6. The evaluation criteria of the current control
levels of estimates
|
rating
points
|
Characteristics of the student
|
|
20
|
Point of presence on the practical session. Complete lack of knowledge and ability to perform a skill - the student is not ready for practical employment.
|
unsatisfactorily
|
20 - 54,9
|
The student answers unsatisfactory.
Students do not know the fundamentals of knowledge and skills, at least one of the following:
• Do not know the term "constipation"
• Do not know the concept of irritable bowel syndrome
• Has no idea what a senile constipation
• Do not know the etiology and pathogenesis of constipation in IBS, senile constipation, tumors of the colon
• Do not know the clinical presentation of IBS, senile constipation and colon tumors
• Do not know the risk factors predisposing factors contributing to the development of constipation
• Can not enumerate the methods of diagnosis of IBS, senile constipation, colon tumors
• Not able to assemble a rational history during outpatient appointment in patients with constipation
• Can not determine which category of services is patient with constipation
• During the outpatient appointment is not able to objectively assess the condition of patients with constipation
• Not able to rationally make a plan of examination of patients with constipation
|
Providing basic knowledge and skills
|
satisfactorily
55-70,9%
|
55-60,9
|
Satisfactory answer of poor quality.
The student tries to hold the basic levels of knowledge and skills (see below), but when replying or performing skills makes serious mistakes.
|
61-65,9
|
Moderately satisfactory answer.
The student has basic knowledge and skills (see below), but when replying or performing skills makes mistakes (subject to some error)
|
66-70,9
|
Satisfactory answer quality.
The student is wholly owned by the basic levels of knowledge and skills:
• Knows the definition of the term "constipation"
• Explains the concept of irritable bowel syndrome
• Has the idea of what a senile constipation
• Knows the etiology and pathogenesis of constipation in IBS, senile constipation, tumors of the colon
• Knows the clinical presentation of IBS, senile constipation and colon tumors
• Know the risk factors predisposing factors contributing to the development of constipation
• Can list the main methods of diagnosis of IBS, senile constipation, colon tumors
• Able to build a rational history during outpatient appointment in patients with constipation
• Can identify which category of services is patient with constipation
• Can identify which category of services is patient with constipation
• During the outpatient appointment is able to objectively assess the condition of patients with constipation
• Able to efficiently make a plan of examination of patients with constipation
-
• Able to make a differential diagnosis of patients with IBS with constipation, senile constipation, tumors of the large intestine
|
Advanced level of knowledge
|
good
71-85,9%
|
71-75,9
|
The student is wholly owned by the basic levels of knowledge and skills (listed under "66-70,9") + has the following knowledge and skills:
• Knows the etiology, pathogenesis of constipation in IBS, senile constipation, tumors of the large intestine
• Know the classification of constipation
• Can list the diagnostic techniques necessary to establish the diagnosis of diseases associated with constipation syndrome
• Knows the basic standards for the treatment of constipation in IBS, senile constipation, tumors of the colon
• Know the risk factors that lead to the development of constipation
• Knows the mechanism of action of drugs used to treat constipation of various origins
|
76-80
|
The student is wholly owned by the basic levels of knowledge and skills (see above) + knowledge referred to in paragraph "71-75,9", and also owns the following knowledge and skills:
• Knows the etiology and pathogenesis of constipation in IBS, constipation, senile, tumors of the colon
• Can show on Volunteer deep abdominal palpation by a model Strazhesko
-
• Knows the principles of primary, secondary and tertiary prevention of diseases associated with constipation of various origins.
|
81-85,9
|
The student is wholly owned by the basic levels of knowledge and skills (see above) + knowledge referred to in paragraph "71-75,9" and "76-80", and also owns the following knowledge and skills:
• Is able to advise you on the boards of non-drug and drug-using skills of IPC.
• Can tell in detail the differential diagnosis of constipation in IBS, senile constipation, tumors of the colon
-
• Know the indications for colonoscopy, sigmoidoscopy, irigografii in patients with constipation
|
perfect
86-100%
|
86-90
|
The student is wholly owned by the basic levels of knowledge and skills (see above) + knowledge referred to in paragraph "81-85,9", and also owns the following knowledge and skills:
• Knows the principles of treatment of constipation of various etiologies
• Know the indications and contraindications of drugs used for constipation of various origins
-
• Is able to provide reliable information about constipation different etiologies based Internet data
|
91-95
|
The student is wholly owned by the basic levels of knowledge and skills (see above) + knowledge referred to in paragraph "86-90", and also owns the following knowledge and skills:
• Know all the groups of drugs used for constipation of various etiologies, their indications and contra-indications.
• Knows how to prepare patients for colonoscopy, sigmoidoscopy.
-
• Knows the diagnostic criteria for IBS symptoms "anxiety" or "red flags"
|
96-100
|
The student is wholly owned by the basic levels of knowledge and skills (see above) + knowledge referred to in paragraph "91-95", and also owns the following knowledge and skills:
• to provide scientific data on the basis of additional literature (articles and Internet)
• Can tell in detail how to carry out laboratory and instrumental methods of diagnosis for constipation
• Can tell in detail the clinical manifestations of disease IBS senile constipation, colon tumors
• Can be in English ask complaints, gather medical history and talk briefly about the constipation of various etiologies
-
• Has a pedagogical skill - good lucidly present the topic audience
|
Note: The basic level of knowledge and skills - a minimum of knowledge that provides the principle of "security" for the patient.
7.Kontrolnye questions
1. Clinic constipation.
2. Clinic of irritable bowel syndrome, colitis, colon tumors, diverticulosis, dolichocolon.
3. Diagnosis of constipation.
4. Differential diagnosis of constipation.
5. The etiology of irritable bowel syndrome, colitis, colon cancer, diverticulosis, dolichocolon.
6. Diagnosis of irritable bowel syndrome, colitis, colon cancer, diverticulosis, dolichocolon.
7. Differential diagnosis of irritable bowel syndrome, colitis, colon cancer, diverticulosis, dolichocolon.
8. Differential diagnosis of constipation.
9. Principles of supervision and monitoring of patients in a hovercraft or a joint venture.
8. Recommended reading
Summary
• testes kasalliklar, Sharapov UF T: Ibn Sina, 2003
• testes kasalliklar, Bobozhanov S. T: Yangi Asr avlod 2008
• Internal Medicine, Volume 2 Mukhin, NA M. GEOTAR - Media 2009
• Textbook of Internal Medicine Editor-in-Chief William N. Kelley 1997
Additional
• Umumy amaliet vrachlar Uchun maruzalar tuples, Gad, A., T., 2012
• General medical practice under red.F.G.Nazirova, A.G.Gadaeva. M. GEOTAR Media, 2009.
• Directory GP. Dzh.Merta. M.: Practice, 1998.
• The collection of practical skills for general practitioners. Gadaev A. Akhmedov Kh.S. T., 2010.
• Umumy amaliet vrachlar Uchun Amal kunikmalar tuplyu Gadaev AG, Akhmedov, HS, 2010. T.
• Umumy amaliet shifokori Uchun kullanma F.G.Nazirov, A.G.Gadaev Tahrah. M. GEOTAR-Media, 2007.
• Diagnosis of diseases of the internal organs. AN hams 2005.
• Treatment of diseases of the internal organs. A.N.2005 hams.
• Differential diagnosis of internal diseases. AV Vinogradov Moscow: Medical News Agency, 2009.
• Internal Medicine: a textbook. - A 2-ton (2 volumes), ed. Martynov, etc. M: GEOTAR - Media, 2005:
Internet Resources:
http://www.lib.uiowa.edu/hardin/md/index.html, http://dir.rusmedserv.c, http://www.medlinks.ru/,
http://elibrary.ru http://www.freebooks4doctors.com/ http://www.medscape.com/ http://www.meducation.net/ http://www.thecochranelibrary.com
Medical sites:
Med.-site.narod.ru
www.medlook.ru
REQUIREMENTS FOR KNOWLEDGE, SKILLS AND SKILLS TRAINING FOR STUDENTS ON THE BASIS OF SOLVING THE PROBLEM OF PATIENTS WITH hepatomegaly
Objective: To teach students posindromalnomu addressing patients with hepatomegaly, as well as the principles of their management in primary health care as part of the qualifying characteristics of GPs
The main learning objectives:
• To teach students problem solving associated with hepatomegaly.
• To train students in a timely diagnosis of the problems associated with hepatomegaly.
• To teach students to differentiate the disease, accompanied with hepatomegaly.
• Improve the knowledge, skills and practical skills in solving problems of patients with hepatomegaly (gathering information, identifying problems and physical examination, as well as the ability to reasonably prescribe laboratory and instrumental methods of research);
• To teach students to reasonably choose the tactics;
• To teach students to exercise reasonable medical and preventive measures and monitoring in SAP and SP.
When parsing the problem of patients the key moments of assessing students must be:
• Ability to identify the underlying problem, which is reflected in the quality of life of patients.
• Ability to ask support questions rational history.
• Ability to identify risk factors.
• Ability to transfer a disease or condition that may be causing the problem.
• Ability to conduct reasonable physical examination.
• Ability to use sound laboratory and laboratory studies in a hovercraft or a joint venture.
• Ability to identify the need for additional research outside of SVP or joint venture.
• Based on the information received ability to establish the root cause (diagnosis) of the problem.
• Ability to determine the tactics on the basis of qualifying characteristics of GPs.
• Ability to provide non-pharmacological advice.
• Ability to identify drug treatment based on evidence-based medicine
• Ability to identify preventive measures at the level of primary health care.
• Ability to define the principles of clinical examination and rehabilitation of patients in a hovercraft or a joint venture.
What the student needs to know to solve the problems of patients with hepatomegaly:
№
|
The list of knowledge
|
The basic level
|
1
|
The list of diseases which occur with hepatomegaly
|
The student should know at least 10 of the most common diseases
|
2
|
A list of the most dangerous diseases that occur with hepatomegaly
|
The student should know at least 5 diseases
|
3
|
The list of conditions that require management in SAP or SP (1 category)
|
According to the characteristics of the GP qualifying
|
4
|
The list of states that require a specialist consultation or hospitalization (category 2)
|
According to the characteristics of the GP qualifying
|
5
|
A list of studies requiring in SAP or SP (3.1 category)
|
According to the characteristics of the GP qualifying
|
6
|
The list of research areas requiring outside SVP or SP (3-2 category)
|
According to the characteristics of the GP qualifying
|
7
|
Key points (criteria) diagnosis of diseases occurring with hepatomegaly
|
The student must know the characteristics and manifestations of each disease, and the criteria for their diagnosis.
|
8
|
Modes of transmission of hepatitis viruses
|
The student must know the mechanism of transmission
|
9
|
Symptoms of liver damage and internal organs
|
The student should know the signs of defeat
|
10
|
Indicators of results of laboratory and instrumental investigations
|
The student should know:
- Normal values, as well as their changes in pathology.
|
11
|
therapeutic tactics
|
The student must know the techniques and principles of treatment (including non-drug).
|
12
|
The principles of primary, secondary and tertiary prevention
|
The student should know the basic activities required for the primary, secondary and tertiary prevention
|
13
|
The principles of clinical examination and rehabilitation of disorders that occur with hepatomegaly in a hovercraft or a joint venture (category 4)
|
The student must list the main activities for clinical examination and rehabilitation
|
What the student should be able to solve the problems of patients with hepatomegaly:
№
|
The list of skills
|
The basic level
|
1
|
Ask the patient and his relatives
|
The student should be able to ask questions of management concise questions that really helps to set the probable diagnosis.
The student should be able to specifically identify and assess the patient's complaints.
The student must be able to analyze medical history: the beginning of the disease, the first symptoms, the causal relationship and the dynamics of their development.
The student must be able to analyze the history of life: the identification of risk factors, the health of parents and close relatives.
|
2
|
Identify risk factors
|
The student must be able to identify the managed and unmanaged risk factors such as on questioning the patient, so on the basis of an objective approach
|
3
|
Calculate the index weight / body
|
The student must be able to identify signs:
- Underweight
- Increased weight.
|
4
|
Perform visual inspection of the skin
|
The student must be able to detect the presence of:
pale-
- Ikterichnost,
-presence of lesions
- seals
- Telangioektazii.
|
5
|
general inspection
|
The student must be able to identify:
- Liver palms,
-gynecomastia
- Cachexia.
|
6
|
inspection of the mouth
|
The student should be able to appreciate the language.
|
7
|
To conduct palpation, percussion and auscultation of the respiratory system.
|
The student must be able to assess:
- A tour of the chest
- Voice trembling
- Change in pulmonary sound and interpretation
- The types of breathing
- The presence of breath sounds and wheezing
|
8
|
To conduct palpation, percussion and auscultation of the cardiovascular system.
|
The student must be able to identify signs:
- Hypertrophy, right gastric
The student must be able to assess:
- Heart sounds;
- If the heart murmur, be able to identify their epicenter, and relevant to the phase of cardiac (systolic or diastolic murmur);
- To be able to differentiate functional from organic heart murmur.
- Noise pericardial friction
|
9
|
General inspection abdomen
|
The student must be able to detect the presence of:
-ascites
-flatulence
-spider veins
- Venous collaterals
- Injuries and bruises
|
10
|
Conduct a superficial abdominal palpation
|
The student should be able to:
- To identify sensitive points
- To evaluate the presence of tension in the muscles of the abdominal wall
- To identify the presence of enlarged organs or tumor formation.
|
11
|
Conduct a deep abdominal palpation
|
The student should be able to:
- To evaluate all available structures in the abdomen
|
12
|
Conduct percussion liver
|
The student should be able to:
- Determine the limits of the liver Kurlov
|
13
|
To conduct palpation of the liver and gall bladder
|
The student should be able to:
- To evaluate the properties of the liver and gall bladder.
|
14
|
To conduct palpation of the spleen
|
The student should be able to:
- Identify splenomegaly
|
15
|
inspect the limb
|
The student should see the limbs and body, and to be able to find:
- Generalized edema. The fingers must be able to exert pressure on the back of the foot to discover:
- There is a hole or not.
|
16
|
Interpret clinical, instrumental and biochemical analyzes
|
The student must be able to identify signs:
- Increase or decrease in performance from the norm.
|
17
|
Remove the ECG and decrypt it
|
The student should be able to record the ECG with the incremental principle.
The student must be able to decipher the results of the ECG and identify signs:
- Myocardial infarction
|
18
|
Differentiate between diseases accompanied with hepatomegaly
|
The student must be able to differentiate the disease on the basis of the distinctive features (history, physical examination, laboratory and instrumental investigations)
|
19
|
Post a non-drug advice
|
The student should be able to:
- Educate patients on self-monitoring
- Advise on diet
- Advise on healthy lifestyles
|
20
|
Rational use of medicines in the treatment of diseases that occur with hepatomegaly
|
The student should be able to choose drugs with proven efficacy.
When selecting a drug student should be able to evaluate:
- Efficiency
- Safety
- Eligibility
- Profitability.
|
21
|
Conduct monitoring and surveillance of patients
|
The student must be able to carry out monitoring and control status in SAP and SP.
|
Dostları ilə paylaş: |
