MED 341
This course is dependent on introducing medical students to bedside examination skills as well as an introduction to internal medicine
References
Harrison's Principles of Internal Medicine
Davidson's Principles and Practice of Medicine
Clinical Examination: A Systematic Guide to Physical Diagnosis
These are some useful links
- University of Virginia clinical skills education
http://www.meded.virginia.edu/courses/clinskills/
- Atlases
http://www.patient.co.uk/directory/images-pictures-atlases
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Course Name : Internal Medicine |
اسم المقرر: الباطنة العام |
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Course Code & No : 341 |
رقم المقرر ورمزه: طبب 341 |
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Credits : 10 ( 7 +3 )* |
الساعات المعتمده: 10 (7+3) * |
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Duration :one year |
مدة المقرر: سنة كاملة |
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Study year: Third year |
سنة الدراسة: الثالثة |
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*-تدريب عملي (جلستين عمليتين إسبوعياً بمعدل 3 ساعات في كل جلسة) ===== 3 محاضرات إسبوعياً على مدار السنة بمعدل ساعة واحدة ===== -*clinical teaching === 2 sessions per week( 3 hours each) 3 lecture per week ( one hour each) -
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TABLE OF CONTENTS
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Page No. |
Item |
NO |
|
1 |
Introduction |
1 |
|
2 |
Suggested Reading List |
2 |
|
3 |
EXAMINATIONS |
3 |
|
|
Objectives |
4 |
|
4 -7 |
Teaching Methodology |
5 |
|
8 |
MEDICAL INTERVIEW |
6 |
|
9 |
GENERAL GUDELINES |
7 |
|
10-14 |
TECHNIQUE OF CLINICAL TEACHING |
8 |
|
15-20 |
Weekly Schedule(LECTURE TIMETABLE ) |
9 |
|
21-22 |
Weekly Schedule(BEDSIDE CLINICAL TEACHING) |
10 |
MED COURSE 341
10 Credit hours
Med Course 341 is the first clinical course for the medical students. It is a 10 credit hours course of theoretical part (lectures) and clinical part (bedside teaching). The main objective of the course is mastering history taking: learning the technique of how do physical exam and know the physical sings of patients. The course was taught over 28 week’s period.
TEACHING PART OF THE COURSE
THEORETICAL PART: There shall be three lectures per week covering all the general medicine aspect such as cardiology, rheumatology, pulmonology, endocrinology, nephrology, gastroenterology, hematology/oncology, infectious diseases and neurology given over 84 lectures during 28 weeks.
CLINICAL BEDSIDE TEACHING: There shall two clinical sessions per week. The teaching consists mainly of basic history taking, basic technique of different system examinations and definition and identification of physical sings.
ATTENDANCE
Attendance is continuously monitored and kept to see whether students will meet the required percentage of attendance set by the University.
As early as possible, any student noticed to have poor attendance would be given warning letters to call their attention and given them a chance to improve. As a rule, students should have attended at least 75% of the total 92 lectures and 56 sessions of the bedside clinical teaching of the course to be allowed to sit in the final exam. Names of students who will have less than 75% attendance will be submitted to the Vice Dean – Academic Affairs Office and will not be included in the exam until the University gives their approval.
CONTRIBUTING TEACHING STAFF / HOSPITALS
Students were distributed in two different hospitals, King Khalid University Hospital and Riyadh Medical Complex for their bedside clinical teaching. Consultants from KKUH rotates between the two hospitals to do the teaching.
RECOMMENDED REFERENCES
A. Textbook of Medicine
Any one of the following excellent books:
1. Clinical Medicine – A textbook for Medical students and doctors.
P.J Kumar and M.L. Clark “Latest Edition”
2. Textbook of Medicine – by Souhami and Moxham – Latest Edition
3. Davidson’s Principles and Practices of Medicine – C.R. Edward and Ian, A.D
Bonchir – Latest Edition.
B. Physical Examination
Any one of the following books:
1. A guide to physical examination and history taking, by Barbara Bates – Latest
Edition.
2. Macleod’s Clinical Examination by John Munro and C. Edwards.
3. Clinical Examination – 2nd Edition by Nicholas Talley and Simon O’Connor.
EXAMINATIONS
CONTINUOUS ASSESSMENT EXAM is 40% from the total 100% marks.
- This is the first exam done after the students finished the first half of the course and it
Consists of Written Exam (20%) and Clinical – Long Case Exam (20%)
FINAL EXAMINATION is 60% from the total 100% marks.
- This will be the second exam after the students finished the 28 weeks of teaching and
Just like the first exam it consists of written exam (30%) and clinical – long case exam
(30%)
WRITTEN EXAM – IS COMPOSED OF 45 QUESTIONS OF TRUE OR FALSE ANS 15 QUESTIONS OF SINGLE BEST , each question is required to have five stems, setting the questions in a standard form, 5 statements a to e. There shall be 1 mark to be awarded for each correct statement answered in True or False questions (i.e. 1 x 5 = 5) and 5 full marks on every correct answer in the Single Best questions. There is no negative marking in the written exam. Students are advice to answer all the questions and make sure to submit the answer sheets with out any empty space.
CLINICAL EXAM - Students will be marked on his/her ability to take history and perform a physical examination of all the systems taking into consideration that this is their first clinical exam. On both occasions, examiners do not expect the students to know the diagnosis or differential diagnosis of patients. Students are not expected yet to know the management approach.
MED COURSE 341 LECTURS
THE FOLLOWING ARE LECTURES GIVEN ON THE FIRST SEMESTER:
A. CARDIOLOGY
1. Hypertension/hypertensive Heart Disease
2. Hyperlipidemia – Diagnosis and Management
3. Investigation of Heart Disease
4. Angina Pectoris
5. Acute Myocardial Infarction
6. Chronic Valvular Heart Disease – 1
7. Chronic Valvular Heart Disease - 11
8. Infective Endocarditis
9. Cardiac Arrhythmias
10. Heart Failure
11. Cardiomyopathies
12. Pericardial Disorders
B. PULMONOLOGY
1. Pleural Effusion
2. Pulmonary Embolism
3. Interstitial Lung Disease (Allergic Alveolitis)
4. Respiratory Emergencies
5. Pneumonia
6. Investigation of Lung Disease
7. C.O.P.D.
8. Bronchial Asthma
9. Respiratory Failure
C. INFECTIOUS DISEASES
1. Malaria
2. Some Viral Infections
3. Diarrheal Diseases
4. Prevention and Prophylaxis of Infectious Diseases
5. Infection in the immuno-compromised host
6. Typhoid Fever and Brucellosis
7. Tuberculosis
8. Bacteremia and Septic Shock
9. AIDS
10. Leishmania / Schistosomiasis
11. Fever of Unknown Origin
12. Use of Antibiotics
D. GASTROENTEROLOGY
1. Pancreatic Diseases
2. Malabsorption and Diarrhea
3. Peptic Ulcer Diseases
4. Irritable Bowel Syndrome
5. Acute Hepatitis and Complications
6. Chronic Liver Diseases (Chronic Hepatitis, Cirrhosis)
7. Oesophageal Diseases
8. Liver Cirrhosis and Complication
9. Liver Tumours
10. Inflammatory Bowel Disease (Specific and Non-specific)
MED COURSE 341 LECTURS
THE FOLLOWING ARE LECTURES GIVEN ON THE SECOND SEMESTER:
E. ENDOCRINOLOGY
1. Clinical Aspects of Diabetes
2. Management and Complications of Diabetes
3. Metabolic Bone Disease
4. Disorders of the Parathyroid Glands
5. Obesity
6. Pituitary Disorders - I
7. Pituitary Disorders - II
8. Adrenal Disorders - I
9. Adrenal Disorders - II
10. Hypothyroidism and Other Thyroid Disorders
11. Hypothyroidism
12. Sexual Disorders
F. ONCOLOGY / HAEMATOLOGY
1. Anemia - I
2. Anemia - II
3. Cancer Treatment
4. Acute Leukemia
5. Chronic Leukemia
6. Myeloproliferative Disorder
7. Lymphoma - I
8. Lymphoma - II
9. Haemostasis - I
10. Haemostasis - II
G. NEPHROLOGY
1. Acute Glomerulonephritis
2. Nephrotic Syndrome
3. Tubulointerstitial Disease
4. Fluid and Electrolyte Acid Base Balance
5. Chronic Renal Failure
6. Dialysis and Immunology of Renal Transplantation
7. U.T.I. (including renal tuberculosis)
8. Acute Renal Failure
H. NEUROLOGY
1. Myelopathy & AbHC diseases
2. Epilepsy
3. Myopathies and Myasthenia Gravis
4. CNS Infections
5. Peripheral Neuropathies
6. Extra pyramidal Disorders
7. Dementia
8. CNS Demyelination
9. Headache and Migraine
10. Localization in Clinical Neurology
11. Cerebrovascular Diseases
I. RHEUMATOLOGY
1. SLE and Progressive Systemic Sclerosis
2. Infective Arthritis and Crystal Induced arthritis
3. Vasculitis / Myositis
4. Chronic Arthritis - I
5. Chronic Arthritis - II