The evaluation criteria
Max score 20-19
|
18-17 point
|
16-15 point
|
14-13 point
|
12 point
|
Perfect
|
Good
|
Satisfactorily
|
unsatisfactorily
|
bad
|
100%-86%
|
85%-73%
|
70-56%
|
53%-46%
|
43% and less
| -
4.3. The practical part
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The list of skills that GPs should possess after completing training on the subject
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1. Perform a visual inspection of patients with dyspepsia zhelulochnymi.
-
2. The interpretation of laboratory and instrumental studies at zhelulochnyh dyspepsia.
-
-
5. NUMBER AND TYPES OF CONTROL MEASURES FOR assessing students
-
• Verbally
-
• In writing
-
• The decision of situational problems
-
• Demonstration of practical skills mastered
Criteria for evaluation of knowledge and skill to practical skills of students.
№
|
Mark
|
Perfect
|
Good
|
Satis.
|
Unsatis.
|
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 балл
|
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. The evaluation criteria of the current control
Level of mark
|
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 the term "gastritis, duodenitis"
• Do not know the definition of the terms "peptic ulcer and 12 duodenal ulcer"
• Do not know the cause of dyspepsia in the above diseases
• Do not know the etiology of gastritis, duodenitis and peptic ulcer disease
• Do not know what relates to the factors of protection and aggression factor in the development of peptic ulcer disease
• Can not tell the main clinical signs of gastritis, duodenitis and peptic ulcer disease
• Can not enumerate the methods of diagnosis of gastritis, duodenitis and peptic ulcer disease
• Do not know the group of drugs for the treatment of gastritis, duodenitis and peptic ulcer disease (stomach and intestine 12perstnoy)
• Not able to assemble a rational history during outpatient appointment for patients with gastritis and peptic ulcer of the stomach and intestine 12perstnoy
-
• During the outpatient appointment is not able to objectively assess the condition of patients with gastritis and peptic ulcer of the stomach and intestine 12perstnoy Not be able to rationally plan the survey to patients with gastritis and peptic ulcer disease (stomach and intestine 12perstnoy)
-
• Not able to make a differential diagnosis of patients with gastritis and peptic ulcer disease (stomach and intestine 12perstnoy)
-
• Do not know the complications of peptic ulcer of the stomach and intestine 12perstnoy
|
Providing basic knowledge and skills
|
Satis.
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 "gastritis, duodenitis"
• Know the definition of the terms "peptic ulcer and 12 duodenal ulcer"
• Can explain the causes of dyspepsia in these diseases
• Knows the etiology of gastritis and peptic ulcer disease
• Knows that relates to the factors of protection and aggression factor in the development of peptic ulcer disease
• Can tell the main clinical signs of gastritis, duodenitis and peptic ulcer disease
• Can list the main methods of diagnosis of gastritis and peptic ulcer disease
• Knows the group of drugs for the treatment of gastritis and peptic ulcer disease (stomach and intestine 12perstnoy)
• Able to build a rational history during outpatient appointment in patients with gastritis, peptic ulcer and ulcer 12perstnoy
• During the outpatient appointment is able to objectively assess the condition of patients with gastritis and peptic ulcer of the stomach and intestine 12perstnoy
• Able to efficiently make a plan of examination of patients with gastritis, duodenitis and peptic ulcer disease (stomach and intestine 12perstnoy)
• Able to make a differential diagnosis of patients with gastritis, duodenitis and peptic ulcer disease (stomach and intestine 12perstnoy)
• Can list the complications of peptic ulcer of the stomach and intestine 12perstnoy.
• Can interpret the results of laboratory and imaging studies - can be interpreted EGDFS conclusion, gastrointestinal barium X-ray in patients with gastritis and peptic ulcer disease (stomach and intestine 12perstnoy)
-
• 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") owns the following knowledge and skills:
• Knows the etiology, pathogenesis of gastritis, duodenitis and peptic ulcer disease (stomach and intestine 12perstnoy)
• Know the classification of gastritis and peptic ulcer disease
-
• Can list the diagnostic techniques necessary to establish the diagnosis of gastritis and peptic ulcer disease Knows the basic standards of treatment of gastritis and peptic ulcer disease (anti-secretory drugs and preparations for the eradication of Helicobacter pylori)
-
• Knows the mechanism of action of drugs used in the treatment of peptic ulcer and gastritis
-
• Can be rationally choose the medication to the patient, depending on the cause of abdominal pain.
|
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 gastritis and peptic ulcer disease
-
• Knows the principles of primary, secondary and tertiary prevention of gastritis and peptic ulcer disease
|
81-85,9
|
The student is wholly owned by the basic levels of knowledge and skills (see above) the 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 gastritis and peptic ulcer of the stomach and intestine 12perstnoy 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 gastritis, duodenitis, gastric ulcer and ulcer 12perstnoy 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) the knowledge referred to in paragraph "81-85,9", and also owns the following knowledge and skills:
• Knows the principles of treatment of patients with gastritis and peptic ulcer of the stomach and intestine 12perstnoy
• Know the indications and contraindications of drugs used in gastritis and peptic ulcer disease and gastric ulcers 12perstnoy
-
• 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) the knowledge referred to in paragraph "86-90", and also owns the following knowledge and skills:
• Knows (Sydney and the Houston) the classification of gastritis. May explain the mechanism of the development of gastritis and peptic ulcer disease.
• Know all of antisecretory drugs, their indications and contra-indications.
• Knows what is the "gold standard" of diagnosis of Helicobacter pylori
-
• Knows how it's performed urease test, breath test, histological test
|
96-100
|
The student is wholly owned by the basic levels of knowledge and skills (see above) the 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 peptic ulcer and ulcer 12perstnoy, types of surgery
• Know the indications for referral to a specialist and specialized specialized departments
• Can tell in detail how to carry out laboratory and instrumental methods of diagnosis in peptic ulcer and gastritis, is able to interpret them
• Can be in English ask complaints, gather medical history and talk briefly about the disease to the patient with gastritis and peptic ulcer disease
-
• 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. Test Questions
1.Etiologiya gastritis.
2.Klinika gastritis.
3.Klassifikatsiya gastritis.
4.Diagnostika gastritis.
5.Differentsialnaya diagnosis of gastritis.
6.Etiologiya duodenitis.
7.Klinika duodenitis.
8.Klassifikatsiya duodenitis.
9.Diagnostika duodenitis.
10.Differentsialnaya diagnosis of duodenitis.
11.Etiologiya ulcer.
12.Klinika ulcer.
13.Klassifikatsiya ulcer.
14.Diagnostika ulcer.
15. Differential diagnosis of peptic ulcer 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.
• 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.
• 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://www.thecochranelibrary.com
Medical sites:
Med.-site.narod.ru
www.medlook.ru
www.medbok.ru
Practical lesson number 3
Theme: "Dyspepsia (indigestion, nausea, vomiting). Differential diagnosis of postcholecystectomy syndrome and diseases of operated stomach. Tactics GPs. Indications for referral to a specialist or hospitalization profile department. Principles of treatment, follow-up, monitoring and rehabilitation under MRA or joint venture . Principles of prevention. Principles of teaching subjects. "
learning Technology
Study time: 6.4 hours
|
The structure of the training session
|
- Training thematic study clinic.
- Office of the GP in the clinic.
|
The purpose of the training session:
Teach GPs choosing the optimal treatment strategy options for postcholecystectomy syndrome, diseases of the operated stomach, 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 postcholecystectomical syndrome
2. Consider the issues of diagnosis of the disease operated stomach
3. Demonstrate patients with postcholecystectomy syndrome, a disease of the operated stomach
4. Discuss the results of clinical, laboratory and instrumental studies at postcholecystectomy syndrome, diseases of the operated stomach
5. Differential diagnosis postcholecystectomical syndrome, diseases of the operated stomach.
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.
-
9. Discuss the principles of primary, secondary and tertiary prevention in these states.
|
Learning outcomes:
GPs should be aware of:
1. The mechanism and causes of postcholecystectomy syndrome, a disease of the operated stomach
2. Clinical manifestations of postcholecystectomy syndrome, diseases of the operated stomach
3. Postcholecystectomical syndrome diagnosis, disease operated stomach
4. Differential diagnosis of postcholecystectomy syndrome, diseases of the operated stomach
5. Medicinal products used in the treatment of postcholecystectomy syndrome, diseases of the operated stomach, their pharmacodynamics and dosage.
6. Principles of follow-up and monitoring of patients in a hovercraft or a joint venture.
7. The principles of primary, secondary and tertiary prevention in these states.
GPs should be able to:
1. Analyze the data and history of complaints in the diagnosis of postcholecystectomy syndrome, diseases of the operated stomach
2. Diagnose, differentiated by clinical and laboratory research tool postcholecystectomical syndrome, a disease of the operated stomach.
3. Choose drugs with proven efficacy
4. Advise on non-drug therapies.
-
5. To monitor in a hovercraft or a joint venture.
|
training Methods
|
* Method * Roundtable; graphic organizer - fishbone
|
Forms of organization of learning activities
|
Individual work, group work, team
|
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 postcholecystectomy syndrome and diseases of operated stomach. Tactics GPs. Indications for referral to a specialist or hospitalization profile department. Principles of treatment, follow-up, monitoring and rehabilitation under MRA or joint venture . Principles of prevention. Principles of teaching subjects. "
№
|
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 (the method of the "round table"), 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
|
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