3rd year

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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.
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