5Control 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 б point
|
3
|
Тest
|
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. 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 "diarrhea"
• Do not know the etiology of infectious and non-infectious diarrhea
• Can not enumerate the infectious-diseases, diarrheal
• Can not enumerate the infectious etiology of the disease, diarrheal
• Can not enumerate the methods of diagnosis of diarrheal diseases
• Not able to assemble a rational history during outpatient appointment in patients with diarrhea
• Can not determine which category of services is sick with diarrhea infectious etiology
• Can not determine which category of services is sick with diarrhea infectious etiology
• During the outpatient appointment is not able to objectively assess the condition of patients with diarrhea of infectious and noninfectious etiologies
• Not able to rationally make a plan of examination of patients with diarrhea infectious etiolgii
|
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 the term "diarrhea"
• Knows the etiology of infectious and non-infectious diarrhea
• Can transfer the infectious-diseases, diarrheal
• Can transfer the infectious etiology of the disease, diarrheal
• Can list the main methods of diagnosis of diarrheal diseases
• Able to build a rational history during outpatient appointment in patients with diarrhea
• Can identify which category of services is sick with diarrhea infectious etiology
• Can identify which category of services is sick with diarrhea infectious etiology
• During the outpatient appointment is able to objectively assess the condition of patients with diarrhea of infectious and noninfectious etiologies
• Able to efficiently plan the investigation of patients with diarrhea infectious etiology
• Not able to make a differential diagnosis of patients with diarrhea of infectious and non-infectious nature
• Can interpret the results of laboratory and imaging studies in patients with diarrhea - can interpret blood count, blood chemistry, the general analysis of feces, fecal bak.posev medium to determine dysbiosis, EGDFS conclusion, 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, pathogenesis of infectious and non-infectious diarrhea
• Know the classification of diarrhea
• Can list the diagnostic techniques necessary to establish the diagnosis of diseases associated with diarrhea syndrome
• Knows the basic standards for the treatment of infectious and non-infectious diarrhea genesis
• Know the risk factors that lead to the development of diarrhea
• Knows the mechanism of action of drugs used for the treatment of infectious and non-infectious diarrhea genesis
-
• Can be rationally choose the medication to the patient with diarrhea of non-infectious nature
|
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 diarrhea inf. neinf. nature
• Can show on Volunteer deep abdominal palpation by a model Strazhesko
-
• Knows the principles of primary, secondary and tertiary prevention of diarrheal disease and infectious non-infectious nature
|
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 diarrhea of infectious and non-infectious nature 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 diarrhea of varying etiolgii
• Know the indications and contraindications of drugs used for diarrhea infection and noninfectious origin
-
• Is able to provide reliable information about the diarrhea of various etiologies based on 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 diarrhea of various etiologies, their indications and contra-indications.
• Know the indications for referral to a specialist or hospitalization profile department patients with diarrhea of infectious and non-infectious nature.
-
• Knows the principles of follow-up, monitoring, and rehabilitation of patients with diarrhea of various etiologies 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 for diarrhea
• Can be in English ask complaints, gather medical history and talk briefly about the diarrhea of infectious and noninfectious 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. The etiology of diarrheal disease.
2. Clinic of diarrheal disease.
3. Diagnosis of diarrheal disease.
4. Differential diagnosis of diarrheal disease.
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 Constipation
Objective: To teach students posindromalnomu addressing patients with constipation, 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 constipation.
• To train students in a timely diagnosis of the problems associated with constipation.
• To teach students to differentiate the disease, accompanied with constipation.
• Improve the knowledge, skills and practical skills in solving problems of patients with constipation (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 cps.
• 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 disorders that occur with constipation.
What the student needs to know to solve the problems of patients with constipation:
№
|
The list of knowledge
|
The basic level
|
1
|
The list of diseases which occur with constipation
|
The student should know at least 10 of the most common diseases
|
2
|
A list of the most dangerous diseases that occur with constipation
|
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 constipation
|
Key points (criteria) diagnosis of diseases occurring with constipation.
|
8
|
The nature of the chair
|
The student must know the characteristic change in stool.
|
9
|
Symptoms of internal organ
|
The student should know the signs of heart, lung, liver, spleen, stomach, 12 pc., Intestines and kidneys
|
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 constipation 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 constipation:
№
|
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 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
|
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
|
Rate subcutaneous fat.
|
|
7
|
inspection of the mouth
|
The student should be able to appreciate the language.
|
8
|
General inspection abdomen
|
The student must be able to detect the presence of:
-ascites
-flatulence
|
9
|
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 test SHCHetkina-Blumberg
|
10
|
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
|
11
|
Conduct percussion liver
|
The student should be able to:
- Determine the limits of the liver Kurlov
|
12
|
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.
|
13
|
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
|
14
|
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
|
15
|
Conduct a survey of anorectal
|
The student should be able to anorectal examination, taking into account the principle of step.
|
16
|
Interpret clinical, instrumental and biochemical analyzes
|
The student must be able to identify signs:
- Increase or decrease in performance from the norm.
|
17
|
Differentiate the disease, accompanied with constipation
|
The student must be able to differentiate the disease on the basis of the distinctive features (history, physical examination, laboratory and instrumental investigations)
|
18
|
Post a non-drug advice
|
The student should be able to:
- Educate patients on self-monitoring
- Advise on diet
- Advise on healthy lifestyles
|
19
|
Rational use of medicines in the treatment of diseases occurring constipation.
|
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.
|
20
|
Conduct monitoring and surveillance of patients
|
The student must be able to carry out monitoring and control status in SAP and SP.
|
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