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Plan and organizational structure of educational sessions on discipline.
| ? ?/? | Stages of class | Time distribu-tion | Types of control | Equipment training |
| 1. | The starting phase | 15% | ||
| 1.1. | Organizational matters | 20-25 min. | ||
| 1.2. | Formation of motivation | |||
| 1.3. | Control of entry-level training | ─ written computer testing; ─ oral questioning by the standardized list of questions. | ─ textbooks treatment of internal diseases; ─ guidelines; ─ situational problem in therapy of internal medicine; ─ tests "Step 2"; | |
| 2. | The main stage ─ demonstration of the patient - his clinical examination (history, physical examination, additional methods of investigation); ─ interpretation received symptoms | 65% 120-130 mn. | ─ practical skills at the bedside (collecting complaints, history of illness, physical examination, assessment of results of additional methods investigation); ─ interpretation of the results. | ─ themed patients. |
| 3. | The final stage | 20% | ||
| 3.1. | Control of the final level of training | 25-30 min. | ─ situational tasks; ─ structured written work. | |
| 3.2. | The total score of student workload | |||
| 3.3. | Informing students about the topic the next lesson |
Methods of educational process in the practice.
The starting phase.
To reveal the theme sessions for medical profession to develop the motivation for focused learning activities. To acquaint students with specific goals and plan activities.
In class, students solve a specific problem, learn to make diagnosis, conduct differential diagnosis of diseases, prescribe appropriate treatment regimens and prevention.
The main stage
At this stage the student will continue to build professional skills. Particularly at the bedside student demonstrates the ability to collect complaints, history of disease and life, to make an objective examination of the patient by different systems and organs and on the basis of the data to the differential diagnosis to establish a preliminary diagnosis. To support his opinion, the student makes the plan an additional examination of the patient. Synthesizing all the data obtained during examination of the patient, the student formulates a final clinical diagnosis according to modern classification and diagnostic criteria.
Analysis of the results allows the student to prescribe appropriate treatment of the patient depending on clinical variant and degree of activity, complications, comorbidities and give recommendations for further treatment and lifestyle.
The final stage
Assessment of action of each student during class and standardized end control. It conducted the analysis of student achievement, announced rating of each student and put in the book of visits and student achievement. Parish groups simultaneously puts rating in accounting performance and attendance of students. The teacher assures them his signature.
Brief information for students on the theme of the next lesson and instructional techniques to prepare for it.
Task ?1.
Patient A., 32-year-old woman, which smokes, complained of fever, productive cough with sputum brown color, right-sided pleuritic chest pain, shortness of breath at rest and general fatigue .
On examination: pale, clear skin. Temperature is 38,7 ? C. Heart rate 110/min, BP 115/80 mmHg. Respiratory rate is 26/min, increased vocal fremitus, dull percussion note, bronchial breathing, and wet rales over the lower part of the right half of the chest.
The ECG: diffuse changes in the myocardium. overload right heart. CBC: Er - 4,0 ∙ 1012 / l, Hb - 135 g / l, CI - 1,0, Leuk. - 12,0 ∙ 109 / L, segm. - 75, lymph. - 12%, mon. - 13%, platelets - 196 ∙ 109 / l, ESR - 25 mm/h. Common sputum analysis: leukocytes: 45 in visual field, neutrophils: 35 in visual field, alveolar macrophages: 12 in visual field. X-ray chest: enhanced pulmonary image, increasing the size of the root of the right lung, focal infiltrative shadow in the projection of 10 and 9 segments of the right lung.
1.Make the diagnosis.
2.What is the treatment should be prescribed for patient?
Recommended literature:
?. Main:
1. Davidson?s Principles and Practice of Medicine, 2006, P. pages 526 - 532.
Materials for self-control:
?. The questions for self-control:
1. Name the main aetiological factors of ASTHMA.
2. Give the main principles of the modern classification of ASTHMA.
3. What are the main clinical syndromes of ASTHMA?
4. Make the plan of additional investigation of the patient with ASTHMA.
6. Name the main drugs for the treatment of ASTHMA.
Methodic chart made by M.D. Ostapchuk O.I.
Date: 2016-06-13; view: 55
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