The Ministry of Health of the Republic of Uzbekistan Tashkent Medical Academy The department of internal diseases №3 of medical an Medical Pedagogical Faculty

5. Control forms of knowledge, skills and abilities

• Verbally

• In writing

• The decision of situational problems

• Demonstration of practical skills mastered
5.1. Criteria for evaluation of knowledge and skill to practical skills of students.

№	Evaluation	Perfect	Good	Satis.	Unsatis.	bad
	Усвоение в %	100%-86%	85%-71%	70-55%	54%-37%	36% and less
1	The theorical part	20-17,2 point	17-14,2 point	14-11 point	10,8-7,4 point	7,2 point
2	Case Studies	50-43 point	42,5- 35,5 point	35- 27,5 point	27-18,5 point	18 point
3	test	15-12,9 point	12,7-10,6 point	10,5-8,25 point	8,1-5,5 point	5,4 point
4	The practical part	15-12,9 point	12,75-10,6 point	10,5-8,25 point	8,1-5,5- point	5,4 point

6.Kriterii assessment 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.
not satisfactory	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 have a clue where is the epi-, meso-, and hypogastric region • Do not know what organs are located in the epi-, meso-, and hypogastric region • Do not know the cause of abdominal pain • Can not transfer the disease accompanied with pain in the epi-, meso-, and hypogastric region • Can not tell the main clinical signs of diseases associated with pain in the epi-, meso-, and hypogastric region • Can not enumerate the methods of diagnosis of diseases accompanied by pain in the epi-, meso-, and hypogastric region • Do not know how to provide first aid to patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • Not able to assemble a rational history during outpatient appointment for patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • Can not determine which category of services related to patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • During Supervision is not able to objectively assess the condition of patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • Do not rationally be able to plan a survey of patients with pain in the epi-, meso-, and hypogastric region • Not able to make a differential diagnosis of patients with pain in the epi-, meso-, and hypogastric region
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. ykov
	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: • Does the concept of where is the epi-, meso-, and hypogastric region • Knows what organs are located in the epi-, meso-, and hypogastric region • Know the causes of abdominal pain • Can list the diseases accompanied with pain in the epi-, meso-, and hypogastric region • Can tell the main clinical signs of diseases associated with pain in the epi-, meso-, and hypogastric region • Can list the main methods of diagnosing diseases accompanied by pain in the epi-, meso-, and hypogastric region • Knows how to provide first aid to patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • Able to collect a rational history during outpatient appointment for patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • Can identify which category of services related to patients with diseases that are accompanied with pain in the epi-, meso-, and hypogastric region • During the outpatient appointment is able to objectively assess the condition of patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region • Able to be rational plan of investigation in patients with pain in the epi-, meso-, and hypogastric region • Able to make a differential diagnosis of patients with pain in the epi-, meso-, and hypogastric region. • Can interpret the results of laboratory and imaging studies in patients with pain in the epi-, meso-, and hypogastric region - can interpret a complete blood count, blood chemistry, the conclusion EGDFS, gastrointestinal tract radiography with barium • Able to correctly fill out a sick patient card.
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 and pathogenesis of diseases associated with pain in the epi-, meso-, and hypogastric region • Know the classification of diseases associated with pain in the epi-, meso-, and hypogastric region. • Can list the diagnostic techniques necessary to establish the diagnosis of diseases associated with pain in the epi-, meso-, and hypogastric region • Knows the basic standards for the treatment of diseases associated with pain in the epi-, meso-, and hypogastric region • Knows the mechanism of action of drugs used to treat diseases associated with pain in the epi-, meso-, and hypogastric region • Can be rationally choose the medication to the patient, depending on the cause of abdominal pain.
	76-80	Student wholly owns 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 diseases associated with pain in the epi-, meso-, and hypogastric region • Knows the principles of primary, secondary and tertiary prevention of diseases associated with pain in the epi-, meso-, and hypogastric region
	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: • Can tell the basic principles of management, supervision and monitoring of patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region under the MRA or joint venture. • Is able to advise you on the boards of non-drug and drug-using skills of IPC. • Knows the principles of clinical examination and rehabilitation of patients with diseases accompanied with pain in the epi-, meso-, and hypogastric region under the MRA or joint venture
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 diseases associated with pain in the epi-, meso-, and hypogastric region • Know the indications and contraindications of drugs used in diseases accompanied with pain in the epi-, meso-, and hypogastric region • Is able to provide reliable information about the pain in his stomach on the basis of 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 in diseases accompanied with pain in the epi-, meso-, and gipogastralnoy of their indications and contraindications for its intended purpose. • Know the indications for referral to a specialist or hospitalization profile department. • Knows the principles of follow-up, control and rehabilitation of diseases associated with pain in the epi-, meso-, and hypogastric region under the MRA or joint venture.
	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) • Know the indications and contraindications for surgical treatment of diseases associated with pain in the epi-, meso-, and hypogastric region, the types of surgery • Can tell in detail how to carry out laboratory and instrumental methods of diagnosis in peptic ulcer and gastritis, can inerpretirovat their • Can be in English ask complaints, gather medical history and talk briefly about the disease to the patient with diseases accompanied with pain in the epi-, meso-, and hypogastric region • 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. Etiology functional bowel disease.

2. Clinic functional bowel disease.

3. Diagnosis of abdominal pain in functional bowel diseases.

4. Differential diagnosis of abdominal pain.

5. The etiology of colitis.

6. Clinic colitis.

7. Diagnosis of colitis.

8. Differential diagnosis of colitis.
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.

• 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.

• Therapeutic Reference Washington Ed. M.Vudli M. Practice, 2000.

• Umumy amaliet shifokori Uchun kullanma F.G.Nazirov, A.G.Gadaev Tahrah. M. GEOTAR-Media, 2007.

• 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://www.thecochranelibrary.com

Medical sites:

Med.-site.narod.ru

www.medicum.ru

www.medtext.ru

www.medkniga.ru

Practical session number 5

Theme: "The pain in my stomach. Differential diagnosis of chronic cholecystitis and chronic pancreatitis. Tactics GPs. Indications for referral to a specialist or hospital in the profile department. The principles of treatment, follow-up, control and rehabilitation in a hovercraft or a joint venture. The principles of prevention. The principles of teaching about "
Lerning texnology

Study time: 6.4 hours
The structure of the training session		1. Training themed room. 2. Cabinet GPs. 3. Tutorials, phantoms, models, handouts, a collection of case studies and tests 4. TV, video equipment, multimedia
The purpose of the training session: Getting GPs choosing the optimal treatment strategy options for chronic cholecystitis and pancreatitis, the differential diagnosis, as well as the principles of management of patients in primary care, provided the requirements of the "Qualification characteristics of the general practitioner."
Pedagogical objectives: 1. Consider the issues of diagnosis of chronic cholecystitis and pancreatitis. 2. Demonstrate patients with chronic cholecystitis and pancreatitis. 3. Discuss the results of clinical, laboratory and instrumental studies in chronic cholecystitis and pancreatitis. 4. Differential diagnosis of chronic cholecystitis and pancreatitis. 5. Discuss the tactics in the qualifying characteristics of GPs 6. Discuss the principles of treatment (medication and non-medication). 7. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 8. Discuss the principles of primary, secondary and tertiary prevention in these diseases	Learning outcomes: GPs should be aware of: 1. The mechanism and causes of chronic cholecystitis and pancreatitis 2. Clinical manifestations of chronic cholecystitis and pancreatitis 3. Diagnosis of chronic cholecystitis and pancreatitis 4. Differential diagnosis of chronic cholecystitis and pancreatitis 5. Tactics GPs. 6. The principles of treatment (medication and non-medication) in these diseases. 7. Principles of follow-up and monitoring of patients in a hovercraft or a joint venture. 8. The principles of primary, secondary and tertiary prevention in these diseases. GPs should be able to: 1. Analyze the data and history of complaints in the diagnosis of chronic cholecystitis and pancreatitis 2. Diagnose, differentiated by clinical and laboratory research tool chronic cholecystitis and pancreatitis 3. Choose drugs with proven efficacy 4. Advise on non-drug therapies. 5. To monitor in a hovercraft or a joint venture.
training Methods	Brainstorming, graphic organizer - Vienna chart, demonstration, entertainment experience, discussion, conversation, decision tests and case studies
Forms of organization of learning activities	Individual work, group work, team, classroom, extracurricular.
learning Tools	Hand-learning materials viziualnye materials, videos, models, graphic organizers, kits medical charts, tables, and benches.
Methods and feedback means	Quiz, test, presentation of the results of the learning task, filling medical records implementation of practical skill "professional debriefing"

Flow chart classes

№	Stages of the practice session	Form classes Venue	Duration classes 225
1	Chapeau (justification themes)		10
2	The discussion on the practical lessons with the use of new educational technologies (method of "brainstorming"), as well as demonstration material (sets of medical charts, tables, posters, x-ray), define the initial level.	The survey, discussion Classroom, GP surgeries	40
3	Chapeau (justification themes)		10
4	Definition of tasks to perform the practical part - professional questioning. Explanation of the provisions and recommendations for the job by filling in medical charts.	discussion GP doctor's office	20
5	Mastering the practical part of the training under the guidance of a teacher.	Prof. questioning. A conversation with patients and honey filling cards, situational problems. Admission of patients in the clinic, examination at home	20
6	Interpretation of the survey data of patients, complaints, inspection, palpation, percussion, auscultation of patients, as well as research OAM KLA and biochemical analysis and diagnosis	Sajarah medical,   Laboratory data situational masalah	25
7	Pirembagan teori kula lan praktis wawasan mahasiswa, nggayuh sing penting kanggo nemtokake tingkat ing assimilation saka kawruh Assessment.	Lisan pitakonan, tes, diskusi, identifikasi saka praktis skills Classroom ing Clinic	75
8	Sing wis mesthi output ing praktis mau ing 100-jalur sistem rating lan iklan evaluasi. Peer sabanjuré laku sesi (koleksi pitakonan).	Informasi, pitakonan kanggo peer. Classroom ing Clinic	25

2. Motivasi

Antarane patients seeking medical care karo weteng pain ora babagan cilik patients karo rusak saka gallbladder lan pancreas. Ing kahanan iki, ing pasukan saka praktisi umum (GP) wis dikirim menyang diagnosa awal saka penyakit lan panentu of medical care ing FCP (SP), dikirim menyang specialized rumah sakit. Lan liyane kahanan punika basis kanggo Gawan saka subyek ing latihan saka GPS.