Download Topics of practical classes

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
5th YEAR CURRICULUM
6-year program
Warsaw, 2010/2011
ANAESTHESIOLOGY AND INTENSIVE CARE
Department of Anaesthesiology and Intensive Therapy
Address: 4 Lindleya Street, 02-005 Warsaw
Phone: 022 5021721; fax: 022 5022103; e-mail: [email protected]
Head: Prof. Bogumiła Wołoszczuk-Gębicka, MD, PhD
Curricular affairs: Marcin Rawicz, MD, PhD
Department of Paediatric Anaesthesia
24 Marszalkowska Street, 00-576 Warsaw
Phone: 022 629 9418; fax: 022 628 2988; e-mail: [email protected]
Mobile 0601 246 386
Number of teaching hours:
The course covers 60 hours of instruction, divided as below:
Seminars (compulsory)
20
Practical classes
40
Assessment of students performance: multiple choice examination
The aim of the course:
The course presents the role of anaesthesia, intensive care and pain treatment in modern
medicine. Students will participate in the administration of general and regional anaesthetics,
as well as the pre- and postoperative care of their patients. Anaesthesia in various surgical
specialties will be presented. The principles of anaesthetic management will be taught that
include the following: airway management, venous cannulation, invasive and-non invasive
monitoring, administration of general anaesthetics in adults and children, regional anaesthetic
techniques.
Students will learn basics of the management of critically ill patients; most of these patients
will have respiratory and/or other organ system failure. Students will participate in daily
rounds in the intensive care and postoperative care wards. European guidelines of
resuscitation will be provided.
Students will be also taught basic concepts of the physiology of pain and the basic indications
for and practice of analgesic therapy.
Topics of seminars:
1. History of anaesthesiology. Scope of the specialty
2. Basics of general anaesthesia
3. Basics of regional anaesthesia
4. Preoperative visit and postoperative management
5. Basics of paediatric anaesthesia and intensive care
6. Acute pain
7. Advanced life support
8. Monitoring equipment for emergency
9. Acute respiratory failure and artificial ventilation
10. Organization of an intensive care unit
2
Topics of practical classes:
Day 1 Initial instruction. Allocation to the groups and tutors
Pre-anaesthestic assessment. Premedication. Informed consent
Day 2 Operating theater/ ICU practical classes
Anaesthetic/ICU equipment. Induction to anaesthesia. Admission to the ICU
Day 3 Operating theater/ ICU practical classes
Maintenance of anaesthesia. Common life-threatening syndromes
Day 4 Operating theatre/ICU practical classes
Regional anaesthesia. Resuscitation techniques
Day 5 Operating theater/ ICU practical classes
Pain treatment. Sedation
Day 6 Operating theater/ ICU practical classes
Admission to the ICU. Anaesthetic/ICU equipment. Induction to anaesthesia
Day 7 Operating theater/ ICU practical classes
Common life-threatening syndromes. Maintenance of anaesthesia
Day 8 Operating theater/ ICU practical classes
Sedation. Pain treatment
Day 9 Operating theatre/ICU practical classes
Resuscitation techniques. Regional anaesthesia
Day 10 Multiple choice examination
Required textbooks:
1.
Barash PG, Cullen BF, Stoelting RK – Handbook of Clinical Anesthesia,
Lippincott Williams & Wilkins, 2001 (available at http://www.medbookstore.com)
2.
International Guidelines 2005 for CPR and ECC - a consensus on science.
European Resuscitation Council (available at http://www.erc.edu)
3
SURGERY II
2nd Chair and Department of General, Vascular and Oncological Surgery.
Address: 19/25 Stępińska Street, 00-739 Warsaw
Phone/fax: 022 841 15 92, 022 31 86 391
[email protected]
Head: Prof. Jerzy A. Polański, MD, PhD
Curricular affairs: Paweł Białek MD, PhD
Number of teaching hours:
Seminars
30 hr
Practical classes
60 hr
Teaching time: 8.00 am- 1.00 pm.
Assessment of student performance:
On completion of the course student are expected to take a final test.
The aim of the course:
The program is based on teaching students general surgery knowledge including perioperative
diagnosis, surgical treatment and postoperative care. The program comprises general, vascular
and oncological surgery.
Topics of seminars:
1. Preoperative and postoperative problems in surgical patient care.
2. Surgical wound care and surgical technique.
3. Hernias of the groin.
4. Head, thoracic and abdominal trauma.
5. Acute upper gastrointestinal bleeding.
6. Acute pancreatitis.
7. Gallstones and chronic cholecystitis.
8. Colonic cancer.
9. Surgical anatomy of the low extremity veins. Thrombophlebitis. DVT.ST.
Topics of practical classes:
1. Bed-side teaching
2. Assisting at the operations
3. General surgery out-patient therapy participation
Basic textbooks:
1. „Current Surgical Diagnosis and Treatment” Lawrence W. Way, 10th edition or older one.
4
SURGERY II
Department of General and Thoracic Surgery.
Address: 1a Banacha Street, 02-097 Warsaw / 5-th floor /
Phone: 022 599 25 64, fax: 022 599 1564
Head: Prof. Maciej Skórski MD, PhD
Curricular affairs: Tomasz Brzeziński, MD, PhD
Number of teaching hours:
Seminars
30 hr
Practical classes
60 hr
Teaching time: 8.00 am - 1.00 pm. In the morning students are expected to gather in the
seminar room and wait for their assistants. The key to this room is available in ward B.
Students will be divided into smaller subgroups with one tutor for each subgroup. Spare shoes
and white doctor’s gown are obligatory.
Assessment of student performance:
On completion of the course student are expected to take a final small oral exam.
The aim of the course:
Students will participate in the everyday doctor’s work which comprises of morning
round, writing indications for nurses, changing dressings with doctors or with scrub nurse ,
patients examinations . Students will have a possibility to go to the operating theatre to watch
operations and scrub for them with their assistants.
Each Wednesday there will be a round with the head of the clinic Professor M.Skórski
allowing to see all patients . On Friday morning a special meeting in Radiology Unit will be
held to see the most interesting and difficult cases and discuss diagnostic problems.
The aim of the surgical course in our clinic is to present basic knowledge concerning
general, endocrinology and vascular surgery.
Topics of seminars:
1st week
Monday: Surgery of the brain ischaemia. (M. Osęka)
- anatomy of cerebral arteries; symptom s of brain ischaemia; epidemiology of stroke;
diagnostic methods; surgical treatment: indications, operation techniques; conservative
treatment versus surgery.
Tuesday: Renovascular hypertension. (A.Kulesza)
- patophysiology of renal ischaemia; etiology of renal artery stenosis; diagnostic methods;
PTA; surgical treatment.
Thursday: Peripheral arterial occlusive disease. (M. Jakubowski)
- Patophysiology of chronic lower limb ischaemia; Diagnosis (clinical symptoms, ultrasound
and angiography examinations); Surgical treatment; Postoperative complications.
Friday: Aneurysms. (M. Szostek)
- pathophysiology; diagnosis; elective and emergency surgery
2nd week
Monday: Acute lower limb ischaemia. (R. Tworus)
- etiology; diagnosis; thrombolytic and surgical treatment.
5
Tuesday: Thrombophlebitis. (M.Skórski)
- mechanisms of hemostasis; diagnosis of thrombophlebitis; treatment: anticoagulants;
fibrynolysis and surgery; Postthrombophlebitic syndrome.
Thursday: Thyroid goiter (W. Wiechno)
- classification of goiter; indications for surgery; benign versus malignant goiter - diagnostic
methods; surgical treatment; postoperative care
Friday: Breast tumors. (T. Brzeziński)
- anatomy of the breast; malignant and nonmalignant tumors; epidemiology of the breast
cancer; diagnostic methods; classification TNM; surgery, radiotherapy, chemotherapy.
3rd week
Monday: Reconstructive and cosmetic surgery. (P. Osuch)
- basic techniques of plastic surgery (skin grafts, flaps); principles of reconstructive surgery;
aesthetic surgery (rejuvenation of the face, body contouring)
Tuesday: Surgery of the adrenals. (T. Brzeziński)
- anatomy of the adrenals; adrenal tumors – classification; diagnostic methods for adrenal
tumors; surgical treatment ( surgery and endoscopic surgery)
Thursday: Endovascular surgery (M. Osęka, T. Ostrowski)
- invasive and noninvasive diagnostics of vascular diseases; indications and limitations of
PTA; fibrynolysis- indications, contraindications; atherectomy; covered stents in the treatment
of abdominal aortic aneurysms.
Basic textbook:
Lawrence W. Way M.D. "Current surgical diagnosis and treatment" 1991 Appleton & Lange
Prentice- Hall International Hnc.
Complementary textbook:
Clinical surgery - John H. Davis The C.V. Mosby Company St. Louis, Washington D.C.,
Toronto 1987
6
PEDIATRIC SURGERY
II Chair and Department of Cardiac and General Surgery
Address : 1 Działdowska Street, 01-184 Warsaw
Phone/fax: 022 45 23 301
Head: Prof. Maciej Karolczak, MD, PhD
Curricular affairs: Wojciech Kubica MD, PhD
Number of teaching hours:
Seminars
15 hrs
Exercises
15 hrs
Assessment of student performance:
On completion of the course students are expected to take final oral examination.
The aim of the course:
The program is to teach students general knowledge of Cardiac and Pediatric Surgery that is:
diagnosis, clinical picture, treatment and operation techniques.
Topics of seminars:
1.Congenital heart defects: physiology of fetal circulation, circulatory changes of birth,
pathophysiology of selected congenital heart defects.
2. Neonatal Surgery : NEC, anorectal malformation, intestinal obstruction.
3. Management of Burn Injury in Children
4. Congenital malformations of Respirator System
5.Intestinal obstraction
6. Abdominal Trauma in Children
7. Pediatric Urology
8. Appendicitis and other Acute Abdominal Disease
Topics of practical classes:
1. Operating theatre
2. Examination of one-day patients
3. Dressing of wounds
Basic textbooks:
Pediatric Surgery. Welch et al. Year Book Medical Publisher
Pediatric Surgery. O’Neill j.A et al. Mosby
7
INTERNAL MEDICINE – CARDIOLOGY II
I Chair and Department of Cardiology
Address: 1a Banacha Street., 02-097 Warsaw
Phone: 022 599 29 58; fax: 022 599 19 57
Head: Prof. Grzegorz Opolski, MD, PhD, FESC
Curricular affairs: Michał Marchel, MD
Duration of the course / Number of teaching hours:
seminars
20 hours
clinical practice
40 hours
Teaching time:
8.15 – 9.15 Seminar
9.30 – 11.30 Bedside classes
11.45 – 12.45 Case Report
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 responsible 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:
The course programme offers the students the basic knowledge of cardiology and its three
main diseases: coronary heart disease, heart failure and arrhythmias.
Topics of seminars:
1. Signs and symptoms of cardiovascular diseases. 2. Cardiovascular imaging. 3. Ischemic
heart disease – pathogenesis, clinical features, primary and secondary prevention. 4.
Invasive cardiology. 5. Cardiosurgery. 6. Acute coronary syndromes with persistent ST
elevation. 7. Acute coronary syndromes without persistent ST elevation. 8.
Bradyarrhythmias and cardiac pacing. 9. Tachyarrhythmias and ablation. 10. Heart failure
Topics of case reports:
1. Pulmonary edema. 2. Valvular disease. 3. Heart failure. 4. Invasive cardiology. 5.
Cardiosurgery. 6. Acute coronary syndrome. 7. Magnetic Resonance Imaging. 8.
Bradyarrhythmias and cardiac pacing. 9. Tachyarrhythmias and ablation
Topics of practical classes at CCU:
1. Management of acute coronary syndromes with persistent ST elevation. 2. Management
of acute coronary syndromes without persistent ST elevation. 3. Management of acute heart
failure. 4. Reanimation procedures. 5. Management of life-threatening arrhythmias
Basic textbooks – in English:
1. Eugene Braunwald, Lee Goldman, ed., Primary Cardiology, second edition, Elsevier
Science, 2003.
2. Eugene Braunwald, ed., Heart Disease. A Textbook of Cardiovascular Medicine,
seventh edition, Philadelphia: W.B. Saunders Company, 2004.
8
INFECTIOUS DISEASES
Department of Adult’s Infectious Diseases, Institute of Infectious and Parasitic Diseases
Address: 37 Wolska Street, 01-201 Warsaw
Phone/fax. 022 33 55 303
Head: Dariusz Lipowski MD, PhD
Teaching hours:
seminars
practical classes
75
30 hrs
45 hrs
The aim of the course:
The course is offered in the spring semester, it covers three week program based on seminars,
clinical and laboratory classes. The instruction is offered by clinical and theoretical
departments i.e. Department of Adult’s Infectious Diseases, Department of Hepatology and
Aquired Immunodeficiency, Department of Zoonoses and Tropical Diseases, Department of
Infectious Diseases of the Childhood and Department of Immunopathology of Infectious
Diseases. The course provides general knowledge of the subject, that is: diagnosis, clinical
picture, prophylaxis and treatment of infectious diseases. The clinical clerkships include
instruction in Intensive Care Unit.
Assessment of students performance:
Assessment is done by regular attendance at seminars and participation in bedside classes. On
the completion of the course students take their final oral exam.
Topics of seminars:
1. Sepsis and septic shock. 2. Differential diagnosis of rashes in infectious diseases. 3. HIV
infection. 4. Epidemiological and clinical aspects of acute viral hepatitis. 5. Infectious
diseases and pregnancy. 6. Toxocarosis and toxoplasmosis in children. 7. Acute bacterial and
tuberculous meningitis. 8. Viral infections of the CNS. 9. Immunopathogenesis and treatment
of chronic hepatitis. 10. Immunological mechanisms involved in damage to tissues. 11.
Serological tests actually used in diagnosis of infectious diseases. 12. Some European
common parasitic diseases. 13. Tick-borne diseases. 14. Vaccines and vaccination. 15.
Emerging infections. 16. Tropical diseases imported to Europe, elements of travel medicine.
17. Infections of gastrointestinal tract. 18. Differential diagnosis of lymphadenopathy in
infectious diseases in children. 19. Herpesvirus infections (HSV, VZV). 20. Cerebrospinal
fluid in CNS infections. 21. Fungal infections. 22. Molecular aspects of immunopathogenesis
and immune response towards variant bacterial infections. 23. Cardiovascular infections. 24.
Opportunistic infections in HIV/AIDS patients. 25. Nosocomial infections. 26. Diagnostics
and clinical picture of parasitic and tropical diseases. 27. Diagnostics of fever. 28.
Bioterrorism. 29. Empirical chemotherapy. 30. Biochemical findings in liver diseases
Practical classes:
1. Bed side classes in all Departments. 2. ICU patients. 3. Basic Laboratory Technics. 4. Outpatient department of Rabies prophylaxis
Basic textbook:
G.L. Mandell, J.E. Bennett, R. Dolin: Principles and Practice of Infectious Diseases, 6th
Edition, Elsevier Churchill Livingstone, 2004.
Complementary textbook:
D.H. Connor, F.W. Chandler, E.E. Lack, H.J. Manz, D.A. Schwartz: Patholology of
Infectious Disease. Appleton & Lange, 1997.
9
NEUROLOGY
Department of Neurology, Medical University of Warsaw
Address: 1a Banacha Street, 02-097 Warsaw
Phone: 022 659 7505, fax: 022 599 1857, e-mail: [email protected]
Head: Prof. Hubert Kwieciński, MD, PhD.
Curricular affairs : Dorota Dziewulska MD, PhD
Number of teaching hours:
seminars
30 hrs
practical training
55 hrs
Assessment of student performance:
On completion of the course students are expected to take a test with 50 multiple choice
questions. A minimum of 30 correct answers is needed to pass the test.
After passing the test students are expected to take a final test exam in summer session. The
exam is composed of 100 multiple choice questions.
The aim of the course:
The aim of the training consists in preparing medical students to work as general practitioner
(family doctor) and giving them information about advances in neurology.
Topics of seminars:
1. Anatomy and physiology of the Central and Peripheral Nervous System. 2. Neurological
signs and symptoms. Approach to neurological patient. 3. Hemorrhagic stroke. 4.
Ischemic stroke. 5.Subarachnoid hemorrhage and diseases of cerebral veins. 6.
Management of stroke. 7. Doppler ultrasonography in cerebrovascular diseases. 8. Motor
neuron disease and other diseases of the spinal cord. 9. Muscle diseases. 10. Disorders of
the neuromuscular junction. 11. Peripheral neuropathies. 12. Ion channel disorders. 13.
Neurogenetics. 14. Electromyography as a diagnostic tool in neuromuscular disorders.
15.Demyelinating diseases. 16. Back pain - diagnosis and management. 17. Vertigodiagnosis and management. 18. Headache - diagnosis and management. 19. Tumors of the
nervous system. 20. Epilepsy. 21. Traumatic lesion of the nervous system. 22. Movement
disorders. 23. Neuroinfections. 24. Neuropediatrics. 25. Dementias. 26. Neurological
signs and symptoms in systemic diseases and general medicine.2 7. Neurocritical care. 28.
Brain death. 29. How to select diagnostic tests. 30. Brain autopsy
Topics of practical classes:
Practical training involves teaching of physical neurological examination,
interpretation of diagnostic tests, algorithms of diagnostic procedures, clinical picture
and treatment of neurological diseases.
Basic textbooks:
1. "Neurology and Neurosurgery Illustrated” K.W.Lindsay, I.Bone. Churchill Livingstone
2004
2. “Neurology” M.Mumenthaler, H.Matte, E.Taub, M.Mumenthaler. Thieme Medical Publishers 2004
Complementary textbooks:
1. „Meritt’s Texbook of Neurology”. L.P. Rowland ; Williams Wilkins 2005,
2. “Adam's and Victor's Principles of Neurology”. A Ropper, R Brown; McGrow-Hill 2005,
3. “Mosby’s Color Atlas and Text of Neurology”. Perkin DG; Times Mirrors Int. Publishers
Ltd 1998
10
ORTHOPAEDICS AND TRAUMATOLOGY
Department of Orthopaedics and Physical Rehabilitation
Address: 8 Kondratowicza Street, 03-242 Warsaw
Phone: 022 326 5854
Head: Prof. Jarosław Deszczyński MD, PhD
Curricular affairs: Artur Stolarczyk MD, PhD; Paweł Kołodziejski MD
Number of teaching hours:
Seminars
20 hours
Practical training
40 hours
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 the basic information about general orthopaedics, regional injuries,
and both traumatic and non-traumatic disorders.
Topics of seminars:
1. Injuries of musculoskeletal system – basic definitions and concepts of the
treatment
2. Injuries of the lower limb
3. Injuries of the pelvis
4. Injuries of the spine
5. Osteoarthritis
6. Bone tumours
7. Injuries of the upper limb
8. Injuries of the shoulder girdle
9. Patophysiology of the bone healing
Topics of practical classes:
1. Diagnosis of orthopaedic disorders
2. Physical examination
3. Clinical and radiological features of fractures
4. Principles of fracture treatment
5. Complications of fractures
6. Basic concepts of rehabilitation
Basic textbook:
„Textbook of orthopaedics”, John Ebenezar, Anshan, 2006
Complementary textbooks:
1. Blueprints Orthopedics” Grant Cooper, Blackwell Publishing, 2005
2. “Orthopaedics”, Robert H. Fitzgerald, Mosby, 2002
3. “Orthopaedics and Trauma”, Ronald McRae, Churchill Livingstone, 1996
4. “Outline of Orthopaedics” 13E, John Crawford Adams, Churchill Livingstone, 2001
11
ORTHOPAEDICS AND TRAUMATOLOGY
Department of Orthopaedics and Traumatology of the Locomotor System
Address: 4 Lindley Street, 02-005 Warsaw,
Phone/fax: 022 502 15 13
Head: Prof. Andrzej Górecki MD, PhD
Curricular affair: Dariusz Chmielewski MD, PhD
Hours of instruction:
Seminars
20 hours
Practical classes
40 hours
Didactics and organization of the classes:
Realization of the program will be based on seminars presenting the current state of
knowledge in specific subjects and practical classes in clinical wards, out-patient clinics and
operation room. Specificity of orthopaedic examination, differential diagnostics and treatment
planning will be presented during classes. Participation in emergency duties (one is obligatory
– 7 hours – Wednesday 3 – 10 p.m.) will be the way of an active explanation of basic
principles of trauma care, expanded and clarified in emergency procedures training.
Differences between adult and children trauma will be explained during Pediatric
Traumatology Seminar. The classes start at 8.00 a.m. daily. Participation in seminars and
classes is obligatory. Absence in more than two seminars is equivalent of termination of the
course.
Topics of Seminars:
1. Orthopaedic examination – seminar / practical classes; 2. Congenital disorders of
locomotor system (Part 1: the foot / lower extremity. Part 2: the hip, Part 3: the hand, Part 4:
upper extremity); 3.Disorders of the spine – part 1 (scoliosis ); 4.Disorders of the spine – part
2 ( Back pain ... ); 5.Principles of plastic and reconstructive surgery; 6. Degenerative joint
disease; 7. Joint alloplasty; 8. Metabolic bone disease; 9. Emergency Medicine – practical
hours; 10. Fractures and dislocations – general remarks; 11. Traumatology: (Part 1: lower
extremity, Part 2: lower extremity. Part 3: upper extremity. Part 4: the spine. Part 5: the
pelvis); 12. Injuries of the hand; 13. Radiodiagnostics; 14. Bone tumors; 15. Septic disorders;
16. Sport injuries; 17. Pediatric Traumatology; 18. Orthopaedic devices / orthotics
Assessment of student performance:
1. The classes will be completed with a test ( MCQ questionnaire) and an oral exam.
Recommended literature:
1. Clinical Orthopaedics, Edward V. Craig, Lippincott Williams & Wilkins
2. Outline of Fractures, John C. Adams, David L. Hambler, Churchill & Livingstone
3. Musculoskeletal Imaging, Felix S. Chew, Lippincott Williams & Wilkins
4. Operative Orthopaedics, M. Chapman, Lippincott Williams & Wilkins
5. Fractures, Ch. Rockwood, D. Green, Lippincott Williams & Wilkins
12
NEUROSURGERY
Department of Neurosurgery, 2nd Faculty of Medicine
Address: 80 Cegłowska Street, 01-809 Warsaw
Phone: 022 835 0005 Fax: 022 865 6057
Head of the Department: Prof. Jerzy Jurkiewicz MD, PhD
Number of teaching hours
Teaching course includes 1 week of blocked (total: 35 hours) seminars and practical clinical
training.
Program
Goal of the teaching course: to present selected issues from the field neurosurgery, which are
the most important for the general practice, concerning:
- increased intracranial pressure (diagnosis and treatment),
- neurotraumatology (diagnosis, medical and surgical treatment of patients with nervous
system injuries),
- tumors of the central nervous system (diagnosis and treatment,
- acute cerebrovascular disorders (patient's care, diagnostic and therapeutic procedures),
- selected problems of diagnosis and therapy in other diseases of the nervous system
(epilepsy, pain syndromes,
vertebral disc prolapse, hydrocephalus, congenital
malformations).
Organization of the teaching process
Teaching course begins on Monday and finishes on Friday. Each day the course starts at 8
a.m. and continues until 1 p.m. (including half-an-hour-break). The neurosurgery block
consists of (totally) 10 hours of seminars and 25 hours of practical clinical training. Daily
schedule begins with the morning seminar (8-9 a.m.), preparing the participants for the
problems, being discussed later on during the practical training (9 a.m. - 12). A second 1hours seminar is scheduled at 12, summarizing the knowledge, acquired during the day.
Teaching program contains also the visit to the Operating Theatre (to watch one operative
procedure), as well as visit to the outpatient clinic. Students entering the teaching program are
expected to know the rules of physical neurological examination, and to be familiar with
neuroradiological diagnostic procedures.
Evaluation methods and rules
Evaluation of the acquired knowledge and skills takes place during the last day of training.
Presence during all seminars and practical training courses, as well as students' activity, are
the basic requirements for the student to be scored. Students pass the oral test, checking the
acquired skills, and then they obtain the final acceptance.
Teaching Program:
Monday
8.00-9.00 a.m. Seminar: Intracranial pressure.
9.00-11.30 a.m. Practical training (visit to the Operating Theatre)
11.30-12.00 a.m. Break
12.00 a.m.-1.00 p.m. Seminar: Hydrocephalus. Congenital malformations of the central
nervous system.
Tuesday
8.00-9.00 a.m. Seminar: Craniocerebral and spinal trauma. Pathological mechanisms,
diagnosis, treatment.
13
9.00-11.30 a.m. Practical training (Visit to the Outpatient Clinic).
11.30-12.00 Break
12.00 a.m.-1.00 p.m. Seminar: Treatment policy in the cases of head and spine injuries.
Wednesday
8.00-9.00 a.m. Seminar: Subarachnoid haemorrhage due to vascular malformations of the
brain.
9.00-11.30 a.m. Practical training
11.30-12.00 a.m. Break
12.00 a.m.-1 p.m. Seminar: Non-traumatic intracerebral haemorrhage.
Thursday
8.00-9.00 a.m. Seminar: Ttumors of the nervous system.
9.00-11.30 a.m. Practical training
11.30 a.m. - 12.00 Break
12.00 a.m.-1 p.m. Seminar: Pituitary tumors.
Friday
8.00-9.00 a.m. Seminar: Surgical treatment in epilepsy.
9.00 - 10.00 a.m. Seminar: Surgical treatment in pain syndromes.
10.00 -10.30 a.m. Break
10.30 - 12.00 a.m. Practical clinical training.
12.00 a.m.-1.00 p.m. Oral test. Final acceptance.
Main textbook
Greenberg MS. Handbook of Neurosurgery, Thieme Medical Publishers, New York 2001.
14
GYNAECOLOGY & OBSTETRICS I
Chair & Department of Obstetrics, Gynaecology & Oncology
Address: 8 Kondratowicza Street; 03-242 Warsaw
Phone/fax: 022 326 58 18
Head: Prof. Jerzy Stelmachów M.D., Ph.D.
Curricular affairs: Dr Karol Wypych, M.D., Ph.D
Number of teaching hours:
seminars
45 hours
practical classes 75 hours
Assessment of students performance:
Students are supposed to participate in all lessons actively. Student’s presence must be
confirmed on the control sheet. Student’s absences during ward lessons should be worked out
on duties in terms coordinated by tutor. Student missing the seminar is to write an essay and
discuss it with the lecturer. Absences must be worked out within 2 weeks after having lessons
finished. Only 2 absences are allowed to be worked out (ward lessons and/or seminars
together). There is no credit for student who was missing more lessons.
On the last day of study (or during 2 weeks after having the lessons finished) students are to
pass the oral crediting.
The aim of the course:
1. To obtain the theoretical knowledge on physiology and pathology of the pregnancy
and the delivery as well as physiopathology of the neonatal period.
2. To obtain prsctical ability of gynaecological examination and examination of pregnant
patient and patient in labour.
3. To obtain practical ability in management of normal delivery.
Topics of seminars:
1. Diagnosis of the pregnancy. Physiological changes during pregnancy development.
Methods of electronic (CTG, USS) and biochemical monitoring in pregnancy and
labour.
2. Abortion – classification, diagnosis and treatment. Premature labour – treatment with
β-mimetics.
3. Anaemias in pregnancy. Heart diseases in pregnancy. Urinary tract infections in
pregnancy. Liver diseases in pregnancy. Infectious diseases in pregnancy.
4. Haemostasis and coagulation disorders in pregnancy. Shock in obstetrics. Premature
ablation of the placenta. Intrauterine fetal death. Amniotic fluid embolus.
5. Uterine function disorders – Atony. Threatened rupture of the uterus. Post-term
pregnancy and induction of labour.
6. P.E.T. and Eclampsia. The puerperium – normal changes and complications. Breast
feeding.
7. Pregnancy in diabetic woman. Rh incompatibility.
8. Life threatening and emergency cases in obstetrics.
9. Physiopathology of the newborn.
15
Topics of practical classes (obstetrical phantom demonstrations):
1. Normal delivery. (Diagnosis of the onset of labour. Stages of labour. Mechanism of
labour in the vertex presentation. 3-rd stage of labour management and evaluation of
the placenta).
2. Breech delivery. (Mechanism of labour. Methods of manual assistance.).
3. Abnormal delivery. (Deflexed head. Aynclitism. Persistent occiput posterior or
anterior. Deep transverse arrest.).
4. Operative delivery. (Vacuum delivery. Forceps delivery. Cesarean section.)
5. Resuscitation of the newborn
Important informations regarding lessons organization:
Students divide each class into two groups: the “boarding” group and the “non-resident”
group. Subgroups must be formed before onset of the study as the “boarding” group must be
prepared to stay in the hospital from the first day of the lessons. There may be no more than
12 students in such group.
Lessons are held in two week period consisting of one week of “boarding” lessons. Both
subgroups are divided into 4-persons teams. They have practical exercises in wards: antenatal
ward, labour ward, postnatal ward, gynaecological ward, septic ward, operating theatre,
admission room or out-patient clinic, USS-room and also in nursery. Every day seminars are
performed on the above mentioned topics. “Boarding” group students participate in the
afternoon phantom practical exercises.
All students of the “boarding” group are not allowed to leave the hospital without class tutor’s
or chief doctor’s on duty permission.
Basic textbooks:
1. Llewelyn-Jones D.: “Fundamentals of Obstetrics and Gynaecology”
2. Dunninhoo D.R.: “Fundamentals of Gynaecology and Obstetrics”
Complementary textbooks:
Regarding each student has opportunity to discuss any problematic topic with the teacher
during the lessons any modern student’s textbook of obstetrics and gynaecology edited in the
United States or the United Kingdom may be accepted.
16
GASTROENTEROLOGY
Chair and Department of Gastroenterology and Metabolic Disorders
Address: 1a Banacha Street, 02-097 Warsaw
Phone/fax: 022 599 28 38
Head: Prof. Waldemar Karnafel, MD, PhD
Curricular affairs: Marianna Bąk, MD., PhD
Number of teaching hours:
Lectures – 15 hrs
Practical training – 45 hrs
The aim of the course:
The course is held during 10 working days in the spring semester. The goal of the program is
to acquaint students with the basic problems in gastroenterology and diabetology. During this
program all students have 4 hours (in each day) of practical training with real cases of
diabetes mellitus or gastrological diseases.
Assessment of student performance:
On the completion of the course students are expected to pass final oral colloquium.
Topics of the lectures:
1. Diabetes mellitus type 1
2. Diabetes mellitus type 2
3. Emergency states in diabetes mellitus
4. The principles of the DM treatment
5. Ulcer diseases and stomach cancer
6. Main pathology of liver
7. Main pathology of pancreas
8. Main pathology of colon
9. Therapy in gastroenterology
10. New diagnostic tools in metabolic problems.
Practical training:
Each group has a opportunity to take medical history of the disease, examine the patient and
discuss all biochemical and endoscopic diagnostic tests with patient’s physician.
Each day, all students have 4hrs dedicated for the observation and active participation during
various diagnostic and therapeutical endoscopic procedures e.g.:gastroscopy, EVCP,
rectoscopy, colonoscopy.
Basic textbook:
1) Harrrisin’s: The Internal Medicine
2) Joslin’s Diabetes mellitus
Complementary textbooks:
1) Textbook o Diabetes – Pickup
2) Textbook of Internal Medicine - Kelley
17
PAEDIATRICS II
Department of Paediatrics and Nephrology
Address: 24 Marszałkowska Street, 00-576 Warsaw
Phone/fax: 022 621 9863
[email protected]
Head: Prof. Maria Roszkowska- Blaim MD, PhD.
Curricular affairs: Jarosław Sołtyski MD, PhD (phone. 022 522 7388)
Number of teaching hours:
Lectures
18 hours (one set for all year)
Seminars
13 hours
Practical training
54 hours
Instruction is offered to students in the winter semester. Training in paediatrics and paediatric
nephrology is held in the Department of Paediatrics and Nephrology at University Children’s
Hospital. Department consists of three wards: nephrology, infant’s ward with neonatal beds
and dialysis unit.
Clinical training is held daily for 2 weeks in one semester and is divided in two parts:
practical training (165 min) and seminars (60min) and lectures (80min).
The aim of the course:
The course program offers to students the basic information about the subject: paediatric
nephrology and improved previously obtain knowledge from paediatrics.
Topics of practical classes
1. physical examination and written case- report
1. 2. interpretation of clinical and biochemical tests results
2. 3. differential diagnosis of paediatric diseases
3. 4. management of patients at hospital and afterwards
4. 5. participation in ward rounds
Seminars are based on clinical training and all students are requested to present case reports.
On wards students should be dressed in white coats, change the footwear and follow
desinfection policies.
Stethoscopes are necessary during practical classes.
Topics of lectures and seminars:
1. Acute renal failure
2. Chronic renal failure and renal replacement therapy
3. Acute glomerulonephritis and vasculitis
4. Chronic glomerulonephritis
5. Urinary tract infection
6. Hypertension in children
7. Neonatal nephrology
8. Urolithiasis and tubular disorders
9. Selectic screening for inborn error of metabolism
18
Assessment of student performance
Students are assigned on the ground of regular attendance at lectures, seminars and practical
classes.
Each student has to write case report and in the end of training pass an assessment test (oral
or written).
Textbooks:
1. Nelson Textbook of Paediatrics. WB Saunbers Co, Philadelphia 2002
2. Lange A.: Current diagnosis and therapy, 1995
19
NEPHROLOGY
Chair and Department of Internal Medicine and Nephrology
Address: 1a Banacha Street, 02-097 Warsaw
Phone: 022 599 2658, fax: 022 599 658
[email protected]
Head: Prof. Joanna Matuszkiewicz-Rowińska MD, PhD
Curricular affairs: Jerzy Przedlacki MD
Number of teaching hours:
Lectures
10 hours
Bedside classes
15 hours
Seminars
5 hours
Assessment of student performance:
Regular attendance at seminars, bedside classes and lectures. In the case of absence the
presence on duty.
Aim of instruction:
The course programme is provided in groups lasted for 1 week. Programme of every group
includes lectures, seminars and bedside classes. Instruction concerns the most important
disorders of the kidneys and urinary system, their diagnosis, treatment as also interpretation of
laboratory tests in nephrology.
Programme of instruction:
Lectures:
1. Acute renal failure. 2. Chronic renal failure. 3. Urinary tract infection. 4. Nephrotic
syndrome. 5. Dialysis, renal transplantation
Seminars:
1. Additional examinations in nephrology. 2. Carcinoma of the kidney and urinary tract. 3.
Glomerulonephritis. 4. Anaemia in chronic renal failure. 5. Renal osteodystrophy
Literature:
1.Brenner BM, Rector FC, editors. The kidney. 6th ed. Philadelphia: Saunders.
2.Clinical Nephrology. Edited by Alex Davison, J. Stewart Cameron et al. Oxford University
Press, 1998.
20
INTERNAL MEDICINE - ENDOCRINOLOGY
Department of Internal Medicine and Endocrinology
Address: 1a Banacha Street; 02-097 Warsaw
Phone: 022 599 29 75
Head: Prof. Ewa Bar-Andziak, MD, PhD
Curricular affairs: Bogusław Skórka MD, PhD; Krzysztof Chojnowski MD, PhD.
Number of teaching hours:
seminars
10 hours (every day from 8.00 am to 10.00 am)
practical training
20 hours (every day from 10.30 am to 1.30 pm)
duration of course: 1 week
Assessment of student performance:
On completion of the course students are expected to pass oral and written colloquium ( 20question test)
The aim of the course:
The aim of the training is to prepare medical students to work as a general practitioners with a
knowledge of common endocrinological disorders. Students are also taught how to select
patients that should be diagnosed and treated in reference centers /i.e. University Hospitals/.
The information about recent advances in endocrinology is also presented.
Topics of seminars:
1. Pituitary pathophysiology and hypopituitarism
2. Pituitary tumors
3. Thyroid pathophysiology
4. Thyroid autoimmune diseases
5. Thyroid tumors
6. Cushing syndrome
7. Adrenal insufficiency and adrenal tumors
8. Diseases of the parathyroid glands
9. Obesity
10. Cardiovascular system and endocrine disorders
Practical classes:
Students are expected to have knowledge of standards in patient interview and basics physical
exams. Students will be assigned to the assistants to help in communicating questions and
commands to the patients. After completion patients will be discussed in the interactive mode.
Basic textbooks
1/ Basic & Clinical Endocrinology. Ed. by F.S.Greenspan i D.G.Gardner. 7th ed. 2004.
2/ Harrison’s Principles of Internal Medicine 14th edition.
21
STOMATOLOGY PROPAEDEUTICS
Department Of Periodontology And Oral Mucous Membrane Diseases
Address: 18 Miodowa Street; 00-246 Warsaw
Phone: 022 502 20 36; fax: 022 502 20 36
e-mail: [email protected]
Head: Prof. Renata Górska DMD, PhD
Curricular affairs: Jan Kowalski PhD, DDS phone: 022 502 20 37
Number of teaching hours:
The course covers 15 hours of lectures
Assessment of student performance:
Completion of the course basing on attending the lectures
Topics of lectures:
Teaching program includes basics of dentistry from the following disciplines: periodontology
and oral mucous membrane diseases, pedodontics, orthodontics and maxillofacial surgery.
Each of the lectures lasts about 2 hours. The presence of the student on all lectures is the base
of qualification. In case of any absence, one should contact physician conducting proper
lecture. Dr Kowalski is responsible for co-ordination of the lectures, and student books should
be delivered after all lectures completed to the office of the Dept of Periodontology and Oral
Mucous Membrane Diseases, Miodowa 18 St.
22
SUMMER CLINICAL CLERKSHIPS
On completion of their fifth year course students are expected to take a one-month summer
clerkship which consists of:
1. a two-week course at the Department of Obstetrics and Gynecology,
2. a two-week training at the Outpatients’ Department.
The training may be performed in Poland or any selected foreign country.The head of the
Ob/Gyn Department/ Outpatients’ Department or an appointed instructor shall provide a
detailed program and scheduled duties. They also assess students’ performance of the
assigned tacks.
During their practical training students are expected to perform two twenty-four hour duties at
the Ob/Gyn Department when they shadow the doctor in charge.
The fifth-year training aims at using the theoretical background students obtained in their
courses (gynecology, obstetrics, infectious diseases, internal diseases, paedractric diseases,
surgery, neurology, imaging diagnostics, anesthics etc.) developing and/or improving
practical skills.
The program provides instruction in the following aspects:
1. organization and functioning of the Obstetric Admissions Department, Labor Ward and
Maternity Ward;
2. admitting the patient, setting up the patient’s records, carrying out activities with respect
to the patient’s personal toilet;
3. monitoring the stages of labor, completing the chart of the labor course with a particular
focus on paramenters with respect to the maternal and fetal status;
4. delivering the patient under a close supervision of an obstetrician and midwife;
5. assistance in suturing the perineum;
6. post-delivery assessment of the placenta;
7. instruction in operating diagnostic devices (e.g. amnioscope, pulse rate detector etc.);
8. assisting in the Caesarian section
9. organization and management of work at the Gynecological Admission Department and in
the Gynecological Ward;
10. principles of gynecological examination;
11. criteria used for qualifying patients for operation;
12. management of work in the treatment room, completing and filing records, collecting
samples for histopathological and cytological examination;
13. assisting in gynecological surgical procedures;
14. early postoperative monitoring, completing the patients’ chart;
15. management of patients admitted for threatened abortion;
16. principles of prevention of neoplasia of the female genital organs and breast;
Through 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.
23