MINISTRY OF HEALTH OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY "Approved" Vice Rector for Academic Affairs prof. ___________ OR Teshaev "____" ___________ 2012 Department: Internal Medicine training GPs in clinical allergology Subject: Internal Medicine TECHNOLOGY TRAINING Practical training on the topic: Pre-cardial pain Tashkent Compiled by: Khidoyatova MR - Ass. Department of Internal Medicine training GPs in clinical allergology Education technology approved: At the faculty meeting protocol number from "___" ____________ 2012Topic: Pain in the heart. Differential diagnosis of pain in stable angina, coronary heart disease different FC.Differential diagnosis of pain in unstable angina, coronary heart disease (first emerged, progressive, spontaneous, early postinfarction, early postoperative).Acute coronary syndrome.Tactics GPs. 1. Location classes Training-themed office chair.Cabinet ECG. -Teaching aids, handouts, a collection of case tasks and tests -Patient wards in the Division of Cardiology 2. Flow chart classes № stage of employment forms of employment Continue inhabitant In particular, in minutes 1 Introductory word teacher (ad themes practice session, goals, learning outcomes, the characteristics of the classes of indicators and evaluation criteria) 5 2 Discussion Thread practically anyone classes, baseline assessment of students' knowledge with the use of new teaching technologies ization Survey, an explanation 30 3 Summary of discussion 5 4 Supervision of patients on, execution skills 100 5 hear and discuss students' independent work 30 6 determine the degree of achievement based on the lessons mastered the theoretical knowledge and the results of the development of practical skills in an oral examination, case studies, discussion 45 7 Conclusion on the teacher's lesson.Assessing the students on a 100 point system and its announcement.Dacha job to the next class information. Questions for self-preparation 5 Only 270 minutes - 45 = 235 - 15 = 220 minutes duration lessons 3. Duration of study subjects 6.9 hours 4. Purpose of the lesson Teach students to choose the best options for different treatment strategy angina, as well as the principles of management of patients in primary care, provided the requirements of "Qualification characteristics of a general practitioner" 5. Pedagogical objectives: 1. Consider various options for diagnosis of angina. 2. Demonstrate patients with angina. 3. Discuss the indications for surgical treatment of primary and secondary prevention of CHD. 4. Stretching exercises on the electrocardiogram on the subject. 5. Discuss questions about tactics in the qualifying characteristics of GPs 6. Discuss the principles of treatment (non-drug and drug). 7. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 8. Discuss the principles of primary, secondary and tertiary prevention in these diseases. 6. Learning outcomes The student should know: Tactics GPs in different types of flow angina. -The mechanism of drugs used in the treatment of angina, their pharmacodynamics and dosage. -Clinical examination of patients with angina. -Primary and secondary prevention of CHD. -Principles of follow-up and monitoring of patients in a hovercraft or a joint venture. -To monitor in a hovercraft or a joint venture. The student should be able to: -Analyze data and claims history for various FC stable angina. -Diagnose, differentiated by clinical and ECG different types of angina. -Choose drugs with proven efficacy -Advise on non-medicated treatments. -To monitor in a hovercraft or a joint venture. 7. Methods and techniques of teaching The method of "swarm" graphic organizer 8. Learning Tools Manuals, training materials, ECG patients, slides, video, audio, medical history 9. Forms of learning Individual work, group work, team 10. Conditions of Learning Audience, the Chamber 11. Monitoring and evaluation Oral control: control issues, the implementation of learning tasks in groups, performing skills, CDS 12. Motivation The majority of patients with different variants of the course of angina seek treatment. In this situation, the force of a general practitioner (GP) is directed to the diagnosis of chest pain caused by angina, for medical care and clarify locations of this group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology, biology, normal physiology, biochemistry, pathology, pathological physiology, topographic anatomy and operative surgery, Propaedeutics of Internal Medicine, Tuberculosis, Oncology, Radiology and Nuclear Medicine, Physiotherapy, Endocrinology, Faculty Therapy, Hospital Therapy 14. Contents classes 14.1. The theoretical part MINISTRY OF HEALTH OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY "Approved" Vice Rector for Academic Affairs prof. ___________ OR Teshaev "____" ___________ 2012 Department: Internal Medicine training GPs in clinical allergology Subject: Internal Medicine TECHNOLOGY TRAINING Practical training on topic:Differential diagnosis of pain in angina pectoris and myocardial infarction (clinical, laboratory, ECG). Differential diagnosis of various clinical options, stages, locations and depth of necrosis in myocardial infarction.Tactics GPs. Tashkent 2nd topic Topic: Differential diagnosis of pain in angina pectoris and myocardial infarction (clinical, laboratory, ECG). Differential diagnosis of various clinical options, stages, locations and depth of necrosis in myocardial infarction.Tactics GPs. 1. Location classes Training-themed office chair.Cabinet ECG. -Teaching aids, handouts, a collection of case tasks and tests -Patient wards in the Division of Cardiology 2. Flow chart classes № stage of employment forms of employment Continue inhabitant In particular, in minutes 1 Introductory word teacher (ad themes practice session, goals, learning outcomes, the characteristics of the classes of indicators and evaluation criteria) 5 2 Discussion Thread practically anyone classes, baseline assessment of students' knowledge with the use of new teaching technologies ization Survey, an explanation 30 3 Summary of discussion 5 4 Supervision of patients on, execution skills 100 5 hear and discuss students' independent work 30 6 determine the degree of achievement based on the lessons mastered the theoretical knowledge and the results of the development of practical skills in an oral examination, case studies, discussion discussion 45 7 Conclusion on the teacher's lesson.Assessing the students on a 100 point system and its announcement.Dacha job to the next class information. Questions for self-preparation 5 Only 270 minutes - 45 = 235 - 15 = 220 minutes duration lessons 3. Duration of study subjects 6.9 hours 4. Purpose of the lesson Teach GPs on timely diagnosis for pain in the chest caused by myocardial infarction, as well as the principles of management of patients in primary care, provided the requirements of "Qualification characteristics of a general practitioner." 5. Pedagogical objectives: 1. Consider diagnosis of myocardial infarction, clinics depending on the stage. 2. Demonstrate the patients with myocardial infarction. 3. Discuss these clinical and laboratory studies of myocardial infarction. 4. Teach ECG diagnosis of myocardial infarction. 5. Discuss questions about tactics in the qualifying characteristics of GPs. 6. Discuss principles for prehospital care. 7. Discuss the principles of treatment (non-drug and drug) in a hovercraft or SP (after discharge). 8. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 9. Discuss the principles of primary, secondary and tertiary prevention in these diseases. 6. Learning outcomes The student should know: 1. The mechanism of myocardial infarction. 2. Clinical manifestations of myocardial infarction according to the stage. 3. Diagnosis of myocardial infarction. 4. Differential diagnosis of diseases that occur with chest pain, especially angina and myocardial infarction. 5. The principles of treatment (non-drug and drug) in a hovercraft or a joint venture. 6. Principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 7. The principles of primary, secondary and tertiary prevention in these diseases. The student should be able to: 1. Data analysis and history of complaints for the diagnosis of myocardial infarction. 2. Diagnose, to differentiate on clinical and laboratory-instrumental data of angina and myocardial infarction. 3. Establish the presence of myocardial infarction based on ECG. 4. To provide medical assistance to the hospital stage. 5. Choose products with proven efficacy 6. Advise on non-medicated treatments. 7. To monitor the SVP or in joint venture. 7. Methods and techniques of teaching The method of "round table" graphic organizer - 8. Learning Tools Manuals, training materials, ECG patients, slides, video, audio, medical history 9. Forms of learning Individual work, group work, team 10. Conditions of Learning Audience, the Chamber 11. Monitoring and evaluation Oral control: control issues, the implementation of learning tasks in groups, performing skills, CDS 12. Motivation During myocardial infarction is characterized by acute onset, presence of severe complications and high mortality. Maximum mortality observed in the first hours of the pre-hospital phase. Therefore, the effort of a general practitioner (GP) is directed to the diagnosis of chest pain caused by myocardial infarction, to provide medical care and referrals to specialized hospitals. These circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology, biology, normal physiology, biochemistry, pathology, pathological physiology, topographic anatomy and operative surgery, Propaedeutics of Internal Medicine, Tuberculosis, Oncology, Radiology and Nuclear Medicine, Physiotherapy, Endocrinology, Faculty Therapy, Hospital Therapy 14. Contents classes 14.1. The theoretical part MINISTRY OF HEALTH OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY "Approved" Vice Rector for Academic Affairs prof. ___________ OR Teshaev "____" ___________ 2012 Department: Internal Medicine training GPs in clinical allergology Subject: Internal Medicine TECHNOLOGY TRAINING Practical training on the topic:Differential diagnosis of myocarditis and myocardial dystrophy of different etiologies. Differential diagnosis of pulmonary embolism, aortic aneurysm, pericarditis. Tactics GPs Tashkent 3rd topic Topic: Differential diagnosis of myocarditis and myocardial dystrophy of different etiologies. Differential diagnosis of pulmonary embolism, aortic aneurysm, pericarditis. Tactics GPs 1. Location classes Training-themed office chair.Cabinet ECG. -Teaching aids, handouts, a collection of case tasks and tests -Patient wards in the Division of Cardiology 2. Flow chart classes № stage of employment forms of employment Continue inhabitant In particular, in minutes 1 Introductory word teacher (ad themes practice session, goals, learning outcomes, the characteristics of the classes of indicators and evaluation criteria) 5 2 Discussion Thread practically anyone classes, baseline assessment of students' knowledge with the use of new teaching technologies ization Survey, an explanation 30 3 Summary of discussion 5 4 Supervision of patients on, execution skills 100 5 hear and discuss students' independent work 30 6 determine the degree of achievement based on the lessons mastered the theoretical knowledge and the results of the development of practical skills in an oral examination, case studies, discussion discussion 45 7 Conclusion on the teacher's lesson.Assessing the students on a 100 point system and its announcement.Dacha job to the next class information. Questions for self-preparation 5 Only 270 minutes - 45 = 235 - 15 = 220 minutes duration lessons 3. Duration of study subjects 6.9 hours 4. Purpose of the lesson Teach GPs on timely diagnosis and differential diagnosis, selection of the optimal treatment strategy options for different types of the course of myocarditis and myocardial dystrophy, features physical data pericardial diseases, pulmonary embolism, dissecting aortic aneurysm, as well as the principles of their management in primary care, provided the requirements of "Qualification characteristics of a general practitioner" 5. Pedagogical objectives: 1. Consider the timely and early detection of different variants of the myocarditis and myocardial dystrophy. 2. Discuss these clinical - laboratory and instrumental data myocarditis and myocardial dystrophy. 3. Make a differential diagnosis of myocarditis and myocardial dystrophy. 4. Identify the main diagnostic criteria for myocarditis and myocardial dystrophy. 5. Discuss questions about tactics in the qualifying characteristics of GPs 6. Consider the diagnosis and differential diagnosis of pericardial disease (pericarditis: swampy, adhesive, constrictive, tumors pericardium), pulmonary embolism, dissecting aneurysm of the aorta. 7. Demonstrate patients with different diseases of pericardium, pulmonary embolism, dissecting aneurysm of the aorta. 8. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 9. Discuss the principles of primary, secondary and tertiary prevention in these diseases. 6. Learning outcomes The student should know: 1. Etiology, pathogenesis, and classification of angina, myocarditis and myocardial dystrophy, 2. Clinical symptoms and syndromes with myocarditis and myocardial dystrophy. 3. Differential diagnosis of various types of myocarditis and myocardial dystrophy. 4. Pharmacodynamics of drugs used in the treatment of myocarditis and myocardial dystrophy. 5. Principles of follow-up and monitoring of patients with myocarditis and miokardistrofiey. 6. The mechanism of pericarditis, pulmonary embolism, dissecting aneurysm of the aorta. 7. Clinical manifestations of pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. 8. Diagnosis of pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. 9. Differential diagnosis of pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. 10. Especially physical data pericardial diseases, pulmonary embolism, dissecting aneurysm of the aorta. The student should be able to: -Analyze data and claims history for the various types of angina pectoris, myocarditis and myocardial dystrophy. -Diagnose, differentiate angina, myocarditis and myocardial dystrophy the clinic and laboratory instrumental studies. -Rational use of medicines -Advise on non-drug methods of treatment, as well as healthy living -Tech ECG recording and decoding it. -Analyze data and claims history for the diagnosis of various diseases of the pericardium, pulmonary embolism, dissecting aneurysm of the aorta. -Diagnose, differentiate on clinical and laboratory-instrumental data pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. -To provide prehospital care in pulmonary artery and aortic aneurysm. 7. Methods and techniques of teaching The method of "stick in the middle of the table," a graphic organizer 8. Learning Tools Manuals, training materials, ECG patients, slides, video, audio, medical history 9. Forms of learning Individual work, group work, team 10. Conditions of Learning Audience, the Chamber 11. Monitoring and evaluation Oral control: control issues, the implementation of learning tasks in groups, performing skills, CDS 12. Motivation Often, patients with diseases of the pericardium to seek medical help to doctors in primary care. In this situation, the force of a general practitioner (GP) is directed to the diagnosis of myocarditis and myocardial dystrophy of various etiologies, pericardial disease (pericarditis: swampy, adhesive, constrictive, tumors pericardium), pulmonary embolism, dissecting aneurysm of the aorta. To provide medical care and clarify locations of this group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology, biology, normal physiology, biochemistry, pathology, pathological physiology, topographic anatomy and operative surgery, Propaedeutics of Internal Medicine, Tuberculosis, Oncology, Radiology and Nuclear Medicine, Physiotherapy, Endocrinology, Faculty Therapy, Hospital Therapy 14. Contents classes 14.1. The theoretical part 4th subject: Topic: Differential diagnosis of myocarditis and myocardial dystrophy of different etiologies. Differential diagnosis of pulmonary embolism, aortic aneurysm, pericarditis. Tactics GPs 1. Location classes Training-themed office chair.Cabinet ECG. -Teaching aids, handouts, a collection of case tasks and tests -Patient wards in the Division of Cardiology 2. Flow chart classes № stage of employment forms of employment Continue inhabitant In particular, in minutes 1 Introductory word teacher (ad themes practice session, goals, learning outcomes, the characteristics of the classes of indicators and evaluation criteria) 5 2 Discussion Thread practically anyone classes, baseline assessment of students' knowledge with the use of new teaching technologies ization Survey, an explanation 30 3 Summary of discussion 5 4 Supervision of patients on, execution skills 100 5 hear and discuss students' independent work 30 6 determine the degree of achievement based on the lessons mastered the theoretical knowledge and the results of the development of practical skills in an oral examination, case studies, discussion discussion 45 7 Conclusion on the teacher's lesson.Assessing the students on a 100 point system and its announcement.Dacha job to the next class information. Questions for self-preparation 5 Only 270 minutes - 45 = 235 - 15 = 220 minutes duration lessons 3. Duration of study subjects 6.9 hours 4. Purpose of the lesson Teach GPs on timely diagnosis and differential diagnosis, selection of the optimal treatment strategy options for different types of the course of myocarditis and myocardial dystrophy, features physical data pericardial diseases, pulmonary embolism, dissecting aortic aneurysm, as well as the principles of their management in primary care, provided the requirements of "Qualification characteristics of a general practitioner" 5. Pedagogical objectives: 1. Consider the timely and early detection of different variants of the myocarditis and myocardial dystrophy. 2. Discuss these clinical - laboratory and instrumental data myocarditis and myocardial dystrophy. 3. Make a differential diagnosis of myocarditis and myocardial dystrophy. 4. Identify the main diagnostic criteria for myocarditis and myocardial dystrophy. 5. Discuss questions about tactics in the qualifying characteristics of GPs 6. Consider the diagnosis and differential diagnosis of pericardial disease (pericarditis: swampy, adhesive, constrictive, tumors pericardium), pulmonary embolism, dissecting aneurysm of the aorta. 7. Demonstrate patients with different diseases of pericardium, pulmonary embolism, dissecting aneurysm of the aorta. 8. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 9. Discuss the principles of primary, secondary and tertiary prevention in these diseases. 6. Learning outcomes The student should know: 1. Etiology, pathogenesis, and classification of angina, myocarditis and myocardial dystrophy, 2. Clinical symptoms and syndromes with myocarditis and myocardial dystrophy. 3. Differential diagnosis of various types of myocarditis and myocardial dystrophy. 4. Pharmacodynamics of drugs used in the treatment of myocarditis and myocardial dystrophy. 5. Principles of follow-up and monitoring of patients with myocarditis and miokardistrofiey. 6. The mechanism of pericarditis, pulmonary embolism, dissecting aneurysm of the aorta. 7. Clinical manifestations of pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. 8. Diagnosis of pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. 9. Differential diagnosis of pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. 10. Especially physical data pericardial diseases, pulmonary embolism, dissecting aneurysm of the aorta. The student should be able to: -Analyze data and claims history for the various types of angina pectoris, myocarditis and myocardial dystrophy. -Diagnose, differentiate angina, myocarditis and myocardial dystrophy the clinic and laboratory instrumental studies. -Rational use of medicines -Advise on non-drug methods of treatment, as well as healthy living -Tech ECG recording and decoding it. -Analyze data and claims history for the diagnosis of various diseases of the pericardium, pulmonary embolism, dissecting aneurysm of the aorta. -Diagnose, differentiate on clinical and laboratory-instrumental data pericardial disease, pulmonary embolism, dissecting aneurysm of the aorta. -To provide prehospital care in pulmonary artery and aortic aneurysm. 7. Methods and techniques of teaching The method of "stick in the middle of the table," a graphic organizer 8. Learning Tools Manuals, training materials, ECG patients, slides, video, audio, medical history 9. Forms of learning Individual work, group work, team 10. Conditions of Learning Audience, the Chamber 11. Monitoring and evaluation Oral control: control issues, the implementation of learning tasks in groups, performing skills, CDS 12. Motivation Often, patients with diseases of the pericardium to seek medical help to doctors in primary care. In this situation, the force of a general practitioner (GP) is directed to the diagnosis of myocarditis and myocardial dystrophy of various etiologies, pericardial disease (pericarditis: swampy, adhesive, constrictive, tumors pericardium), pulmonary embolism, dissecting aneurysm of the aorta. To provide medical care and clarify locations of this group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology, biology, normal physiology, biochemistry, pathology, pathological physiology, topographic anatomy and operative surgery, Propaedeutics of Internal Medicine, Tuberculosis, Oncology, Radiology and Nuclear Medicine, Physiotherapy, Endocrinology, Faculty Therapy, Hospital Therapy 14. Contents classes 14.1. The theoretical part MINISTRY OF HEALTH OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY "Approved" Vice Rector for Academic Affairs Professor ___________ OR Teshaev "____" ___________ 2012 Department: Internal Medicine training GPs in clinical allergology Subject: Internal Medicine TECHNOLOGY TRAINING on the topic: Differential diagnosis for hearing noises.Funktsionalnye (myocardial, anemic, fever change.)Organic (mitral insufficiency mitral valve.stenozis, prolaps mitral valve). Tashkent Compiled by: Education technology approved: At the faculty meeting protocol number from "___" ____________ 2013 Subject: Differential diagnosis for hearing noises on top serdtsa. Functional (myocardial, in anemiya, fever) Organic (mitral insufficiency mitral valve prolaps mitral valve). Tactics GPs. 1. Location classes 1. Training themed office chair. 2. Hospital wards. 2. Flow chart classes Steps number of practical employment forms of employment Venue Duration lessons 225 1 Introduction (study subject) 10 2 The discussion of practical lessons with the use of new educational technologies ("brainstorming", "three-step interview," method "web"), as well as demonstration material (tables, posters, rentgenogrammy.EKG), determining the initial level. Survey, discussion Classroom skills 40 3 Displays the discussion 10 4 Determination of the job for the practical part - professional questions.Explanation of the provisions and recommendations for the job to fill medical records. Discussion Classroom 20 5 The development of practical training under the guidance of the teacher. Prof. questioning.Conversation with patients and filling medical card, case studies. Therapy department GKTB № 20 January 6 Interpretation of the survey data of patients, complaints, inspection, palpation, percussion, auscultation of patients, as well as research OAM, UAC, sputum Office Medical history, laboratory data situational problems Therapy department GKTB № 25 January 7 Discussion of theoretical and practical knowledge of the students, fixing material, the level of learning assessment. Oral examination, tests, discussion, identification of practical skills Therapy department GKTB № 1 75 8 Definition conclusions on practical training, evaluation of 100-point scale, and ad evaluations.Homework the next practice session (a collection of questions). Information, questions for homework. Classroom 25 3. Duration of study subjects Number of hours - _____ 4. Purpose of the lesson Teach students the differential diagnosis of noise on the apex of the heart (organic and functional), establishing their causes, and the diagnosis of acquired mitral valvular disease. 5.Pedagogicheskie tasks: 1. Consider the differential diagnosis of noise at the top of the heart (organic and functional). 2. Demonstrate patients with noise at the top of the heart (organic and functional). 3. Consider laboratory and instrumental studies in the presence of noise at the apex of the heart (organic and functional). 4. Teach students Clinical management of patients in the presence of noise on the apex of the heart (organic and functional). 5. Clarify the indications and contraindications to surgery for mitral heart defects. 6. Learning outcomes Conducting this training allows the learner time and correctly diagnosed, to differentiate on clinical and laboratory data of the instrumental noise at the top of the heart (organic and functional), to establish a preliminary diagnosis and determine the future tactics of the patient. The student should know: 1. The causes of the noise at the top of the heart (organic and functional) 2. Clinical manifestations of disease with functional noise at the top of the heart. 3. Clinical manifestations of disease with organic noises on the apex of the heart. 4. Diagnosis of various diseases with the noise at the top of the heart. 5. Differential diagnosis of various types of acquired mitral heart defects. 6. Tactics GPs in mitral valvular disease. 7. Indications and contraindications for surgery. The student should be able to: 1. Data analysis and history of complaints for the diagnosis of diseases with fuktsionalnye and organic noises at the top of the heart. 2. Diagnose diseases fuktsionalnye and organic noises at the top of the heart. 3. Differentiated by clinical data and laboratory and instrumental studies of diseases with fuktsionalnye and organic noises on the apex of the heart. 4. Tactics of diseases with fuktsionalnye and organic noises on the apex of the heart in a hovercraft or a joint venture. 7. Methods and techniques of teaching Lecture, "brainstorm", three-stage interviews, entertainment experience, discussion, conversation, learning game, case studies. 8. Learning Tools Distributing educational materials viziualnye materials, videos, models, graphic organizers, tables, sets of ECG. 9. Forms of learning Individual work, group work, team, classroom, extracurricular. 10. Conditions of Learning 1. Training themed office chair. 2. Hospital wards. 11. Monitoring and evaluation • Verbally • In writing • The decision of situational problems • Demonstration of skills mastered 12. Motivation Doctor of first contact must identify during routine inspections of patients with noise in the apex of the heart, which often are a direct sign of heart disease. But these noises can be functional or organic. In this situation, the effort is directed at clarifying the GP noise causes, diagnosis and establishment types of heart disease (the presence of organic noises). In the case of diagnosis of heart diseases will decide on the definition of a group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These and other circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology and biology, normal physiology, biochemistry, pathology, physiopathology, topographic anatomy and operative surgery, internal medicine propaedeutics, radiology and nuclear medicine, physical therapy, endocrinology, faculty therapy, inhospital treatment. 14. Contents classes 14.1. The theoretical part 12. Motivation Often, patients with diseases of the pericardium to seek medical help to doctors in primary care. In this situation, the force of a general practitioner (GP) is directed to the diagnosis of myocarditis and myocardial dystrophy of various etiologies, pericardial disease (pericarditis: swampy, adhesive, constrictive, tumors pericardium), pulmonary embolism, dissecting aneurysm of the aorta. To provide medical care and clarify locations of this group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology, biology, normal physiology, biochemistry, pathology, pathological physiology, topographic anatomy and operative surgery, Propaedeutics of Internal Medicine, Tuberculosis, Oncology, Radiology and Nuclear Medicine, Physiotherapy, Endocrinology, Faculty Therapy, Hospital Therapy 14. Contents classes 14.1. The theoretical part MINISTRY OF HEALTH OF THE REPUBLIC OF UZBEKISTAN TASHKENT MEDICAL ACADEMY "Approved" Vice Rector for Academic Affairs Professor ___________ OR Teshaev "____" ___________ 2012 Department: Internal Medicine training GPs in clinical allergology Subject: Internal Medicine Department Subject: Internal Medicine training GPs in clinical allergology TECHNOLOGY TRAINING on the topic: Differential diagnosis for hearing noises on the aorta at the evils (endokarditis, aterosklerozis) at the aorta. Differential diagnosis of congenital heart defects.Tactics GPs. Tashkent Compiled by: Education technology approved: At the faculty meeting protocol number from "___" ____________ 2012 Subject: Differential diagnosis for hearing noises on the aorta with defects (endokarditis, aterosklerozis) in the aorta. Differential diagnosis of congenital heart defects. Tactics GPs. 1. Location classes 1. Training themed office chair. 2. Hospital wards. 2. Flow chart classes Time Content Activities Materials lesson time 8.30-9.30am Morning Conference Report of duty doctors and students on duty. History, overhead projector. 1:00 Theoretical analysis of the topic 9.30-10.30 Check baseline preparedness of students using the method of "brainstorming." Survey of students on class. Students distributed ECG that they need to analyze, explain and give an opinion. The decision of situational problems on the topic. Case studies, table, corresponding to a subject class, educational boards. 60 minutes 10.30-11.00 Study skills. Student under the supervision of a teacher must complete a minimum of two pakticheskogo skill. Patient or volunteer. 30 minutes 11.00 -11.55 Supervision of patients on the ward. Each student is in charge of a particular patient ward. Sick, stethoscope, blood pressure monitor, medical history (with data of clinical and laboratory research). 55 minutes 11.55-12.40 Break 45 minutes 12.40-14.00 Analysis of thematic patient undergoing a complete inspection of the patient on activity or patients who are preparing to leave the hospital, laboratory and data analysis tool research, rationale preliminary diagnosis. Determined by the treatment plan with the doses of drugs. Sick, stethoscope, blood pressure monitor, medical history (with data of clinical and laboratory research). 80 min 14.00-14.15 End of lesson check digestibility evaluation. Tasks, clinical cases, ECG tests. 15 min 3. Duration of study subjects Number of hours - _____ 4. Purpose of the lesson Teach GPs on timely diagnosis and differential diagnosis, selection of the optimal treatment strategy options with acquired aortic valvular disease of various etiologies, and principles of management of patients in primary care, provided the requirements of "Qualification characteristics of a general practitioner" 5. Pedagogical objectives: 1. Consider the diagnosis and differential diagnosis of acquired aortic heart defects (isolated and combined, rheumatic, septic sclerosis). 2. Demonstrate patients with acquired aortic heart defect. 3. 3.Obsudit data clinical laboratory and instrumental studies in the diagnosis of acquired aortic heart defects (isolated and combined, rheumatic, septic sclerosis). 4. Clarify the indications and contraindications to surgery for aortic valvular disease. 5. Consider the diagnosis and differential diagnosis of congenital heart and great vessels: ASD, VSD, PDA, pulmonary stenosis, tetralogy of Fallot, coarctation of the aorta. Discuss questions about tactics in the qualifying characteristics of GPs 6. Discuss the principles of treatment (non-drug and drug). 7. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 8. Discuss the principles of primary, secondary and tertiary prevention in these diseases. 6. Learning outcomes Conducting this training allows the learner time and correctly diagnosed, to differentiate on clinical and laboratory-instrumental data aortic heart defects (isolated and combined, rheumatic, septic sclerosis), to establish a preliminary diagnosis and determine the future tactics of the patient. The student should know: 1. Clinical manifestations of acquired aortic heart defects. 2. Diagnosis of different types of acquired aortic heart defects. 3. Differential diagnosis of various types of acquired heart diseases. 4. Tactics GPs with aortic valvular disease (isolated and combined, rheumatic, septic sclerosis). 5. The mechanism of development of congenital heart and great vessels: ASD, VSD, PDA, pulmonary stenosis, tetralogy of Fallot, coarctation of the aorta. 6. Clinical manifestations of heart diseases and major vessels. 7. Diagnosis of diseases: ASD, VSD, PDA, pulmonary stenosis, tetralogy of Fallot, coarctation of the aorta. 8. Differential diagnosis of CHD and major sosudov.Pokazaniya and contraindications for surgery. 9. The principles of treatment (drug and non-drug) for these diseases. 10. Principles of follow-up and monitoring of patients in a hovercraft, or joint venture. 11. The principles of primary, secondary and tertiary prevention in these diseases. The student should be able to: 1. Data analysis and history of complaints for the diagnosis of acquired aortic heart defects. 2. Diagnose aortic heart defects. 3. Differentiated by clinical and laboratory data of instrumental studies acquired aortic heart defects (isolated and combined, rheumatic, septic sclerosis). 4. Complaints and analyze data for the diagnosis of CHD history and great vessels: ASD, VSD, PDA, pulmonary stenosis, tetralogy of Fallot, coarctation of the aorta. 5. Be able to diagnose, differentiate congenital heart and great vessels. 6. Send the patient to a special hospital for heart surgeon to decide on surgery of the defect. Choose products with proven efficacy 7. Advise on non-medicated treatments. 8. To monitor the SVP or in joint venture. 7. Methods and techniques of teaching Lecture, "brainstorm", three-stage interviews, entertainment experience, discussion, conversation, learning game, case studies. 8. Learning Tools Distributing educational materials viziualnye materials, videos, models, graphic organizers, tables, sets of ECG. 9. Forms of learning Individual work, group work, team, classroom, extracurricular. 10. Conditions of Learning 1. Training themed office chair. 2. Hospital wards. 11. Monitoring and evaluation • Verbally • In writing • The decision of situational problems • Demonstration of skills mastered 12. Motivation Doctor of first contact must identify during routine inspections of patients with noise in the heart, which often are a direct sign of heart disease. In this situation, the force sent to GPs diagnose and establish types of heart disease. In the case of diagnosis of heart diseases will decide on the definition of a group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These and other circumstances are the basis for the inclusion of this subject in the training of GPs. 13. Intra and interdisciplinary communication Anatomy, histology and cytology with embryology and biology, normal physiology, biochemistry, pathology, physiopathology, topographic anatomy and operative surgery, internal medicine propaedeutics, radiology and nuclear medicine, physical therapy, endocrinology, faculty therapy, inhospital treatment. 14. Contents classes 14.1. Theoretical part