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
	Assimilation %	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.
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 definition of chronic cholecystitis, chronic pancreatitis • Do not know the etiology of chronic cholecystitis, chronic pancreatitis • Do not know the cause of abdominal pain in chronic cholecystitis, chronic pancreatitis • Can not tell the main clinical signs of chronic cholecystitis, chronic pancreatitis • Can not enumerate the methods of diagnosis of chronic cholecystitis, chronic pancreatitis • Not able to assemble a rational history during outpatient appointment in patients with chronic cholecystitis, chronic pancreatitis • Can not determine which category of services is patient with chronic cholecystitis, chronic pancreatitis • During the outpatient appointment is not able to objectively assess the condition of patients with chronic cholecystitis, chronic pancreatitis • Not able to rationally make a plan of examination of patients with chronic cholecystitis, chronic pancreatitis • Not able to make a differential diagnosis of patients with chronic cholecystitis, chronic pancreatitis
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: • Know the definition of chronic cholecystitis, chronic pancreatitis • Knows the etiology of chronic cholecystitis, chronic pancreatitis • Know the causes of abdominal pain in chronic cholecystitis, chronic pancreatitis • Can tell the main clinical signs of chronic cholecystitis, chronic pancreatitis • Can list the main methods of diagnosis of chronic cholecystitis, chronic pancreatitis • Able to build a rational history during outpatient appointment in patients with chronic cholecystitis, chronic pancreatitis • Can identify which category of services is a patient with chronic cholecystitis, chronic pancreatitis • During the outpatient appointment is able to objectively assess the condition of patients with chronic cholecystitis, chronic pancreatitis • Able to efficiently make a plan of examination of patients with chronic cholecystitis, chronic pancreatitis • Able to make a differential diagnosis of patients with chronic cholecystitis, chronic pancreatitis • Can interpret the results of laboratory and imaging studies in patients with chronic cholecystitis and chronic pancreatitis - may interpret blood count, blood chemistry, the conclusion EGDFS, gastrointestinal barium x-ray, ultrasound conclusion • 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 chronic cholecystitis, chronic pancreatitis • Know the classification of chronic cholecystitis, chronic pancreatitis • Can list the diagnostic techniques necessary to establish the diagnosis of chronic cholecystitis, chronic pancreatitis • Knows the basic standards for the treatment of chronic cholecystitis, chronic pancreatitis • Knows the mechanism of action of drugs used for the treatment of chronic cholecystitis, chronic pancreatitis • Can be rationally choose the medication to the patient with chronic cholecystitis, chronic pancreatitis
	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 chronic cholecystitis, chronic pancreatitis • Can show on volunteers all points of defeat pancreatic cancer and pancreatitis symptoms of cholecystitis • Knows the principles of primary, secondary and tertiary prevention of chronic cholecystitis, chronic pancreatitis
	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 chronic cholecystitis, chronic pancreatitis in a hovercraft or a 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 chronic cholecystitis, chronic pancreatitis in a hovercraft 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 chronic cholecystitis, chronic pancreatitis • Know the indications and contraindications of drugs used in chronic cholecystitis, chronic pancreatitis • 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 chronic cholecystitis, chronic pancreatitis, 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 chronic cholecystitis, chronic pancreatitis in a hovercraft or a 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) • Can tell in detail how to carry out laboratory and instrumental methods of diagnosis of chronic cholecystitis, chronic pancreatitis. • Can be in English ask complaints, gather medical history and talk briefly about chronic cholecystitis, chronic pancreatitis • Has a pedagogical skill - good lucidly present the topic audience

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  Note: The basic level of knowledge and skills - a minimum of knowledge that provides the principle of "security" for the patient.
  
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  7.Kontrolnye questions
  
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  1. The etiology of chronic cholecystitis and chronic pancreatitis
  
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  2.Klinika chronic cholecystitis and chronic pancreatitis
  
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  3.Diagnostika chronic cholecystitis and chronic pancreatitis
  
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  4.Differentsialnaya diagnosis of chronic cholecystitis and chronic pancreatitis
  
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  5. Treatment of chronic cholecystitis and chronic pancreatitis
  
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  8. Recommended reading
  
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  Summary
  
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  • testes kasalliklar, Sharapov UF T: Ibn Sina, 2003
  
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  • testes kasalliklar, Bobozhanov S. T: Yangi Asr avlod 2008
  
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  • Internal Medicine, Volume 2 Mukhin, NA M. GEOTAR - Media 2009
  
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  • Textbook of Internal Medicine Editor-in-Chief William N. Kelley 1997
  
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  Additional
  
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  • Umumy amaliet vrachlar Uchun maruzalar tuples, Gad, A., T., 2012
  
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  • General medical practice under red.F.G.Nazirova, A.G.Gadaeva. M. GEOTAR Media, 2009.
  
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  • The collection of practical skills for general practitioners. Gadaev A. Akhmedov Kh.S. T., 2010.
  
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  • Umumy amaliet vrachlar Uchun Amal kunikmalar tuplyu Gadaev AG, Akhmedov, HS, 2010. T.
  
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  • Therapeutic Reference Washington Ed. M.Vudli M. Practice, 2000.
  
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  • Umumy amaliet shifokori Uchun kullanma F.G.Nazirov, A.G.Gadaev Tahrah. M. GEOTAR-Media, 2007.
  
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  • Treatment of diseases of the internal organs. A.N.2005 hams.
  
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  • Differential diagnosis of internal diseases. AV Vinogradov Moscow: Medical News Agency, 2009.
  
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  • Internal Medicine: a textbook. - A 2-ton (2 volumes), ed. Martynov, etc. M: GEOTAR - Media, 2005:
  
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                Internet Resources:
  
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  http://dir.rusmedserv.c, http://www.medlinks.ru/,
  
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   http://www.thecochranelibrary.com
  
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  Med.-site.narod.ru
  
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  www.medicum.ru
  
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  www.medtext.ru
  
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  www.medkniga.ru
  
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  REQUIREMENTS FOR KNOWLEDGE, SKILLS AND SKILLS TRAINING FOR STUDENTS ON THE BASIS OF SOLVING THE PROBLEM OF PATIENTS
  
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  With DIARRHOEA
  
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  Objective: To teach students posindromalnomu addressing patients with diarrhea, as well as the principles of their management in primary health care as part of the qualifying characteristics of GPs
  
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  The main learning objectives:
  
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  • To train the students solve the problem associated with diarrhea.
  
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  • To train students in a timely diagnosis of the problems associated with diarrhea.
  
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  • To teach students to differentiate the disease, accompanied with diarrhea.
  
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  • Improve the knowledge, skills and practical skills in solving problems of patients with diarrhea (gathering information, identifying problems and physical examination, as well as the ability to reasonably prescribe laboratory and instrumental methods of research);
  
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  • To teach students to reasonably choose the tactics;
  
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  • To teach students to exercise reasonable medical and preventive measures and monitoring in SAP and SP.
  
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  When parsing the problem of patients the key moments of assessing students must be:
  
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  • Ability to identify the underlying problem, which is reflected in the quality of life of patients.
  
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  • Ability to ask support questions rational history.
  
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  • 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 diarrhea:

№	The list of knowledge	The basic level
1	A list of diseases which present with diarrhea	The student should know at least 10 of the most common diseases
2	List of the most dangerous diseases which present with diarrhea	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 abdominal pain	The student must know the characteristics and manifestations of each disease, and the criteria for their diagnosis.
8	The nature of the chair	The student must know the characteristic change in the chair.
9	symptoms of dehydration	The student must list the signs
10	Signs of acute abdomen	The student must list the symptoms.
11	Symptoms of internal organ	The student should know the signs of heart, lung, liver, spleen, stomach, 12 pc., Intestines and kidneys
12	Indicators of results of laboratory and instrumental investigations	The student should know: - Normal values​​, as well as their changes in pathology.
13	therapeutic tactics	The student must know the techniques and principles of treatment (including non-drug).
14	The principles of primary, secondary and tertiary prevention	The student should know the basic activities required for the primary, secondary and tertiary prevention
15	The principles of clinical examination and rehabilitation of disorders that occur with diarrhea 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 diarrhea:

№	The list of skills	The basic level
1	Ask the patient and his relatives	• The student must be able to ask questions of management concise questions that really helps to set the probable diagnosis. • The student must 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 the parents and close relatives.
2	Identify risk factors	The student must be able to identify unmanaged and uncontrolled 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	general inspection	The student must be able to identify: - Liver palms, -gynecomastia - Cachexia.
5	Perform visual inspection of the skin	The student must be able to detect the presence of: pale- - Ikterichnost, -presence of lesions The student should be able to estimate the elasticity of the skin and detect signs of dehydration.
6	inspection of the mouth	The student should be able to appreciate the language.
7	Rate subcutaneous fat.
8	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
9	To conduct palpation, percussion and auscultation of the cardiovascular system.	The student must be able to identify signs: - Hypertrophy of the heart 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
10	General inspection abdomen	The student must be able to detect the presence of: -ascites -flatulence
11	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. - To carry out the test SHCHetkina-Blumberg
12	Conduct a deep abdominal palpation	The student should be able to: - To evaluate the properties of the intestine - To evaluate all available structures in the abdomen
13	Conduct percussion liver	The student should be able to: - Determine the limits of the liver Kurlov
14	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.
15	Conduct percussion and palpation of the kidneys.	The student should be able to: - Test for tapping the lumbar region - Palpation evaluate the performance of the kidneys
16	Examine the thyroid gland.	The student should be able to inspect and palpate the thyroid gland and identify signs of increase, and depending on the size of the thyroid gland to distinguish the degree of goiter
17	Conduct a neurological examination.	The student must be able to assess the sensitive area, taking into account the principle of step by step and find the signs: - Sensory disturbances (analgesia hypalgesia, gipostezii, anesthesia, paresthesias, dysesthesia, etc.). The student must be able to assess reflexes (using the neurological hammer) and identify signs: - hyperreflexia - hyporeflexia - arefleksiya The student must be able to assess motor function and signs of The student should be able to specify the symptoms of spinal cord lesions.
18	Conduct a survey of anorectal	The student should be able to anorectal examination, taking into account the principle of step.
19	Interpret clinical, instrumental and biochemical analyzes	The student must be able to identify signs: - Increase or decrease in performance from the norm.
20	Differentiate the disease, accompanied with diarrhea	The student must be able to differentiate the disease on the basis of the distinctive features (history, physical examination, laboratory and instrumental investigations)
21	Post a non-drug advice	The student should be able to: - Educate patients on self-monitoring - Advise on diet - Advise on healthy lifestyles
22	Rational use of medicines in the treatment of diseases that occur with diarrhea.	6. The student should be able to choose drugs with proven efficacy. 7. When selecting a drug student should be able to evaluate: - Efficiency - Safety - Eligibility - Profitability.
23	Conduct monitoring and surveillance of patients	The student must be able to carry out monitoring and control status in SAP and SP.