Course Description
Course | Code | Semester | T+P (Hour) | Credit | ECTS |
---|---|---|---|---|---|
INTERNAL MEDICINE | - | Yearly | 130+172 | - | 15 |
Course Program |
Prerequisites Courses | |
Recommended Elective Courses |
Language of Course | Turkish |
Course Level | First Cycle (Bachelor's Degree) |
Course Type | Practice |
Course Coordinator | Prof.Dr. Meryem CAN |
Name of Lecturer(s) | Prof.Dr. Ali MERT, Prof.Dr. Özcan YILDIZ, Prof.Dr. Ahmet BİLİCİ, Prof.Dr. Aydın ÜNAL, Prof.Dr. Esin KORKUT, Prof.Dr. Mehmet Fatih KILIÇLI, Prof.Dr. Gülbanu CANBALOĞLU, Prof.Dr. Meryem CAN, Prof.Dr. Ömer Fatih ÖLMEZ, Prof.Dr. Ömür Gökmen SEVİNDİK, Assoc.Prof. Abdullah ŞUMNU, Assist.Prof. Mustafa Salih AKIN, Assist.Prof. Hülya BİLGEN, Assist.Prof. Hüseyin Saffet BEKÖZ, Assist.Prof. İhsan BOYACI, Assoc.Prof. Oktay OLMUŞÇELİK, Assist.Prof. Abdullah KANSU, Assist.Prof. Özgür AÇIKGÖZ, Prof.Dr. Vedat GÖRAL |
Assistant(s) | • Prof. Dr. Ali MERT • Prof. Dr. Fatma Deniz SARGİN • Prof. Dr. Hatice Sebile DÖKMETAS • Prof. Dr. Vedat GORAL • Prof. Dr. Abdulkadir OMER • Prof. Dr. Mustafa ÖZTÜRK • Prof. Dr. Aydin UNAL • Prof. Dr. Ozcan YILDIZ • Prof. Dr. Ahmet BILICI • Prof. Dr. Esin KORKUT • Assoc. Dr. Fatih KILIÇLI • Assoc. Dr. Murat ATMACA • Assoc. Dr. Gulbanu ERKAN CANBALOGLU • Assoc. Dr. Mary Can • Assoc. Dr. Omer Fatih dies • Assoc. Dr. Ömür Gökmen SEVİNDİK • Dr. Instructor Member Abdullah ŞUMNU • Dr. Instructor Member Mustafa Salih AKIN • Dr. Instructor Member Enver AKBAS • Dr. Instructor Member Hülya BİLGEN • Dr. Instructor Member Hüseyin Saffet BEKÖZ • Dr. Instructor Member İhsan BOYACI • Dr. Instructor Member Oktay OLMUŞÇELİK • Dr. Instructor Member Abdullah KANSU • Dr. Instructor Member of. Beytullah ÇAKAL |
Aim | The aim of this clerkship is to help students acquire the personal history of an adult patient, performing a full physical examination, acquiring the ability to communicate well with patients and their relatives, and diagnosing endocrine, hematologic, immunological, metabolic, gastroenterological and neoplastic diseases which are common in the society and in which the general practitioner is responsible. And to give them the ability to direct patients for the treatment of these diseases when necessary. |
Course Content | This course contains; General Informations About Internal Medicine Internship,Story, Anamnesis, General Physical Examination 1-2,Urogenital System Examination 1-2,Cardiovascular System,Head-Neck Examination 1-2,Stomach Examination,Respiratory System 1-2-3,How is Internal Diseases File Prepared?,General Physical Examination 1-2,Clinical Approach to Solid Organ Cancers,Neurological Examination 1-2-3,Muscle-Skeleton System Examination 1-2,Approach to Patient in Rheumatology,Laboratory Tests in Rheumatology 1-2,Vasculitis 1-2,Behcet's Disease ,Systemic Lupus Erythematosus 1-2,Sjögren Syndrome,Spondyloarthropathies 1-2,Polymyositis-Dermatomyositis,Rheumatoid Arthritis 1-2,Raynaud’s Syndrome and Scleroderma,Dyspepsia and Abdominal Pain Differential Diagnosis,Differential Diagnosis in Inflammatory Bowel Disease and Treatment Approach 1-2,Clinical Approach in Dysphagia, Gastroesophageal Reflux Disease and Other Esophageal Diseases,Cirrhosis Patient Monitoring and Treatment of Complications,Clinical Approach in Chronic Diarrhea and Malabsorption Syndromes 1-2,Clinical Approach in Gastrointestinal System Bleedings,Differential Diagnosis of Icterus and Liver Test,Monitoring and Treatment of Chronic Viral Hepatitis Patients,Treatment and Complications of Acute and Chronic Pancreatitis,Differential Diagnosis in Liver Mass,Clinical Approach in Chronic Constipation and Irritable Bowel Syndrome,Peptical Ulcer,Treatment Approach and Diagnosis of Nonalcoholic Fatty Liver Patient,Hypertiroidism-Hypothyroidis 1-2,Thyroiditis,Thyroiditis Cancers,Thyroiditis Nodules,Obesity,Hypoglycemia,Dyslipidemia,Hirsutism,Diabetes Mellitus 1-2,Diabetes Treatment,Acute Complications and Treatment of Diabetes,Chronic Complications and Treatment of Diabetes,Pituitary Disorders 1-2-3,Hyperparathyroidism,Tetany and Hyperparathyroidism,Oncologic Emergencies,Inappropriate ADH Secretion,Diabetes Insipidus,Policistic Ovary Sydrome,Metabolic Syndrome,Adrenal Insufficiency,Cushing's Syndrome,Phaeochromocytoma ,Secondary Hypertension,Vitamin D Deficiency,Osteoporosis ,Clinical Approach to Hematuria, Proteinuria ve Glomerular Diseases,Chronic Kidney Disease 1-2,Basic Clinical Features of Specific Glomerular Diseases,Acid-Base Imbalance 1-2,Hypertension: Clinical Approach to Diagnosis and Treatment 1-2,Cancer Screening and Tumor Markers,Disorders of Potassium Balance: Clinical Approach,Hemolytic Uremic Syndrome,Fluid and Electrolyte Imbalances 1-2,Hematology Laboratory 1-2,Anemias,Lymphomas,Myeloproliferative Diseases,Leucemias,Plasma Cell Diseases,Bleeding and Coagulation Disorders and Platelet Diseases,Transfusion Policy of Blood and Blood Products,Bone Marrow Failures,Hematological Emergencies,Ability to Deliver Bad News,Familial Mediterranean Fever. |
Dersin Öğrenme Kazanımları | Teaching Methods | Assessment Methods |
Learning outcomes of hematological diseases Diseases that can be diagnosed, treated and followed in primary care • Iron deficiency anemia • Megaloblastic anemia Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Lymphadenopathies • Hypersplenism • Acute and Chronic Leukemias • Plasma cell diseases • Hemolytic anemia • Aplastic anemia • Disseminated intravascular coagulation • ITP • Polycythemia Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Hemoglobinopathies • Thalassemias • Sickle cell anemia • Anemia of chronic disease Diseases and conditions that can be referred with preliminary diagnosis • Myeloproliferative diseases • Hodgkin lymphoma • lymphoma • Myelodysplastic syndrome • Hemophilia • Von Willebrand's Disease • Myeloproliferative diseases • Hodgkin lymphoma • lymphoma • Myelodysplastic syndrome • Hemophilia • Von Willebrand's Disease | ||
Learning outcomes of medical oncological diseases Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Infection (in immunocompromised patients) • Shock Diseases and conditions that can be referred with preliminary diagnosis • ENT cancers • ENT benign masses • Cancer-Endometrium • Cancer-Cervix • Ovarian Cyst • Mass in the female genital system • Cancer- Gastrointestinal tract • Cancer-Pancreas • Liver tumors • Palpable/non-palpable mass in the abdomen • Mesothelioma • Mass-Adrenal, adrenocortical • Mass-Upper urinary system, • Kidney tumor • Mass- Lower urinary system, (bladder, ureter tumor) • Cancer – Testicular • Bladder Tumor • Cancer- Prostate • Lung cancer • Mediastinal mass • Upper respiratory tract tumors • Neuropathies • Paraneoplastic syndrome • Bone metastasis • Brain metastasis • Mass - Breast • Mass – Skin • Spinal Cord compression | ||
Learning outcomes of rheumatic diseases Disease that can be diagnosed, treated and followed in primary care • Familial Mediterranean Fever Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Acute rheumatic fever • Systemic lupus erythematosus • Scleroderma • Inflammatory myositis • Infectious arthritis • Systemic vasculitides Diseases that can be diagnosed and referred • Gout Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Rheumatoid Arthritis • Spondylarthritis • Sjogren's syndrome | ||
Learning outcomes of nephrological diseases Diseases that can be diagnosed, treated and followed in primary care • Primary Hypertension • Acute Pyelonephritis Diseases that can be referred and followed in primary care by making a definitive diagnosis, performing the necessary first intervention • Diabetic Nephropathy • Acute Glomerulonephritis Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Glomerular diseases with nephrotic syndrome • Acute kidney failure • Chronic renal failure • Hypercalcemia and hypocalcemia • Hyperkalemia and hypokalemia • Hyponatremia and hypernatremia • Secondary hypertension • Chronic pyelonephritis • Renal involvement due to secondary amyloidosis Diseases that can be diagnosed and referred • Polycystic Kidney Diseases Diseases that can be referred with preliminary diagnosis • Glomerular diseases characterized by rapidly progressive glomerulonephritis • Renal involvement of small vessel vasculitides • Renal involvement due to plasma cell dyscrasias • Acid and base metabolism disorders • Acute drug-induced tubulointerstitial nephritis | ||
Outcomes of endocrinological diseases Diseases that can be diagnosed, treated and followed in primary care • Diabetes Mellitus • Obesity • Impaired Glucose Tolerance • Hyperlipidemia The disease that can be referred by making a preliminary diagnosis and making the necessary first intervention • Acute complications of diabetes • Chronic complications of diabetes • Adrenal insufficiency • Hypoglycemia Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Goiter • Hashimoto's Disease • Hypothyroidism • Hyperthyroidism • Nodule in Thyroid • Osteoporosis Diseases that can be referred with preliminary diagnosis • Primary hyperaldosteronism • Hirsutism • Prolactinoma • Pituitary diseases • Hypogonadism • Cushing • Gynecomastia • Hyperparathyroidism • Pheochromocytoma • Primary hyperparathyroidism | ||
Learning Outcomes of Gastroenterological Diseases Diseases that can be diagnosed, treated and followed in primary care • Gastrointestinal infections • gastritis • Food toxicity • Basil dysentery • Food allergy The disease that he can refer to and follow up in primary care by making a definitive diagnosis, performing the necessary first intervention. • Fatty liver The disease that can be referred by making a preliminary diagnosis and making the necessary first intervention • Liver cirrhosis • Malnutrition • ileus • Acute abdomen • Acute Pancreatitis • Upper gastrointestinal bleeding • Lower GI bleeding • Anorectal diseases • Diverticulitis • Volvulus • Cholangitis • Peptic ulcer • Acute viral hepatitis • GERD • Esophagitis • Esophageal variceal bleeding • Drug toxicity • Hepatic coma • Alcoholic liver disease • Fungal toxicity Diseases that can be diagnosed and referred • Anal atresia • Corrosive substance ingestion • Foreign body in GIS Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Motility disorders • IBS and functional GIS diseases • Paracytoses • Cholelithiasis Diseases that can be referred with preliminary diagnosis • Ulcerative colitis • Crohn's • Chronic Pancreatitis • Choledocholithiasis • Celiac • Chronic hepatitis • Mesothelioma • Portal hypertension • Budd Chiari syndrome • Metabolic liver diseases • Autoimmune liver diseases • Pancreatic pseudocysts • GIS malignancies • Mesenteric artery diseases • Anal prolapse • GIS polyps • Lactose intolerance • FMF • Organ parasitoses • Cystic fibrosis • Esophageal motility disorders | ||
Knowledge - Recalls knowledge of anatomy, physiology and histology related to the gastrointestinal system, endocrine system, urogenital system, musculoskeletal system and hematopoietic system. It creates a differential diagnosis list with the anamnesis, physical examination and examinations taken by using effective communication methods. Explains and interprets common symptoms and clinical, laboratory and pathological findings of gastrointestinal system, endocrine system, urogenital system, musculoskeletal system and hematopoietic system diseases. Explains and applies measures to reduce the frequency of diseases such as diabetes, hypertension, obesity, goiter, chronic kidney disease in the society according to national and international diagnosis and treatment guidelines. Familial Mediterranean fever, achalasia, acute pancreatitis, aplastic anemia, Behçet's disease, Cushing's disease, diaphragmatic hernias, diabetes insipidus, Pheochromocytoma, gastrointestinal tract motility disorders, hemochromatosis, hemolytic anemia, hemolytic uremicpure, hypothyroidism, hyperthyroidism, thrombocytopenia, hyperthyroidism, thrombocytopenia , hypoparathyroidism, inflammatory bowel disease, blood and products transfusion complications, bleeding diathesis and hemophilias, Chronic glomerulonephritis, chronic hepatitis, chronic pancreatitis, lymphoproliferative diseases, leukemias, malabsorption, myeloproliferative pilaridosis, polystamyoproliferative diseases, polystamyoproliferative pilaromatosis, paraneoplastic disease rheumatoid arthritis, systemic lupus erythematosus, Sjögren's syndrome, scleroderma, spondyloarthropathies (ankylosing spondylitis), thyroiditis, inappropriate ADH release, vasculitis, common intravascular coagulation diseases such as physical examination and preliminary diagnosis explains the referral criteria to the specialist. Diagnoses diseases such as dyslipidemia, metabolic syndrome and obesity (endogenous-exogenous) diseases by interpreting the results of diagnostic tests, provides counseling and follow-up by explaining risk factors, and explains measures to reduce their frequency. Explains the risk factors and measures to reduce the frequency of diseases such as dyslipidemia, diabetes mellitus, essential hypertension, gastro-esophageal reflux, goiter, irritable bowel disease, chronic kidney failure, malnutrition, megaloblastic anemia, obesity, peptic ulcer disease, monitors them at the primary care level, and provides consultancy services. It adopts that it should set an example for the society in reducing salt in the diet and the importance of a salt-free diet. It diagnoses diseases such as iron deficiency anemia, diabetes mellitus, essential hypertension, gastro-esophageal reflux, goiter, hypothyroidism, malnutrition, megaloblastic anemia, peptic ulcer disease by performing a physical examination and choosing appropriate diagnostic tests. It plans the treatment of diseases such as iron deficiency anemia, diabetes mellitus, essential hypertension, gastro-esophageal reflux, goiter, hypothyroidism, malnutrition, megaloblastic anemia, peptic ulcer disease within the scope of rational drug use principles and explains the characteristics and serious side effects of basic drugs. Life-threatening acute renal failure, acute glomerulnephritis, lower and upper gastrointestinal bleeding, acid-base balance disorders, acute complications of diabetes, hypertensive emergencies, hepatic coma, hypoglycemia, chronic kidney failure, oncological emergencies, fluid and electrolyte (sodium, potassium, calcium, explains the clinical features of diseases such as balance disorders, plans the emergency treatment and explains the referral criteria. He advises on the necessary regulations about the working conditions of patients with hypertension, diabetes, kidney failure or kidney transplant, and questions the possible toxic exposure of the patient with Fanconi syndrome. Adopts the importance of preventive medicine in internal diseases. | ||
Skills - Performs general physical examination including respiratory system, cardiovascular system, urogenital system, musculoskeletal system, lymph node, abdomen, head and neck and neurological examination. Receives a general and problem-oriented story Performs digital rectal examination Measures blood sugar with a glucometer and evaluates the result It measures the bleeding time and evaluates the result. Performs and evaluates peripheral smears. Evaluates the full urine analysis. It measures blood pressure. It applies a nasogastric tube and performs gastric lavage. It performs paracentesis. | ||
Attitude - Comprehends the importance of a multidisciplinary approach in the diagnosis, treatment and follow-up of diseases such as cancer and diabetes mellitus. Communicates effectively with patients, their relatives and colleagues, both verbally and in writing. Understands the importance of a good anamnesis and a complete systemic examination for the correct diagnosis. Follows up-to-date literature while practicing medicine. Applies the principles of rational drug use. |
Teaching Methods: | |
Assessment Methods: |
Course Outline
Order | Subjects | Preliminary Work |
---|---|---|
1 | General Informations About Internal Medicine Internship | |
2 | Story, Anamnesis, General Physical Examination 1-2 | |
3 | Urogenital System Examination 1-2 | |
4 | Cardiovascular System | |
5 | Head-Neck Examination 1-2 | |
6 | Stomach Examination | |
7 | Respiratory System 1-2-3 | |
8 | How is Internal Diseases File Prepared? | |
9 | General Physical Examination 1-2 | |
10 | Clinical Approach to Solid Organ Cancers | |
11 | Neurological Examination 1-2-3 | |
12 | Muscle-Skeleton System Examination 1-2 | |
13 | Approach to Patient in Rheumatology | |
14 | Laboratory Tests in Rheumatology 1-2 | |
15 | Vasculitis 1-2 | |
16 | Behcet's Disease | |
17 | Systemic Lupus Erythematosus 1-2 | |
18 | Sjögren Syndrome | |
19 | Spondyloarthropathies 1-2 | |
20 | Polymyositis-Dermatomyositis | |
21 | Rheumatoid Arthritis 1-2 | |
22 | Raynaud’s Syndrome and Scleroderma | |
23 | Dyspepsia and Abdominal Pain Differential Diagnosis | |
24 | Differential Diagnosis in Inflammatory Bowel Disease and Treatment Approach 1-2 | |
25 | Clinical Approach in Dysphagia, Gastroesophageal Reflux Disease and Other Esophageal Diseases | |
26 | Cirrhosis Patient Monitoring and Treatment of Complications | |
27 | Clinical Approach in Chronic Diarrhea and Malabsorption Syndromes 1-2 | |
28 | Clinical Approach in Gastrointestinal System Bleedings | |
29 | Differential Diagnosis of Icterus and Liver Test | |
30 | Monitoring and Treatment of Chronic Viral Hepatitis Patients | |
31 | Treatment and Complications of Acute and Chronic Pancreatitis | |
32 | Differential Diagnosis in Liver Mass | |
33 | Clinical Approach in Chronic Constipation and Irritable Bowel Syndrome | |
34 | Peptical Ulcer | |
35 | Treatment Approach and Diagnosis of Nonalcoholic Fatty Liver Patient | |
36 | Hypertiroidism-Hypothyroidis 1-2 | |
37 | Thyroiditis | |
38 | Thyroiditis Cancers | |
39 | Thyroiditis Nodules | |
40 | Obesity | |
41 | Hypoglycemia | |
42 | Dyslipidemia | |
43 | Hirsutism | |
44 | Diabetes Mellitus 1-2 | |
45 | Diabetes Treatment | |
46 | Acute Complications and Treatment of Diabetes | |
47 | Chronic Complications and Treatment of Diabetes | |
48 | Pituitary Disorders 1-2-3 | |
49 | Hyperparathyroidism | |
50 | Tetany and Hyperparathyroidism | |
51 | Oncologic Emergencies | |
52 | Inappropriate ADH Secretion | |
53 | Diabetes Insipidus | |
54 | Policistic Ovary Sydrome | |
55 | Metabolic Syndrome | |
56 | Adrenal Insufficiency | |
57 | Cushing's Syndrome | |
58 | Phaeochromocytoma | |
59 | Secondary Hypertension | |
60 | Vitamin D Deficiency | |
61 | Osteoporosis | |
62 | Clinical Approach to Hematuria, Proteinuria ve Glomerular Diseases | |
63 | Chronic Kidney Disease 1-2 | |
64 | Basic Clinical Features of Specific Glomerular Diseases | |
65 | Acid-Base Imbalance 1-2 | |
66 | Hypertension: Clinical Approach to Diagnosis and Treatment 1-2 | |
67 | Cancer Screening and Tumor Markers | |
68 | Disorders of Potassium Balance: Clinical Approach | |
69 | Hemolytic Uremic Syndrome | |
70 | Fluid and Electrolyte Imbalances 1-2 | |
71 | Hematology Laboratory 1-2 | |
72 | Anemias | |
73 | Lymphomas | |
74 | Myeloproliferative Diseases | |
75 | Leucemias | |
76 | Plasma Cell Diseases | |
77 | Bleeding and Coagulation Disorders and Platelet Diseases | |
78 | Transfusion Policy of Blood and Blood Products | |
79 | Bone Marrow Failures | |
80 | Hematological Emergencies | |
81 | Ability to Deliver Bad News | |
82 | Familial Mediterranean Fever |
Resources |
1. Cecil Medicine (Lee Goldman, Andrew I Schafer) (Turkish Translation: Serhat Ünal) 2. Lange, From Symptom to Diagnosis in Internal Medicine (Scott D.C Stern) (Turkish Translation: Tufan Tükek) 3. Harrisons Manual of Medicine, Internal Medicine |
Course Contribution to Program Qualifications
Course Contribution to Program Qualifications | |||||||
No | Program Qualification | Contribution Level | |||||
1 | 2 | 3 | 4 | 5 | |||
1 | Knows structural (morphological) and operational (functional) properties of the normal human (medical) and disorder (disease) states | X | |||||
2 | Knows diagnostic methods and treatment modalities of disorders (diseases). | X | |||||
3 | Knows the causes of disease conditions, ways of protection and methods of promoting and improving community health. | X | |||||
4 | Knows the methods of developing and applying health related knowledge at advanced level. | X | |||||
5 | Able to reach multidisciplinary advanced knowledge regarding health-related disciplines, interpret and apply the knowledge. | X | |||||
6 | Performs a complete clinical examination of human body structurally and functionally and identifies problems. | X | |||||
7 | Interprets laboratory results for diagnosis, compares with clinical data and develop solution proposals. | X | |||||
8 | Selects and implements appropriate tools for the promotion and development of individual and community health. | X | |||||
9 | Plans and conducts an advanced study on health independently. | X | |||||
10 | Develops new strategic approaches to solve the problems encountered in the promotion and development of individual and community health. | X | |||||
11 | Takes the responsibility of any type of practice when diagnosing and treating human body | X | |||||
12 | Takes the role as a leader or a team worker when solving health related problems. | X | |||||
13 | Evaluates knowledge and skills regarding health with a critical approach and develops a positive attitude towards lifelong learning. | X | |||||
14 | Informs the patient, related people, institutions and the society about the health problems and transfers solution proposals in writing, verbally and visually using effective communication means. | X | |||||
15 | Critically reviews, develops and acts on changes in social relations and norms that guide such relationships. | X | |||||
16 | Uses English at least at the European Language Portfolio B2 Level, monitors knowledge and communicates in his field. | X | |||||
17 | Able to use advanced computer skills and informatics and communication technologies at a level required by the field. | X | |||||
18 | Acquires, interprets, implements and announces data related to the health and acts in accordance with social, scientific, cultural and ethical values and teaches these values. | X | |||||
19 | Develops strategies, policy and implementation plans in the field of health and evaluates the results obtained within the framework of quality processes. | X | |||||
20 | Shares studies on the promotion and development of health with interdisciplinary specialists systematically, supporting with quantitative and qualitative data. | ||||||
21 | Has adequate awareness on occupational health and safety issues. |
Assessment Methods
Contribution Level | Absolute Evaluation | |
Rate of Midterm Exam to Success | 40 | |
Rate of Final Exam to Success | 60 | |
Total | 100 |
ECTS / Workload Table | ||||||
Activities | Number of | Duration(Hour) | Total Workload(Hour) | |||
Course Hours | 0 | 0 | 0 | |||
Course Hours | 0 | 0 | 0 | |||
Guided Problem Solving | 0 | 0 | 0 | |||
Guided Problem Solving | 0 | 0 | 0 | |||
Resolution of Homework Problems and Submission as a Report | 0 | 0 | 0 | |||
Resolution of Homework Problems and Submission as a Report | 0 | 0 | 0 | |||
Term Project | 0 | 0 | 0 | |||
Term Project | 0 | 0 | 0 | |||
Presentation of Project / Seminar | 0 | 0 | 0 | |||
Presentation of Project / Seminar | 0 | 0 | 0 | |||
Quiz | 0 | 0 | 0 | |||
Quiz | 0 | 0 | 0 | |||
Midterm Exam | 0 | 0 | 0 | |||
Midterm Exam | 0 | 0 | 0 | |||
General Exam | 0 | 0 | 0 | |||
General Exam | 0 | 0 | 0 | |||
Performance Task, Maintenance Plan | 0 | 0 | 0 | |||
Performance Task, Maintenance Plan | 0 | 0 | 0 | |||
Total Workload(Hour) | 0 | |||||
Dersin AKTS Kredisi = Toplam İş Yükü (Saat)/30*=(0/30) | 0 | |||||
ECTS of the course: 30 hours of work is counted as 1 ECTS credit. |
Detail Informations of the Course
Course Description
Course | Code | Semester | T+P (Hour) | Credit | ECTS |
---|---|---|---|---|---|
INTERNAL MEDICINE | - | Yearly | 130+172 | - | 15 |
Course Program |
Prerequisites Courses | |
Recommended Elective Courses |
Language of Course | Turkish |
Course Level | First Cycle (Bachelor's Degree) |
Course Type | Practice |
Course Coordinator | Prof.Dr. Meryem CAN |
Name of Lecturer(s) | Prof.Dr. Ali MERT, Prof.Dr. Özcan YILDIZ, Prof.Dr. Ahmet BİLİCİ, Prof.Dr. Aydın ÜNAL, Prof.Dr. Esin KORKUT, Prof.Dr. Mehmet Fatih KILIÇLI, Prof.Dr. Gülbanu CANBALOĞLU, Prof.Dr. Meryem CAN, Prof.Dr. Ömer Fatih ÖLMEZ, Prof.Dr. Ömür Gökmen SEVİNDİK, Assoc.Prof. Abdullah ŞUMNU, Assist.Prof. Mustafa Salih AKIN, Assist.Prof. Hülya BİLGEN, Assist.Prof. Hüseyin Saffet BEKÖZ, Assist.Prof. İhsan BOYACI, Assoc.Prof. Oktay OLMUŞÇELİK, Assist.Prof. Abdullah KANSU, Assist.Prof. Özgür AÇIKGÖZ, Prof.Dr. Vedat GÖRAL |
Assistant(s) | • Prof. Dr. Ali MERT • Prof. Dr. Fatma Deniz SARGİN • Prof. Dr. Hatice Sebile DÖKMETAS • Prof. Dr. Vedat GORAL • Prof. Dr. Abdulkadir OMER • Prof. Dr. Mustafa ÖZTÜRK • Prof. Dr. Aydin UNAL • Prof. Dr. Ozcan YILDIZ • Prof. Dr. Ahmet BILICI • Prof. Dr. Esin KORKUT • Assoc. Dr. Fatih KILIÇLI • Assoc. Dr. Murat ATMACA • Assoc. Dr. Gulbanu ERKAN CANBALOGLU • Assoc. Dr. Mary Can • Assoc. Dr. Omer Fatih dies • Assoc. Dr. Ömür Gökmen SEVİNDİK • Dr. Instructor Member Abdullah ŞUMNU • Dr. Instructor Member Mustafa Salih AKIN • Dr. Instructor Member Enver AKBAS • Dr. Instructor Member Hülya BİLGEN • Dr. Instructor Member Hüseyin Saffet BEKÖZ • Dr. Instructor Member İhsan BOYACI • Dr. Instructor Member Oktay OLMUŞÇELİK • Dr. Instructor Member Abdullah KANSU • Dr. Instructor Member of. Beytullah ÇAKAL |
Aim | The aim of this clerkship is to help students acquire the personal history of an adult patient, performing a full physical examination, acquiring the ability to communicate well with patients and their relatives, and diagnosing endocrine, hematologic, immunological, metabolic, gastroenterological and neoplastic diseases which are common in the society and in which the general practitioner is responsible. And to give them the ability to direct patients for the treatment of these diseases when necessary. |
Course Content | This course contains; General Informations About Internal Medicine Internship,Story, Anamnesis, General Physical Examination 1-2,Urogenital System Examination 1-2,Cardiovascular System,Head-Neck Examination 1-2,Stomach Examination,Respiratory System 1-2-3,How is Internal Diseases File Prepared?,General Physical Examination 1-2,Clinical Approach to Solid Organ Cancers,Neurological Examination 1-2-3,Muscle-Skeleton System Examination 1-2,Approach to Patient in Rheumatology,Laboratory Tests in Rheumatology 1-2,Vasculitis 1-2,Behcet's Disease ,Systemic Lupus Erythematosus 1-2,Sjögren Syndrome,Spondyloarthropathies 1-2,Polymyositis-Dermatomyositis,Rheumatoid Arthritis 1-2,Raynaud’s Syndrome and Scleroderma,Dyspepsia and Abdominal Pain Differential Diagnosis,Differential Diagnosis in Inflammatory Bowel Disease and Treatment Approach 1-2,Clinical Approach in Dysphagia, Gastroesophageal Reflux Disease and Other Esophageal Diseases,Cirrhosis Patient Monitoring and Treatment of Complications,Clinical Approach in Chronic Diarrhea and Malabsorption Syndromes 1-2,Clinical Approach in Gastrointestinal System Bleedings,Differential Diagnosis of Icterus and Liver Test,Monitoring and Treatment of Chronic Viral Hepatitis Patients,Treatment and Complications of Acute and Chronic Pancreatitis,Differential Diagnosis in Liver Mass,Clinical Approach in Chronic Constipation and Irritable Bowel Syndrome,Peptical Ulcer,Treatment Approach and Diagnosis of Nonalcoholic Fatty Liver Patient,Hypertiroidism-Hypothyroidis 1-2,Thyroiditis,Thyroiditis Cancers,Thyroiditis Nodules,Obesity,Hypoglycemia,Dyslipidemia,Hirsutism,Diabetes Mellitus 1-2,Diabetes Treatment,Acute Complications and Treatment of Diabetes,Chronic Complications and Treatment of Diabetes,Pituitary Disorders 1-2-3,Hyperparathyroidism,Tetany and Hyperparathyroidism,Oncologic Emergencies,Inappropriate ADH Secretion,Diabetes Insipidus,Policistic Ovary Sydrome,Metabolic Syndrome,Adrenal Insufficiency,Cushing's Syndrome,Phaeochromocytoma ,Secondary Hypertension,Vitamin D Deficiency,Osteoporosis ,Clinical Approach to Hematuria, Proteinuria ve Glomerular Diseases,Chronic Kidney Disease 1-2,Basic Clinical Features of Specific Glomerular Diseases,Acid-Base Imbalance 1-2,Hypertension: Clinical Approach to Diagnosis and Treatment 1-2,Cancer Screening and Tumor Markers,Disorders of Potassium Balance: Clinical Approach,Hemolytic Uremic Syndrome,Fluid and Electrolyte Imbalances 1-2,Hematology Laboratory 1-2,Anemias,Lymphomas,Myeloproliferative Diseases,Leucemias,Plasma Cell Diseases,Bleeding and Coagulation Disorders and Platelet Diseases,Transfusion Policy of Blood and Blood Products,Bone Marrow Failures,Hematological Emergencies,Ability to Deliver Bad News,Familial Mediterranean Fever. |
Dersin Öğrenme Kazanımları | Teaching Methods | Assessment Methods |
Learning outcomes of hematological diseases Diseases that can be diagnosed, treated and followed in primary care • Iron deficiency anemia • Megaloblastic anemia Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Lymphadenopathies • Hypersplenism • Acute and Chronic Leukemias • Plasma cell diseases • Hemolytic anemia • Aplastic anemia • Disseminated intravascular coagulation • ITP • Polycythemia Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Hemoglobinopathies • Thalassemias • Sickle cell anemia • Anemia of chronic disease Diseases and conditions that can be referred with preliminary diagnosis • Myeloproliferative diseases • Hodgkin lymphoma • lymphoma • Myelodysplastic syndrome • Hemophilia • Von Willebrand's Disease • Myeloproliferative diseases • Hodgkin lymphoma • lymphoma • Myelodysplastic syndrome • Hemophilia • Von Willebrand's Disease | ||
Learning outcomes of medical oncological diseases Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Infection (in immunocompromised patients) • Shock Diseases and conditions that can be referred with preliminary diagnosis • ENT cancers • ENT benign masses • Cancer-Endometrium • Cancer-Cervix • Ovarian Cyst • Mass in the female genital system • Cancer- Gastrointestinal tract • Cancer-Pancreas • Liver tumors • Palpable/non-palpable mass in the abdomen • Mesothelioma • Mass-Adrenal, adrenocortical • Mass-Upper urinary system, • Kidney tumor • Mass- Lower urinary system, (bladder, ureter tumor) • Cancer – Testicular • Bladder Tumor • Cancer- Prostate • Lung cancer • Mediastinal mass • Upper respiratory tract tumors • Neuropathies • Paraneoplastic syndrome • Bone metastasis • Brain metastasis • Mass - Breast • Mass – Skin • Spinal Cord compression | ||
Learning outcomes of rheumatic diseases Disease that can be diagnosed, treated and followed in primary care • Familial Mediterranean Fever Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Acute rheumatic fever • Systemic lupus erythematosus • Scleroderma • Inflammatory myositis • Infectious arthritis • Systemic vasculitides Diseases that can be diagnosed and referred • Gout Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Rheumatoid Arthritis • Spondylarthritis • Sjogren's syndrome | ||
Learning outcomes of nephrological diseases Diseases that can be diagnosed, treated and followed in primary care • Primary Hypertension • Acute Pyelonephritis Diseases that can be referred and followed in primary care by making a definitive diagnosis, performing the necessary first intervention • Diabetic Nephropathy • Acute Glomerulonephritis Diseases that can be referred by making a preliminary diagnosis and making the necessary first intervention • Glomerular diseases with nephrotic syndrome • Acute kidney failure • Chronic renal failure • Hypercalcemia and hypocalcemia • Hyperkalemia and hypokalemia • Hyponatremia and hypernatremia • Secondary hypertension • Chronic pyelonephritis • Renal involvement due to secondary amyloidosis Diseases that can be diagnosed and referred • Polycystic Kidney Diseases Diseases that can be referred with preliminary diagnosis • Glomerular diseases characterized by rapidly progressive glomerulonephritis • Renal involvement of small vessel vasculitides • Renal involvement due to plasma cell dyscrasias • Acid and base metabolism disorders • Acute drug-induced tubulointerstitial nephritis | ||
Outcomes of endocrinological diseases Diseases that can be diagnosed, treated and followed in primary care • Diabetes Mellitus • Obesity • Impaired Glucose Tolerance • Hyperlipidemia The disease that can be referred by making a preliminary diagnosis and making the necessary first intervention • Acute complications of diabetes • Chronic complications of diabetes • Adrenal insufficiency • Hypoglycemia Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Goiter • Hashimoto's Disease • Hypothyroidism • Hyperthyroidism • Nodule in Thyroid • Osteoporosis Diseases that can be referred with preliminary diagnosis • Primary hyperaldosteronism • Hirsutism • Prolactinoma • Pituitary diseases • Hypogonadism • Cushing • Gynecomastia • Hyperparathyroidism • Pheochromocytoma • Primary hyperparathyroidism | ||
Learning Outcomes of Gastroenterological Diseases Diseases that can be diagnosed, treated and followed in primary care • Gastrointestinal infections • gastritis • Food toxicity • Basil dysentery • Food allergy The disease that he can refer to and follow up in primary care by making a definitive diagnosis, performing the necessary first intervention. • Fatty liver The disease that can be referred by making a preliminary diagnosis and making the necessary first intervention • Liver cirrhosis • Malnutrition • ileus • Acute abdomen • Acute Pancreatitis • Upper gastrointestinal bleeding • Lower GI bleeding • Anorectal diseases • Diverticulitis • Volvulus • Cholangitis • Peptic ulcer • Acute viral hepatitis • GERD • Esophagitis • Esophageal variceal bleeding • Drug toxicity • Hepatic coma • Alcoholic liver disease • Fungal toxicity Diseases that can be diagnosed and referred • Anal atresia • Corrosive substance ingestion • Foreign body in GIS Diseases that can be referred with a preliminary diagnosis and followed in the primary care • Motility disorders • IBS and functional GIS diseases • Paracytoses • Cholelithiasis Diseases that can be referred with preliminary diagnosis • Ulcerative colitis • Crohn's • Chronic Pancreatitis • Choledocholithiasis • Celiac • Chronic hepatitis • Mesothelioma • Portal hypertension • Budd Chiari syndrome • Metabolic liver diseases • Autoimmune liver diseases • Pancreatic pseudocysts • GIS malignancies • Mesenteric artery diseases • Anal prolapse • GIS polyps • Lactose intolerance • FMF • Organ parasitoses • Cystic fibrosis • Esophageal motility disorders | ||
Knowledge - Recalls knowledge of anatomy, physiology and histology related to the gastrointestinal system, endocrine system, urogenital system, musculoskeletal system and hematopoietic system. It creates a differential diagnosis list with the anamnesis, physical examination and examinations taken by using effective communication methods. Explains and interprets common symptoms and clinical, laboratory and pathological findings of gastrointestinal system, endocrine system, urogenital system, musculoskeletal system and hematopoietic system diseases. Explains and applies measures to reduce the frequency of diseases such as diabetes, hypertension, obesity, goiter, chronic kidney disease in the society according to national and international diagnosis and treatment guidelines. Familial Mediterranean fever, achalasia, acute pancreatitis, aplastic anemia, Behçet's disease, Cushing's disease, diaphragmatic hernias, diabetes insipidus, Pheochromocytoma, gastrointestinal tract motility disorders, hemochromatosis, hemolytic anemia, hemolytic uremicpure, hypothyroidism, hyperthyroidism, thrombocytopenia, hyperthyroidism, thrombocytopenia , hypoparathyroidism, inflammatory bowel disease, blood and products transfusion complications, bleeding diathesis and hemophilias, Chronic glomerulonephritis, chronic hepatitis, chronic pancreatitis, lymphoproliferative diseases, leukemias, malabsorption, myeloproliferative pilaridosis, polystamyoproliferative diseases, polystamyoproliferative pilaromatosis, paraneoplastic disease rheumatoid arthritis, systemic lupus erythematosus, Sjögren's syndrome, scleroderma, spondyloarthropathies (ankylosing spondylitis), thyroiditis, inappropriate ADH release, vasculitis, common intravascular coagulation diseases such as physical examination and preliminary diagnosis explains the referral criteria to the specialist. Diagnoses diseases such as dyslipidemia, metabolic syndrome and obesity (endogenous-exogenous) diseases by interpreting the results of diagnostic tests, provides counseling and follow-up by explaining risk factors, and explains measures to reduce their frequency. Explains the risk factors and measures to reduce the frequency of diseases such as dyslipidemia, diabetes mellitus, essential hypertension, gastro-esophageal reflux, goiter, irritable bowel disease, chronic kidney failure, malnutrition, megaloblastic anemia, obesity, peptic ulcer disease, monitors them at the primary care level, and provides consultancy services. It adopts that it should set an example for the society in reducing salt in the diet and the importance of a salt-free diet. It diagnoses diseases such as iron deficiency anemia, diabetes mellitus, essential hypertension, gastro-esophageal reflux, goiter, hypothyroidism, malnutrition, megaloblastic anemia, peptic ulcer disease by performing a physical examination and choosing appropriate diagnostic tests. It plans the treatment of diseases such as iron deficiency anemia, diabetes mellitus, essential hypertension, gastro-esophageal reflux, goiter, hypothyroidism, malnutrition, megaloblastic anemia, peptic ulcer disease within the scope of rational drug use principles and explains the characteristics and serious side effects of basic drugs. Life-threatening acute renal failure, acute glomerulnephritis, lower and upper gastrointestinal bleeding, acid-base balance disorders, acute complications of diabetes, hypertensive emergencies, hepatic coma, hypoglycemia, chronic kidney failure, oncological emergencies, fluid and electrolyte (sodium, potassium, calcium, explains the clinical features of diseases such as balance disorders, plans the emergency treatment and explains the referral criteria. He advises on the necessary regulations about the working conditions of patients with hypertension, diabetes, kidney failure or kidney transplant, and questions the possible toxic exposure of the patient with Fanconi syndrome. Adopts the importance of preventive medicine in internal diseases. | ||
Skills - Performs general physical examination including respiratory system, cardiovascular system, urogenital system, musculoskeletal system, lymph node, abdomen, head and neck and neurological examination. Receives a general and problem-oriented story Performs digital rectal examination Measures blood sugar with a glucometer and evaluates the result It measures the bleeding time and evaluates the result. Performs and evaluates peripheral smears. Evaluates the full urine analysis. It measures blood pressure. It applies a nasogastric tube and performs gastric lavage. It performs paracentesis. | ||
Attitude - Comprehends the importance of a multidisciplinary approach in the diagnosis, treatment and follow-up of diseases such as cancer and diabetes mellitus. Communicates effectively with patients, their relatives and colleagues, both verbally and in writing. Understands the importance of a good anamnesis and a complete systemic examination for the correct diagnosis. Follows up-to-date literature while practicing medicine. Applies the principles of rational drug use. |
Teaching Methods: | |
Assessment Methods: |
Course Outline
Order | Subjects | Preliminary Work |
---|---|---|
1 | General Informations About Internal Medicine Internship | |
2 | Story, Anamnesis, General Physical Examination 1-2 | |
3 | Urogenital System Examination 1-2 | |
4 | Cardiovascular System | |
5 | Head-Neck Examination 1-2 | |
6 | Stomach Examination | |
7 | Respiratory System 1-2-3 | |
8 | How is Internal Diseases File Prepared? | |
9 | General Physical Examination 1-2 | |
10 | Clinical Approach to Solid Organ Cancers | |
11 | Neurological Examination 1-2-3 | |
12 | Muscle-Skeleton System Examination 1-2 | |
13 | Approach to Patient in Rheumatology | |
14 | Laboratory Tests in Rheumatology 1-2 | |
15 | Vasculitis 1-2 | |
16 | Behcet's Disease | |
17 | Systemic Lupus Erythematosus 1-2 | |
18 | Sjögren Syndrome | |
19 | Spondyloarthropathies 1-2 | |
20 | Polymyositis-Dermatomyositis | |
21 | Rheumatoid Arthritis 1-2 | |
22 | Raynaud’s Syndrome and Scleroderma | |
23 | Dyspepsia and Abdominal Pain Differential Diagnosis | |
24 | Differential Diagnosis in Inflammatory Bowel Disease and Treatment Approach 1-2 | |
25 | Clinical Approach in Dysphagia, Gastroesophageal Reflux Disease and Other Esophageal Diseases | |
26 | Cirrhosis Patient Monitoring and Treatment of Complications | |
27 | Clinical Approach in Chronic Diarrhea and Malabsorption Syndromes 1-2 | |
28 | Clinical Approach in Gastrointestinal System Bleedings | |
29 | Differential Diagnosis of Icterus and Liver Test | |
30 | Monitoring and Treatment of Chronic Viral Hepatitis Patients | |
31 | Treatment and Complications of Acute and Chronic Pancreatitis | |
32 | Differential Diagnosis in Liver Mass | |
33 | Clinical Approach in Chronic Constipation and Irritable Bowel Syndrome | |
34 | Peptical Ulcer | |
35 | Treatment Approach and Diagnosis of Nonalcoholic Fatty Liver Patient | |
36 | Hypertiroidism-Hypothyroidis 1-2 | |
37 | Thyroiditis | |
38 | Thyroiditis Cancers | |
39 | Thyroiditis Nodules | |
40 | Obesity | |
41 | Hypoglycemia | |
42 | Dyslipidemia | |
43 | Hirsutism | |
44 | Diabetes Mellitus 1-2 | |
45 | Diabetes Treatment | |
46 | Acute Complications and Treatment of Diabetes | |
47 | Chronic Complications and Treatment of Diabetes | |
48 | Pituitary Disorders 1-2-3 | |
49 | Hyperparathyroidism | |
50 | Tetany and Hyperparathyroidism | |
51 | Oncologic Emergencies | |
52 | Inappropriate ADH Secretion | |
53 | Diabetes Insipidus | |
54 | Policistic Ovary Sydrome | |
55 | Metabolic Syndrome | |
56 | Adrenal Insufficiency | |
57 | Cushing's Syndrome | |
58 | Phaeochromocytoma | |
59 | Secondary Hypertension | |
60 | Vitamin D Deficiency | |
61 | Osteoporosis | |
62 | Clinical Approach to Hematuria, Proteinuria ve Glomerular Diseases | |
63 | Chronic Kidney Disease 1-2 | |
64 | Basic Clinical Features of Specific Glomerular Diseases | |
65 | Acid-Base Imbalance 1-2 | |
66 | Hypertension: Clinical Approach to Diagnosis and Treatment 1-2 | |
67 | Cancer Screening and Tumor Markers | |
68 | Disorders of Potassium Balance: Clinical Approach | |
69 | Hemolytic Uremic Syndrome | |
70 | Fluid and Electrolyte Imbalances 1-2 | |
71 | Hematology Laboratory 1-2 | |
72 | Anemias | |
73 | Lymphomas | |
74 | Myeloproliferative Diseases | |
75 | Leucemias | |
76 | Plasma Cell Diseases | |
77 | Bleeding and Coagulation Disorders and Platelet Diseases | |
78 | Transfusion Policy of Blood and Blood Products | |
79 | Bone Marrow Failures | |
80 | Hematological Emergencies | |
81 | Ability to Deliver Bad News | |
82 | Familial Mediterranean Fever |
Resources |
1. Cecil Medicine (Lee Goldman, Andrew I Schafer) (Turkish Translation: Serhat Ünal) 2. Lange, From Symptom to Diagnosis in Internal Medicine (Scott D.C Stern) (Turkish Translation: Tufan Tükek) 3. Harrisons Manual of Medicine, Internal Medicine |
Course Contribution to Program Qualifications
Course Contribution to Program Qualifications | |||||||
No | Program Qualification | Contribution Level | |||||
1 | 2 | 3 | 4 | 5 | |||
1 | Knows structural (morphological) and operational (functional) properties of the normal human (medical) and disorder (disease) states | X | |||||
2 | Knows diagnostic methods and treatment modalities of disorders (diseases). | X | |||||
3 | Knows the causes of disease conditions, ways of protection and methods of promoting and improving community health. | X | |||||
4 | Knows the methods of developing and applying health related knowledge at advanced level. | X | |||||
5 | Able to reach multidisciplinary advanced knowledge regarding health-related disciplines, interpret and apply the knowledge. | X | |||||
6 | Performs a complete clinical examination of human body structurally and functionally and identifies problems. | X | |||||
7 | Interprets laboratory results for diagnosis, compares with clinical data and develop solution proposals. | X | |||||
8 | Selects and implements appropriate tools for the promotion and development of individual and community health. | X | |||||
9 | Plans and conducts an advanced study on health independently. | X | |||||
10 | Develops new strategic approaches to solve the problems encountered in the promotion and development of individual and community health. | X | |||||
11 | Takes the responsibility of any type of practice when diagnosing and treating human body | X | |||||
12 | Takes the role as a leader or a team worker when solving health related problems. | X | |||||
13 | Evaluates knowledge and skills regarding health with a critical approach and develops a positive attitude towards lifelong learning. | X | |||||
14 | Informs the patient, related people, institutions and the society about the health problems and transfers solution proposals in writing, verbally and visually using effective communication means. | X | |||||
15 | Critically reviews, develops and acts on changes in social relations and norms that guide such relationships. | X | |||||
16 | Uses English at least at the European Language Portfolio B2 Level, monitors knowledge and communicates in his field. | X | |||||
17 | Able to use advanced computer skills and informatics and communication technologies at a level required by the field. | X | |||||
18 | Acquires, interprets, implements and announces data related to the health and acts in accordance with social, scientific, cultural and ethical values and teaches these values. | X | |||||
19 | Develops strategies, policy and implementation plans in the field of health and evaluates the results obtained within the framework of quality processes. | X | |||||
20 | Shares studies on the promotion and development of health with interdisciplinary specialists systematically, supporting with quantitative and qualitative data. | ||||||
21 | Has adequate awareness on occupational health and safety issues. |
Assessment Methods
Contribution Level | Absolute Evaluation | |
Rate of Midterm Exam to Success | 40 | |
Rate of Final Exam to Success | 60 | |
Total | 100 |