ECTS - Internal Medicine II

Atılım University - ECTS INFORMATION GUIDE

Internal Medicine II (MED403) Course Detail

Course Name Course Code Season Lecture Hours Application Hours Lab Hours Credit ECTS
Internal Medicine II MED403 7. Semester 18 18 0 6 10
Pre-requisite Course(s)
N/A
Course Language English
Course Type Compulsory Departmental Courses
Course Level Bachelor’s Degree (First Cycle)
Mode of Delivery Face To Face
Learning and Teaching Strategies Lecture, Discussion.
Course Coordinator
Course Lecturer(s)
Course Assistants
Course Objectives Diagnosis of nephrological, endocrinological, rheumatological, immunological and allergic diseases and hypertension, treatment at primary care level, apply prevention methods and follow-up, referral under appropriate conditions when necessary, gaining knowledge, skills and attitudes towards the recognition of emergency situations related to these systems and initial intervention.
Course Learning Outcomes The students who succeeded in this course;
  • Explains the normal structure and functions of excretion, endocrine, musculoskeletal and immune systems.
  • Explains the causes of nephrological, endocrinological, rheumatological, immunological and allergic diseases (genetic, developmental, environmental, metabolic, toxic, microbiological, autoimmune, neoplastic, degenerative etc.) and physiopathology.
  • Explains and applies the epidemiology and prevention of common nephrological, endocrinological, rheumatological, immunological and allergic diseases in the community.
  • Describe and interpret common clinical, laboratory, radiological and pathological findings of common nephrological, endocrinological, rheumatologic, immunological and allergic diseases.
  • Using his/her communication skills, he/she takes anamnesis from the patient with complaints related to nephrological, endocrinological, rheumatologic, immunological and allergic systems and performs a full physical examination.
  • Explains the tests used in the diagnosis of nephrological, endocrinological, rheumatological, immunological and allergic system diseases, selects in appropriate order and interprets the results.
  • Evaluates anamnesis, physical examination findings and the results of the laboratory examination and makes a diagnosis.
  • Explains evidence-based scientific approaches in the treatment of common nephrological, endocrinological, rheumatologic, immunological, allergic diseases and hypertension, performs treatment and follow-up at the primary level and, if necessary, refer to the appropriate conditions.
  • Recognizes life-threatening nephrological, endocrinological, rheumatologic, immunological and allergic problems, performs first intervention at the primary level level and appropriately refers.
  • Applies the principles of evidence-based medicine and patient-centered care during case management (diagnosis, treatment, follow-up) and adopts a multidisciplinary approach.
  • Determines the factors that may be exposed to nephrological, endocrinological, rheumatological, immunological and allergic diseases and the individuals at risk before the disease occurs or in the early period of the disease and takes the necessary precautions.
  • Follow the scientific and technological developments related to nephrological, endocrinological, hypertension, rheumatology, immunology and allergy. Learns the ways of accessing information from different sources in order to respond to changes in professional practices and community needs and learns self-learning.
  • Acts in accordance with ethical rules in professional practice.
Course Content Nephrological, endocrinological, rheumatologic, immunological and allergic diseases; cancer of related systems, symptoms and clinical course of these diseases, diagnosis and treatment planning.

Weekly Subjects and Releated Preparation Studies

Week Subjects Preparation
1 Disturbances of volum balance Acid-base balance disorders and treatment Diagnostic methods in kidney diseases Primary glomerular diseases Nephrotic syndrome Secondary glomerular diseases and amyloidosis Acute kidney damage and toxic nephropathies Chronic kidney disease Tubulointerstitial diseases Anamnesis and physical examination in a nephrologic patient Approach to the patient with fluid electrolyte disorder Approach to the patient with acid-base balance disorder Approach to a patient with chronic kidney disease Approach to the patient with acute kidney injury Approach to the patient with glomerulonephritis Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar -
2 Essential hypertension Renal parenchymal and renovascular hypertension Secondary hypertension Urolithiasis and obstructive nephropathy Lupus nephritis, vasculitis, hemolytic uremic syndrome Cystic diseases of the kidney and hereditary nephritis Pregnancy and kidney Peritoneal dialysis Hemodialysis Renal transplantation Approach to hypertensive patients Approach to edematous patients Approach to the patient with uremic syndrome Ethics in organ transplantation Full urine analysis Calculation of glomerular filtration speed Evaluation of arterial blood gas results Hemodialysis unit Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar 1st Midterm Exam -
3 Hypothalamus-pituitary axis and Diabetes Insipitus Pituitary hypofunction Hypophysis hyperfunctions Diabetes mellitus: diagnosis, classification and clinical findings Complications of diabetes mellitus Diabetic Nephropathy Treatment of diabetes mellitus Obesity and lipid metabolism disorders Metabolic syndrome, obesity and DM development process, genetic algorithms Diagnosis and treatment planning in pituitary diseases Treatment of diabetes mellitus Blood glucose measurement and insulin injection Diagnosis and treatment of hypoglycemia Treatment of acute hyperglycemic complications Chronic complications of diabetes mellitus Diabetic patient education and foot examination Diabetic individuals in the diet application Obesity, endocrine hypertension and hyperlipidemia Anthropometric measurements Nutrition in obese individuals Endocrinology Laboratory Patient preparation in clinic and outpatient clinic Discussion of prepared patients Hormone replacement therapy and prescription writing Seminar -
4 Euthyroid goitre and thyroiditis Thyrotoxicosis and hypothyroidism Evaluation of development of endocrine neoplasia, genetic algorithms in diagnosis and follow-up Thyroid cancers Calcium metabolism and parathyroid gland diseases Metabolic bone diseases and osteoporosis Adrenal gland hyperfunction Adrenal gland hypofunction Diseases of gonad Approach to the patient with diffuse and nodular goiter Diagnosis and treatment planning in hypothyroid individuals Diagnosis and treatment planning in hyperthyroid individuals Diagnosis and treatment planning in adrenal and gonadal diseases Patient preparation in clinic and outpatient clinic Discussion of prepared patients Hormone replacement therapy and prescription writing Seminar 2nd midterm exam -
5 Approach to autoimmunity and autoimmune diseases Immunodeficiencies and treatment of adult patients Differential diagnosis of arthritis General approach and systemic findings of arthritis Gout and infectious arthritis Rheumatologic approach and adult Still's disease Rheumatoid arthritis Acute rheumatic fever Anamnesis and physical examination in rheumatic diseases Rheumatoid arthritis Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar -
6 Spondyloarthropathies Examination methods in rheumatic diseases Treatment methods in rheumatic diseases Treatment principles of autoimmune diseases Systemic lupus erythematosus antiphospholipidsendromu Vasculitis and Behçet's Disease Familial Mediterranean fever Systemic sclerosis Sjögren syndrome, mixed connective tissue diseases, overlap syndromes Polymyositis and dermatomyositis Osteoarthritis, osteoporosis, osteonecrosis Spondyloarthropathies Systemic lupus erythematosus Vasculitis and Behçet Sjögren syndrome, mixed connective tissue diseases, overlap syndromes Treatment methods in rheumatologic patients Applications to the patient with immunodeficiency (case) Approach to hypereosinophilia (case) Anamnesis and examination in allergic patients Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription 3. Midterm Exam General Examination for Internal Medicine 2 -

Sources

Course Book 1. Harrison's Principles of Internal Medicine (20th Edition) J. Larry Jameson , Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo; McGraw-Hill, Europe, 2018.
2. Goldman-Cecil Medicine (25th Edition); Lee Goldman, Andrew I. Schafer; Elsevier, New York, 2015.
3. Comprehensive Clinical Nephrology. Richard J. Johnson, John Feehally, Jurgen Floege (Editors); Elsevier Saunders.
4. Current Medical Diagnosis and Treatment. Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow (Editors); McGraw-Hill.
5. Essential Immunology. P. J. Delves, S. J. Martin, D. R. Burton, I. M. Roitt (Editors); Wiley-Blackwell.

Evaluation System

Requirements Number Percentage of Grade
Attendance/Participation - -
Laboratory - -
Application 3 15
Field Work - -
Special Course Internship - -
Quizzes/Studio Critics - -
Homework Assignments - -
Presentation - -
Project - -
Report - -
Seminar - -
Midterms Exams/Midterms Jury 3 30
Final Exam/Final Jury 1 55
Toplam 7 100
Percentage of Semester Work
Percentage of Final Work 100
Total 100

Course Category

Core Courses X
Major Area Courses
Supportive Courses
Media and Managment Skills Courses
Transferable Skill Courses

The Relation Between Course Learning Competencies and Program Qualifications

# Program Qualifications / Competencies Level of Contribution
1 2 3 4 5
1 Integrates and utilizes the information, skills, and approaches obtained from basic, clinical, and medical sciences, behavioral sciences, and social sciences when offering healthcare services. X
2 Offers healthcare services to patients with a biopsychosocial approach where the sociodemographic and sociocultural backgrounds of these individuals are taken into consideration, focusing on the universal human values, ethical principles, and professional duties; without exercising discrimination on the basis of language, religion, race, or sex. X
3 Aims to protect, improve, and develop individual and public health when offering healthcare services. X
4 Performs the necessary studies in sustaining and improving health, taking into the individual, public, social, and environmental factors to affect it. X
5 Trains healthy individuals/ patients, their relatives, and other healthcare workers in healthcare upon determining the features, requirements, and expectations of their target audience. X
6 Exercises a safe, rational, and effective approach in the procedures of prevention, diagnosis, treatment, follow-up, and rehabilitation; while offering healthcare services. X
7 Implements interventional and/or non-interventional practices in a way that is safe and effective for patients during the procedures of diagnosis, treatment, follow-up, and rehabilitation. X
8 Offers healthcare services taking into account the health and safety of patients and employees. X
9 Takes the regional and global changes in physical and socioeconomic settings to affect health, as well as the changes in the individual features and behaviors of patients referring to them into account, while offering healthcare. X
10 Takes the good medical practices into account while performing their duties. X
11 Undertakes the tasks and duties within the framework of their professional ethical rules, as well as their legal rights and duties. X
12 Stands for the improvements in the manner in which healthcare services are offered, taking into account the concepts of social reliability and social duty, in an effort to protect and improve individual and public health. X
13 Evaluates the effects of health policies and healthcare practices on public health indicators, and, where required, amends their evaluation on the grounds of scientific and social needs; in an effort to help improve the quality of healthcare services. X
14 Leads their healthcare team while offering healthcare services, in a participative, and collaborative manner. X
15 Establishes positive relationships within their healthcare team; and where needed, easily adapts to various positions among their team. X
16 Exercises effective communication with patients, the relatives of patients, healthcare professionals, and groups from other professions, as well as institutions and organizations. X
17 Plans and conducts scientific studies on the society to which they serve, and use the results of these, or those from other studies, to benefit the society. X
18 Accesses the current literature on their profession, and evaluates them with a critical approach.
19 Chooses the correct sources of learning to improve the healthcare services that they offer, and regulates their own learning process.
20 Demonstrates the skills of obtaining and evaluating new information, integrating newer pieces of information with their current ones, as well as adapting to changing conditions throughout their professional life.

ECTS/Workload Table

Activities Number Duration (Hours) Total Workload
Course Hours (Including Exam Week: 16 x Total Hours) 6 18 108
Laboratory
Application 6 18 108
Special Course Internship
Field Work
Study Hours Out of Class 5 2 10
Presentation/Seminar Prepration
Project
Report
Homework Assignments
Quizzes/Studio Critics
Prepration of Midterm Exams/Midterm Jury
Prepration of Final Exams/Final Jury 4 6 24
Total Workload 250