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MEDICAL FACULTY II MEDICAL FACULTY II Program Pediatrics Course Pediatrics Organizational unit / Faculty Course coordinator Course coordinator’s email address Associate course coordinator Associate course coordinator’s email address Department of Pediatric Oncology, Hematology and Transplantology Level and mode of study ECTS credits Katarzyna Derwich, MD, PhD Long-cycle Full-time 11,5 Person giving credit for completing the course Katarzyna Derwich, MD, PhD [email protected] Patrycja Marciniak-Stępak, MD, PhD [email protected] Department of Pediatric Oncology, Hematology and Transplantology, Duty hours 27/33 Szpitalna street, ward V: Mon-Fri between 12.00-1.30 p.m. Phone: 61 8491 498, 61 8491 259 Chair/ Department website www.pedhemonko.ump.edu.pl obligatory Type of course Area of science Learning objectives Curricular contents semester V and VI Type of classes and annual load lectures practicals seminars 0 237 80 The area of the studies: range of medical studies, health sciences and physical culture studies (long-cycle). The aim of the course: Neonatology: management of the term and preterm newborn right after birth, physical examination of the newborn, estimation of general condition (Apgar score), estimation of gestational age, transportation to NICU. Intensive therapy of the newborn (mechanical ventilation, procedures: intubation, non-invasive ventilation, exchange blood transfusion, phototherapy, catheterization of the big vessels). Differential diagnosis, treatment, prognosis in typical neonatal problems (infections, jaundice, congenital malformations). Management of healthy baby: nursing, feeding, contact with parents. General pediatrics: taking history in children; assessment of the child's development in the context of developmental nutrition standards; performing a physical examination; selection and interpretation of additional diagnostic tests, differential diagnosis and treatment planning the most common childhood diseases; perform basic procedures and medical treatments in children; interpretation and implementation of the rules on mandatory and recommended vaccinations. Lectures: none Practicals: CARDIOLOGY: Physical examination of cardiovascular system. Clinical cases. CARDIOSURGERY: Congenital heart defects in children – symptoms, diagnostics, procedures. Complication of congenital heart defects in children. Post-operative care and complication after cardiosurgical procedures. DIABETOLOGY: Physical examination, diagnosis, management in children with type 1 and type 2 diabetes – cases. Intensive insulin therapy, personal pump therapy, ketoacidosis treatment, acute hypoglycemia – practical approach. Education in diabetes treatment. Physical examination in children with obesity and metabolic syndrome – cases. Acute and chronic complications of hyperglycemia and overweight – practical aspects (insulin resistance, prediabetes, dyslipidemia, NAFLD, PCOS, arterial hypertension, puberty and growth disorders). Monogenic diabetes and genetic syndromes with obesity – cases. Continuous glucose monitoring system, body composition evaluation – cases and practical exercises. Congenital hyperinsulinism – diagnosis/clinical presentations/treatment ENT: Anatomy and physiology of nose, paranasal sinuses, nasopharynx, oral cavity, throat and larynx in children. Examination of ear, nose, nasopharynx, oropharynx and larynx in children - main differences between children and adults in ENT examination. Presentation of patients treated in ENT Dept (diagnostic tools, methods of treatment, indications for surgical treatment, postoperative care and possible complications). Operating Theater Classes - the principles of aseptic and antisepsis in the operating room, differences in surgical techniques between adults and children, observation of pediatric ENT surgical procedures. Assessment of hearing impairment in early childhood – use of objective hearing tests in evaluation and early treatment of hearing disorders in children. ENDOCRINOLOGY: Presentation, diagnostics, differential diagnosis and therapeutic possibilities of the endocrinologic childhood diseases: hyper and hypothyroidism, autoimmune thyroiditis, nodular goiter, precocious and late puberty, puberty disturbances (e.g. PCOS), disorders of sexual development (DSD), growth disorders including short and tall stature with the concentration on growth hormone deficiency and Turner syndrome, bone disorders like osteogenesis imperfecta, rickets and osteoporosis, pituitary disorders. Possibility to perform thyroid ultrasonography. GASTROENTEROLOGY: Presentation, diagnostics, differential diagnosis and therapeutic management of inflammatory bowel diseases, celiac disease, cystic fibrosis ad the most common metabolic disorders in children. INFECTIOUS DISEASES: Clinical examination of child with infectious disease – exposition and spread on the diseases, isolation, prophylactic measures, immunoprophylaxis, presentation, diagnostics, differential diagnosis and treatment of infectious diseases of childhood: exanthematous diseases, neuroinfections, sepsis, viral and bacterial diarrhoea, viral hepatitis, congenital infections, infections of animal origin, elements of childhood neurology: child development and developmental abnormalities, seizures and epilepsy, headaches. NEONATOLOGY: Management and resuscitation at birth. Stabilization and transportation. Physical examination. Nursing practice of sick and healthy baby. Respiratory failure, mechanical ventilation, intubation. Enteral and parenteral nutrition. Metabolic problems, infection, heart failure, congenital malformations. NEPHROLOGY: Practical aspects of physical examination in a child with kidney diseases. Congenital abnormalities of the kidneys and urinary tract – pathogenesis/treatment/cases. Glomerulonephritis – pathogenesis/treatment/cases. Hypertension – pathogenesis/treatment/cases. Acute and chronic renal failure– pathogenesis/treatment/cases. Intoxications in children. Blood purification. ONCOLOGY AND HEMATOLOGY: Presentation, diagnostics, differential diagnosis and therapeutic management of hematologic (anaemias, bleeding disorders, bone marrow failure) and oncologic diseases (hematologic neoplasms and solid tumors) in children. Basic aspects of haematopoietic stem cells transplantations (HSCT) in children. Acute and long term side effects of oncological treatment in children and adolescents. Supportive care in paediatric hemato-oncology. RHEUMATOLOGY: Presentation, diagnostics, differential diagnosis and therapeutic possibilities of the rheumatologic childhood diseases. Juvenile idiopathic arthritis, lupus erythematosus, scleroderma, vasculitis. RESPIRATORY DISEASES: Acute infections of the respiratory system in children: acute bronchitis, community- and hospitalacquired pneumonia, necrotizing pneumonia, lung abscess, pleural effusion, pneumothorax. Respiratory manifestation of systemic diseases. Respiratory diseases in infancy: congenital malformation, bronchopulmonary dysplasia, acute viral bronchiolitis, recurrent wheezing. Inhalation therapy: aerosol delivery devices, inhaled drugs, choice of therapy, adherence to therapy. Childhood asthma and allergic diseases: asthma exacerbation – symptoms, severity, management; anaphylaxis, allergic rhinitis, atopic dermatitis, food allergy – epidemiology, symptoms, diagnostic procedures, triggers, management, allergen specific immunotherapy. Chronic diseases of the respiratory tract: cystic fibrosis, chronic bronchitis, primary ciliary dyskinesia, interstitial lung diseases. Spirometry: basic, reversibility and exercise testing. SURGERY: Practical aspects of physical examination in a child with surgical diseases and trauma. Practical aspects of wound dressings changing. Techniques of surgical suturing (single, mattress, continuous sutures) and removing sutures. Techniques of immobilization of extremities and removing of immobilization. Observation of surgical procedures in operating theatre. Seminars CARDIOLOGY: Non-cyanotic congenital heart diseases. Cyanotic heart diseases and interventional cardiology. Inflammatory diseases of the heart. CARDIOSURGERY: Cardiosurgical procedures in congenital heart diseases in children. Post-operative care after cardiosurgical procedures. DIABETOLOGY: Type 1 diabetes in children. Ketoacidosis treatment. Childhood obesity, prediabetes and type 2 diabetes. ENT: The most common diseases of oropharynx, nasopharynx, salivary glands in children (adenoid hypertrophy, acute and chronic tonsillitis, indicatons to perform adenoidectomy and tonsillectomy, tonsillectomy versus tonsillotomy). Acute respiratory distress in children (laryngomalacia, subglottic laryngitis versus epiglottitis – symptoms, differential diagnosis and treatment, tracheotomy in children – indications, surgical techniques, complications). Foreign bodies of respiratory tract and esophagus in children – symptoms, diagnosis and treatment. Symptoms, signs and investigations of nose and paranasal sinuses diseases in children (choanal atresia – symptoms and treatment, acute rhinitis, acute sinusitis – symptoms and treatment, ethmoiditis – symptoms, treatment and possible complications, antral puncture – indications, deviated nasal septum – symptoms and treatment, nasal polyposis, choanal polyps – symptoms and treatment, endoscopic procedures in paranasal sinus diseases - indications). Symptoms, signs and investigations of ear diseases in children (acute otitis externa, acute otitis media, otitis media with effusion, chronic otitis media and their possible complications – symptoms, diagnostic tools and treatment, congenital anomalies of the ear – diagnosis and treatment). ENDOCRINOLOGY: Sexual development and pubertal disorders. Thyroid disorders. Growth disorders. GASTROENTEROLOGY: Sings and symptoms of gastrointestinal disorders in children. Chronic diarrhea with the special emphasis on celiac disease. Cystic fibrosis. Introduction to metabolic disorders. INFECTIOUS DISEASES: Exanthematous infectious diseases. Infections of the nervous system in children. Congenital infections – diagnosis and treatment. Viral hepatitis. NEONATOLOGY: Disorders of respiratory tract. Neonatal infections. Analysis of X-rays. Prematurity - typical disorders and complications. Resuscitation and intubation after birth. NEPHROLOGY: Symptoms and signs of kidney diseases in children. Pathogenesis of glomerulonephritis. Urinary tract infections. ONCOLOGY AND HEMATOLOGY: Anemias in children. Bleeding disorders. Leukemias and lymphomas. Solid tumors. Haematopoietic stem cells transplantations (HSCT) in children. RHEUMATOLOGY: Rheumatologic diseases in children. RESPIRATORY DISEASES: Development of the respiratory system. Acute bronchiolitis. Differential diagnosis of recurrent and persistent respiratory symptoms in children. Childhood asthma: epidemiology, genetic and environmental background, pathophysiology, phenotypes, clinical manifestation, natural course, goals of therapy, asthma control, a stepwise treatment approach, prevention. Infections of the respiratory tract in children: community-acquired pneumonia, hospital-acquired pneumonia – epidemiology, etiology, signs and symptoms, diagnosis, investigations, treatment. SURGERY: Pediatric urology: congenital malformations of kidneys and urinary tract (HDN, VUR, DPU, UC, VUP). General pediatric surgery (appendicitis, inguinal hernia in boys and girls, hydrocele, ppv, undescendent testis, phimosis). Newborn surgery (congenital malformation of digestive tract atresia of esophagi, pylorostenosis, atresia of intestine, rectal and anus atresia, meconum ileus, NEC) Pediatric neurosurgery (HC, MMC). Other: none Classes’ location: pediatric and pediatric surgery course: Children’s Hospital (27/33 Szpitalna st.), seminars and lectures: 1st floor (rooms 119 and 120); neonatology course: Department of Neonatology (33 Polna st.) The course will last from 2015 (group B) and 2016 (group A) and will be divided into blocks according to the schedule. Based on the list of students from the Dean’s Office, whole 4 MD Program will be divided into group A and B, and then students will be divided consecutively into subgroups each containing 5-6 students. The program is divided into obligatory sessions - an attendance is necessary to pass the course! There will be 80 hours of seminars and 237 hours of practical exercises. Every day there will be obligatory practical exercises in the ward or out-patient clinic (6 hrs) and a seminar (2 hrs). During seminars, on the basis of clinical cases, students are expected to present their theoretical knowledge. During exercises on the wards and in out-patient clinics, students are expected to train and improve practical aspects of pediatrics. Course starts at 8 a.m. - please be on time! Late-coming is not accepted! 2 delays of > 15 mins equals = one day of absence. Course details (including type of classes, classes’ dates and locations, teaching assistants, topics covered during classes) During whole pediatric course 2 absences are permitted. There is nominated representative of each Department, who is responsible for each block of topics in case of any problem you should contact: CARDIOLOGY: Prof. Waldemar Bobkowski, MD, PhD ([email protected]) CARDIOSURGERY: Rafał Bartkowski, MD, PhD ([email protected]) DIABETOLOGY: Bogda Skowrońska, MD, PhD ([email protected]) ENT: Beata Pucher, MD, PhD ([email protected]) ENDOCRINOLOGY/ RHEUMATOLOGY: Monika Obara-Moszyńska, MD, PhD ([email protected]) GASTROENTEROLOGY: Beata Klincewicz, MD, PhD ([email protected]) INFECTIOUS DISEASES: Anna Mania, MD, PhD ([email protected]) NEONATOLOGY: Ewa Burchardt-Kroll, MD, PhD ([email protected]) NEPHROLOGY: Prof. Jacek Zachwieja, MD, PhD ([email protected]) ONCOLOGY AND HEMATOLOGY: Katarzyna Derwich, MD, PhD ([email protected]) RESPIRATORY DISEASES: Aleksandra Szczawińska-Popłonyk, MD, PhD ([email protected]) SURGERY: Paweł Juszczak, MD, PhD ([email protected]) Teaching assistants: CARDIOLOGY (ward IV/VI): Dr O.Jaremba, Dr P.Walasek, Dr E.Szafran, Dr A.Łaźniak, Dr A.Purol, Dr W.Mikitiuk, Dr P.Drobnik-Kurzyńska CARDIOSURGERY (ward I): Dr R.Bartkowski DIABETOLOGY (ward XI): Prof. P.Fichna, Dr B.Skowrońska, Dr A.Gertig, Dr E.Niechciał, Dr I. Krzyśko ENT (ward X): Doc. J. Szydłowski, Dr B. Pucher, Dr J. Sroczyński, Dr M. Prauzińska, Mgr B. Polski, Prof. M. Grzegorowski ENDOCRINOLOGY/RHEUMATOLOGY (ward XII): Prof. M.Niedziela, Dr M.Obara-Moszynska, Dr Z. Kolesinska, Dr M.Flader, Dr A.Rojek, Dr E.Pawlaczyk-Wroblewska, Dr D.Kaminiarczyk-Pyzalka GASTROENTEROLOGY (ward XIII): Prof. J. Walkowiak, Dr B. Klincewicz, Dr Ł. Kałużny, Dr N. Kobelska-Dubiel INFECTIOUS DISEASES (ward VIII): Prof. W.Służewski, Prof. M.Figlerowicz, Dr K.MazurMelewska, Dr A.Mania, Dr J.Prusinowska, Dr K.Kuls, Dr JFrąszczak-Wojańska, NEONATOLOGY (Dep. of Neonatology, Dep of Delivery and Perinatology): Doc. J.Mazela, Dr A.Mościcka, Dr T.Szczapa, Dr M.Sierzputowska-Pieczara, Dr E.Burchardt-Kroll NEPHROLOGY (ward IV/VI): Prof J.Zachwieja, Prof D.Nowicka, Dr M.Silska, Dr J.Sołtysiak, Dr A.Blumczyński, Dr A.Musielak ONCOLOGY AND HEMATOLOGY (ward III/V/VD/TSK): Prof. J.Wachowiak, Prof. D.Januszkiewicz-Lewandowska, Doc. K.Derwich, Dr J. Skalska-Sadowska, Dr A.Pieczonka, Dr P.Marciniak-Stępak, Dr O.Zając-Spychała, Dr Monika Wojciechowska RESPIRATORY DISEASES (ward VII/XIV): Doc A.Szczawińska-Popłonyk, Doc A.Szczepankiewicz, Dr A.Światły, Dr A.Karlik-Książek, Dr Z.Kycler, Dr I.Wojsyk-Banaszak, Dr P.Sobkowiak SURGERY (ward I/II): Urology: Prof. A.Jankowski, Dr P.Kroll, Dr J.Rogacki, Dr P.Juszczak; Neurosurgery: Dr K.Strzyżewski, Dr A.Jażdżewska; Newborn Surgery: Doc. M.Błaszczyński, Dr P.Sarnowska; General Pediatric Surgery: Doc. P.Mańkowski, Doc. J.Harasymczuk, Dr S.Moryciński, Dr O.Pietkiewicz, Dr M.Jurga Tests/ examination dates including make-up tests/ examination dates (after prior consultation with class representative) Forms and methods of teaching Forms and conditions for receiving credits FINAL WRITTEN EXAM (NBME): To take the final written exam (NBME) student has to pass the whole pediatric course. All students have to take NBME exam at the same time! There will be 4 terms for 4 M.D. and 6 M.D. programs (2 in winter and 2 in summer semester) 1. for group B: more details will be given later 2. for group A: more details will be given later In individual cases test may be postponed - only with the Dean’s permission. Retake exams: Students who have failed the NBME exam will have two retake exams and a final retake exam - in each semester there will be only one term for first and second retake exams and a final retake exam. Students who have failed all four attempts must repeat the whole course the following academic year. Grading system for NBME exams (www.nbme.org): - very good (5.0): score 80-100, - better than good (4.5): 75-79, - good (4.0): 70-74, - fairly good (3.5): 65-69, - satisfactory (3.0): 60-64, - failed (2.0): <60. Seminars with a review of basic information Presentation of management algorithms Analysis of clinical cases Presentation of cases on the basis of real patients Practical exercises and improvement of practical skills (physical examination, taking history, preparing prescription, phantoms) Discussion To get the credits from pediatric course student has to: - attend to exercises and seminars: only 2 absences are permitted during whole pediatrics course!; - neonatology: pass a 10 questions tests; - general pediatrics: present a 5 minutes long case about chosen clinical aspect; - at the end of the course fill in an anonymous questionnaire assessing the course; - get a positive assessment during practicals and seminars from assistants as well as final positive appraisal from co-ordinator of pediatric course. In some cases student may be expected to prepare some topics (clinical case, presentation, article review etc.) to improve his mark from the pediatric course (decision of course co-ordinator). Credit from the course must be obtained until: 11th Dec 2015 (group B) and 29th April 2016 (group A) Required textbooks - Marcdante KJ et al.: NELSON ESSENTIALS OF PEDIATRICS, Saunders/Elsevier 2011 - Marino BS et al.: BLUEPRINTS PEDIATRICS, 6th edition, Wolters Kluwer/ Lippincott Williams& Wilkins 2013 - Klaus&Fanaroff's: CARE OF THE HIGH-RISK NEONATE, Elsevier/Saunders 2013 - Lawrence PF et al.: ESSENTIALS OF GENERAL SURGERY, 5th edition, Wolters Kluwer/ Lippincott Williams& Wilkins 2013 Recommended textbooks - Kliegman R et al.: NELSON TEXTBOOK OF PEDIATRICS, 19th edition, Saunders/Elsevier 2011 - Hull D et al.: ESSENTIAL PAEDIATRICS, 4th edition, Churchill Livingstone - Milner AD et al.: HOSPITAL PAEDIATRICS, Churchill Livingstone - Shelov SP: CARING FOR YOUR BABY AND YOUNG CHILD: BIRTH TO AGE 5, American Academy of Pediatrics, 2009 Handouts Course regulations - Hand-outs may be prepared by assistants depending on topics of seminars and given students during the course To get the credits from pediatric course student has to: - attend to exercises and seminars: only 2 absences are permitted during whole pediatrics course!; - neonatology: pass a 10 questions tests; - general pediatrics: present a 5 minutes long case about chosen clinical aspect; - at the end of the course fill in an anonymous questionnaire assessing the course; - get a positive assessment during practical classes and seminars from assistants as well as final positive appraisal from co-ordinator of pediatric course. Late-coming is not accepted! 2 delays of> 15 mins equals=one day of absence. During whole pediatric course 2 absences are permitted. Symbol of learning outcome Learning outcomes Reference to program learning outcomes Graduates have the knowledge which enables them to: E.W01. E.W02. know environmental and epidemiological conditions of most common diseases; E.W03. E.W3. know and understand the causes, symptoms, principles of diagnosis and therapeutic treatment of most common childhood diseases: a) rickets, tetany, convulsions, b) heart defects, myocarditis, endocarditis and pericarditis, cardiomyopathy, arrhythmias, heart failure, high blood pressure, syncope, c) acute and chronic diseases of the upper and lower respiratory tract, congenital defects of the respiratory system, tuberculosis, cystic fibrosis, asthma, allergic rhinitis, urticaria, anaphylaxis, angioedema, d) anaemia, bleeding disorders, bone marrow failures, paediatric cancers, including typical childhood solid tumours, e) acute and chronic abdominal pain, vomiting, diarrhoea, constipation, gastrointestinal bleeding, peptic ulcer disease, non-specific bowel diseases, pancreatic disease, cholestasis and liver diseases and other acquired diseases and congenital defects of the gastrointestinal tract, f) urinary tract infections, congenital anomalies of the urinary tract, nephrotic syndrome, kidney stones, acute and chronic renal failure, acute and chronic inflammation of the kidneys, kidney systemic diseases, urination disorders, vesicoureteral reflux, g) growth disorders, diseases of the thyroid and parathyroid, adrenal diseases, diabetes, obesity, disorders of pubertal development and male and female gonadal functions, h) cerebral palsy, encephalitis and meningitis, epilepsy, i) most common childhood infectious diseases, j) genetic syndromes, k) connective tissue diseases, rheumatic fever, juvenile arthritis, systemic lupus, dermatomyositis; E.W5. know the basic diagnostics and treatment of the foetus; E.W6. know the most common life-threatening conditions in children and the rules of conduct in such conditions; E.W04. E.W05. know the nutrition principles for healthy and sick children, the principles of immunization and keeping children's medical records; E.W1. E.W2. E.W06. know the environmental and epidemiological conditions of most common neoplasms in children; E.W23. E.W07. know the basis of early detection of cancer and the principles of screening in pediatric oncology; know the possibilities of modern cancer therapy (including multimodal therapy), the prospects of cell and gene therapy and its adverse effects; E.W24. E.W08. E.W09. E.W10. E.W25. E.W26. know the rules of combination therapies in oncology, diagnostic and therapeutic algorithms in most common human neoplasms in children; know and understand the causes, symptoms, diagnosis and principles of E.W32. therapeutic and prophylactic procedures in most common bacterial, viral, parasitic and fungal infections, including pneumococcal infections, viral hepatitis, acquired immunodeficiency syndrome AIDS, sepsis and hospital infections; Graduates have the skills which allow them to: E.U01. E.U02. E.U03. E.U04. E.U05. E.U06. E.U07. E.U08. E.U09. E.U10. E.U11. E.U12. E.U13. E.U14. E.U15. E.U16. E.U17. E.U18. E.U19. E.U20. E.U21. E.U22. conduct a medical interview with a child and the child's family; perform a complete physical examination of a child at any age; perform basic hearing test and visual field test, as well as otoscopic exam; assess the general condition, consciousness and awareness of the patient; assess a newborn infant on the Apgar scale and assess its maturity and neonatal reflexes; compare anthropometric and blood pressure measurements with the data in the growth chart assess the progress of puberty; provide well-child care; make a differential diagnosis of most common diseases in children; evaluate and describe the patient's somatic and mental state; recognize conditions that are a direct threat to life; plan diagnostic, therapeutic and preventive procedures; analyze potential adverse reactions of particular drugs and interactions between them; suggest individual approach to the existing therapeutic guidelines and other treatment methods in case of ineffectiveness or contraindications to standard therapy; qualify the patient for domestic and hospital treatment; define conditions in which life expectancy, functional condition or patient's preferences limit the procedures that are consistent with the guidelines for the disease; interpret laboratory tests and identify the reasons for deviations; use nutritional therapy (including enteral and parenteral nutrition); plan the actions to be taken in case of exposure to blood-borne pathogens; qualify patients for immunization; perform basic medical procedures and treatments, including: a) body temperature measurement, heart rate measurement, non-invasive blood pressure measurement, b) monitoring of vital signs using a cardio-monitor, pulse oximetry, c) spirometry, oxygen therapy, assisted and alternative ventilation, d) intravenous, intramuscular and subcutaneous injections, cannulation of peripheral veins, collection of: peripheral venous blood, blood cultures, arterial blood and arterialized capillary blood, e) collecting smear samples from the nose, throat and skin f) catheterization of the bladder in men and women, gastric intubation, g) standard ECG with interpretation, h) simple strip tests and measuring the concentration of glucose in the blood; assist with the following procedures and medical treatments: a) transfusion of blood preparations and blood products, b) drainage of the pleural cavity, c) pericardiocenteseis, d) lumbar puncture, e) epidermal tests , E.U2. E.U4. E.U6. E.U7. E.U8. E.U9. E.U10. E.U11. E.U12. E.U13. E.U14. E.U16. E.U17. E.U18. E.U20. E.U21. E.U24. E.U25. E.U26. E.U27. E.U29. E.U30. E.U23. f) intradermal and chamber scarification tests and interpret the results; interpret the pharmaceutical characteristics of medicinal products and critically assess advertising materials relating to drugs; E. U31. E.U24. E.U25. E.U32. plan specialist consultations; perform proper procedures in case of injuries (put dressing or use immobilization, E.U36. dress and suture the wound); E.U26. E.U27. E.U28. E.U29. E.U30. recognize the agony of the patient and declare death; keep the medical records of the patient. E.U31. E.U32. E.U33. E.U34. E.U35. E.U36. E.U37. E.U38. apply the principles of asepsis and antisepsis; dress simple wounds, put and change sterile surgical dressings; examine nipples, lymph nodes, thyroid and abdominal cavity in terms of acute abdomen, and perform a rectal examination; assess the results of radiological tests in terms of most common types of fractures, especially fractures of long bones; perform temporary immobilization of the limb, select the type of immobilization necessary for use in typical clinical situations and validate the blood supply to the limb after the immobilization is performed; dress external bleeding; perform basic life support procedures with automated external defibrillator and other emergency procedures and provide first aid; act according to the current advanced life support algorithm; monitor the postoperative period based on basic vital parameters; perform basic laryngologic examination of the ear, nose, throat and larynx; perform basic hearing test. E.U37. E.U38. F.U3. F.U4. F.U6. F.U7. F.U8. F.U9. F.U10. F.U11. F.U12. F.U25. F.U26. Graduates have the knowledge which enables them to: E.K01. E.K02. E.K03. Student workload know the issues related to currently used imaging tests, in particular: a) radiological symptomatology of basic diseases, b) instrumental and imaging techniques used for medical treatments, c) indications, contraindications and preparing patients for various types of imaging tests and contraindications for the use of contrasting agents; know basic concepts of laryngology, audiology and phoniatrics, including: a) causes, clinical course, treatment, complications and prognosis in diseases of the ear, nose, paranasal sinuses, mouth, pharynx and larynx, b) diseases of the facial nerve and certain structures in the neck, c) diagnostic and therapeutic procedures in mechanical injuries of the ear, nose, larynx and oesophagus, d) the rules of conduct in emergency conditions in otorhinolaryngology, particularly in laryngeal dyspnea, e) diagnostic and therapeutic procedures in hearing, voice and speech disorders, know and understand the causes, symptoms, principles of diagnosis and therapeutic treatment of most common diseases of the central nervous system in terms of: a) cerebral oedema and its consequences with particular emphasis on emergency situations, b) traumatic brain injuries, c) tumours of the central nervous system, d) diseases of the spine and the spinal cord; Contact hours with an academic teacher participation in lectures participation in practical classes participation in seminars Self-directed learning preparation for practical classes preparation for seminars preparation for colloquiums preparation for examinations Other E.K01. E.K02. E.K03. Annual load 0 237 80 35 25 5 15 397 11.5 Total ECTS credits Quantitative indicators Student workload related to contact hours with an academic teacher Student workload related to practical classes Hours ECTS 317 80 8 3.5 Methods for assessing student learning outcomes Symbol of learning outcome Formative All - discussion during seminars and practical classes - observation and assessment of students skills Date of preparing the syllabus 31.08.2015 Summative Person preparing the syllabus - 10 questions test (neonatology) - clinical case presentation - final positive appraisal from co-ordinator of pediatric course Katarzyna Derwich, MD, PhD [email protected] Patrycja Marciniak-Stępak, MD, PhD [email protected] Tel: 61 8491 498, 61 8491 259