An-Najah National University
Faculty of Medicine & Health Sciences
Internal Medicine 4th year
Academic Period
Course Level:
Course code
Course Credit Hours:
Class Meeting Days:
Class Meeting Hours:
Evening / Night On calls
Class Location:
Academic Year 2015 -2016
12 weeks through Total of 36 week Year based education (group
distribution) starting:
1st Sunday of August
Fourth year
7221401
12
Sunday-Thursday (West Bank)
Monday – Friday (Nazareth)
8:00-14:00 clinical activities
14.00-16.00 lectures
Accordingly
Internal Medicine department in different institutions affiliated with Faculty
of Medicine &HS
Course Description
This clinical course is designed to expose the student to a broad range of medical diseases in general internal
medicine and various specialties in inpatients and outpatient setting.
During this twelve weeks education (rotations and lecturs), the fourth year medical student will rotate at different
Hospitals and services of general internal medicine and other important subspecialties. They will study the
pathophysiological aspects of the internal medicine diseases. The course will concentrate on pathogenesis, clinical
features, investigation of different medical diseases. It will provide a comprehensive review of different topics of the
cardiovascular, Pulmonary, Gastroenterology, Endocrinology, Nephrology, Oncology and Hematological diseases, it
will also cover some topics in Neurology and Rheumatologic diseases.
Course Objectives
By the end of the rotation, the student will be able to: take history and perform a thorough examination and to
recognize physical signs in the intended disciplines.
They have to interpret pertinent laboratory data and be able to discuss differential diagnosis, diagnostic procedures
and work-up plan.
Intended Learning Outcomes (ILOs)
A) Knowledge & Understanding : By the time the students finish the rotation, they should be able to;
1. Clarify the pathophysiology of medical diseases.
2. Understand the epidemiological aspects of medical diseases.
3. Explain the symptoms and signs of the medical diseases.
4. List the differential diagnosis of different clinical findings.
5. Identify the available investigations that help reach the definitive diagnosis.
6. Recognize the basic principles of different procedural skills that enable the candidates to diagnose various
medical clinical disorders.
7. Understand the role of the general practitioner when dealing with these cases.
B) Intellectual Skills: By the time the students finish the rotation, they should be able to
1. Apply the knowledge of medical anatomy and physiology to differentiate normal from abnormal.
2. Analyze the clinical picture of each medical disease to construct a differential diagnosis for the common
clinical presentations
3. Specify the causative agents and risk factors for each disease.
4. Predict the prognosis for each disease.
5. Design an appropriate diagnostic plan for evaluation of common clinical complaints talking into
considerations the nature of the clinical situation and the risks, benefits and costs to the patient.
C) Professional & Practical Skill: By the time the students finish the rotation, they should be able to;
1. Practice the art of history taking.
2. Demonstrate a complete and/or problem-focused physical examination.
3. Apply the knowledge in taking history and physical examination.
4. Perform simple bed side clinical procedures.
5. Interpret the results of investigations ordered for diagnosis.
6. Offer an accurate medical diagnosis after the interpretation of investigations.
D) General and Transferrable Skills: By the time the students finish the rotation, they should be able to;
1. Gain proper professional behavior, attitude, discipline, dress, communication and look.
2. Appreciate team work in clinical practices.
3. Establish rapport and trust with the patient
4. Respond effectively to a patient’s emotional and psychosocial concerns.
5. Document fully the patient’s history and examination findings; list the clinical problems and present relevant
material clearly, concisely, coherently, and legibly so that information about patients may be communicated
effectively.
Teaching & Learning Methods
Tool
Purpose
ILOs
Lectures
To explain the theoretical
knowledge for each topic
a1-a7
b1-b5
c1-c6
Problem Sets
To solve and interpret clinical cases
b1-b5
c1-c6
Clinical Rotation and tutor, peer
and patient direct communication.
To be prepared and established for a
decent and successful physician
personality.
D1-D5
Recommended resources
1- Macleod's Clinical Examination, 13e- June 21, 2013 Edited by Graham Douglas, Fiona Nicol, and
Colin Robertson.
2- Bates' Guide to Physical Examination & History Taking, 11e -Nov 1, 2012 by Lynn Bickley (Author)
3- Davidson's Principles and Practice of Medicine, 22e- Feb 4, 2014 by Brian R. Walker (Editor), Nicki R
Colledge (Editor), Stuart H. Ralston (Editor), Ian Penman (Editor)
4- Kumar and Clark's Clinical Medicine, 8e- Jul 20, 2012 by Parveen Kumar (Editor), Michael L Clark
(Editor)
Supplementary (Optional) Texts and Materials
Oxford Handbook of Clinical Medicine, 9e – Jan 9, 2014 by Murray Longmore(Author), Ian
Wilkinson(Author), Andrew Baldwin(Author), Elizabeth Wallin(Author).
Academic Conduct Policy
All students are expected to abide by AnNajah National University’s Honor Code rules. Students are expected
to complete their own work in all course activities.
Students are expected to attend morning meeting, clinical round and one or two clinical activities daily during
the course.
Attendance Policy
Students must adhere to AnNajah National University’s attendance policy. They should sign their attendance on
a special file at arrival and leave daily
Grading
Tool
%
Assessment Method
ILOs
Clinical evaluation
15%
Evaluation form
15%
End rotation OSCE
(and/or written and/or
VIVA)
a1-7
d1-5
b1-5
c1-6
Final Exam
70% (distributed
according to Department
decision)
1- Written Exams
(Objective questions,
calculations, data &
case analysis)
2- +-: VIVA +-: OSCE
(according to
Division Decision)
Total
100%
a1-7
b1-5
c1-6
Course Outline & Schedule
Students will be provided with an additional booklet and lectures schedule in the beginning of the rotation.