5. Control forms of knowledge, skills and abilities
Orally
Writing
The solution case studies
Demonstration of practical skills mastered
5.1. Criteria for evaluation of knowledge and skill to practical skills of students.
Number
|
Conformity Assesssment
|
excellent
|
good
|
Satisfactory
|
Unsatisfactory
|
fair
|
|
Assimilation in%
|
100% -86%
|
85% -71%
|
70-55%
|
54% -37%
|
36% or less
|
1
|
Theoretical part
|
20-17,2
Grade
|
17-14,2 score
|
14-11 points
|
10,8-7,4 score
|
7.2 score
|
2
|
Case Studies
|
50-43 points
|
42.5 - 35.5 points
|
35 - 27.5 points
|
27-18,5
Grade
|
18 points
|
3
|
test
|
15-12,9 score
|
12,7-10,6 score
|
10,5-8,25 score
|
8,1-5,5 score
|
5.4 score
|
4
|
Practical part
|
15 - 12.9 points
|
12,75-10,6 score
|
10,5-8,25 score
|
8,1-5,5 - score
|
5.4 score
|
6. The evaluation criteria of the current control
Levels of estimates
|
Rating
Point
|
Characteristics of the student
|
|
2
|
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:
He does not know the definition of the term "cough with sputum"
Do not know the types of cough
Can not tell about the features of cough in patients with lung diseases and malignant neoplasms.
Can not enumerate the methods of diagnosis of cough lung disease and malignant neoplasms.
Do not know the list of essential laboratory and instrumental investigations necessary to carry out lung diseases and malignant neoplasms.
Do not know the group of drugs for the treatment of diseases of the lungs, accompanied by cough and malignant tumors.
Can not collect the rational history during outpatient appointment with cough lung diseases and malignant neoplasms.
During outpatient appointment is not able to objectively assess the condition of patients with the syndrome of "coughing up phlegm" and malignant tumors.
Not be able to rationally plan the survey patients with the syndrome of "coughing up phlegm" and malignant tumors.
Not able to make a differential diagnosis of patients with the syndrome of "coughing up phlegm" and malignant tumors.
|
Providing basic knowledge and skills
|
Satisfactory
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 allows serious errors.
|
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 "cough with sputum"
Knows the types of cough
Can tell about the features of cough in patients with lung diseases and malignant neoplasms.
Can list the main methods of diagnosis of cough in patients with lung diseases and malignant neoplasms.
Knows a list of key laboratory and instrumental investigations necessary to carry out the disease in the lungs, accompanied by cough with sputum and malignant neoplasms.
Knows the group of drugs for the treatment of cough in patients with lung disease and malignancy.
Can assemble a rational history during outpatient appointment with cough in patients with lung disease and malignancy.
During outpatient appointment is able to objectively assess the condition of patients with cough in patients with lung diseases and malignant neoplasms.
Be capable of rational plan of investigation in patients with cough in lung diseases and malignant neoplasms.
Able to make a differential diagnosis of patients with cough with lung diseases and malignant neoplasms.
{/1
|
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 cough in patients with lung disease and malignancy.
Know the mechanism of action of drugs used for the treatment of cough in patients with lung diseases and malignant neoplasms.
Knows how to rationally choose the medication to the patient, depending on the cause of cough.
|
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 the syndrome "Cough with expectoration" of various origins
Knows the principles of primary, secondary and tertiary prevention of cough in lung diseases and malignant neoplasms.
|
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 cough 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 cough in a hovercraft or joint venture
|
Excellent
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 cough of various origins
Able to provide reliable information about the cough of various origins 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:
Deep know the etiology, pathogenesis of cough of various origins
Can describe in detail the laboratory and instrumental methods of research in cough in patients with lung diseases and malignant neoplasms.
|
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:
Provided scientific data on the basis of additional literature (articles and Internet)
Maybe in English ask complaints, gather medical history and talk briefly about the disease to the patient with cough
Can communicate clearly and understandably explain the theme of the audience, using modern educational technology
|
Note: The basic level of knowledge and skills - a minimum of knowledge that provides the principle of "security" for the patient.
7. Quiz
1.Classification of pneumonia.
2.Differential diagnosis of diseases associated with the syndrome of cough.
3.Emergency care in acute pneumonia.
4.Clinical management of patients with cough.
5.Outpatient treatment of patients with cough.
6.Indications for hospitalization.
7.Definition of disability of patients with diseases that occur with coughing syndrome.
8. Prevention.
8. BIBLIOGRAPHY
The main
1. Kasalliklar testes, Sharapov UF T: Ibn Sina, 2003
2. Kasalliklar testes, Bobozhanov S. T: Yangi Asr avlod 2008
3. Internal Medicine, Volume 1 Mukhin, NA M. GEOTAR - Media 2009
4.Internal Medicine, Volume 2 Mukhin, NA M. GEOTAR - Media 2009
5. 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, Ed.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.
6) Umumy amaliet shifokori Uchun kullanma F.G.Nazirov, A.G.Gadaev Tahrah.M. GEOTAR-Media, 2007.
9. Chronological content classes
Time
|
Events
|
Contents
|
Materials
|
Duration of training
|
8.30-9.30
|
Morning conference
|
The report of the doctor on duty and duty subordinators on duty.
|
Medical history, ECG, overhead projector.
|
1 hour
|
9.15-10.00
|
Clinical audit to prescribe patients.
|
A detailed report on the students' prescription patients.
|
|
45 minutes
|
10.05-10.45
|
Theoretical analysis of the topic
|
Checking the initial level of preparedness of students using the "brainstorming" and situational solution of problem.Students heard situ Discount tasks on the topic, they need to analyze and give an opinion.
|
Case studies, training boards, the corresponding theme of employment.
|
40 minutes
|
10.45 -11.05.
|
Study of practical skills.
|
Student under the supervision of a teacher must complete at least two practical skill.
|
The patient or volunteer.
|
20 minutes
|
11.05-11.45
|
Curation of patients
in the department
|
Each student is supervised by a particular patient wards.
|
The patient, stethoscope, sphygmomanometer, medical history (with data of clinical and laboratory findings).
|
40 minutes
|
11.45-12.15
|
Break
|
|
|
30 min
|
12.20-13.20
|
Analysis of case-patients
|
At the choice of the teacher conducted a full examination of the patient on the theme of employment or patients preparing for discharge, data analysis, laboratory and instrumental studies, the rationale for the preliminary and final clinical diagnoses REFLECTION.Ed determined treatment plan with the doses of drugs.
|
The patient, stethoscope, sphygmomanometer, medical history (data of clinical and laboratory findings).
|
1 hour
|
KNOWLEDGE Requirements and skills in teaching students on the basis of Solutions to the problem of patients
with chest pain
Purpose: Teach students posindromalnomu addressing patients with chest pain, 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 the students solve the problem associated with pain in the chest;
Giving students timely diagnosis in the presence of the problems associated with pain in the chest.
To teach students to differentiate diseases accompanied with pain in the chest.
To improve the knowledge, skills and practical skills in solving problems of patients with chest pain (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.
Asking the ancillary issues of rational history.
Ability to identify the presence of risk factors.
The ability to transfer disease or condition which may cause the problem.
The ability to reasonably conduct 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 the SVP or joint venture.
Based on this information the ability to identify the root cause (diagnosis) of the problem.
The ability to identify tactics on the basis of the qualifying characteristics of GPs.
The ability to provide non-pharmacological advice.
The ability to identify drug treatment based on evidence-based medicine
The ability to identify preventive measures at the level of primary health care.
The ability to define the principles of clinical examination and rehabilitation of patients in a joint venture or a joint venture.
What the student needs to know to solve the problems of patients with chest pain:
Number
|
The list of knowledge
|
The basic level
|
1
|
A list of diseases which present with chest pain
|
The student should know at least 10 of the most common diseases
|
2
|
A list of the most dangerous diseases that present with chest pain
|
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 chest pain
|
The student must know the characteristics and manifestations of each disease, and the criteria for their diagnosis.
|
8
|
Classification of coronary artery disease
|
The student must list.
|
9
|
Symptoms of internal organ
|
The student should know the signs of heart, lung, liver, spleen, stomach, 12 pc.
|
10
|
Indicators of laboratory and instrumental methods of research (including ECG)
|
the student should know:
- Performance standards and expected changes in diseases
|
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 patients 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 chest pain:
Number
|
The list of skills
|
The basic level
|
1
|
Ask the patient and his relatives
|
The student should be able to ask questions of management concise questions that really helps to set the probable diagnosis.
The student should 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 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
|
Measure blood pressure.
|
The student should be able to tonometry with the incremental principle.
|
5
|
Perform visual inspection of the skin
|
The student must be able to identify signs:
- Characteristic shingles rash.
The student must be able to detect the presence of a cold, damp and pale skin
|
6
|
Explore the pulse of the carotid, radial and femoral arteries
|
The student should be able to find:
- The presence or absence of a pulse
The student should be able to evaluate the performance of the radial artery.
|
7
|
Inspect the limb
|
The student should be able to find:
- Swelling
-Varicose veins of the extremities
|
8
|
Inspect the mammary gland
|
The student should be able to palpate the breast and to identify the presence of structures (nodes).
|
9
|
Palpate the chest
|
The student should be able to find:
- Local tender points in sternocostal joints.
|
10
|
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
|
11
|
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
|
12
|
To conduct palpation, percussion of the abdomen
|
The student should be able to superficial and deep palpation of the abdomen
The student must be able to identify:
- Acute abdomen
- Gepatomegaliiyu and splenomegaly.
The student must be able to assess:
- All available structures in the abdomen
|
13
|
Post your spine (inspection and palpation, including functional tests)
|
The student must be able to conduct a survey of the spine with the incremental principle.
The student must be able to identify signs or symptoms:
- Abnormal lordosis and kyphosis
- Curvature of the spine
- Functional disorders
-Characteristic of osteochondrosis
|
14
|
Conduct a neurological examination.
|
1. 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.).
2. The student must be able to assess reflexes (using the neurological hammer) and identify signs:
- Hyperreflexia
- Hyporeflexia
- Arefleksiya
3. The student must be able to assess motor function and signs of
6. The student should be able to specify the symptoms of spinal cord lesions.
|
15
|
Conduct ophthalmoscopy
|
The student should be able to ophthalmoscopy with the principle of incremental viewing of the eye, and to identify the signs:
- Changes arteriovenous Perekrestov
|
16
|
Remove the ECG and decipher it.
|
1. The student should be able to record the ECG with the incremental principle.
2. The student must be able to decipher the results of the ECG and identify signs:
- Ischemia
- Myocardial infarction
- Hypertrophy of the heart.
|
17
|
Interpret the clinical and biochemical analyzes
|
The student must be able to identify signs:
- Impaired fasting glucose
- Impaired glucose tolerance.
- Dislipedemii
|
18
|
Interpret the X-ray picture of light
|
The student must be able to identify signs:
- Pneumonia
- Pneumothorax
- Pleurisy
- Lung cancer and tuberculosis
|
19
|
Differentiate between diseases accompanied with pain in the chest
|
The student must be able to differentiate the disease on the basis of the distinctive features (history, physical examination, laboratory and instrumental investigations)
|
2
|
Post a non-drug advice
|
the student should be able to:
- Educate patients on self-monitoring
- Advise on diet
- Advise on healthy lifestyles
|
21
|
Rational use of medicines in the treatment of diseases that occur with pain in the chest.
|
1. The student should be able to choose drugs with proven efficacy.
2. When selecting a drug student should be able to evaluate:
Efficiency
safety
- Eligibility
Efficiency.
|
22
|
Conduct monitoring and surveillance of patients
|
The student must be able to carry out monitoring and control:
- Blood glucose level
- The level of the A / D.
- The level of blood lipids
- ECG monitoring
|
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