Download Department of Internal Medicine and Hypertension

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: [email protected]
http: www.wum.edu.pl
4th YEAR CURRICULUM
6-year program
Warsaw, 2010/2011
INTERNAL MEDICINE – CARDIOLOGY I
Department of Internal Medicine and Hypertension
Address: 1a Banacha Street; 02-097 Warsaw
phone: 022 599 18 28
Head: Prof. Zbigniew Gaciong MD, PhD
Curricular affairs: Marcin Szulc MD, PhD, phone. 22 599 18 28
Teaching hours:
seminars
bedside classes
20 hours
36 hours
Assessment of student performance:
On completion of the course writing test is performed (aprox. 30 questions, 30 minutes), in
case of failure oral colloquium is taken.
The aim of the course: Two weeks course in our department is focused on pathophysiology
and clinical aspects of systemic hypertension (including its secondary forms), peripheral
vascular diseases (atherosclerosis and vasculitis), heart failure, congenital and acquired
valvular heart diseases and pulmonary hypertension (especially as a result of venous
thromboembolism). Course consists of seminars and bedside classes (some in noninvasive
cardiology labs).
Topics of seminars:
1. Pulmonary hypertension
2. Aortic valvular disease
3. Congenital heart disease in adults
4. Mitral valvular disease
5. Bacterial endocarditis
6. Pericarditis
7. Cardiomyopathies
8. Atherosclerosis - pathogenesis and general aspects
9. Aortic and peripheral arterial disease
10. Deep vein thrombosis
11. Congestive heart failure – pathogenesis and symptomatology
12. Congestive heart failure – treatment
13. Pulmonary embolism
14. Essential hypertension - pathogenesis and epidemiology
15. Essential hypertension - clinical sequelae
16. Hormonal hypertension
17. Essential hypertension – treatment
18. Renovascular hypertension
19. Biochemical markers in cardiovascular diseases – practical approach.
Course schedule
Two week course
8.00 - 8.50
Seminar (Room 1, ground floor, segment D)
8.50 - 11.30 Bedside classes (at the Department)
2
11.30 - 12.00 Coffee break
12.00 - 12.45 Seminar (Room 1, ground floor, segment D)
Seminars
Mon
Tue
Wed
Thu
Fri
Mon
Tue
Wed
Thu
Fri
Introduction
1. Pulmonary hypertension
M.Szulc
2. Aortic and peripheral arterial disease
B.Symonides
1.Congenital heart disease in adults
P.Jędrusik
2. Deep vein thrombosis
P.Jędrusik
1. Bacterial endocarditis
G.Styczyński
2. Renovascular hypertension
B.Symonides
1. Cardiomyopathies
P.Abramczyk
2. Atherosclerosis - pathogenesis and general aspects
Z.Gaciong
1. Aortic valvular disease
M.Szulc
2. Mitral valvular disease
M.Szulc
1. Congestive heart failure – pathogenesis and symptomatology G.Styczyński
2. Congestive heart failure – treatment
B.Symonides
1 Pulmonary embolism
M.Szulc
2.Essential hypertension - pathogenesis and epidemiology Z.Gaciong
1.Essential hypertension - clinical sequelae
J.Lewandowski
2.Hormonal hypertension
P.Gryglas
1.Essential hypertension – treatme
J.Lewandowski
2. Pericarditis
C.Szmigielski
1. Biochemical markers in cardiovascular diseases – practical approach
C.Szmigielski
2. Written test
Venue: Room 1, ground floor, segment D
Hour: 1.
8.00 A.M.
2.
12.00 A.M.
Basic textbooks:
„Cardiology” in Harrison’s Principles of Internal Medicine
Complementary textbooks:
ACC/AHA and ESC recommendations for related topics.
(www.americanheart.org/Scientific/statements/; www.escardio.org)
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CARDIOLOGY I
I Chair and Department of Cardiology
Address: 1a Banacha Street, 02-097 Warsaw
Phone: 022 599 29 58; fax: 022 599 19 57
e-mail: [email protected]
www.wum.edu.pl/cardiology
Head: Prof. Grzegorz Opolski, MD, PhD, FESC
Curricular affairs: Michał Marchel, MD, PhD
Number of teaching hours:
2 week training, including 1 week at Coronary Care Unit (CCU). The course covers 60 hours
of classes, divided in:
- 20 hours of seminars
- 40 hours of clinical practice
Teaching time:
8.15 – 9.15 Seminar
9.30 – 11.30 Bedside classes
11.45 – 12.45 Case Report
During the Cardiology II course classes will take place at the Dept. of Cardiology, in the
Central University Hospital, 1a Banacha St., block D 1st floor.
All seminars will take place in Teaching Room, block D, ground floor at 8:15.
Case reports will take place in Teaching Room, block D, ground floor at 11:45.
Assessment of student performance:
Students are assessed on the grounds of their regular attendance at seminars and active
participation in bedside classes as well as at least satisfactory result of the test provided on the
last day of the course. The test consists of 30 multiple choice questions. A minimum 18
correct answers is needed to pass the test. In case of two and more absences every student
meet the responsibile assistant to discuss the possibility of other forms of positive assessment
arraigned individually (additional test, participation in medical duty, preparation of case
report etc.).
The aim of the course:
Medicine students of the Warsaw Medical University are expected to complete a 4-week
course in cardiology, divided into Cardiology I (4th year) and Cardiology II (5th year). Both
parts of the course will take place at the I Chair and Department of Cardiology. Cardiology I
is concerned with methods of cardiovascular diagnostics, hypertension, valvular heart disease,
cardiomyopathies, and pulmonary circulation.
Main topics:
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1. Signs and symptoms of cardiovascular diseases
2. ECG as a diagnostic tool in cardiovascular diseases
3. Cardiovascular imaging
4. Systemic hypertension
5. Cardiomyopathies
6. Ischemic heart disease
7. Heart failure
8. Valvular heart disease
9. Pulmonary embolism & pulmonary hypertension
10. Endocarditis
Basic textbooks:
1. Eugene Braunwald, Lee Goldman, ed., Primary Cardiology, second edition, Elsevier
Science, 2003.
2. Eugene Braunwald, ed., Heart Disease. A Textbook of Cardiovascular Medicine, 7th
edition, Philadelphia: W.B. Saunders Company, 2004.
3. John Camm, Thomas F. Lüscher, Patrick Serruys The ESC Textbook of
Cardiovascular Medicine, Wiley-Blackwell, 2006.
4. Brian P. Griffin, Eric J. Topol Manual of Cardiovascular medicine, 2nd edition,
Lippincott Williams & Wilkins, 2004.
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HEMATOLOGY
Department of Hematology, Oncology and Internal Medicine
Address: 1a Banacha Street, 02-097 Warsaw
Phone: 022 599 2818 Fax: 022 599 1418
Head: Prof. Wiesław Wiktor Jędrzejczak, MD, PhD
Curricular affairs: Małgorzata Rokicka
Number of teaching hours: 32
Lectures:
2 hrs
Seminars:
10 hrs
practical classes:
20 hrs
Assessment of student performance:
On completion of the course, students are expected to take final written test.
Lectures (W. Wiktor Jedrzejczak MD, PhD)
1. Scientific basis of hematology.
2. Hematopoietic cell transplantation.
Seminars and bedside classes (for all students)
Monday
8.00-9.00 Organization of hematological care and tour of the clinic.
9.15-10.15 Bedside classes: participation in rounds in inpatient hematology unit, day clinic,
intensive hematology unit.
10.15- 11.30 General approach to the hematologic patient.
12.00-14.00 Approach to the patient with abnormal complete blood count.
Tuesday
8.00-9.00 Approach to the patient with cytopenia.
9.15-10.15 Bedside classes: participation in rounds in inpatient hematology unit, day clinic,
intensive hematology unit.
10.15-11.30 Treatment of cytopenias and management of the immunocompromized patient.
12.00 -14.00 Demonstration of cases of iron deficiency, B12 deficiency, sickle cell anemia,
hemolytic anemia, aplastic anemia, thrombocytopenia, agranulocytosis
Wednesday
8.00-9. 00 Approach to the patient with leukocytosis
9.15-10.15 Bedside classes: participation in rounds in inpatient hematology unit, day clinic,
intensive hematology unit.
10.15-11.30 Antileukemic therapies
12.00-14.00 Demonstration of cases of reactive leukocytosis, acute leukemia, chronic
myelocytic leukemia, polycythemia vera/thromobocythemia, chronic lymphocytic leukemia
Thursday
8.00 - 9. 00 Approach to the patient with lymphadenopathy and other signs of blood neoplasia
9.15 –10.15 Bedside classes: participation in rounds in inpatient hematology unit, day clinic,
intensive hematology unit.
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10.15 - 11.30 Treatment of lymphoma and myeloma
12.00-14.00 Demonstration of cases of Hodgkin’s disease, diffuse large B cell lymphoma,
follicular lymphoma, multiple myeloma, light chain disease
Friday
8.00 – 9.00 Approach to the patient with coagulopathy.
9.15-10.15 Demonstration of cases of hemophilia, DIC, and thrombophilia.
10.15-12.00 Introduction to transfusion medicine.
12.30-14.00 Final test
Basic Textbooks:
Schmaier AH, Petruzzelli LM (eds.) Hematology for the Medical Student. Lippincott,
Williams & Wilkins, Philadelphia 2003
Harrison`s Principles of Internal Medicine, McGraw-Hill. 15th edition
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PNEUMONOLOGY
National Institute of Tuberculosis and Lung Diseases
Address: 26 Płocka Street, 01-138 Warsaw
Phone:. 022 43 12 108; fax: 022 43 12 408
Head: Prof. Kazimierz Roszkowski, MD, PhD
Curricular affairs: Janusz Szopiński, MD, PhD, phone: 022 43 12 218
Mirosława Kostek, phone: 022 43 12 108, e.mail:[email protected]
Number of teaching hours:
Lectures
10
Seminars
10
Practical classes
40
Assessment of student performance:
On completion of the course students are expected to take final oral examination.
The aim of the course:
The programme for English-speaking students in respiratory diseases contain: Some aspects
of diagnosis of respiratory disease including radiology, bronchoscopy, functional aspects
(obturation, restriction, respiratory failure). Role of surgery in the diagnosis and treatment of
respiratory diseases. Pneumonia – community acquired, nosocomial, in immunocompromised
patients. Chronic obstructive pulmonary disease.
Topics of lectures:
1. Some aspects of the diagnosis of chest diseases, 2. Diagnosis of airway obstruction. 3.
Diagnosis of restrictive lung diseases. 4. Chest X-ray in the diagnosis of diseases of the
lung and bronchi. 5. Interstitial lung diseases. 6. Lung cancer. 7. Chronic obstructive
pulmonary disease. 8. Tuberculosis - pathogenesis, differential diagnosis and treatment. 9.
Bronchoscopy in the diagnosis of the diseases of lung and bronchi. 10. The role of surgery
in the diagnosis and treatment of chest diseases
Topics of seminars:
1. The diseases of the pleura, 2. The role of smoking in the pathogenesis of the diseases of
the lungs and bronchi. 3. Pneumonia. 4. Bronchiectases. - new aspects of patophisiology.
5. Bronchoscopy in the treatment of the diseases of the bronchi. 7. AIDS and the lung. 8.
Pulmonary vasculitis. 9. Respiratory failure. 10. Embolic and thrombotic diseases of the
lung. 12. Extrapulmonary tuberculosis - a diagnostic problem
Topics of practical classes:
1. Phisiopathology
- 4 hours
2. Bronchoscopy
- 4 hours
3. Radiology
- 4 hours
4. Intensive care unit
- 4 hours
5. Obstructive sleep apnoea
- 4 hours
6. Thoracic surgery
- 4 hours
7. Chest diseases
- 16 hours
Basic textbooks:
Harrison’s Principles of Internal Medicine. ed. Kurt J. i wsp. McGraw-Hill, Inc., 1998
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Clinical Pulmonary Medicine ed. Little, Brown and Company, Boston, 1992
RHEUMATOLOGY
Institute of Rheumatology
Address: 1 Spartańska Street, 02-637 Warsaw
Phone: 022 844 8757, fax: 022 646 78 98
Head: Prof. Sławomir Maśliński, MD, PhD
Curricular affairs: Ewa Stanisławska-Biernat, MD, PhD; phone: 022 844 8757
Number of teaching hours: 50
- seminars
23 hours
- practical classes
27 hours
Teaching time: 8.30 a.m. – 1.15 p.m.
Assessment of student performance:
On completion of the course students are expected to take their final oral test and are
subsequently assigned their passing grades.
The aim of the course: The aim of the training consists in preparing medical students to
work as general practitioners and giving them the practical knowledge of the subject and the
information about advances in rheumatology.
Topics of seminars:
1. Classification of rheumatic diseases
2. Immunopathogensis of rheumatic diseases
3. Serological tools in a diagnostic of rheumatic diseases
4. Morphological examination in rheumatic diseases
5. Rheumatoid arthritis
6. Systemic lupus erythematosus
7. Systemic vasculitis and other connective tissue diseases
8. Ankylosing spondylitis and other seronegative spondyloarthropathies
9. Osteoarthritis
10. Soft tissue rheumatism
11. Gout
12. Rheumatic fever
13. Juvenile idiopathic arthritis
14. Infection and arthritis
15. Principles of orthopedic treatment of rheumatoid arthritis
16. Osteoporosis
17. Proceedings of rehabilitation in rheumatic diseases
Practical classes:
Practical training involves teaching of examination of the patients with complaints of
locomotor system, interpretation of diagnostic tests, algorithms of diagnostic procedures,
clinical picture and treatment of rheumatic disases.
Basic textbook:
1. Harrison’s Principles of Internal Medicine, Mc Graw-Hill, 16th edition
Complementary textbook:
1.G.Clunie, Oxford Handbook of Rheumatology, Oxford University Press, 2002
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or other recently published textbooks of rheumatology and internal medicine.
SURGERY I
Department of General, Transplant and Liver Surgery
Address:1a. Banacha Street, 02 097 Warsaw
phone: 022 5992546 fax: 022 5991545 E-mail [email protected]
Head: Prof. dr hab. Marek Krawczyk
Curricular affairs: Dr Michał Skalski
Number of teaching hours:
Seminars
10 hrs
Practical classes
80 hrs
The classes start at 7.30 by a ward round. The students are expected to understand
polish in a degree allowing them to follow the conversation with the patients.
Topics of seminars:
1. Haemorrhage and blood loss; blood transfusion
2. Nutrition in surgery; infusional therapy and Total Parenteral Nutrition
3. Infections in surgery; aseptic and antiseptic regimens
4. Principles of surgical diagnosis
5. Trends in surgery: extensive if necessary, mini-invasive if possible
6. Changing approach to the treatment of peptic gastroduodenal ulcer
7. Pathophysiology of surgical intervention
8. Multiorgan injuries
9. Dysphagia; surgery of the esophagus
10. Shock – pathomechanisms and treatment
Topics of practical classes;
 Behavior in the sterile area; equipment of the operatory room; surgical instruments
 Wound: treatment of various types of wounds; surgical wound – incision, closure,
wound dressing
 Surgical drainage: indication, types of drains, management
 Diagnostic and inerventional endoscopy
 Treatment of patients with: peritonitis, pancreatitis, gall stone disease, large and small
bowel diseases, liver tumors, portal hypertension, gastric and esophageal tumors,
hernias
 Postoperative management
 Participation in surgical procedures
Assessment of the student’s perfomace
On completion of the course the students are expexted t otake a final assessment test
The aim of the course: the course offers the student
the basic information concerning
 Pathological basis of surgical treatment
 Pre- and postoperative management
 Modern trends in surgery
 Chosen “surgical diseases”
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 Radiological conferences
 Problems of bacterial and viral infections in surgery
the basic abilities to participate in the activities of a surgical unit
Basic textbooks:
1. M.M Henry: Clinical Surgery. (W.B. Saunders)
2. L.M. Way: Current Surgical Diagnosis and Treatment. (Lange Medical Books)
3. L.H. Blackbourne: Surgical Recall (Lippincott Williams)
Complementary textbooks:
1. Tevar: Surgery Review Illustrated (Mc Grow Hill)
2. Cameron: Current Surgical Therapy (Elsevier)
3. Bournand: The New Aird’s companion in Surgical Studies (Elsevier)
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DERMATOLOGY AND VENEROLOGY
Department of Dermatology
Address: 82a Koszykowa Street, 02-008 Warsaw
Phone 022 5021324 , fax 022 502 21 06, e-mail: [email protected]
Head: Prof. Wiesław Gliński, MD,PhD
Curricular affairs: Bartłomiej Kwiek MD
Phone: 022 502 18 03, 82a Koszykowa Street, room 8, Mondays 1p.m.
Hours of instruction - spring semester :
lectures: 22,5 hrs
classes : 45 hrs
Institute of Venereal Diseases
Adress: Koszykowa 82A, 02-008 Warszawa
Phone 022 502 13 13
Head : Prof. Sławomir Majewski MD. PhD
Curricular affairs: Zygmunt Dajek MD. Ph.D
Hours of instruction - spring semester :
lectures:
13,5 hrs
classes :
6 hrs
seminars : 3 hrs
Assessment of student performance.
The course is divided into one week lecture part followed by a clinical part. Students
attempting the clinical part are expected to have a theoretical knowledge obtained on lectures
and on the first day of a clinical part of a course the basic knowledge with a special emphasis
on anatomy, physiology and analysis of skin lesions will be assessed.
The course ends with credit and oral and test examination. The assessment is accomplished by
credit received on the final day of classes (applies both to dermatology and venereal diseases).
Students must obligatory attend the classes, lectures and seminars. These not attending will
not receive credit. The final oral examination comprises of two parts: patient examination,
and test assessment of knowledge in dermatology and venereal diseases, and is scheduled for
June. The patient examination has to be taken before the day of the latter test exam.
The aim of the course:
Is to provide theoretical knowledge and practical skills of diagnosis and management of
patients presenting with the most common skin diseases encountered in general practice.
Topics of the lectures (dermatology):
1. Anatomy and physiology of the skin
2. Analysis of skin lesions
3. Acne vulgaris
4. Allergic diseases (Atopic dermatitis, Egzema, Urticaria)
5. Borreliosis
6. Bullous diseases (Pemphigus, Bullous Pemphigoid and Herpes Gestationis, Pemphigoid,
Dermatitis herpetiformis, LABD)
7. Fungal Infections (Dermatophyte Infections, Candidiasis, Tinea versicolor)
8. Lupus Erythematosus (Cutaneous, Subacute Cutaneous, Systemic)
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9. Drug eruptions
10. Nevi and melanoma (Melanocytic and vascular nevi, Melanoma)
11. Paraneoplastic Disorders
12. Photodermatoses (Polymorphic Light Erruptions, Persistent Light Reaction, Porphyria
Cutanea Tarda)
13. Scleroderma (Progressive Systemic Sclerosis, Morphea)
14. Skin Cancer (Basal Cell, Squamous Cell)
15. Psoriasis
16. Viral Infections (Primary and Recurrent Herpes, Zoster, Warts, Molluscum) Contagiosum
Topics of the classes:
1. Lymphoma of the skin (Mycosis fungoides, Sezary syndrome)
2. Alopecia areata
3. Bacterial infections
4. Dermatological Treatment (Diagnostic and Therapeutic Techniques, Operative
Procedures)
5. Erythema Multiforme
6. Erythema Nodosum
7. Erythrasma
8. Infestations (Scabies, Pediculosis, Tics)
9. Leishmaniasis
10. Leprosy
11. Leucocytoclastic Vasculitis
12. Lichen Planus
13. Pityriasis rosea
14. PLEVA
15. Premalignant Skin Conditions
16. Rosacea
17. Sarcoidosis
18. Skin Manifestations in Diabetes
19. Tuberculosis
20. Venous Leg Ulcers
21. Vitiligo
Topics of lectures (Veneral diseases)
1. AIDS: aetiology, pathogenesis, treatment
2. Gonorrheal and nongonococcal urethritis (NGU)
3. Acquired early syphilis
4. Syphilis tarda
5. Hereditary syphilis
6. Skin diseases and sexually transmitted diseases (STD) accompanying HIV/AIDS infection
7. Genital warts
8. Viral skin infections
9. Epidemiology of STD
Topics of classes (Veneral diseases):
1. AIDS (laboratory classes / case demonstrations)
2. Gonnorrheal and nongonococcal urethritis (laboratory classes)
3. Syphilis (case demonstrations)
4. AIDS / STD and skin diseases (case demonstrations and videotape)
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Topics of seminars:
1. Syphilis: serological investigation and its interpretation
2. Test case
MEDICAL ETHICS
Department of Bioethics
Address: 81 Zwirki and Wigury Street, 02-091 Warsaw
phone/fax: 022 827 0307
Head: Alicja Domańska, MD, PhD
Curricular Affairs: Paweł Łuków, MD, PhD
Number of teaching hours:
14 hours of lecture
16 hours of seminar
Assessment of student performance:
Activity in class. Final test.
Aim of the course:
To acquaint students with the theoretical foundations of ethics and moral problems
encountered in medicine. Attention is paid to development of student ability to approach
moral dilemmas of medical practice. Lectures are accompanied by seminars in which students
discuss real-life cases. The leading theme of seminars is patient informed consent to medical
treatment.
Topics of lectures:
1. Basic concepts of theoretical ethics; types of ethics; the need for professional ethics.
2. Moral reasoning. Types of ethical theories.
3. The ethical theories of J. S. Mill, Aristotle, and I. Kant.
4. The right to health care. Models and systems of health care provision.
Topics of seminars:
1. Informed consent. The physician-patient relationship.
2. Truth telling, its moral significance and limitations.
3. Confidentiality.
4. The ethics of clinical trials.
5. Classical arguments in medical ethics.
Basic textbook:
T. L. Beauchamp, J. F. Childress, Principles of Biomedical Ethics, Oxford University Press
1994 (fourth edition), chapters 3-7.
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PHARMACOLOGY AND TOXICOLOGY
Chair and Department of Experimental and Clinical Pharmacology
Address: 26/28 Krakowskie Przedmieście Street, 00-325 Warsaw
Phone/fax: 022 826 21 16, [email protected]
Head: Prof. Andrzej Członkowski, MD, PhD
Curricular affairs: E. Widy-Tyszkiewicz, MD, PhD
Admission hours: 1.00-3.00 p.m. (Monday – Friday)
Number of teaching hours:
Lectures:
46
Seminars:
104
Assessment of student performance:
Students must obligatorily attend the seminars. Students are assigned passing grades on
grounds of their regular class attendance and and least satisfactory performance in their partial
and semester tests. On completion of the course students take their final examination.
In the Department of Pharmacology students learned society is active.
The aim of the course:
The aim of the pharmacology course is to provide students the knowledge of the principles of
rationale pharmacotherapy on a scale which is necessary for general practitioner. Students
gain the knowledge of the basic concepts of drug action as the basis of drug therapy. Students
are presented guidelines for the appropriate selection of drugs in clinical practice and are also
instructed in principles of drugs prescribing.
Hours of instruction in winter semester: 77
Topics of lectures in winter semester: 23
1.
Introduction to pharmacology. Basic principles.
2.
Pharmacokinetics: drug absorption, distribution and elimination.
3.
Drug biotransformation.
4.
Pharmacodynamics: drug action, the relationship between drug
concentration and effect.
5.
Principles of chemotherapeutic drug action
6.
Drugs used in chemotherapy of tuberculosis and leprosy
7.
Antifungal drugs. Antiviral drugs.
8.
Cancer chemotherapy
9.
Agents that affect bone mineral homeostasis
10.
The hypothalamic and pituitary hormones. Thyroid and antithyroid drugs.
11.
The gonadal hormones and inhibitors
12.
Drugs used in hyperlipidemias
13.
Mediators of inflammation and allergy. Autacoids and autacoid antagonists
14.
Antiallergic drugs
15.
Immunopharmacology
16.
Agents acting at the neuromuscular junction and autonomic ganglia
17.
Local anaesthetics
15
Topics of seminars in winter semester: 54
1.
Drugs used in gastrointestinal diseases. I. Control of gastric acidity and treatment of
peptic ulcers.
2.
Drugs used in gastrointestinal diseases. II. Emetic drugs and antiemetic
drugs. Drugs which increase gastro-intestinal motility. Antidiarrhoeal drugs.
3.
Anthelmintic drugs
4.
Antiprotozoal drugs
5.
Assessment test on gastrointestinal drugs
6.
Prescribing and prescription writing
7.
Chemotherapeutic agents. I. Sulfonamides. Quinolones. Urinary antiseptics
8.
Chemotherapeutic agents. II. Penicillins. Cephalosporins and other
-lactam antibiotics. Macrolide antibiotics.
9.
Chemotherapeutic agents. III. Chloramphenicol. Tetracyclines. Aminoglycosides.
10.
Assesment test on chemotherapy
11.
Adrenocorticosteroids and adrenocortical antagonists.
12.
Agents used in disorders of coagulation. Agents used in anemias.
13.
Pancreatic hormones and antidiabetic drugs
14.
Assessment test on hormonal and antidiabeticc drugs
15.
Cholinergic agonists. Cholinoceptor-blocking drugs.
16.
Drugs used to influence smooth muscle
17.
Dermatologic pharmacology
18.
Prescribing and prescription writing
Hours of instruction: spring semester: 73
Topics of lectures in spring semester: 22
1.
Individual variation and drug interaction
2.
Drugs in pregnancy and lactation
3.
Special aspects of geriatric pharmacology
4.
Drug therapy of hypertension
5.
Drug treatment of angina pectoris
6.
Therapeutic management of shock
7.
Introduction to psychopharmacology
8.
Antipsychotic agents
9.
Pharmacotherapy of headaches.
10.
Pharmacology of Parkinson's disease and movement disorders
11.
Drugs of abuse (part one)
12.
Drugs of abuse (part two)
13.
Pharmacology of alcohol consumption
14.
Harmful effects of drugs. Principles of toxicology
15.
Occupational and environmental toxicology
16.
Mechanisms of drug interactions
17.
Advances in pharmacology
Topics of seminars spring semester: 22
1.
Catecholamines and sympathomimetic drugs
2.
Adrenergic receptor antagonists
3.
Antihypertensive agents
16
4
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Agents used in cardiac arrhytmias
Diuretic agents
Cardiac glycosides and other drugs used in congestive heart failure
Assessment test on drugs used in cardiovascular diseases
Agents used in asthma and COPD
Antidepressant agents
Anxiolytics. Psychostimulants.
General anaesthetics. Inhalational anaesthetics. Injectable anaesthetics.
Antiepileptic drugs
Assessment test on CNS and analgesic drugs
Nonsteroidal anti-inflammatory drugs
Opioid analgesics and antagonists
Management of poisoned patient
Prescribing and prescription writing
Basic textbook:
"Basic and Clinical Pharmacology", Katzung, B. G. Appleton & Lange, 8th edition, 2001
Complementary textbooks:
1. “Principles of Pharmacology: Basic concepts and Clinical Applications”, Ed.:P. L.
Munson, R. A. Mueller, G. R. Breese. Chapman & Hall 1996, New York
2. “Principles of Medical Pharmacology”
Ed.: H. Kalant, W. H. E. Roschlau. Oxford University Press 1998
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HYGIENE AND EPIDEMIOLOGY
Institute of Social Medicine
Address: 3 Oczki Street,
phone: 022 621 51 97, phone/fax. 022 621 52 56
Department of Preventive Medicine and Hygiene
Acting Head: Longina Kłosiewicz-Latoszek, Professor, MD, PhD
Department of Epidemiology
Acting Head: Maria Mularczyk-Bal, MD, PhD
Number of teaching hours:
Lectures
15 hrs
Seminars
20 hrs
Practical classes
15 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:
A. Hygiene
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. Occupational medicine
7. Environmental health issues: air (part one)
8. Environmental health issues: water and soil (part two)
B. Epidemiology
1. Health promotion vs. prevention of illness.
2. Evaluation of community health; descriptive ways.
3. Natural history of diseases as a tool of prevention.
4. Disclosing the causes of illness; main avoidable risks.
5. World-wide health programmes; the local contribution.
6. Evaluating efficiency of intervention; controlled studies.
7. The future of health status based on recent evidence.
Topics of seminars:
A. Hygiene (5 hrs)
1. Energy requirements: basal metabolic rate and other demands, the specific dynamic action
of food.
2. Classification of food products and their characteristics.
3. Occupational Health. Occupational hazards: chemical, physical and biological factors;
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permissible exposure limit. Periodic medical examinations: their role and principles of
implamentation. The work load.
4. Environmental Health: main sanitary requirements of water.
5. Environmental Health: main sanitary requirements of air and soil.
B. Epidemiology (15 hrs)
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
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: tubeculosis, cardiovascular diseases, cancer, nonspecific respiratory conditions, diabetes etc.
12. The hospital mortality statistics: their role in the asssessment 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 Hygiene:
1. Quality and requirements of: proteins, carbohydrates, fat, dietary fiber, minerals and
vitamins.
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. Assesment of nutritional status: clinical examinations, laboratory investigations,
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anthropometric data.
5. 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.
6. Assessment of students diets (using a food composition computer program).
7. Planning proper diets in relation to age, sex, weight and physical activity.
8. Basic physical properities of air and their physiological effects: pressure, temperature,
humidity, motion and ionization.
9. Air contamination: gases, dust, acid rains, smog, ozone hole, grenhouse effect
10. Hygienic conditions in closed rooms (dewelling house, operation theatre, school):
microclimate, chemical contamination, microflora,
11. Sanitary examination of indoor and outdoor air
12. Water - Effect of humen activities, general characteristic of drinking water
13. Sanitary examination of drinking water
14. Sanitary examination of air and water - interpretation of results
15. Repetition
Basic textbooks:
1. Friedman G.D. Primer of epidemiology. Fourth edition. McGraw-Hill, New York, 2005
(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.
4. Cassens B.P. Preventive medicine and public health. Second edition. Harval Publishing,
Philadelphia, 1992.
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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PUBLIC HEALTH
Department of Epidemiology Institute of Social Medicine
Address: 3 Oczki Str. Phone: 022 629 02 43, phone/fax: 022 621 52 56
e-mail: [email protected]
Acting head: Maria Mularczyk-Bal, MD, PhD
Curricular affairs: Jan Kopczyński, professor, MD, PhD, Maria Mularczyk MD, PhD
Piotr Tyszko MD, PhD, Anna Ziółkowska MD
Number of teaching hours:
Seminars
30 hrs
Assessment of students’ performance:
A test closing seminars; a final oral exam.
The aim of the course:
To pass the knowledge regarding health care of the population understood as health
promotion, disease prevention, clinical treatment and rehabilitation.
Topics of seminars:
16. Methods of community health monitoring.
17. The systems of collecting and storing of health data.
18. The foundations of health policy.
19. The health programmes of the WHO, European Union, and the National Health
Programme.
20. The ways of implementing public health measures therein, common elements and
differences between the local health programmes.
21. The systems of health care management.
22. Diagnosis of the population health status in terms of the quantitative measures, and of the
levels of health needs and demands.
23. Legal regulations of the selected fields of public health.
24. The rights and obligations of medical personnel.
25. The professional and civil responsibility of physicians; the role of professional
organizations in setting the rules of professional conduct.
Basic textbooks:
Beaglehole R.Global Public Health, Oxford University Press 2003
Complementary articles:
Lancet, f. ex McMichael AJ, Beaglehole R. The changing global context of public health.
Lancet 2000; 356: 495-99.
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MEDICINE OF DISASTERS
Medicine of Disasters Centre
Address: 81A Żwirki and Wigury Street, 02-091 Warsaw
Phone: 022 57 20 536, 022 57 20 545
Head: Radosław Ziemba, MD
Hours of instruction:
The course covers 32 hours of lectures.
The major goal the Medicine of Catastrophes course is:
- to create logical reasoning and medical acting during mass human losses
- to prepare students for effective action in the center of mass losses
- to posses organizing skills and provide assistance in the extreme conditions among
others; natural calamity, ecological catastrophes, industrial damage and war time
Topics of lectures:
1. Disaster Medicine: basic definition, particular methods of organization of medical
treatment.
2. Medical Investigation and procedure at a disaster site.
3. Industrial and warfare intoxication.
4. Some general and medical aspects of disaster and catastrophes.
5. Variant surgical intervention of disaster site.
6. Medical first aid in dangerous places and disaster places.
7. Radioactive contamination and its control. Acute radiation syndrome in human.
8. International humanitarian law-Geneva Conventions and Additional Protocols to these
conventions.
9. Bioterrorism.
Assessment of student performance:
Completion of the course is based on 75% attendance during lectures.
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PAEDIATRIC OTOLARYNGOLOGY
Department of Paediatric ENT
Address: 24 Marszałkowska Street, 00-576 Warsaw.
phone/fax: 022 628 05 84, e-mail: [email protected]
Head: Prof. Mieczysław Chmielik MD, PhD
Curricular affairs: Magdalena Frąckiewicz M.D
Number of teaching hours : 20 :
seminars
- 4 hrs (every day from 10.30 am to 11.15 am)
practical classes -16 hrs (every day from 9.00 am to 12.00 am and from 12.00 am to 1.00 pm)
Assessment of student performance:
Presence on seminars and practical classes
The aim of the course:
The program of the course includes the most frequent problems of paediatric
otolaryngology , which may be faced by general practitioners and paediatricians.
Students receive knowledge of basic diagnostic and therapeutic procedures in paediatric
otolaryngology. During practical classes students may acquire practice in paediatric
ENT examination.
Topics of seminars:
1. Emergency cases in paediatric otolaryngology: airway obstruction, epistaxis, foreign
bodies in the ear, respiratory tract and oesophagus.
Larynx and trachea: congenital anomalies, inflammatory diseases.
Oesophageal lesions caused by chemical burns.
2. Hypertrophy of tonsils and adenoids. Infectious diseases of pharynx .
Immunologic aspects of upper respiratory system diseases.
3. Nose and sinuses. Rhinitis. Rhinosinusitis in children: complications, surgical treatment
-FESS. Nasal trauma. Choanal atresia.
4. Ear. External otitis. Otitis media. Complication of otitis media. Audiology: conductive
and sensorineural hearing loss – differentiation, diagnostic, causes. Hearing screening of
newborns.
Practical classes:
Paediatric ENT examinations: examination of oral cavity, anterior and posterior rhinoscopy,
indirect laryngoscopy, otoscopy.
Video presentations of endoscopic examinations of larynx, nose and nasopharynx.
Foreign bodies of ear, nose, oesophagus and bronchi.
Basic text book:
1. Practical Paediatric Otolaryngology - R. Cotton, C. Myer - Lippincot -Raven Publisher,
Philadelphia - NY 1999.
Complementary text books:
1. Paediatric sinusitis - R. Lusk. - Raven Press NY 1992.
2. Paediatric Otorhinolaryngology Manual T. Sih, R. Fior - IFOS Standing Committee
for Paediatric Otorhinolaryngology, 1996.
23
CHILD AND ADOLESCENT PSYCHIATRY
Department of Child and Adolescent Psychiatry
Address: 24 Marszałkowska Street, 00-576 Warsaw
phone/fax: 022 621 16 45
[email protected]
Head: Tomasz Wolańczyk, MD, PhD
Curricular affairs: Anita Bryńska, MD, PhD, Tel. 621 16 45
Number of teaching hours:
The course covers 17 hours of instruction, divides as below:
seminars - 2 hours
practical classes - 15 hours
Assessment of student performance: a credit
The aim of the course: a basis knowledge in the psychopathology, symptoms and treatment
of psychiatric disorders in children and adolescents
Topics of seminars:
The diagnosis and assessment of psychiatric disorders in children and adolescents
Topics of practical classes:
1. Child and adolescent psychopathology
2. Psychiatric assessment of children and adolescents
3. Syndromes: autism and the pervasive developmental disorders
4. Elimination disorders: enuresis, ecupresis
5. Tic disorders
6. Selective mutism
7. Anxiety disorders
8. Obsessive- compulsive disorder
9. Developmental learning disorder
10. Attention deficit hyperactivity disorder
11. Anorexia and bulimia nervosa
12. Mood disorders
13. Suicidal behavior in children and adolescents
14. Schizophrenia
15. Crisis of diagnosis
16. Psychology of family
Basic textbooks:
1. Hoare P. “Essential Child Psychiatry”. Churchill Living Stone, Edinburgh, 1993
2. Gillberg C. “Clinical Child Neuropsychiatry”. Cambridge University Press, 1995
3. Graham P., Turk J., Ferhulst F.C. “Child Psychiatry”. Oxford University Press
24
IMAGING DIAGNOSTIC
Diagnostic Imaging Department, 2nd Medical Faculty, Warsaw Medical University
Address : 8 Kondratowicza Street, 03-242 Warsaw
Phone: 022 674 00 38 from 8.00am to 1.00pm; fax 022 326-59-91
[email protected]
Head of the Department: Professor Wiesław Jakubowski, MD, PhD
Curricular affairs : Bartosz Migda, MD
Students research group : Thursday 13.00 –16.00
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.
Pediatric Radiology:
Department of Pediatric Radiology
ul. Marszałkowska 24
Head of the Department: Professor Andrzej Marciński
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:
1. MRI of Brain and Spine, Scott W. Atlas, 2002, Lippincott Williams&Wilkins
2. MRI of the Hand and Wrist, Thomas H. Berquist,2003, Lippincott Williams&Wilkins
3. Differential Diagnosis in Magnetic Resonance Imaaging, F.A. Burgener, S.P.
Mayers,R. K. Tan, 2002, Thieme
4. Emergency Pediatric Radiology, Carty. H.,2002 , Springer Verlag
5. Neuropathology and Neuroradiology J. S. Citow, R. L. Macdonald, R. M. Kraig, R. L.
Wollmann, 2002, Thierme
6. Fundamentals Gastrointestinal Radiology, Michael Davis, Jeffrey D. Houston, 2001,
Saunders
7. Koehler/Zimmer’s Borderlands of Normal and Early Pathological Findings in Skeletal
Radiography, Jurgen Freyschmidt, Joachim Brossmann, Andreas Stenberg, Juergen
Wiens, 2003, Thieme
8. CT of the Head and Spine, Norbert Hosten, Thomas Liebig, 2002
25
PAEDIATRIC RADIOLOGY
Department of Pediatric Radiology
Address: 24 Marszałkowska Street; 00-576 Warsaw
phone/fax: 022 628 52 19 e-mail: [email protected]
Head: Prof. Andrzej Marciński, MD, PhD
Curricular affairs: Anna Jakubowska, MD phone: 022 628 52 10
Number of teaching hours: 18
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., Diagnostic imaging in urinary tract diseases in children - Anna
Jakubowska, MD., 3. Iatrogenic complications due to the diagnostic imaging procedures in
pediatrics – Andrzej Marciński MD., PhD., 4. 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.
26
NUCLEAR MEDICINE
Departament of Nuclear Medicine
Address: 1a Banacha Street, 02-097 Warsaw,
Phone: 022 599 2270 fax: 022 599 1170
Head: Prof. Leszek Królicki ,MD, PhD
Number of teaching hours:
Seminars
5 hrs
Practical classes
10 hrs
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 concerning diagnosis and therapy
by using of radioisotope procedures.
Topics of practical classes
1. Equipment used in nuclear medicine department
A.Bajera
2. Radiopharmaceuticals
P.Ochman
3. Diagnostic procedures in evaluation of brain and heart diseases M.Kobylecka
4. Diagnostic procedures in evaluation of bone and lung diseases
J. Mączewska
5. Therapeutic procedures in treatment of thyroid, joints, bone metastases, other tumors –
J.Kunikowska
Basic textbooks:
Nuclear Medicine. Science and Safety. AC Perkins
John Libbey and Company Ltd, London SW 18 4HR, England. 1995
Complementary textbooks:
The Lancet. Nuclear medicine Sextet. Vol 354. August 21, 1999.
27
STUDENTS’ SUMMER CLINICAL CLERKSHIPS
Upon completion of their fourth year of study student’s are required to take one-month
summer clinical clerkships including a two-week training at the Ambulance Service and
subsequently a two-week practical course in the Surgical Ward at a teaching hospital in
Poland or selected foreign countries. The clerkships are a part of the medical curriculum
mandatory to be granted a pass to enter the fifth year of the study.
The head of the ambulance service, the surgical ward or an appointed instructor in charge is
responsible for providing a detailed program of the practical training course and duty
schedules. They also supervise and carry out the final assessment of students’ performance.
The duties carried out by the student are those of a regular physician / surgeon, however,
under professional supervision of the instructors
During their training students are expected to perform two twenty-four hour shifts when they
shadow the physician / surgeon in charge and assist or do the regulator work.
The main objective of the summer holiday clerkships is to use the theoretical knowledge
gained by students in the course of their fourth-year study (e.g. pharmacology, general
surgery, internal diseases, pediatric diseases, community medicine etc). As well as to improve
their practical skills. Students’ practical training in the Ambulance Service comprises the
following:
1. instruction in the scope of activities provided by the service (completing and filing records,
assessing the time of temporary work disability, referring patients to hospital, rendering
transport service, organizing emergency / rescue operation in mass poisoning, epidemics,
accidents, natural disasters etc.
2. assisting the physician in providing emergency aid and shadowing them on home calls.
3. assisting the physician in general, resucitation, accident and emergency, pediatric and ob/
gyn ambulance calls.
4. instruction in life-saving procedures.
The training program provided by the Surgical Ward covers the following aspects:
1. organization and management of the ward (admissions to the operating theaters, treatment
rooms, admission criteria, completing and filing records, discharging patients from
hospital).
2. types of surgical instruments and equipment.
3. improving skills in clinical examination and diagnostic procedures, particulary in
emergency cases.
4. learning the rules of wound dressing and suturing techniques, managing fractures and
burns.
5. learning the principles and types of local anesthesia.
6. participating in ward rounds and morning briefings done by the doctor in charge.
7. active participation in the functioning of the ward, practicing basis interventions, changing
dressings, removing stitches, starting intravenous drips, collecting samples for diagnostic
procedures.
8. principles of asepsis and antisepsis, the technique of scrubbing before operation.
9. assisting in surgical procedures in the operating theater.
Throughout the course of 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 5 of the subsequent academic year.
28