2nd 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
2nd YEAR CURRICULUM
4-year program
Warsaw, 2010/2011
1
PHARMACOLOGY
Department of Clinical and Experimental Pharmacology
Address: 26/28 Krakowskie Przedmiescie St., 00-957 Warsaw
Phone/fax: 022 826 21 16; mirdag@poczta.onet.pl
Head: Prof. Andrzej Członkowski, MD, PhD
Curricular affairs: Dagmara Mirowska, MD, phone : 4822 501 322171
Adam Kobayashi, MD, phone: 4822 602 266 498
Number of teaching hours:
seminars – 80 hours
lectures – 40 hours
Assessment of student performance:
On completion of the course students are expected to take test with 100 multiple choice
questions.
The aim of the course:
During two semesters of pharmacology students are expected to gain the basic knowledge of
pharmacokinetics: drugs absorption, distribution, elimination and biotransformation,
pharmacodynamics: drugs action and interaction, relationship between drug concentration and
effect on human body by altering biological functions in health and disease, therapeutic
usfulness, indications and contraindications, dosage, route of administration, side effects,
toxicity and principles of prescribing. The next aim of the program is to update students with
main drug groups used in common diseases.
Topics of lectures:
1. Introduction to pharmacology. Basic pronciples
2. Pharmacokinetics: drug absorption, distribution and elimination
3. Drug biotransformation
4. Pharmacodynamics: drug action, the relationship between drug concentration and
effect
5. Special aspects of pharmacotherapy during pregnancy and lactation. Drugs used
during pregnancy and lactation
6. Principles of chemotherapeutic drug action
7. Antifungal, antiviral drugs
8. Malaria – treatment and prophylaxis
9. Drug used in chemotherapy of tuberculosis and leprosy
10. Cancer chemiotherapy
11. Pharmacology of vitamins
12. The hypothalamic and pituitary hormones. Thyroid and antithyroid drugs
13. The gonadal hormones and inhibitors
14. Antiallergic drugs
15. Immunopharmacology
16. Agents acting at the neuromuscular junction and autonomic ganglia
17. Local anaesthesia
18. Mechanism of drug interactions
2
19. Drug treatment of angina pectoris
20. Drugs used in hiperlipidemias
21. Drug therapy of hypertension
22. Therapeutic management of shock
23. Occupational and enviromental toxicology
24. Harmful effects of drugs. Principles of toxicology
25. Introduction to psychopharmacology
26. Pharmacology of Parkinson’s disease and movement disorders
27. Pharmacology of alcohol consumption
28. Drug of abuse (part one)
29. Drug of abuse (part two)
30. Therapy of cognitive disorders
31. Management of patient with vascular diseases of the central nervous system
32. Multiple sclerosis treatment
33. Special aspects of geriatric pharmacology
34. Drugs affecting the haematopoetic system
Topics of seminars:
1. Drug used in gastrointestinal diseases. Control of gastric acidity and treatment of
peptic ulcers
2. Drugs used in gastrointestinal diseases. Emetic and antiemetic drugs. Drugs increasing
gastro-intestinal motility. Antidiarrhoeal drugs
3. Antihelmintic drugs
4. Antiprotozoal drugs
5. Assesment test on gastrointestinal drugs
6. Prescription writing
7. Chemotherapeutic agents. Sulfonamides. Quinolones. Urinary antiseptics
8. Chemotherapeutic agents. Penicilins. Cephalosporins and other beta-lactam
antibiotics. Macrolide antibiotics
9. Chemotherapeutic agents. Chloramphenicol. Tetracyclines. Aminoglycosides
10. Assessment test on chemiotherapy
11. Adrenocorticosteroids and adrenocortical antagonists
12. Vitamin D, calcium homeostasis, parathyroid hormone and calcitonin
13. Pancreatic hormones and antidiabetic drugs
14. Assesment test on hormonal agents
15. Dermatologic pharmacology
16. Drugs used to influence smooth muscle organs
17. Cholinergic agonists. Cholinoreceptor-blocking drugs
18. Catecholamines and sympathomimetics drugs
19. Adrenergic receptor antagonists
20. Diuretic agents
21. Anticoagulant and antiplatelet drugs
22. Agents used in cardiac arythmias
23. Antihypertensive drugs
24. Agents used in congestive heart failure
25. Assessment test on drugs used in cardiovascular diseases
26. Bronchodilatators and other agents used in asthma and COPD
27. Management of poisoned patient
28. Non-steroid anti-inflammatory drugs
3
29. Opioid analgesics and antagonists
30. General anaesthetics. Inhalational anaesthetics. Injectable anaesthetics
31. Antiepileptic drugs
32. Drugs used in mood disorders
33. Antipsychotic drugs
34. Anxiolytics. Psychostimulants
35. Prescribing and prescription writing
36. Assesment test on CNS and analgesic drugs
Practical classes:
No practical training
Basic textbooks:
1. Katzung B.G.: Basic and Clinical Pharmacology, Lange Medical Books/McGraw – Hill,
New York, 2001
Complementary textbooks:
1. Hardman J.G et all.: Goodman and Gilman’s pharmacological basis of therapeutics,
Pergamon Press, New York, 1996
2. Rang H.P. et all.: Pharmacology, Elsevier, London, 2003
3. Neal M.J.: Medical Pharmacology at a Glance, Blackwell Science, Oxford, 2002
LECTURES – on Mondays 2008-10-27
nr
1
Responsible person
Marek Postuła, MD
6
Topic
Introduction to pharmacology. Basic
principles
Pharmacokinetics: drug absorption,
distribution, elimination. Drug
biotransformation
Antifungal, antiviral and antihelmintic
drugs
Drugs used in chemiotherapy of
tuberculosis and leprosy.
Antiprotozoal drugs
The gonadal hormones and inhibitors.
The hypothalamic and pituitary hormones
Malaria – treatment and prophylaxis
7
Thyroid and antithyroid drugs
Aleksandra Wasłowska, MD
8
Pharmacology of vitamins
Aleksandra Wasłowska, MD
9
Aleksandra Wasłowska, MD
11
Agents acting at the neuromuscular
junction and autonomic ganglia
Harmful effects of drugs. Principles of
toxicology
Occupational and enviromental toxicology
12
Local anaesthesia
Prof. Ewa WidyTyszkiewicz
Prof. Ewa WidyTyszkiewicz
Aleksandra Wasłowska, MD
13
Principles of pain treatment
Jan Bębenek, MD
2
3
4
5
10
Marek Postuła, MD
Marek Postuła, MD
Marek Postuła, MD
Jan Bembenek, MD
Jan Bębenek, MD
Date
2010-09-27
14.00-14.45
2010-10-04
14.00-15.30
1h
2h
2010-10-11
14.00-15.30
2010-10-18
14.00-15.30
2h
2010-10-25
14.00-15.30
2010-11-08
14.00-14.45
2010-11-15
14.00-14.45
2010-11-22
14.00-14.45
2010-11-29
14.00-15.30
2010-12-06
14.00-14.45
2010-12-13
14.00-14.45
2011-01-03
14.00-14.45
2011-01-10
14.00-14.45
2h
2h
1h
1h
1h
2h
1h
1h
1h
1h
4
14
Jan Bębenek, MD
Inhalational and injectable anaesthestics
General anaesthesia.
2011-01-17
14.00-15.30
Total hours
2h
20
SEMINARS – on Thuesdays from 2010-09-28
nr
1
Topic
Resposible person
Principles of chemiotherapeutic drug
Marek Postuła, MD
action. Mechanisms of antibiotic resistancy
2
Chemiotherapeutic agents (part I)
Marek Postuła, MD
3
Chemiotherapeutic agents (part II)
Marek Postuła, MD
4
Pancreatic hormones and antidiabetic
drugs
Marek Postuła, MD
5
Opioid analgetics
Marek Postuła, MD
6
Vitamin D. Calcium homeostasis.
Parathyroid hormone and calcitonin
Jan Bembenek, MD
7
Adrenocorticosteroids and adrenocortical
antagonists
Jan Bębenek, MD
8
Cholinergic drugs. Cholinergic
antagonists. Catecholamines and
sympathomimetics. Adrenergic receptors
antagonists
Assessment test on hormones and
chemiotherapy
Jan Bembenek, MD
10
Drugs used to influence smooth muscle
organs
Aleksandra Wasłowska, MD
11
Non-steroid antiinflammatory drugs
Aleksandra Wasłowska, MD
12
Management of poisoned patients
Prof. Ewa WidyTyszkiewicz
13
Drugs used in gastrointestinal diseases.
Control of gastric acidity and treatment of
peptic ulcer
Drugs used in gastrointestinal diseases.
Emetic and antiemetic drugs. Drugs
increasing gastrointestinal motility.
Antidiarrhoeal drugs
Jan Bębenek, MD
9
14
Jan Bembenek, MD
Jan Bębenek, MD
Date
2010-09-28
16.00-18.30 gr. 1
18.30-21.00 gr. 2
2010-10-05
16.00-18.30
18.30-21.00
2010-10-12
16.00-18.30
18.30-21.00
2010-10-19
16.00-18.30
18.30-21.00
2010-10-26
16.00-17.45
17.45.-19.30
2009-11-02
16.00-18.30
18.30-21.00
2010-11-09
16.00-18.30
18.30-21.00
2010-11-16
16.00-18.30
18.30-21.00
3h
3h
3h
3h
2h
3h
3h
3h
2010-11-23
16.00-18.30
18.30-21.00
2010-11-30
16.00-18.30
18.30-21.00
2010-12-07
16.00-18.30
18.30-21.00
2010-12-14
16.00-17.45
17.45.-19.30
2011-01-04
16.00-18.30
18.30-21.00
2011-01-11
16.00-18.30
18.30-21.00
3h
Total hours
40
3h
3h
2h
3h
3h
5
PATHOPHYSIOLOGY
Department of General & Experimental Pathology
Address: 26/28 Krakowskie Przedmieście Street, 00-927 Warsaw
Phone: 022 826 81 41 fax: 022 826 45 85
www.pathophysiology.amwaw.edu.pl
Head Prof. Sławomir Maśliński, MD, PhD
Curricular affairs: Grzegorz Szewczyk, MD
Number of teaching hours:
seminars: 90 hours divided in 2 two-weeks sections
Assessment of student performance:
Students are expected to take a credit after each section and on completion of the course
students are expected to take final test examination.
The aim of the course
Pathophysiology emphasizes the relationship between abnormal function and clinical
manifestations of disease. It explains pathogenesis of diseases and gives the ground for
possible treatment.
Topics of seminars
1. Pathophysiology of the nervous system
2. Disorders of endocrine system
3. Diabetes
4. Immunopathology
5. Pathophysiology of reproductive system
6. Circulatory system – heart insufficiency, myocardial infarction, arterial hypertension
7. Oedemas, shock
8. Pathophysiology of kidneys
9. Pathophysiology of liver
10. Pathophysiology of respiratory system
11. Electrolytes
12. Blood – anemias and neoplasmatic diseases
13. Blood – hemostasis disorders
14. Disordes of acid – base balance
15. Pathophysiology of gastrointestinal system
16. Metabolic diseases
17. Pathophysiology of rheumatic diseases.
Basic textbook
SJ McPhee, VR Lingappa, WF Ganong. - Pathophysiology of disease. Lange, 6th edition,
2005
Complementary textbook
CE Kaufman, PA McKee – Essentials of pathophysiology. Lippincott Williams &
Wilkins, 1997.
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PATHOMORPHOLOGY
Chair and Department of Pathology
Address: 7, Pawińskiego Street., 02-106 Warsaw,
phone/fax 0 22 822-70-53
Head: Prof. Aleksander Wasiutyński, MD, PhD.
Curricular affairs: Magdalena Bogdańska, MD, phone 0 22 599-16-72
Number of teaching hours:
- Lectures
60 hrs
- Seminars
50 hrs
- practical training
90 hrs
Assessment of student performance:
Colloquia according to the schedule within the academic year. On completion of the course
students are expected to take final assessment test.
The aim of the course:
The course program offers to the students the basic information of the essential terms and
problems of pathomorphology: definition of lesion, its morphology, pathogenesis,
pathological and clinical consequences, correlations between the lesion and systems of body.
Topics of lectures:
General pathomorphology
1. Disorders of circulation. 2.Regressive lesions (cell injury and adaptations). 3. Neoplasia.
4. Inflammation
Organ pathomorphology
1. Heart and vessel. 2 Respiratory system. 3. Gastrointestinal tract, liver and pancreas.
4. Urinary tract. 5. Male and female genital tract
Topics of seminars:
1. Pathology of haematopoetic system. 2. Neuropathology. 3. Musculo-skeletal system.
4. The demonstration of current autopsies
Topics of practical classes:
The review of about 200 selected histopathological slides, considered as the illustration and
extension of the material presented during the lectures.
Basic textbook:
1. Cotran RS, Kumar V, Collins T: Robbins Pathologic Basis of Disease. W.B.Saunders
Company, the latest available edition
Complementary textbooks:
1. Kruś S: Launching pad into the life-long study of Pathologic Anatomy. Script edited
by the Medical University of Warsaw, 2000
2. Kruś S: Guide through pathomorphology for students who have enough time think it
over. Script edited by the Medical University of Warsaw
3. Kruś S: Guide and comments to histopathological classes. Script edited by the Medical
University of Warsaw, 2004
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MEDICAL MICROBIOLOGY
Chair and Department of Medical Microbiology
Address: 5 Chalubinskiego Street, 02-004 Warsaw, Poland
Tel./fax: 022 628 27 39
http://mikrobiologia.wum.edu.pl/node/95
Head: Prof. Grażyna Młynarczyk, MD, PhD
Curricular affairs: Marta Wroblewska, MD, PhD, DTM&H, M. Med (Microbiology)
Phone: 022 622 00 28
Number of teaching hours:
– lectures:
15 hours
– seminars:
5 hours
– laboratory classes:
70 hours
Assessment of student performance:
On completion of the course students are expected to take a final examination (written) at the
end of the IVth semester (MCQ test).
Aim of the course:
The students learn basic properties of viruses, bacteria and fungi of medical importance. They
gain the knowledge of the virulence factors of the microorganisms, pathogenesis and
epidemiology of infections caused by these pathogens, as well as host defence mechanisms.
The subject of medical microbiology comprises also the clinical symptoms of viral, bacterial
and fungal diseases. One of the main objectives of the course is to teach the students
laboratory diagnosis of these infectious diseases. The students must also know the principles
of the available antimicrobial treatment and prophylactic measures to prevent the infections.
Topics of lectures:
1. Pathogenesis of viral infections in humans. Disease patterns of viral infections.
Epidemiology of viral infections in humans.
2. Respiratory RNA viruses.
3. Rabies. Viral haemorrhagic fevers.
4. Viral hepatitis. HIV infection / AIDS.
5. Antiviral chemotherapy. Prophylaxis of viral infections.
6. Structure and physiology of bacteria. Bacterial genetics.
7. Pathogenesis of infections caused by Gram (+) cocci and Gram (-) bacilli.
8. Pathogenesis and epidemiology of bacterial infections.
9. Antibacterial agents and chemotherapy.
10. Spore-forming and non-sporing anaerobes.
11. Tuberculosis and mycobacterioses.
12. Zoonoses.
13. Hospital-acquired infections.
14. Prophylaxis and vaccination against bacterial infections.
15. Prion diseases.
Topics of seminars:
1. Relevance of microbiology laboratory diagnostic tests to the general practitioners.
Molecular techniques in laboratory diagnosis of infections.
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2. Physiological microbial flora. Infections in the immunocompromised host.
3. Etiology and prophylaxis of infectious diseases in travelers.
4. New and re-emerging infectious diseases.
5. Bioterrorism.
Topics of laboratory classes:
1. General properties of viruses. Methods of culture. Laboratory diagnosis of viral infections.
2. DNA viruses.
3. RNA viruses.
4. Viral hepatitis. HIV infection / AIDS.
5. Colloquium. Assessment / credit for virology practical classes. Principles of bacteriological
examination. Methods of isolation and identification of bacteria.
6. Sterilisation and disinfection. Gram-positive cocci and Gram-negative cocci.
7. Gram-negative aerobic bacilli. Microaerophilic and capnophilic bacteria. Spirochaetes.
8. Chemotherapy of bacterial infections. Anaerobic bacteria.
9. Fungi, rickettsiae, mycoplasmas, chlamydiae. Bacteria: Mycobacterium, Corynebacterium,
Bordetella.
10. Colloquium. Respiratory tract infections. Infections of the blood. Hospital-acquired
infections.
11. Gastro-intestinal tract infections and intoxications. Infections of the central nervous
system.
12. Genito-urinary tract infections. Sexually transmitted diseases. Congenital and perinatal
infections.
13. Infections of the skin and soft tissues. Infections of the eye. Dental infections.
14. Colloquium. Credit for bacteriology practical classes.
15. Re-take colloquium and credit for bacteriology practical classes.
Basic textbooks:
1. Medical Microbiology. P. R. Murray, K. S. Rosenthal and M. A. Pfaller. Mosby Co. Sixth
ed., 2009.
2. Jawetz, Melnick & Adelberg’s Medical Microbiology. G. F. Brooks, K. C. Carroll, J. S.
Butel, S. A. Morse. Lange, 24th ed., 2007.
3. Review of Medical Microbiology and Immunology. W. Levinson. Lange. Ninth ed., 2006.
Complementary textbooks:
1. Lippincott’s Illustrated Reviews: Microbiology. W. A. Strohl, H. Rouse, P. C. Champe,
R. A. Harvey. Lippincott Williams &Wilkins. Second ed., 2007.
2. Medical Microbiology. F. H. Kayser, K. A. Bienz, J. Eckert, R. M. Zinkernagel. Thieme
Medical Publishers, 2005.
3. Mims’ Medical Microbiology. R. Goering, H. Dockrell, M. Zuckerman, D. Wakelin, I.
Roitt, C. Mims, P. Chiodini. Mosby Co. Fourth ed. 2007.
9
NEUROBIOLOGY
Coordinator of teaching and curricular affairs: Ewa Koźniewska, MSc, PhD.
Chair and Department of Experimental and Clinical Physiology
Address: 3C Pawinskiego Street
Phone: 022 608 64 89, through the Dean`s Office or e-mail: ewak@cmdik.pan.pl
Number of teaching hours:
46 hours of lectures
4 hours of clinical classes (patients demonstration)
Aim of the course: Neurobiology aims to prepare students for the neurology course basing on
the knowledge of neurophysiology acquainted during the 1st semester of the study. The
teaching is carried out in the 4th semester by the Departments of Physiology, Anatomy,
Neuropharmacology, Nuclear Medicine and Neurology. On completion of the course students
are expected to take final MCQ examination .
Topics of lectures:
1. The somatosensory cortical areas. Physiological basis of cognition: reception, sensation
and perception. Sensory deficits. Organization of visual perception. Organization of
auditory perception. Disturbances of perception: agnosias – 5 hours
2. Physiology of higher psychic functions. Plasticity of the brain. Physiology of drives and
emotions. Conditioned reflexes – 6 hours
3. Supraspinal control of motor activity. Cortical control of motor activity. Motor
disturbances caused by cortical lesions: cerebral palsy, apraxias. Physiology and
pathology of basal ganglia and cerebellar control of motor activity – 4 hours
4. Main neurotransmitter pathways of the brain. Reward system. Mood regulation. Action of
drugs in the central nervous system. The classification of psychotropic drugs. Mechanism
of drug addiction – 6 hours
5. Cerebral blood flow and metabolism. Mechanisms of neurovascular coupling.
Homeostatic mechanisms in the central nervous system – 5 hours
6. Genetic, autoimmune and transcriptional channelopathies – 1 hour
7. Anatomy and neurological examination – 2 hours
8. Anatomy of the traumatic brain injury – 2 hours
9. Brain ischemia and hemorrhage – 2 hours
10. Tumors of the CNS- basic concepts – 2 hours
11. Physical basis of brain imaging modalities – 2 hours
12. Application of imaging techniques for clinical diagnosis – 4 hours
13. Stem cells, genetic engineering, trophic factors – future treatment in neurology - 2 hours
14. Mechanisms of neurodegeneration -1 hour
15. Spasticity as a neurological problem - 2 hours
Topics of clinical practical :
1. Diagnostics tests in neurology - 2 hours
2. Main neurological signs and symptoms - 2 hours
Detailed program is available at www.wum.edu.pl/physiology
Recommended textbooks:
Kandel E, Schwartz JH, Jessell TM. Principles of Neural Science. 4th edition, 2000, Elsevier,
New York.
10
DIAGNOSTIC IMAGING
Diagnostic Imaging Department
Address : Wojewódzki Szpital Bródnowski, 8 Kondratowicza Street, 03-242 Warsaw
Phone: 022 674 00 38 from 8.00am to 1.00pm; zdo@usgptu.waw.pl
Head of the Department: Professor Wiesław Jakubowski
Responsible for teaching: Professor Wiesław Jakubowski, MD, PhD, Bartosz Migda, MD
Curricular affairs : Bartosz Migda, MD
Number of teaching hours:
 Lectures
10 hours
 Practical training 65 hours ( including 18 hours of Pediatric Radiology)
 Seminars
15 hours
Credit:
Oral examination. Students are obliged to be present at all lectures, seminars and practical
training, this includes Pediatric Radiology. The credit in Pediatric Radiology enables students
to take exam in Diagnostic Imaging.
Course description:
Students have their practical training in Ultrasound Department, Magnetic Resonance
Department and Nuclear Medicine Department. Lectures and seminars are held in lecture hall
located in Magnetic Resonance Department. The topics of lectures and seminars include :
physics and instrumentation, clinical applications, diagnostic algorithms, therapeutic
procedures and many more. Students are divided into small groups for their practical training.
They have the opportunity of performing ultrasound examinations themselves and take part in
Magnetic Resonance Examinations, CT and Nuclear Medicine Examinations.
Textbooks:
 MRI of Brain and Spine, Scott W. Atlas, 2002, Lippincott Williams&Wilkins
 MRI of the Hand and Wrist, Thomas H. Berquist,2003, Lippincott Williams&Wilkins
 Differential Diagnosis in Magnetic Resonance Imaaging, F.A. Burgener, S.P.
Mayers,R. K. Tan, 2002, Thieme
 Emergency Pediatric Radiology, Carty. H.,2002 , Springer Verlag
 Neuropathology and Neuroradiology J. S. Citow, R. L. Macdonald, R. M. Kraig, R. L.
Wollmann, 2002, Thierme
 Fundamentals Gastrointestinal Radiology, Michael Davis, Jeffrey D. Houston, 2001,
Saunders
 Koehler/Zimmer’s Borderlands of Normal and Early Pathological Findings in Skeletal
Radiography, Jurgen Freyschmidt, Joachim Brossmann, Andreas Stenberg, Juergen
Wiens, 2003, Thieme
 CT of the Head and Spine, Norbert Hosten, Thomas Liebig, 2002
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PEDIATRIC RADIOLOGY
Department of Pediatric Radiology
Address: 24 Marszałkowska Street; 00-576 Warsaw
Phone/Fax: 022 628 52 19; e-mail: amarcinski@litewska.edu.pl
Head: Prof. Andrzej Marciński, MD, PhD
Curricular affairs: Anna Jakubowska, MD
Number of teaching hours:
Classes, seminars – 18
Duration of the course: 8.15 a.m. – 1.00 p.m.
Assessment of student performance:
On completion of the course students are expected to take final assessment test (oral )
The course program offers to students the basic information connected with:
- practical algorithms in diagnostic imaging in pediatrics,
- assessment of the effectiveness of several diagnostic imaging modalities applied to
the most common clinical conditions in pediatrics
Topics of seminars:
1. Diagnostic imaging in respiratory tract diseases in children – Agnieszka Biejat,
MD.,
2. Diagnostic imaging and interventional procedures in children with congenital heart
diseases - Agnieszka Biejat, MD.,
3. Diagnostic imaging in urinary tract diseases in children - Anna Jakubowska, MD,
4. Iatrogenic complications due to the diagnostic imaging procedures in pediatrics –
Andrzej Marciński MD, PhD,
5. Diagnostic imaging in gastrointestinal tract diseases in children – Michał
Brzewski, MD.
Topics of practical classes:
1. Radiological imaging procedures (workshop) – Anna Jakubowska, M.D.,
2. Ultrasound examinations (workshop) – Michał Brzewski, M.D.,
Basic textbooks:
J.O. Haller, T.L. Slovis: Pediatric Radiology. Springer, II nd ed.
12
LABORATORY DIAGNOSTICS
Department of Laboratory Diagnostics Medical University Warsaw
Address: 1a Banacha Street, 02 -009 Warsaw
Phone: 022 599 24 05, fax: 022 599 21 04
e-mail dagna@amwaw.edu.pl
Head: Prof. Dagna Bobilewicz MD, PhD
Curricular affair: Prof. Dagna Bobilewicz, MD, PhD, Marta Faryna, MD, Justyna Kotlicka, MD,
Marzena Iwanowska, MA
Number of teaching hours:
Lectures:
10 h
Seminars
25 h
Practical classes
15h
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 regarding:
 understanding the influence of different factors on the final laboratory results and assessing their
utility including the cost/benefit ratio
 describing the application of laboratory tests for different clinical conditions and purposes
 performing some POCT (point of care tests) procedures
 understanding approach to “quality” in medical laboratory in the view of “ normal values”
 using this knowledge to adjust the laboratories’ operations to respond to changing demands of
health care
Topics of lectures
1. Clinical values of laboratory results as a function of preanalytical, analytical and postanalytical
factors.
2. Interpretation of laboratory results. Reference values versus clinical decision limits. Evidence
based laboratory medicine.
3. Role of the laboratory in blood transfusion.
4. Emergency laboratory.
5. Organisation of laboratory services. Lights and shadows of centralisation and POCT (point of care
tests). Emergency laboratory.
Topics of seminars
1. Disorders of water and electrolyte metabolism.
2. Coagulation and fibrinolysis disorders.
3. Haematology. Factors required for erythropoesis. White cells responses. Malignancies.
4. Blood group antigens. The compatibility between blood recipient and blood donor.
5. Clinical chemistry and enzymology tests in routine medical laboratory.
6. Total quality management systems in medical laboratories, choice or necessity?
7. Quality assurance.
8. Plasma proteins. Protein markers of diseases including tumour markers
9. Basic laboratory endocrinology.
10. Atherosclerosis. Laboratory coronary risk profile. Cardiac markers.
11. Bilirubin formation. Laboratory assessment of liver function.
12. Influence of acute phase and other proteins on interpretation of laboratory results.
13. Discrepancy of results obtained by different methods with emphasis on immunochemicaly
determined parameters.
13
Topics of practical training
1. Blood gas and electrolyte status in different clinical conditions. Critical care tests - interpretation
of results.
2. Automation in coagulation and haematology – interpretation of results.
3. Laboratory evaluation of erythrocytes and anaemia. Laboratory evaluation of leukocytes.
(automatic and microscopic picture).
4. Blood groups and cross-match tests.
5. Laboratory tests in diagnosis and monitoring of diabetes. Role of patient self assessment in
different clinical conditions.
6. Assessment of renal function.
7. Practical assessment of precision and accuracy, protocols from analysers and EQA (external
quality assurance) providers.
8. Urinalysis, laboratory evaluation of body fluids components. Pregnancy tests.
Basic text books





Seminars in Clinical Biochemistry edited by Marek Dominiczak ,University of Glasgow
(available on request)
Clinical Laboratory Diagnostic L. Thomas T/M Books
any other books available on Clinical Chemistry, edited after 1997
Tietz Fundamentals of Clinical Chemistry edited by CA. Burtis , ER Ashwood WB Saunders
Company 2001
14
HYGIENE & EPIDEMIOLOGY
Institute of Social Medicine
Address: 3 Oczki Street, 02-007 Warsaw
Phone: 022 621 51 97, Phone/fax: 022 621 52 56
Department of Epidemiology
Head: Maria Mularczyk-Bal, MD, PhD
Curricular affairs: Prof. Jan Kopczyński, MD, PhD, Maria Mularczyk MD, PhD, Anna
Ziółkowska MD
Classes will be held every Tuesday & Thursday 9.00-12.30 from 20.11 to 08.12.06 and from
02.01 to 19.01.07
Number of teaching hours:
Lectures
15 hrs
Seminars
15 hrs
Practical classes
10 hrs
Assessment of students’ performance:
A test closing seminars & practical classes; a final oral exam.
The aim of the course:
To pass the knowledge regarding the means of enhancing health, identifying avoidable risks,
detecting and curing early-stage diseases, reverting and delaying their debilitating and/or fatal
outcomes.
Topics of lectures:
1. Introduction – definition of health and determinants of health and disease
2. Public health, preventive medicine, national and world-wide health programmes.
3. The role of nutrition in the disease prevention.
4. Nutrition and Diet in the Diabetes Mellitus, Cardiovascular Disease, Hypertension,
Osteoporosis, Obesity and Cancer (part one).
5. Nutrition and Diet in the Diabetes Mellitus, Cardiovascular Disease, Hypertension,
Osteoporosis, Obesity and Cancer (part two).
6. Environmental health issues: air (part one)
7. Enivironmental health issues: water and soil (part two)
8. Occupational medicine.
9. Health promotion vs. prevention of illness.
10. Evaluation of community health; descriptive ways.
11. Natural history of diseases as a tool of prevention.
12. Disclosing the causes of illness; main avoidable risks.
13. World-wide health programmes; the local contribution.
14. Evaluating efficiency of intervention; controlled studies.
15. The future of health status based on recent evidence.
Topics of seminars of Epidemiology
1. Health risks: their environmental, behavioural and intrinsic basis.
2. The levels of prevention: their influence on the risk of contracting a disease, its
development and outcome. Behavioural roots of ill health: free choice vs. the pressure of
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social attitudes & conditions.Tobacco smoking as a health problem. Other social scourges:
the fight with alcohol & drug dependence.
3. Epidemiological approach towards medical problems; epidemioolofgical methods of heath
monitoring: descriptive vs. analytical.
4. The population methods of elucidating etiology of diseases & health-related problems.
5. The sources of information regarding commumnity health. The mortality data: the number
and causes of death; the rules of stating post-mortem diagnosis. The classification of
diseases, injuries, poisoning & other health problems (ICD). The characteristics of the
current revision of ICD: coding practices.
6. Application of mortality data to the assessment of community health: crude death rates,
life expectancy, infant mortality, premature deaths. European & world patterns and trends
in mortality.
7. The role of demographic events: cohort vs. age-related mortality. Overcoming of
demographic events: age-sex-specific presentation, life tables, standardization of the rates.
8. The incidence of illness.
9. The role of reporting health events in the evaluation of the levels of illness.
10. The incidence trends in major infectious diseases: the major tenets of their control. The
newer developments: the AIDS pandemic, Ebola outbreaks, returning of tubercle baccillus
etc.
11. The prevalence of chronic illness: tuberculosis, cardiovascular diseases, cancer, nonspecific respiratory conditions, diabetes etc.
12. The hospital mortality statistics: their role in the assessment of health needs & demands.
13. Screening for disease: principles & practice. The disease-oriented approach towards early
detection & treatment of major chronic diseases. Available diagnostic tools; their
acceptability, validity and repeatability. Effectiveness of screening: examples of
successful search for early-stage disease; pitfalls and limitations.
14. Searching for disease etiology. The potential of descriptive data, as the source of
hypotheses. Principal methods of analytical epidemiology: case-control & cohort
investigations. Analytical outcomes as the estimates of risk: absolute risk of a disease,
relative risk, relative odds, etiological proportion.
15. Essentials of clinical epidemiology: preventive & clinical trials. The admissibility of
human experimentation: the limits.
Topics of practical classes of Preventive Medicine:
1. Energy requirements and classification of food products and their characteristics
including recommended dietary allowances (RDA).
2. Selecting food products according to content of energy and other nutrients (using
reference tables of nutritive values).
3. Calculating resting energy expenditure, total daily energy requirements and total daily
energy expenditure.
4. Assessment of nutritional status: clinical examinations, laboratory investigations,
anthropometric data: calculating BMI, waist/hip ratio, evaluation of fat tissue by
skinfold measurements and body composition analyzer, evaluation of muscle tissue
development with Frisancho index.
5. Planning proper diets in relation to age, sex, weight and physical activity and
assessment of students’ diets (using a food composition computer program).
6. Basic physical properties of air and their physiological effects: pressure, temperature,
humidity, motion and ionization.
7. Air contamination: gases, dust, acid rains, smog, ozone hole, greenhouse effect and
sanitary examination of indoor and outdoor air
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8. Hygienic conditions in closed rooms (dewelling house, operation theatre, school):
microclimate, chemical contamination, microflora)
9. Water - Effect of human activities, general characteristic of drinking water
10. Sanitary examination of air and water
Basic textbooks:
1. Friedman G.D. Primer of epidemiology (the latest edition). McGraw-Hill, New York,
(available in the Institute).
2. Burton B.T., Foster W.R. Human nutrition (Formely The Heinz Handbok of Nutrition).
Fourth Edition. McGraw-Hill
3. Eschelman M.M. Introductory nutrition and nutrition therapy. Third edition. Lippincot,
Philadelphia, 1996.
Complementary texbooks:
1. Ahrens W, Pigeot I. Handbook of Epidemiology. Springer-Verlag Berlin Heidelberg
2005 (selected chapters).
2. Jekel J.F., Elmore J.G., Katz D.L. Epidemiology, biostatistics and preventive medicine.
WB Sounders Company., Philadelphia, 1996.
3. Jędrychowski W., Maugeri U. Epidemiologic methods in studying chronic diseases.
International Center for Studies & Research in Biomedicine, Luxembourg, 2000.
4. www.bmj.com Search criteria: Title/Abstract:nutrition
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INTERNAL MEDICINE
Department of Family, Internal and Metabolic Medicine
Address: 19/25 Stępińska Street, 00-739 Warsaw
phone/fax: 022 318 63 25/022-318-63-25
Head: Prof. Kazimierz Wardyn, MD, PhD
Curricular affairs: M. Olędzka-Oręziak, MD.
Number of teaching hours:
Lectures 20
Seminars 35
Practical Classes 35
Assessment of student performance:
Attendance and activity during clinical classes, written case history (Grades 1-5 and
“outstanding level”), final oral exam If the test is failed, the next step is a second oral exam.
To check the date of this exam contact Dr.Olędzka-Oręziak within two weeks of the first
exam. If the student does not contact Dr.Olędzka-Oręziak within the two weeks, the second
exam 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 4 weeks of the course, students are expected to learn history taking, physical
examination, interpretation of laboratory results and the principles of the most common
clinical procedures.
Topics of lectures:
1. Overview of physical examination and history taking. Essentials of writing a case history
2. The comprehensive adult physical examination
3. The comprehensive adult health history - Review of Systems (ROS).
4. Digestive tract-symptoms.
5. Interpretation of basic laboratory values.
6. Basics of ECG part I.
7. Basics of ECG part II.
8. BMI and assessment of nutritional status.
9. Approach to the hepatic disorders.
10. Endocrinological diseases- hormones – mechanism of action
11. Neoplasms of the gastrointestinal tract.
12. Endocrinological diseases, symptoms and examination.
13. Examination in kidney disease. Part I
14. Examination in kidney disease. Part II
15. Fever – approach to the problem, pathophysiology, classification, differential diagnosis.
16. Nutrition in internal disease.
17. How to use information technology to access online medical information, manage
information and assimilate evidence from scientific studies.
18. Arterial hypertension.
19. Problems with electrolyte balance.
20. Adapting your interview to specific situations.
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Topics of seminars:
1. The comprehensive adult health history. Case records.
2. Examination of the head and neck.
3. Cardiovascular system - symptoms.
4. Cardiovascular system - physical examination part I
5. Cardiovascular system - physical examination part II
6. Respiratory system - symptoms.
7. Respiratory system - physical examination
8. Clinical symptomatology of emergency cardiac situations. Chest pain – approach to
differential diagnosis based on different cases from our clinical ward.
9. Abdomen - physical examination.
10. Urinary tract - symptoms and physical examination.
11. Important elements of neurological examination
12. Examination in rheumatological diseases.
13. Unconscious patient – how to evaluate efficiently.
14. Abdominal pain – main steps in differential diagnosis - panel discussion with case
presentation.
15. ABC's of practical procedures in internal medicine part I.
16. ABC's of practical procedures in internal medicine part II.
17. Patient with diabetes and its acute complications.
18. Examination in hematological diseases.
19. Spirometry - the most common use of the pulmonary function tests.
20. Adapting your interview to specific situations – case reports.
Topics of classes:
1. Obtain a pertinent, relevant and problem-specific health history utilizing interviewing skills
that are appropriate to the developmental, educational and cultural characteristics of the
patient.
2. Present the findings of the history and physical examination in a clear, concise and
organized manner using the problem oriented (SOAP) recording method
In addition, students will also:
* learn how to independently perform an EKG (including how to attach all leads, functioning
of the EKG and subsequent analysis of the rhythm strip)
* learn how to draw blood (utilizing each other as patients)
* learn how to obtain a blood sugar
* learn how to perform basic internal medicine procedures
* present a case history of an actual patient from the clinical ward to the entire group of
students and instructors (students will be divided into small groups by the instructors; student
groups will be assigned one actual ward patient per group; students will take a complete
history and physical; analyse all laboratory, EKG and other clinical data; students will then
formulate a complete presentation that will involve a thorough assessment of the disease
process and plan of treatment for this patient - SOAP format should be followed) This case
presentation will be graded.
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;
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, Ph.D.
Curricular affairs: Paweł Białek MD, Ph.D.
Number of teaching hours:
The course covers 60 hours of instructions, divided as below:
Seminars- 20 hr
Practical classes- 40 hr
Teaching time: 8.00 am- 1.00 pm.
Assessment of student performance:
On completion of the course student are expected to take a final test.
The aim of the course:
The program is based on teaching students general surgery knowledge including perioperative
diagnosis, surgical treatment and postoperative care. Students have a oportunity to participate
in outpatient unit work.
Topics of seminars:
1. Preoperative and postoperative problems in surgical patient care.
2. Surgical wound care and surgical technique.
3. Hernias of the groin.
4. Head, thoracic and abdominal trauma.
5. Acute upper gastrointestinal bleeding.
6. Acute pancreatitis.
7. Gallstones and chronic cholecystitis.
8. Colonic cancer.
9. Surgical anatomy of the low extremity veins. Thrombophlebitis. DVT.ST.
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.
20
MEDICAL PSYCHOLOGY
Department of Medical Psychology
Address: 2 Księcia. Trojdena Street, 02-091 Warsaw
Phone: 022 57 20 533; fax: 022 57 20 542; e-mail: zpm@wum.edu.pl
Head: Professor Krzysztof Owczarek
Curricular affairs: Joanna Chylińska, e-mail: joanna.chylinska@wum.edu.pl
Magdalena Lazarewicz, e-mali: magdalena.lazarewicz@wum.edu.pl
Number of teaching hours:
The course covers 30 hours of instruction, divided as below:
- seminars 10 hrs
- practical classes - 20 hrs
Assessment of student performance:
Students’ performance is continually assessed throughout the course. Regular class attendance
is mandatory. However, if students are absent from a seminar, they are required to answer
additional test questions, covering a particular topic, during the test. Passing grades are
granted to students who have successfully passed the assessment test.
The aim of the course:
Students are acquainted with selected psychological concepts to broaden their appreciation of
psychological mechanisms underlying patients’ behaviour. They are encouraged to become
sensitive to the emotional needs of the patient, to improve their skills with respect to relating
to the patient both verbally and emotionally, to be aware of dangers of iatrogenic errors and to
learn how to avoid them. Students become skilled in detecting psychological problems
contributing to the onset and development of the patient’s illness as well as problems
impeding treatment. Students are also taught appropriate techniques of conducting a
psychosomatic interview and establishing a psychosomatic diagnosis. The aim of the course is
also to sensitize students to the psychological problems of incurably and terminally ill patients
and their families.
Topics of seminars:
1.
Psychology: the study of humans (introduction).
2.
The contribution of psycho-social factors to somatic disease, Part I:
 stress: basic concepts and approaches,
 salutory and pathological consequences of stress,
 disease and treatment as stressors: psychological analysis of the patient situation.
3.
The contribution of psycho-social factors to somatic disease, Part II:
 situational and personality risk factors in somatic disease,
 type A behaviour,
 selected interpretations of the contributions of psycho-social factors to the onset of
somatic disease.
Topics of practical classes:
1. Psychological Consequences of Somatic Disease:
 effects of disease and hospitalization on human functioning,
 Attitudes Towards Illness (ATI).
2. Psychological Aspects of Treatment of the Somatic Patient – Part I:
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3.
4.
5.
6.
7.
 the essence of doctor – patient relationship,
 models of Doctor - Patient relationship,
 principles underlying development of good doctor-patient relationship.
Psychological Aspects of Treatment of the Somatic Patient 2 – Part II:
 iatrogenic errors barriers of interpersonal communication,
 appropriate information,
 selected aspects of psychosomatic diagnosis.
Death and Dieing:
 discussion based on the presented documentary programme.
Test.
Role-playing exercises, Part I: the opportunity to practice doctor-patient relationship
techniques.
Role-playing exercises, Part II: the opportunity to practice doctor-patient relationship
techniques; Closing remarks.
Basic textbook:
Wrześniewski K., Skuza, B. (eds. ). Psychosomatic Medicine and Psychology of Somatically
Ill: Selected Issues. Warsaw: Warsaw Medical Academy Edition, 2000.
Complementary textbooks:
Additional reading materials are provided by lecturers during the course.
22
POLISH LANGUAGE
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 80 hours of classes:45 hours in autumn semester and 35 hours in spring
semester.
Assessment of student performance:
To obtain a credit after each term a student has to attend classes regularly and pass all
the assigned written tests successfully (minimum score is 55% correct answers).
Please be informed, that according to the academic rules students are obliged to take part
in all the classes. Classes start punctually according to the timetable. Students coming late
(more than 10 minutes after the time) will not be allowed into the classroom and this will be
treated as unexplained absence. 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.
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 not earlier than a week from the day of the test. The
second retake can be not earlier than two weeks from the day of the first retake and not later
than the last day before the retake examination session.
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
Second year students are expected to their skills in Polish Language, master basic medical
terminology and be able to communicate with the patient at the bedside(ask simple questions
and give instructions).
Topics of classes:
1. Review of the basic language structures and vocabulary introduced during the first year of
studies.
2. Hospital vocabulary. Dative Case.
3. Medical specialities and specialists.
4. At the doctor’s surgery.(Giving information about health. Asking for assistance).
5. The human body: parts of the human body
cavities and organs they contain
systems and organs and the most common diseases of the systems(signs,
symptoms and diagnostic tests).
6. Examining an adult patient- doctor’s instructions.
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Proszę + Perfect and Imperfect Infinitives.
7. Examining a paediatric patient- doctor’s instructions to a child.
Imperative Mood.
8. Basic bedside conversations:
-greeting a patient
- introducing oneself to a patient
-asking some general questions
-taking the patient’s history( short version)
- examining the patient: giving instructions and making comments.
Basic textbook:
Maria Janowska, Świetlana Sikorska “Proszę oddychać. Part I”
Complementary materials:
Handouts prepared by the teachers.
24
SUMMER CLINICAL CLERKSHIPS
The summer clinical clerkships are mandatory for students to be assigned a pass for the whole
year’s academic performance since they are an inherent part of the medical instruction
provided throughout the year of study.
Upon completion of the second year students are required to have one-month clinical
clerkships at a teaching hospital in Poland or selected foreign countries.
The curriculum of clinical clerkship comprises:
a) a two-week training in the internal medicine ward,
b) a two-week training in the pediatric ward.
The head of the ward or an appointed assistant is responsible for providing a detailed program
of the training and scheduled duties as well as supervision of students’ clinical performance.
Students carry out the work which is that of a regular physician and are supervised by a
physician in charge.
During the training students are obliged to have four twenty-four-hour shifts (two in each
ward) when they accompany the doctor on duty while he/she performs all the necessary
clinical activities and procedures.
The goal of the clinical instruction is to make a practical use of the knowledge acquired in the
course of the study e.g., bacteriology, virology, pathomorphology, pathophysiology,
pharmacology, and particularly of the clinical subjects i.e. introduction, to medicine and
pediatrics.
The clinical instruction should include the following aspects:
1. information about the organization of medical and pediatric ward and their
cooperation with the outpatients’ department,
2. further improvement in taking histories and performing physical examination,
particularly concerned with assessment of patients’ general condition and their psychology,
3. planning and collecting specimens for accessory investigations and interpretation of
the results,
4. improving the skills in differentiating and diagnostic basic clinical entities, particularly
acute cases, and principles of treatment,
5. providing first aid,
6. performing everyday clinical procedures (injections and intravenous infusions,
catheterization, lumbar puncture, bone marrow puncture and paracentesis of the body
cavities),
7. participation in ward rounds and consultations by other specialists.
In the pediatric ward there are additional requirements:
1. treatment of pediatric patients with regard to their age and natural or artificial feeding,
2. calculation of nutritional requirements, fluid supply, drug dosage,
3. taking a history, performing physical examination with regard to the developmental age,
4. knowledge of the vaccination and immunization schedule,
5. knowledge of sanitary and epidemiological rules in the neonatal and pediatric wards and
ways of preventing hospital infections.
Throughout the course of the 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 5th of the subsequent academic year.
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