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	Satisfactorily	Unsatisfactorily	bad
	Assimilation in%	100%-86%	85%-71%	70-55%	54%-37%	36% and less
1	The theoretical 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	15-12,9б point	12,7-10,6 point	10,5-8,25 балл	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 class.
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 know the definition of the term "dyspepsia" • Can not transfer the disease accompanied by dyspepsia • Do not know the causes, the etiology of dyspepsia • Can not enumerate the methods of diagnosis of biliary dyskinesia and cholecystitis • Can not tell the clinic biliary dyskinesia and cholecystitis • Not able to assemble a rational history of supervision of patients during biliary dyskinesia and cholecystitis • During Supervision is not able to objectively assess the condition of patients with dyspepsia • Not able to make rational plan of investigation in patients with biliary dyskinesia and cholecystitis • Not able to make a differential diagnosis of patients with dyspepsia
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 "dyspepsia" • Can transfer the disease accompanied by dyspepsia • Know the causes, the etiology of dyspepsia • Can list the main methods of diagnosis of biliary dyskinesia and cholecystitis • Can tell the clinic biliary dyskinesia and cholecystitis • Able to build a rational history of supervision of patients during biliary dyskinesia and cholecystitis • During Supervision able to objectively assess the condition of patients with dyspepsia • Able to be rational plan of investigation in patients with biliary dyskinesia and cholecystitis • Able to make a differential diagnosis of patients with dyspepsia • Can interpret the results of laboratory and imaging studies - may indicate the presence of leukocytosis, elevated erythrocyte sedimentation rate, can be interpreted EGDFS conclusion, ultrasound. • Able to correctly fill in the patient diary.
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 of dyspepsia • Know the classification of dyspepsia • Knows the mechanism of action of drugs used for the treatment of biliary dyskinesia and cholecystitis • Rationally find drugs to the patient, depending on the cause of the defeat of the biliary tract and gall bladder
	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 pathogenesis of dyspepsia • Know the classification of biliary dyskinesia, cholecystitis • Knows the principles of primary, secondary and tertiary prevention of dyspepsia with biliary dyskinesia and cholecystitis ah
	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 biliary dyskinesia and holetsistititami 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 dyspepsia 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 biliary dyskinesia and cholecystitis • Knows the indications and contraindications of drugs used in biliary dyskinesia and cholecystitis • Is able to provide reliable information about dyspepsia 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 the classification of biliary dyskinesia, cholecystitis. • Can explain the mechanism of the development of dyspepsia with biliary dyskinesia and cholecystitis • Can tell the differential diagnosis of dyskinesia among themselves and with other diseases associated with dyspepsia
	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 more modern methods of investigation of patients with biliary dyskinesia, cholecystitis • Is able to differentially treat biliary dyskinesia, depending on the type of • Can be in English ask complaints, gather medical history and talk briefly about the disease to the patient with chronic cholecystitis

Note: The basic level of knowledge and skills - a minimum of knowledge that provides the principle of "security" for the patient.

7. Test questions.

1. Etiology of dyspepsia.

2. The clinic dyspepsia.

3. Diagnosis of dyspepsia.

4. Differential diagnosis of dyspepsia.

5. Appointment of outpatient treatment of dyspepsia.

6. Clinical supervision of patients with dyspepsia.8. Список литературы:

Основная

1. Kasalliklar testes, Sharapov UF T: Ibn Sina, 2003

2. Kasalliklar testes, Bobozhanov S. T: Yangi Asr avlod 2008

3. Internal Medicine, Volume 2 Mukhin, NA M. GEOTAR - Media 2009

4. Textbook of Internal Medicine Editor-in-Chief William N. Kelley 1997
Additional

1. Umumy amaliet vrachlar Uchun maruzalar tuples, Gad, A., T., 2012

2. General practice, under red.F.G.Nazirova, A.G.Gadaeva. M. GEOTAR Media, 2009.

3. Directory GP. Dzh.Merta. M.: Practice, 1998.

4. Collection of practical skills for general practitioners. Gadaev A. Akhmedov Kh.S. T., 2010.

5. Umumy amaliet vrachlar Uchun Amal kunikmalar tuplyu Gadaev AG, Akhmedov, HS, 2010. T.

6. Therapeutic Guide Washington, Ed. M.Vudli M. Practice, 2000.

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

8. Diagnosis of diseases of the internal organs. AN hams 2005.

9. Treatment of diseases of the internal organs. A.N.2005 hams.

10. Differential diagnosis of internal diseases. AV Vinogradov Moscow: Medical News Agency, 2009.

11. Internal medicine: a textbook. - A 2-ton (2 volumes), ed. Martynov, etc. M: GEOTAR - Media, 2005:

              

Internet Resources:

ttp :/ / www.klinrek.ru / cgi-bin / mbook, http://www.intute.ac.uk/medicine/

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

www.medbok.ru

www.medicum.ru

www.medtext.ru

www.medkniga.ru
Practical lesson number 2

Theme: "Dyspepsia (indigestion, nausea, vomiting). Differential diagnosis of gastritis, duodenitis and peptic ulcer disease. Tactics GPs. Indications for referral to a specialist or hospitalization profile department. Principles of treatment, monitoring, control and rehabilitation in a hovercraft or a joint venture. The principles of prevention. Principles of teaching about "

Learning Technology

Study time: 6.4 hours
The structure of the training session	- Educational theme study clinic. - Office of the GP in the clinic.
The purpose of the training session: Teach GPs on timely diagnosis and differential diagnosis, selection of the optimal treatment strategy options for stomach dyspepsia, as well as the principles of management of patients in primary care, provided the requirements of the "Qualification characteristics of the GP"
Pedagogical objectives: 1. Consider the issues of diagnosis of gastric dyspepsia. 2. Consider diagnosis of gastritis and duodenitis, peptic ulcer disease. 3. Demonstrate patients with gastric dyspepsia. 4. Discuss the results of clinical, laboratory and instrumental studies with gastric dyspepsia. 5. Differential diagnosis of gastric dyspepsia. 6. Discuss questions about tactics in the qualifying characteristics of GPs 7. Discuss the principles of treatment (medication and non-medication). 8. Discuss the principles of management, supervision and monitoring of patients in a hovercraft or a joint venture. 1. 9. 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 gastric dyspepsia. 2. Clinical manifestations of gastric dyspepsia. 3. Diagnosis of gastric dyspepsia. 4. Differential diagnosis of gastric dyspepsia. 5. Medicinal products used in the treatment of gastric dyspepsia their pharmacodynamics and dosage. 6. 3-and 4-component treatment of peptic ulcer or 12 pk 7. Principles of supervision and monitoring of patients with gastric dyspepsia in a hovercraft or a joint venture. 8. The principles of primary, secondary and tertiary prevention of diseases that occur with gastric dyspepsia. GPs should be able to: 1. Analyze the data and history of complaints in the diagnosis of gastric dyspepsia. 2. Diagnose, differentiated by clinical and laboratory studies the various instrumental types of gastric dyspepsia. . Choose drugs with proven efficacy Advise on non-drug therapies. 4. To monitor in a hovercraft or a joint venture.
training Methods	Method * snowballs *; graphic organizer - fishbone
Forms of organization of learning activities	Individual work, small group work, teamwork
learning Tools	Training manuals, training materials, ECG patients, slides, video and audio recordings, medical history
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

Theme: "Dyspepsia (indigestion, nausea, vomiting). Differential diagnosis of gastritis, duodenitis and peptic ulcer disease. Tactics GPs. Indications for referral to a specialist or hospitalization profile department. Principles of treatment, monitoring, control and rehabilitation in a hovercraft or a joint venture. The principles of prevention. principles of teaching about "

№	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 "tour of the gallery"), 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	conclusion discussion		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	Medical history,   laboratory data situational problems	25
7	Discussion of theoretical and practical knowledge of the students, securing the material to determine the level of assimilation of knowledge assessment.	Oral questioning, tests, discussion, identification of practical skills Classroom in a clinic	75
8	Defining output on practical sessions on a 100-point rating system and ad evaluations. Homework next practice session (a collection of questions).	Information, questions for homework. Classroom in a clinic	25

2. motivation

Patients complaining of belching, heartburn, nausea, vomiting, epigastric pain often encountered in practice, primary care physicians. In this situation, the force of a general practitioner (GP) is directed to the diagnosis of diseases for medical care in a GWP (SVP), or referral to specialized hospitals. These and other conditions are the basis for the inclusion of this subject in the training of GPs.

3. Interdisciplinary communication and Intra

The teaching of this subject is based on the knowledge of students osnovAnatomiya, histology and cytology with embryology, biology, normal physiology, biochemistry,. Pathological Anatomy, Pathological Physiology, Topographic anatomy and operative surgery, internal medicine Propedeutics, Tuberculosis. Oncology, Radiology and Nuclear Medicine, Physiotherapy, Endocrinology, Faculty Therapy, Hospital Therapy, Orthopedics.

4.Teoreticheskaya part

When parsing the theme focuses on the following aspects:

Dyspepsia - a general term for symptoms caused by digestive problems, who are treated gastroenterology patients to medical practitioners and clinics of hospitals.

Dyspepsia includes the following symptoms: nausea, heartburn, regurgitation, epigastric discomfort, and in the lower parts of the chest, feeling of fullness or heaviness in the epigastrium, flatulence. At the heart of gastric dyspepsia is a violation of its secretion and motor function.

Dyspeptic syndrome accompanies almost all diseases of the digestive system, the main of which are as follows: non-ulcer dyspepsia, overeating, smoking, gastro, etc.; reflux esophagitis, hiatal hernia, esophageal dysmotility, peptic ulcer and 12 duodenal ulcer, cancer of the esophagus , stomach, pancreas, liver disease, biliary tract and pancreas, inflammatory disease of the gastrointestinal tract: gastritis, giardiasis, Crohn's disease, irritable bowel syndrome, variants of coronary heart disease, alcohol consumption, and adverse drug effects and toxicity.

During prolonged and severe indigestion to establish the cause perform the following laboratory and instrumental investigations: blood, fecal occult blood test, analysis of gastric juice, if necessary with the histamine test, stress ECG - sample, abdominal ultrasound, x-ray gastrointestinal tract and gall bladder mucosal biopsy with EFGDS, retrograde holetsistopankreatografiya, esophageal manometer, tumor markers, carcinoembryonic antigen embriogenalny for suspected cancer of the colon, A-fetoprotein - for suspected cancer of the liver.