3. Abnormal delivery. (Deflexed head. Aynclitism. Persistent occiput posterior or anterior. Deep transverse arrest.). 4. Operative delivery. (Vacuum delivery. Forceps delivery. Cesarean section.) 5. Resuscitation of the newborn Important informations regarding lessons organization: Lessons are held in four week period consisting of one week of “boarding” lessons. Groups are divided into 4-persons teams. They have practical exercises in wards: antenatal ward, labour ward, postnatal ward, gynaecological ward, septic ward, operating theatre, admission room or out-patient clinic, USS-room and also in nursery. “Boarding” group must be formed before onset of the study and as the “boarding” group must be prepared to stay in the hospital from the first day of the lessons. There may be no more than 12 students in such group. Every day seminars are performed on the above mentioned topics. In the afternoon “boarding” group students participate in phantom practical exercises. Basic textbooks: Llewelyn-Jones D.: “Fundamentals of Obstetrics and Gynaecology” Dunninhoo D.R.: “Fundamentals of Gynaecology and Obstetrics” Clarke-Pearson D.L., Dawood M.Y.: “Green’s Gynaecology – Essentials of clinical practice” Complementary textbooks: Regarding each student has opportunity to discuss any problematic topic with the teacher during the lessons any modern student’s textbook of obstetrics and gynaecology edited in the United States or the United Kingdom may be accepted. PAEDIATRICS Department of Pediatric Cardiology and General Pediatrics Address: 24 Marszałkowska Street, 00-576 Warsaw; Phone: 022 629 83 17; 022 522 73 21; Fax: 022 629 83 17 Head: Prof. Bożena Werner Assoc. Prof. MD, PhD Curricular affairs: Tomasz Florianczyk MD, PhD; mail: tomasz.florianczyk@wum.edu.pl Beata Kucińska MD, PhD; mail: kucinska@litewska.edu.pl Number of teaching hours: clinical clerkships 120 hrs seminars 120 hrs total 240 hrs Main topics of the study with the location of clinical clerkships and seminars: Propaedeutics of Pediatrics – 5 days Department of Pediatric Cardiology and General Pediatrics 24 Marszałkowska Street, Warsaw Head of department: Prof. Bożena Werner, MD, PhD Physiology and Pathology of the newborn baby – 5 days Neonatological ward of Chair and Department of Obstetrics and Gynecology 8 Kondratowicza Street; Warsaw Head of department: Prof. Jerzy Stelmachów, MD, PhD Emergency Pediatrics – 2 days Chair and Department of Cardiac and General Pediatric Surgery 24 Marszałkowska Street; Warszawa Head of department: Prof. Andrzej Kamiński, MD, PhD Pediatric Intensive Care Unit – 2 days Intensive Care Unit of Clinical Michałowicz’s Hospital Chair of Anesthesiology and Intensive Care Unit – 1st Department 24 Marszałkowska Street; Warsaw Head of department: Marcin Rawicz MD, PhD Pediatric Ambulatory Care – 2 days Department of Pediatric, Pneumonology and Respiratory Diseases 1/3 Działdowska Street; Warsaw Head of department: Prof. Marek Kulus, MD, PhD Pediatric Respiratory Medicine, Pediatric Allergy and Clinical Immunology – 5 days Department of Pediatric, Pneumonology and Respiratory Diseases 1/3 Działdowska Street; Warsaw Head of department: Prof. Marek Kulus, MD, PhD Pediatric Gastroenterology - 2 days Department of Pediatric Gastroenteology and Nutrition 1/3 Działdowska Street; Warszawa Head of department: Prof. Andrzej Radzikowski, MD, PhD Child Abuse and Neglect – 2 days Department of Child and Adolescent Psychiatry 24 Marszałkowska Street; Warszawa Head of department: Prof. Tomasz Wolańczyk, MD, PhD Pediatric Infectious Diseases – 4 days Department of Infectious Diseases in Childhood 37 Wolska Street; Warszawa Head of department: Prof. Magdalena Marczyńska, MD, PhD Assessment of student performance: Students are assigned passing grades of the grounds of regular attendance at seminars and practical classes, obtaining at least satisfactory marks while final oral colloquiums on the last day of the course. The aim of the course: Clinical clerkships including bedsides classes and seminars are held daily for six weeks. They are performed in clinical children wards and neonate ward as well as in emergency pediatric unit, children intensive care unit and pediatric ambulatory. During the practical classes students are taught appropriate techniques of careful medical history taking, performing physical examination, interpretation of the results of accessory investigations as well as typical diseases and medical problems appropriate for the different branches of pediatrics according to the department they visit. While attending their clerkships in the hospital wards it is mandatory for students to be dressed in white coats, change the footwear an be in possession of their own stethoscopes. Topics of seminars: Propaedeutics of pediatrics 1. Psychomotorical development of the child – Monday morning 2. Physical examination in children - Monday afternoon 3. Physical development of the child – Tuesday morning 4. Nutrition of healthy children – Tuesday afternoon 5. Well-child-care visits – Wednesday morning 6. Vaccination – Wednesday afternoon 7. Calcium and phosphoric metabolism – Thursday morning 8. Seizures – Thursday afternoon 9. Stomach pains – Friday morning 10. The most common complexes of congenital anomalies – Friday afternoon Physiology and pathology of the newborn baby 1. Delivery room management. Anticipation of the most common problems (with the special attention to hypotrophy and premature baby). 2. Transition from the fetal to extrauterine life. 3. Physical examination of newborns. Nursery and medical care. Feeding and nutrition. 4. General antenatal assessment. 5. Preparation to the high risk delivery (resusciation). Perinatal trauma. 6. Hyperbilirubinemia. Hematological problems of newborns (anemia, bleeding disorders, polycythemia). 7. Respiratory diseases (RDS - respiratory distress syndrome, MAS - myconium aspiration syndrome, apnea, dyspnea, pneumonia). 8. Infectious diseases of newborns (TORCH, meningitis, infectious caused by the Streptococcus B). 9. Neurological disorders of newborns (seizures, intraventricular hemorrhage). Surgical emergencies in neonatology (TEF – tracheo-esophageal fistula, omphalocele, gastroschisis, intestinal obstruction, diaphragmatic hernia). 10. Infant of diabetic mother. Metabolic problems (screening test and diagnostics). Hypoglycemia, hypokalcemia i hypomagnesemia. Emergency pediatrics 1. Injuries of the chest and abdominal cavity. 2. Injuries of the central nervous system. 3. Acute disorders of abdominal cavity. 4. Injuries of the skin. 5. Hemorrhage of digestive tract. 6. Emergency conditions of newborn babies. Pediatric intensive care unit 1. History and scope of subspeciality. Organization. Place of intensive care unit in pediatric hospital – practical and legal aspects. Equipment. 2. Pediatric advanced life support. 3. Selected life – threatening clinical syndromes in pediatrics (respiratory distress, cardiac distress, trauma). 4. Protocols of pediatric intensive care unit (monitoring, respiratory support, circulatory support, sedation, pareneteral nutrition, antimicrobial therapy). Pediatric respiratory medicine. Pediatric allergy and clinical immunology 1. Upper respiratory tract infections. 2. Congenital anomalies of the respiratory system. 3. Lower respiratory tract infections: bronchitis, pneumonia and pleuropneumonia. 4. Chronic and recurrent respiratory symptoms (cystic fibrosis, primary ciliary dyskinesia). 5. Tuberculosis. 6. Asthma. 7. Atopic dermatitis and utricaria. 8. Food allergy. 9. Insect allergy and allergic rhinitis. 10. Immunodeficiencies. Pediatric gastroenterology 1. Assessment of nutritional status. 2. Acute enterocolitis – etiology, diagnosis and treatment. 3. Chronic diarrhea and malabsorbtion syndrome in developing and developed countries. 4. Inflammatory bowel diseases (colitis ulcerosa, Leśniowski-Crohn’s disease). Gastritis. Ulcers. Helicobacter pylori infections. Child abuse and neglect 1. Mental, emotional and social development. 2. Family issues and family development. 3. The crisis of diagnosis, family and child adaptation to chronic disease. 4. Neglect, maltreatment, physical and sexual abuse of the child. 5. Elimination disorders: encopresis end enuresis. Pediatric infectious diseases 1. Infectious diseases with rashes 1 1. Infectious diseases with rashes 2 2. Lympadenopathy in infectious diseases. 3. HIV infectious in children. 4. Infectious of central nervous system. 5. Viral hepatitis. 6. Infectious of digestive tract. 7. Parasitic diseases in children. Basic textbooks: 1. Hal B., Md. Jenson, Richard E., Md. Behraman, Robert M., Md. Kliegman. “Nelson Textbook of Pediatrics”, 17th Ed.; WB Saunders; May 2003. 2. George H. Lowrey. “Growth & Development of children”; Year Book Medical Publishers; January 1986. 3. Richard E. Behraman, Robert M. Kliegman. “Nelson essential of Pediatrics”, 4th Ed.; WB Saunders; December 2001. 4. Lewis A. Barness, Robert Kaye. “Core Textbook of Pediatrics”; Lippincott Williams & Wilkins; 1998 5. Weronica L. Gunn, Christian Nechyba. “The Hariet Lane Handbook: A Manual for Pediatrics House Officers”, 16th Ed; Elsevier Science Health Science div; September 2002. 6. Graef John W. “Manual of Pediatrics Therapeutics”; Lippincott Williams & Wilkins; April 1997. 7. Carolyn Jarvis. “Pocket Companion of Physical Examination and Health Assessment”, 4th Ed.; Elsevier Science Health Science div; June 2003. 8. Tom Lissauer, Graham Clayden. “Illustrated Textbook of Pediatrics”, 2nd Ed.; Elsevier Science Health Science div; September 2001. POLISH FOR MEDICINE – communication skills in medicine Foreign Language Center; Department of the Medical University of Warsaw Address: The Didactic Center, 2a, Trojdena Street., 02-109 Warsaw Phone: 022 5720863, fax: 022 5720864 ; e-mail: sjosekretariat@wum.edu.pl Head: Joanna Ciecierska MA Curricular affairs: Maria Janowska MA; Świetlana Sikorska MA; Małgorzata Kierepka MA Number of teaching hours: The course covers 60 hours of classes:30 hours in winter term and 30 hours in spring term. Assessment of student performance: To obtain a credit after each term a student has to attend classes regularly and pass all the assigned tests successfully(minimum score is 60% correct answers). Please be informed that according to the academic rules students are obliged to take part in all the classes. No absence will be accepted except the one for which a student has a valid medical note. The note must be submitted to the teacher within three days from the visit to the doctor. Classes start punctually according to the timetable. Students coming late (more than 10 minutes after the time) will be not allowed into the classroom and this will be treated as unexplained absence. Before the exam students must obtain the credit for the classes in the winter and summer terms, that is have a record of regular attendance and pass the required tests. A student’s absence on the assigned day of the test will result in not obtaining a credit. Students who fail the test can be given a chance to sit a retake test twice, provided they took part in classes regularly. The days of the retake tests are set by the teacher in agreement with the Dean’s Office. The first retake can be taken not earlier than a week from the day of the test. The second retake can be taken not earlier than two weeks from the day of the first retake. The result of the second retake is the final mark the student receives. There are no more possibilities of any other retakes. The student who fails the second retake must repeat the part of the programme he/she has failed. The aim of the course. The course is aimed at bedside conversation. Students learn to talk about selected diseases, their symptoms and diagnostics. They practise taking patient’s history and giving instructions to the patient in definite clinical situations. Topics of classes: I. Pain (Kinds of pain. Questions about pain). II. Cardiological disorders and diseases. 1. Ischemic heart disease (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Myocardial infarction (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 3. Hypertension (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient.). III. Respiratory disorders and diseases. 1. Pneumonia (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Asthma ( Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). IV. Disorders and diseases of the digestive system. 1. Peptic ulcers – stomach and duodenal ulcers (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Cholilithiasis (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 3. Appendicitis (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 4. Small bowel obstruction (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). V. Disorders of the urinary system. 1. Urolithiasis (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Cystitis (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). VI. Disorders and diseases of the nervous system. 1. Stroke (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Epilepsy (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). VII. Disorders and diseases of the reproductive system. a. Female patient. 1. Breast cancer (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Fibroids (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). b. Male patient (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). VIII. Disorders of the locomotor system. 1. Ischialgia (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). 2. Injuries: bone fracture, joint dislocation, prolapsed vertebral disc (Symptoms and signs. Diagnostics. Questions to the patient. Physical examination – instructions to the patient). Basic textbook: Maria Janowska, Świetlana Sikorska “Proszę oddychać. Part II” Complementary materials: Handouts prepared by the teachers. STUDENTS’ SUMMER CLINICAL CLERKSHIPS Upon completion of their third year of the 4-year program of study student’s are required to take one-month summer clinical clerkships(total 160 hours) including a two of below mentioned trainings at a teaching hospital in Poland or selected foreign countries: 1. Two weeks practical courses in the Surgical Ward. The training program cover the following aspects: 1. organization and management of the ward (admissions to the operating theaters,treatment rooms, admission criteria, completing and filing records, discharging patients from hospital). 2. types of surgical instruments and equipment. 3. improving skills in clinical examination and diagnostic procedures, particulary in emergency cases. 4. learning the rules of wound dressing and suturing techniques, managing fractures and burns. 5. learning the principles and types of local anesthesia. 6. participating in ward rounds and morning briefings done by the doctor in charge. 7. active participation in the functioning of the ward, practicing basis interventions, changing dressings, removing stitches, starting intravenous drips, collecting samples for diagnostic procedures. 8. principles of asepsis and antisepsis, the technique of scrubbing before operation. 9. assisting in surgical procedures in the operating theater. 2. A two-week training at the Ambulance Service which comprises: 1. instruction in the scope of activities provided by the service (completing and filing records, assessing the time of temporary work disability, referring patients to hospital, rendering transport service, organizing emergency / rescue operation in mass poisoning, epidemics, accidents, natural disasters etc. 2. assisting the physician in providing emergency aid and shadowing them on home calls. 3. assisting the physician in general, resucitation, accident and emergency, pediatric and ob/ gyn ambulance calls. 4. instruction in life-saving procedures. 3. A two-week training at the Department of Obstetrics and Gynecology. The program provides instruction in the following aspects: 1. organization and functioning of the Obstetric Admissions Department, Labor Ward and Maternity Ward; 2. admitting the patient, setting up the patient’s records, carrying out activities with respect to the patient’s personal toilet; 3. monitoring the stages of labor, completing the chart of the labor course with a particular focus on paramenters with respect to the maternal and fetal status; 4. delivering the patient under a close supervision of an obstetrician and midwife; 5. assistance in suturing the perineum; 6. post-delivery assessment of the placenta; 7. instruction in operating diagnostic devices (e.g. amnioscope, pulse rate detector etc.); 8. assisting in the Caesarian section 9. organization and management of work at the Gynecological Admission Department and in the Gynecological Ward; 10. principles of gynecological examination; 11. criteria used for qualifying patients for operation; 12. management of work in the treatment room, completing and filing records, collecting samples for histopathological and cytological examination; 13. assisting in gynecological surgical procedures; 14. early postoperative monitoring, completing the patients’ chart; 15. management of patients admitted for threatened abortion; 16. principles of prevention of neoplasia of the female genital organs and breast; NOTE: During their training in above mentioned wards students are expected to perform two twenty-four hour shifts when they shadow the physician/surgeon in charge and assist or do the regulator work 5. A two-week training at the Outpatients’ Department NOTE: During their training students are expected to perform two twenty-four hour shifts when they shadow the physician/surgeon in charge and assist or do the regulator work. Through the course of training students are expected to make records of their activities and procedures performed. They are also assessed by the instructor in charge and are finally granted their passing mark by the head of the department. Certificates written in English or translated should be submitted to the Dean’s Office of the Medical University of Warsaw by October 5 of the subsequent academic year.