An-Najah National University
Faculty of Medicine & Health Sciences
Internal Medicine 6th year
Academic Period
Course Level:
Course code
Course Credit Hours:
Class Meeting Days:
Class Meeting Hours:
Class Location:
Academic Year 2015 -2016
12 weeks through Total of 36 week Year based education
(group distribution) starting:
1st Sunday of August
Sixth year
7221601
8
Sunday-Wednesday
8:00-14:00 clinical activities
14:00-16:00 lectures
Internal Medicine division at An Najah National University
Hospital
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 eight weeks rotation, the sixth year medical student will rotate at different services of general internal
medicine and other important subspecialties at AnNajah National University Hospital. They will study the
pathophysiological aspects of the internal medicine diseases. The course will concentrate on pathogenesis, clinical
features, investigation and management 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 cardiovascular, endocrine, gastrointestinal, respiratory and nervous system.
They have to interpret pertinent laboratory data and be able to discuss differential diagnosis, diagnostic procedures
and management plan.
Intended Learning Outcomes (ILOs)
A) Knowledge & Understanding : By the time the students finish the rotation, they should be able to;
1. Understand the epidemiology, etiology, pathophysiology, clinical picture and management approaches for
common and important diseases encountered by internists in Palestine and Arab region.
2. Identify methods of comprehensive interrogation of patients and interpretation of clinical examination
findings.
3. Explain the bases of clinical decision making regarding differential diagnosis, investigations indicated,
management plan and follow up.
4. Identify and manage medical emergencies including advanced life support.
5. Understand basic concepts of different laboratory and imaging procedures to diagnose various clinical
disorders.
6. Recognize the basic principles of different procedural skills that enable the candidates to diagnose various
medical clinical disorders.
7. Identify the indications and logistics of referring patients to higher levels of experience or specialization.
B) Intellectual Skills: By the time the students finish the rotation, they should be able to
1. Interpret and integrate medical knowledge the students had studied to maximize their benefits in practicing
their clinical work.
2. Analyze the clinical picture of each medical disease to construct a differential diagnosis for the common
clinical presentations
3. Accurately interpret the results of commonly used diagnostic procedures.
4. 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.
5. Set up treatment plans for common clinical problems taking into account best available evidence and the
cultural and individual needs.
C) Professional & Practical Skill: By the time the students finish the rotation, they should be able to;
1. Take a thorough history of appropriate depth and detail, relative to the clinical context.
2. Demonstrate a complete and/or problem-focused physical examination.
3. Apply the knowledge in taking history and physical examination to formulate work-up plan.
4. Safely perform routine diagnostic and therapeutic procedures.
5. Recognize urgent life-threatening conditions, and institute appropriate initial management.
6. Build up the protocol of the management.
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
Topics to discuss through rotation
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- Harrison's Manual of Medicine, 18e – Sep 18, 2012 by Dan Longo (Author), Anthony Fauci (Author),
Dennis Kasper (Author), Stephen Hauser (Author), J. Jameson (Author), Joseph Loscalzo (Author)
4- Current Medical Diagnosis & Treatment,2105 54e – Sep 23, 2014 by Maxine Papadakis (Author),
Stephen J. McPhee(Author), Michael W. Rabow(Author).
5- The Washington Manual of Medical Therapeutics, 34 e – July 2013 By Hemant Godara(Author),
Angela Hirbe(Author), Michael Nassif(Author), Hannah Otepka(Author), Aron Rosenstock(Author).
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
30%
Evaluation form
a1-7
b1-5
c1-6
d1-5
Final Exam
40% accordingly
Written Exam (Objective
questions, calculations,
data & case analysis)
30% at least
Total
OSCE (Clinical stations ,
photo station, & data
interpretation )
100%
Course Outline / Syllables
Students will be provided with an additional detailed booklet in the beginning of the rotation.
a1-7
b1-5
c1-6