MEDICINE
Bachelor	TR-NQF-HE: Level 6	QF-EHEA: First Cycle	EQF-LLL: Level 6

Ders Genel Tanıtım Bilgileri

Course Code:

1010401005

Ders İsmi:

Surgical Practice Module (General Surgery, Urology, Gynecology and Obstetrics)

Ders Yarıyılı:

Spring

Ders Kredileri:

Theoretical	Practical	Credit	ECTS
92	106	14	15

Language of instruction:

Ders Koşulu:

Ders İş Deneyimini Gerektiriyor mu?:

Type of course:

Necessary

Course Level:

Bachelor

TR-NQF-HE:6. Master`s Degree

QF-EHEA:First Cycle

EQF-LLL:6. Master`s Degree

Mode of Delivery:

Face to face

Course Coordinator :

Assoc. Prof. Özge ÜNLÜ

Course Lecturer(s):

Prof. Dr. Mustafa Uygar KALAYCI

Course Assistants:

Dersin Amaç ve İçeriği

Course Objectives:

The Internal Medicine (IM) training program is an integrated program that includes all disciplines within the internal medicine department in collaboration with closely related clinical disciplines, including internal medicine and infectious diseases. Students will be able to apply what they have learned in theoretical lessons either in the form of a conference or as a case discussion.
The Internal Medicine Program is a 10-week route during the fourth year. Both theoretical and practical courses will be given predominantly at Atakent Acıbadem Hospital. The program includes 2-3 days of theoretical lessons followed by 4-6 days of practical lessons. Practical sessions include morning doctors, bedside and case presentations. In practical sessions, students will be guided by a responsible counselor, who will provide each student with the opportunity to learn the basic principles of internal medicine not only through direct patient contact, but also by observing and interacting with faculty and home staff. . Practical sessions include morning rounds, bedside and case presentations. As an integral part of the 4th year Internal Medicine Education Program, bedside training represents the synthesis of effective patient communication skills, as well as proper history taking, physical examination, differential diagnosis, clinical reasoning.
The main purpose of the Internal Medicine Program is to develop a comprehensive process that includes the history, physical examination and results of various tests to arrive at a logical differential diagnosis. The student should be able to summarize specific studies to prove or refute the diagnosis and generally define an appropriate treatment plan. The Internal Medicine Program does not cover all aspects of internal medicine and is not designed to recruit or develop internal medicine. It is designed to provide the essential skills necessary to produce well-educated young medical students.

Course Content:

Theoretical instruction and practical lessons,
Patient training,
Discussions,
Ward Tours,
Case presentations,
Seminars.

Learning Outcomes

The students who have succeeded in this course;

Learning Outcomes

1 - Knowledge
Theoretical - Conceptual
2 - Skills
Cognitive - Practical
3 - Competences
Communication and Social Competence
Learning Competence
1) Relieving the symptoms of respiratory tract diseases frequently encountered by the pulmonologist (cough, shortness of breath, hemophysis, cyanosis)
2) Understanding available methods for evaluating pulmonary patients
3) Recognition of common renal diseases such as acute glomerulonephritis, nephrotic syndrome, acute and chronic renal failure based on the clinical symptomatology and pathophysiology of the disease process.
4) Evaluation of end-stage renal disease patients and selection of optimal renal replacement therapy modality (dialysis versus transplantation).
Field Specific Competence
1) To review the physiology, pathophysiology, differential diagnosis, pathogenesis, diagnosis and treatment of pulmonary edema, hypoxia, polycythemia.
2) To understand the importance and physiological principles of laboratory tests used in the evaluation of kidney functions.
3) To understand the normal physiology of fluid, electrolyte and acid-base balance. Diagnosis and treatment of common electrolyte and acid-base disorders.
4) Instructions on the diagnosis and treatment of various forms of hypertension, including the renin-angiotensin aldosterone system.
Competence to Work Independently and Take Responsibility

Ders Akış Planı

Week	Subject	Related Preparation
1)	Introduction to IM Date Taken Examination of Precordiim Pulse and BP symptoms and symptoms Chest examination Respiratory function tests Air pollution and lung health Abdominal examination Signs and symptoms of CBS Examination of extremities Head and neck examination Approach to a pt with LAP Date Review of taking and physical examination Dermatological findings of systemic diseases Neurological examination Management of pleural effusions Pulmonary Embolism Pulmonary neoplasms Approach to respiratory failure Obstructive Sleep Apnea Syndr	Textbook
2)	Chronic obstructive pulmonary diseases Pneumonia tuberculosis Bronchiectasis Management of GERD, Esophagitis and Esophageal Motility Disorders Approach to the Patient with Diarrhea Jaundice BEHAVIOR Attention to Patients with Abdominal Pain Approach to the Acid Patient Approach to the Acid Patient Management of Acute Liver Disease Management of Liver Cirrhosis complications	Textbook
3)	Approach to the patient with constipation Approach to the patient with anorectal diseases Management of irritable bowel syndrome Upper and lower GI Bleeding Acute and Chronic Pancreatitis Management Dyspepsia and peptic ulcer disease Management Current management of viral hepatitis Medicines, alternative and free medicine and liver Microbiology and GI diseases Approach to biliary tract tumors Diabetes Mellitus: Treatment, management and follow-up of complications Diabetes and pregnancy Case Discussion: DM Thyroid diseases Thyroid diseases: case discussion Endocrine emergencies Pituatary diseases	Textbook
4)	Case discussion: Pituatry Diseases Adrenal diseases obesity Hyper / hypoparathyroidism / metabolic bone osteoporosis Use of Rational Antimicrobials Infectious diseases emergency Contagious approach to a febrile patient Genitourinary infections Management of Upper Respiratory Infections AIDS and related opportunistic disorders Therapeutic approach to Nosocomial infections Acid and electrolyte management of base disorders	Textbook
5)	Treatment modalities for glomerular and tubulointerstitial diseases Treatment goals in diabetic and hypertensive nephropathy The importance of treating the underlying cause in acute kidney disease Coping with complications of chronic kidney disease Renal replacement therapies Nephrology / Comprehensive review of key issues in an evidence-based case study Ethical Spheres Rheumatoid Arthritis Rheumatoid Arthritis Connective Tissue Disease Vasculitis Behçet's Disease / FMF	Textbook
6)	Approach to a patient with anemia Approach to a patient with bleeding disorder Hyper coagulation and thrombosis Indications and complications of blood transfusion Hematological malignancies: Lymphomas Hematological malignancies: Lekemias Cancer Treatment Principles	Textbook
7)	Breast Cancer: screening, diagnosis, risk factors, treatment principles Epidemiology and cancer etiology Lung cancer: screening, diagnosis, risk factors, treatment principles Side effects of cancer treatment Management of oncological emergencies Prostate cancer: screening, diagnosis, risk factors, treatment principles Colorectal cancer : screening, diagnosis, risk factors, treatment principles	Textbook
8)	Works of Radiotherapy Radiation Accidents Role of radiotherapy in multimodal cancer treatment I Role of radiotherapy in treatment of multimodal cancer II Acute Side Effects of Radiotherapy Chronic Side Effects of Radiotherapy Radiation Oncology Department RADIATION ONCOLOGY (APPLICATION) Aging Problems: Physiological and Laboratory Changes in the Elderly - APPLICATION Morning Tours bedside Clinical Skills	Textbook

Sources

Course Notes / Textbooks:	iç hastalıkları çocuk hastalıkları genel cerrahi kadın doğum farmakoloji mikrobiyoloji anatomi biyokimya; ed.; Mahmut Mustafa Ulaş ; yazarlar, Ali Akdoğan ...[et.al.]
References:	Perioperatif iç hastalıkları konsültasyonu; ed.; M. Akif Karan, Sezai Vatansever

Ders - Program Öğrenme Kazanım İlişkisi

Ders Öğrenme Kazanımları	1	3	4	8	2	5	6	7
Program Outcomes
1) Explain the basic structure, development and normal functioning of the human body at the level of molecules, cells, tissues, organs and systems.
2) Questions the abnormal structure and functioning of the human body, explains it with information based on qualified scientific research, evaluates the causes of diseases by considering the interaction with the individual and his environment.
3) Evaluates clinical decision making and management processes of diseases under the guidance of evidence-based medicine practices.
4) Defines the concepts of health and disease in individual and social contexts, explains health seeking and health protection behaviors, national health service delivery and administrative processes.
5) Knows the research processes that form the basis of medical knowledge, has a level of foreign language knowledge to follow the developments in this field.
6) Takes medical history from the applicant/patient and their relatives.
7) Performs physical examination of individuals, evaluates diagnostic tests, manages diagnosis and treatment processes by using appropriate process steps.
8) Applies medical interventions to individuals for diagnosis, treatment or prevention.
9) Plans and realizes practices for the protection and improvement of health in individual and social dimensions.
10) Plans a scientific research, implements and evaluates the results.
11) Demonstrates lifelong learning behavior by making use of scientific and technological developments for professional and social changes.
12) Fulfills its responsibilities as a physician within the framework of professional values, ethical principles and legal regulations, regardless of language, religion, race, gender, social and cultural discrimination in the individual and society it serves.
13) He / she works in teams with his colleagues and other healthcare professionals in the processes of protecting and improving health in individual and social dimensions, and managing diseases.
14) Organizes and keeps records of health and disease related data obtained from individuals and society in medical and administrative contexts.
15) It strives to protect and develop the health of the individual and the society and to provide health services for the benefit of the individuals who make up the society.

Ders - Öğrenme Kazanımı İlişkisi

No Effect	1 Lowest	2 Low	3 Average	4 High	5 Highest

	Program Outcomes	Level of Contribution
1)	Explain the basic structure, development and normal functioning of the human body at the level of molecules, cells, tissues, organs and systems.	5
2)	Questions the abnormal structure and functioning of the human body, explains it with information based on qualified scientific research, evaluates the causes of diseases by considering the interaction with the individual and his environment.	5
3)	Evaluates clinical decision making and management processes of diseases under the guidance of evidence-based medicine practices.	5
4)	Defines the concepts of health and disease in individual and social contexts, explains health seeking and health protection behaviors, national health service delivery and administrative processes.	5
5)	Knows the research processes that form the basis of medical knowledge, has a level of foreign language knowledge to follow the developments in this field.	5
6)	Takes medical history from the applicant/patient and their relatives.	5
7)	Performs physical examination of individuals, evaluates diagnostic tests, manages diagnosis and treatment processes by using appropriate process steps.	5
8)	Applies medical interventions to individuals for diagnosis, treatment or prevention.	5
9)	Plans and realizes practices for the protection and improvement of health in individual and social dimensions.	5
10)	Plans a scientific research, implements and evaluates the results.	5
11)	Demonstrates lifelong learning behavior by making use of scientific and technological developments for professional and social changes.	5
12)	Fulfills its responsibilities as a physician within the framework of professional values, ethical principles and legal regulations, regardless of language, religion, race, gender, social and cultural discrimination in the individual and society it serves.	5
13)	He / she works in teams with his colleagues and other healthcare professionals in the processes of protecting and improving health in individual and social dimensions, and managing diseases.	5
14)	Organizes and keeps records of health and disease related data obtained from individuals and society in medical and administrative contexts.	5
15)	It strives to protect and develop the health of the individual and the society and to provide health services for the benefit of the individuals who make up the society.	5

Öğrenme Etkinliği ve Öğretme Yöntemleri

Alan Çalışması
Anlatım
Course
Labs
Homework
Uygulama (Modelleme, Tasarım, Maket, Simülasyon, Deney vs.)

Ölçme ve Değerlendirme Yöntemleri ve Kriterleri

Yazılı Sınav (Açık uçlu sorular, çoktan seçmeli, doğru yanlış, eşleştirme, boşluk doldurma, sıralama)
Sözlü sınav
Homework

Assessment & Grading

Semester Requirements	Number of Activities	Level of Contribution
Committee	11	% 0
Midterms	1	% 60
Semester Final Exam	1	% 40
total		% 100
PERCENTAGE OF SEMESTER WORK		% 60
PERCENTAGE OF FINAL WORK		% 40
total		% 100

İş Yükü ve AKTS Kredisi Hesaplaması

Activities	Number of Activities	Duration (Hours)	Workload
Course Hours	7	7	49
Laboratory	8	7	56
Application	7	2	14
Study Hours Out of Class	7	16	112
Homework Assignments	14	6	84
Midterms	1	3	3
Final	1	3	3
Total Workload			321