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Adresa UMFST: Târgu Mureş, str. Gh. Marinescu nr. 38, 540139, judeţul Mureş, România
Web: www.umftgm.ro | Email: [email protected] | Tel: +40 265 215 551 ext. 246 | Fax: +40 265 210 407
FACULTATEA DE MEDICINĂ Faculty of Medicine
SYLLABUS – 5th YEAR
No.
Educational activities - Objects/Disciplines
1 Internal medicine (2)
2 Rheumatology
3 Rehabilitation, Physical Medicine and Balneology
4 ENT
5 Dermatology
6 Ophthalmology
7 Anesthesia-Intensive Care
8 Neurology
9 Pediatrics
10 Pneumology
11 Medical Oncology
12 Pediatric Psychiatry
13 Optional courses:
Interventional Cardiology
Pain Therapy
Neurosurgery
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M4
1.4 Field of study HEALTH SCIENCES
1.5 Study cycle LICENSE
1.6 Study program MEDICINE LE
2. Data regarding the discipline 2.1 Name Anesthesia and Intensive Care
2.2 Course coordinator Sanda Maria Copotoiu, professor, MD, PhD
2.3 Practical activity coordinator(s) Sanda Maria Copotoiu, professor, MD, PhD
Assist. drd. Alexandra Lazăr
2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Exam 2.7 Type of discipline Compulsory
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 17 3.2 out of which
lecture 2
3.3 laboratory practical
activity 15/saptamana
3.4 Total hours in the curriculum 73 3.5 out of which
lecture 28
3.6 laboratory practical
activity 45
Distribution of time pool per week
hours
Study of books, lecture materials, bibliography, notes 2
Supplemental documentation at the library, from specialized information portals and in the
field 1
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1
Tutorial activities 0
Examinations 0
Other activities 0
3.7 Total hours of individual study per week 56
3.8 Total hours per semester 146
3.9 Credits 6
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures Multimedia nad internet access
5.2 for laboratory and practical activities simulation equipment facilities
6. Specific competencies acquired
Professional competencies
- Identification of the critical patient and laying a management plan
- Invasive essential maneuvers – peripheral line and arterial catheter
placement
- Identifying the vantilatory modes used in the most common respiratory
diseases needing respiratory support
- Clinical toxidrome identification
- Interpreting acid-base disorders
- Preoperative assessement and knowledge of the indications and
complications of general and regional anesthesia
- Identification and management of the brain-death organ donor
Transversal competencies
- Team work - identifying the players and their role in the operating
theater or the intensive care team
- Organizing and leadership skills development
- The development of verbal communication
- Identification and evaluation of critical conditions, focusing on key
elements
- Assuming legal and medical responsibility for every performed
procedure
- Management of the difficult/aggressive patient
7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Identifying, understanding and managing the critical care patient
7.2 Specific objectives Identifying and managing life threatening dysfunctions
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
1. Respiratory dysfunction - definition,
physiopathology, oximetry, mechanical
ventilation, respiratory distress syndrome
2 Lecture+multimedia Breathlessness,
Cyanosis
2.
2. Hemodynamic dysfunction - definition,
physiopathology, low cardiac output
syndrome, inotropic drugs
Integrated
course,
Cardiology
2 Lecture+multimedia Ischemic heart
disease
3.
3. Renal dysfunction - definition,
classification, physiopathology, risk factors,
stadialisation, management TBL 2 Lecture+multimedia
Acute renal
disease/ failure
4.
4. Hepatic dysfunction - classification,
etiology, risk scales, management, hepato-
renal and hepato-pulmonary syndrome
2 Lecture+multimedia Acute, liver
disease/ failure
5.
5. Electrolyte and water disorders - total body
water, tonicity, osmolarity, elelctrolyte
disturbances: Na, K, Ca, Mg
2 Lecture+multimedia Electrolyte and
water balance
6. 6. Acid-base disorders - homeostasis,
acidosis, alcalosis 2 Lecture+multimedia
Acid-base
disturbance
7.
7. Nutrition of critical care patient -
malnutrition, evaluation, enteral and
parenteral nutrition
2 Lecture+multimedia Malnutrition
8. 8. Shock - part I - definition, classification,
hypovolemic shock, volutfluid therapy 2 Lecture+multimedia
Shock,
Transfusion of
blood products
9. 9. Shock - part II - obstructiv and distributive
shock, sepsis
Integrated
course,
Infectious
diseases
2 Lecture+multimedia Shock, sepsis
10. 10. Neurologic dysfunction - coma, brain
death, convulsion, delirium 2 Lecture+multimedia
Disturbance of
consiossness,
Confusion
11.
11. Management of acute pain - physiology,
evaluation of pain, pain management, sedation
in intensive care, sedation scores
2 Lecture+multimedia Pain
management
12.
12. Intoxications. Toxidromes - cholinergic,
anticholinergic, adrenergic, GABA-ergic,
serotoninergic toxidromes, management,
intoxications with ethanol, paracetamol,
etylen-glycol, methanol, antidepressants,
organophosphorious herbicides, mushrooms
TBL 2 Lecture+multimedia
Poisoning,
Substance
abuse
13.
13. General and regional anesthesia -
preoperative evaluation, peridural and
epidural anethesia, general anesthesia,
pharmacology of anesthetics, anesthesia and
comorbidities
2 Lecture+multimedia
Pre-operative
care
14. 14. Organ donation. Etical problems of the
critical patient- brain death detection and 2 Lecture+multimedia
Cerebrovascular
disease
evaluation, organ recoltation and allocation,
communication with the critically ill patients,
making decisions, not to resuscitate order,
euthanasy, resourse allocation
Bibliography:
1. PROF. UNIV. DR. COPOTOIU SANDA-MARIA, PROF. UNIV. DR. AZAMFIREI
LEONARD1.ANESTHESIA AND INTENSIVE CARE COURSES FOR MEDICAL STUDENTS,
University Press, 2013
Facultative Bibliography
1. Marino PL. The ICU book. 4rd Ed. Lippincott Williams & Wilkins, 2014
2. Allain RE, Alston TA, Dunn PF et al. Clinical anesthesia procedures of the Massachusetts General
Hospital: Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital,
Harvard Medical School. 8th Ed. Lippincott Williams & Wilkins, 2010
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1. 1. The presentation of clinic and safe rules practical
demonstration 3
practical
demonstration
2. 2. Evaluation of clinical patient (medical and
surgical). Shock
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration Shock
3. 3. Oxigenotherapy.Noninvasive haemodinamic
minitoring in ICU
practical
demonstration 3
practical
demonstration
Breathlessness.
Cardiac
conduction/
rythm disorders
4. 4.Transfusion and compatibility tests. practical 3 transfusion Transfusion of
demonstration center blood products
5. 5. Respiratory patways intubation. Ventilatory
models.
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration Breathlessness
6. 6. Therapies of renal substitution.
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration
Acute renal
disease/ failure
7. 7. Electrolyte, water and acid/base disorders
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration
Electrolyte and
water balance,
Acid-base
disturbance
8. 8. General anestesia
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration
Pre-operative
care
9. 9. Regional anestesia
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration
Pre-operative
care
10. 10.Invasive haemodinamic monitoring in ICU
practical
demonstration,
case
presentation,
CBLstration
3 practical
demonstration
Cardiac
conduction/
rythm disorders
11. 11. Intensive care - diagnostic and management
simulation
practical
demonstration,
case
presentation,
CBL
3x3
Simulation
educational
soft
Cardiorespiratory
arrest
12. 12.Imagistic diagnosis in ICU
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration
Respiratory tract
infection
13. 13. Risk scales in ICU, Titrable drugs' doses
calculation.
practical
demonstration,
case
presentation,
CBL
3 practical
demonstration Septicaemia
14.
Bibliography:
1.Copotoiu SM, Azamfirei L: Intensive Care Courses for Medical Students, University Press, 2013
2.Marino PL: The ICU Book, 4th ed., Lippincott Williams Wilkins, 2014
3. Allain RE, Alston TA, Dunn PF et al.: Clinical anesthesia procedures of the Massachusetts General
Hospital, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital,
Harvard Medical School, 8th ed., Lippincott Williams Wilkins, 2010
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Developments in anesthesia and intensive care improved the critical care patient’s outcome. There is a
huge deficit of manpower both european and all over the world due to intense professional stress and
legal and medical responsibility.
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation
methods
10.3 Percent of
the final grade
10.4 Evaluation during the
semester
Lecture Knowledge and skills acquirement 2 Written TBL 20%
Practical activities Practical skills acquired during
internship Case presentation 10%
10.5 Final evaluation
Theoretical final exam Knowledge and skills acquirement Written MCQ 60%
Practical final exam Practical skills acquired during
internship Practical examination 10%
10.6 Minimal performance standards
5 at practical examination.
3.1. Performing venipuncture - 2
3.2. Infusion administration - 2
3.15. O2 administration - 2
3.16. Monitoring temperature, blood pressure, ECG, SaO2 - 2
3.19. Observing and describing central venous catheter placement -2
3.20. Observing and describing arterial catheter placement -2
3.27. Observing and describing invazive and non-invazive mechanical ventilation-2
6.1. Identification of therapeutic targets and priorities in specific clinical context -2
8.13. Case presentation – oral - 1
8.14. Case presentation – written - 1
List of must seen clinical cases:
1. Acute respiratory failure, ARDS, status asthmaticus, mechanical ventillation
2. Cardiogenic shock
3. Acute renal failure, extrarenal epuration
4. Acute liver failure
5. Septic shock
6. Multiple organ dysfunction syndrome
7. Coma
8. Multiple injury
9. Brain death
10. Patient with general anesthesia
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty Medicine
1.3 Department M3
1.4 Field of study Health
1.5 Study cycle Licence
1.6 Study program Medicine
2. Data regarding the discipline 2.1 Name Interventional Cardiology
2.2 Course coordinator Prof Dr. Benedek Theodora
2.3 Practical activity coordinator(s)
2.4 Study year 5 2.5 Semester 2 2.6 Type of evaluation V 2.7 Type of discipline OPT
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 1 3.2 out of which
lecture 1
3.3 laboratory practical
activity 0
3.4 Total hours in the curriculum 14 3.5 out of which
lecture 14
3.6 laboratory practical
activity 0
Distribution of time pool per week
hours
Study of books, lecture materials, bibliography, notes 7
Supplemental documentation at the library, from specialized information portals and in the field
Preparation for seminaries/laboratories, homework, reports, portfolios and essays
Tutorial activities
Examinations
Other activities
3.7 Total hours of individual study per
week 4
3.8 Total hours per semester 28
3.9 Credits 2
4. Prerequisites (where applicable) 4.1 curricular prerequisites -
4.2 competency prerequisites -
5. Conditions (where applicable) 5.1 for lectures -
5.2 for laboratory and practical activities -
6. Specific competencies acquired
Professional competencies
-introduction of the cardiovascular interventional diagnosis and therapy
algorhythms into the clinical practice
-defining the indications for invasive exploration in cardiovascular pathology
(peripheral, carotid , renal , mesenteric)
-methodology for invasive angiologic and haemodynamic investigations
-methodology for coronary and peripheral vascular revascularization
Transversal competencies Integration of interventional therapy in clinical practice and getting familiar
with the indications for invasive approach in various CV diseases.
7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Introduction of interventional cardiology notions in the clinical thinking
7.2 Specific objectives Getting familiar with the interventional therapeutic measures in various
cardiovascular disease and integrating them in the clinical thinking.
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations
ICS
correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
Basic notions in interventional cardiology: methods
of angiographical and hemodynamic diagnosis,
revascularization techniques, occluder implantation,
approach of structural disorders
Oral
presentation 2
2hours/lecture Chest pain
2.
Angiographic and hemodynamic diagnosis of
cardiovascular disorders and imaging techniques in
vascular disorders
Oral
presentation 2 2hours/lecture Chest pain
3. Coronary angioplasty Oral
presentation 2 2hours/lecture Chest pain
4. Peripheral angioplasty, carotid, renal and mesenteric
angioplasty
Oral
presentation 2 2hours/lecture
Abdominal
pain
5. Invasive diagnosis and therapy of valve diseases
Oral
presentation
TBL
2 2hours/lecture Cyanosis
6. Interventional approach of structural heart defects Oral
presentation 2 2hours/lecture Edemas
7.
Networks for interventional treatment in AMI,
stroke, adjuvant therapies in the interventional
cardiology.
Oral
presentation 2 2hours/lecture
Consciousness
loss Chest
pain
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Topol Eric J - Textbook of Interventional Cardiology, 5th ed., 2008, Saunders Elsevier, Philadelphia,
USA
2. Eeckhout E (sub red.) - Percutaneous Interventional Cardiovascular Medicine - The EAPCI Textbook -
vol 1, 2 , 2012 (official textbook of the European Society of Cardiology and European Association of
Cardiovascular Intervention)
3. Singer I – Interventional Electrophysiology, 2nd eds, Lippincott Williams & Wilkins, 2001
4. Benedek Theodora, Benedek Imre, Interventional cardiology, 2013 (University Press)
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations
ICS
correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Orientation of students’ attention towards integrated modern medicine and interdisciplinary approach of
cardiovascular pathology.
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation
methods
10.3 Percent of
the final grade
10.4 Evaluation during the
semester
Lecture Response to questions during
TBL Test 30%
Practical activities
10.5 Final evaluation
Theoretical final exam Multiple choice questions
examination Exam 70%
Practical final exam - -
10.6 Minimal performance standards
- minimum 50% from the total points on the multiple choice test
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M 4
1.4 Field of study HEALTH
1.5 Study cycle LICENCE
1.6 Study program MEDICINE - English
2. Data regarding the discipline 2.1 Name DERMATOLOGY
2.2 Course coordinator Associate Profesor Dr. Fekete Gyula László
2.3 Practical activity coordinator(s) Associate Profesor Dr. Fekete Gyula László
2.4 Study year 5 2.5 Semester I 2.6 Type of evaluation Examen 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 17 3.2 out of which
lecture 2
3.3 laboratory practical
activity 15/sapt
3.4 Total hours in the curriculum 43 3.5 out of which
lecture 28
3.6 laboratory practical
activity 15
Distribution of time pool per week 8
hours
Study of books, lecture materials, bibliography, notes 2
Supplemental documentation at the library, from specialized information portals and in the field 2
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 2
Tutorial activities 1
Examinations 1
Other activities
3.7 Total hours of individual study per
week 8
3.8 Total hours per semester 43
3.9 Credits 4
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical activities
6. Specific competencies acquired
Professional competencies
1. Description of concepts, theories, and fundamental notions about
dermatological and venereal diseaseslisted in course topic.
2. Formulating hypotheses and interpretation of the signs, clinical
symptoms and laboratory changes to elaborate a presumptive
dermatologic and venereologic diagnosis
3. The application of methods, techniques and clinical knowledge
acquired as to be integrated with laboratory data in order to establish a
positive diagnosis, differential, and setting
prognosis
4. Using the concepts of therapeutic resources to formulate a correct
treatment plan and the correct interpretation of the evolution based on the
clinical and laboratory data
5. Application of the treatment plan established in accordance with state
current disease and adapt to the peculiarities of individualized patient
6. Critical monitoring and adjustment of therapy results treatment in the
patient's evolution.
7. Making an individualized treatment plan and perform therapeutic
maneuvers, including those aimed at first-aid qualified
8. Identify principles for applying prevention,
and tools that are in the hands of a doctor
9. Interpretation and analysis of risk factors to identify
the most effective measures for prevention of skin and veneral diseases
10. Development and application of a specific prevention plan to ensure
prevention of aggravation of and / or installation of consequences
debilitating of skin and venereal disease
11. Making a plan for primary, secondary and tertiary prevention, in a
given situation.
Transversal competencies
1. Identify objectives to be achieved, the available resources, the
conditions of the work stages for work, deadlines and related risks.
2. Identify roles and responsibilities in a multidisciplinary team and
application of techniques to relate and work efficiency within the team in
the relationship with the patient
3. Knowledge and interpretation of signs and symptoms in general skin
pathology
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective 1. Development of capacity of the graduates to approach, diagnose
and treat dermatological and venereal conditions
7.2 Specific objectives
1. Acquiring skills of examination and interpretation of eruptions in
dermatological and venereal diseases
2. Knowledge and learning the methods of laboratory investigation
and examinations for the diagnosis of dermatological diseases
3. Interpretation of the results of laboratory investigations
indermatological and venereal diseases
4. Making positive and differential diagnosis of skin diseases
5. Development of therapeutic plans in skin diseases
6. Conducting epidemiological investigations in venereal diseases
7. Knowledge of new methods of investigation and treatment in
dermatological diseases
8. Knowledge and application of effective prevention measures in
dermatological and venereal diseases
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
1. Physical examination. Examination of
the skin. Examination of the eruption: type
of lesions, distribution of lesions,
arrangement, morphology of lesions – size,
color, consistency, configuration,
margination, surface. Examination of the
adjacent mucous membranes, hair and
nails.Chronology and evolution of the
lesion or eruption.
Multimedia.
Oral
presentation
+
multimedia
2
Bullous/ vesicular
rash, Edema,
Pruritus, Purpura,
Eczematous skin
lesions, Skin ulcers
2.
2. Dermatological semiology. Changes of
color of the skin. Erythemas. Fluid filled
lesions. Solid lesions. Lesions with loss of
tissue. Cutaneous offals. Sequellar lesions.
Pathophysiological mechanisms and
notions of Cutaneous Pathology.
Dermatological examination
Multimedia.
Oral
presentation
+
multimedia
2 Integrated curs -
Physiolopathology
Bullous/ vesicular
rash, Edema,
Pruritus, Purpura,
Eczematous skin
lesions, Skin ulcers
3.
3. Benigne proliferative disorders.
Precancerous lesions. Seborrheic wart.
Keratoakanthoma. Adenoma sebaceum.
Cysts. Molluscum pendulum.
Haemangioma. Lymphangioma. Lipoma.
Naevus. Melanozis Dubreuilh. Bowen
disease. Paget disease. Xeroderma
pigmentosum. Leukoplakia. Radiation
dermatitis. Solar keratosis.
Multimedia.
Oral
presentation
+
multimedia
2
Pathologies of the
oral cavity
(including decay),
Paget's disease,
skin cancer, skin
ulcers
4.
4. Malignant proliferative disorders. Basal
cell carcinoma. Squamous cell carcinoma.
Malignant melanoma. Other malignant
tumors: Kaposi”s sarcoma,
dermatofibrosarcoma, cutaneous
lymphomas
Multimedia.
Oral
presentation
+
multimedia
2 TBL
Carcinoma of the
head and neck
lympho
proliferative
pathology,
myeloproliferative
pathology,
Pathologies of the
oral cavity
(including decay),
Skin Cancer, Skin
Ulcers
5.
5. Cutaneous viral infections. Viral warts.
Condylomata acuminata. Herpes simplex .
Herpes zoster . Molluscum contagiosum.
Pityriasis rosea Gilbert. Aphthae. Fungal
infections. Dermatophytes. Cutaneous
candidiasis. Mucosal candidiasis. Pityriasis
versicolor. Subcutaneous fungal infections.
Multimedia.
Oral
presentation
+
multimedia
2
Bullous / vesicular
rash, Joint pain,
adenopathy,
Carcinoma of the
head and neck,
infectious diseases
of childhood,,
Pathologies of the
oral cavity
(including decay),
HIV, Sexually
transmitted
diseases, skin
infections
Candidiasis,
infectious diseases
of childhood,
pruritus,
leucorrhea,
diabetes,
eczematous lesions
of the skin, hair
diseases,
6.
6. Bacterial Infections of the skin. Parasitic
disease. Mycobacterial infections.
Streptococcal infections. Staphylococcal
infections. Scabies. Pediculosis. Typical
and atypical cutaneous tuberculosis.
Multimedia.
Oral
presentation
+
multimedia
2 TBL
Bullous / vesicular
rash, adenopathy,
edema, infectious
diseases of
childhood,
peripheral nerve
disorders, pruritus,
eczematous lesions
of the skin, skin
infections
7. 7. Allergic diseases. Eczema. Urticaria.
Prurigo. Pruritus. Neurodermatitis.
Multimedia.
Oral
presentation
+
multimedia
2
Bullous / vesicular
rash, joint
swelling, edema,
allergic disorders,
pruritus, drug
reactions,
8.
8. Cutaneous manifestations of vascular
insufficiency. Vasculitis Chronic venous
insufficiency. Venous stasis ulcers.
Erythema nodosum. Purpura Henoch-
Scoonlein.
Multimedia.
Oral
presentation
+
multimedia
2
Edema,
inflammatory
arthritis,
osteomyelitis,
Paget's disease,
pruritus, purpura,
diabetes,
eczematous lesions
of the skin,
peripheral vascular
disorders, skin
ulcers, varicose
disease
9.
9. Diseases of disordered immunity Lupus
erythematosus. Scleroderma.
Dermatomyositis.Mixt connective tissue
disease
Multimedia.
Oral
presentation
+
multimedia
2
Joint pain, joint
swelling,
adenopathy,
edema, ,
inflammatory
arthritis, pruritus,
connective tissue
disease, diseases of
the hair, skin
ulcers
10.
10. Bullous diseases Pemphigus. Dermatitis
herpetiformis. Herpes gestationis.
Pemphigoid. Epidermolysis bullosa.
Porphyria. Lyell syndrome. Erythema
multiforme.
Multimedia.
Oral
presentation
+
multimedia
2
Bullous/ vesicular
rash, Pathologies
of the oral cavity
(including decay),
pruritus,
leucorrhea
11.
11. Papulosquamous diseases. Psoriasis.
Lichen planus. Disorders of sebaceous
glands Acne vulgaris. Rosacea
Multimedia.
Oral
presentation
+
multimedia
2
Joint swelling,
acne, pruritus,
psoriasis
12.
12. Sexually transmitted infections.
Pathogens. Syphilis Firs stage of syphilis.
Secondary stage of syphilis. Tertiary stage
of syphilis. Congenital syphilis. Serum
diagnosis. Treatment.
Multimedia.
Oral
presentation
+
multimedia
2 Integrated curs -
Microbiology
Bullous/ vesicular
rash, Cervical
node,
Lymphadenopathy,
Edema,
Pathologies of the
oral cavity
(including decay),
Osteomyelitis,
Peripheral nerve
disorders,
Leukorrhoea,
Diseases of the
hair, Sexually
transmitted
diseases, Skin
infections, Skin
ulcers
13.
13. Other sexually transmited diseases.
Gonococcal and nongonococcal urethritis.
Trichomoniasis. Soft chancre.
Lymphogranuloma venereum. Chlamydia
trachomatis. Genital mycoplasma
infections.
Multimedia.
Oral
presentation
+
multimedia
2
Joint pain,
Swelling joints,
Adenopathy,
Candidiasis,
Carcinoma of the
head and neck,
Infectious diseases
of childhood,
Inflammatory
arthritis,
Pathologies of the
oral cavity\(
including decay),
Edema/ Testicular
pain, Leucorrhea,
HIV, Sexually
transmitted
diseases, Sexually
transmitted
diseases,
Infections of the
skin, Skin ulcers
14.
14. Appendages disorders: Localized and
diffuse alopecia.Nail disorders Exanthems.
Erythrodermia.
Multimedia.
Oral
presentation
+
multimedia
2
Pruritus, hair
diseases, psoriasis
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Rook A et al - Textbook of dermatology. Ed Elservier. 2010
2. HABIF, P.Thomas Clinical Dermatology : A Color Guide to Diagnosis and Therapy Fourth Edition
Edinburgh : Mosby, 2004
3. WOLFF, Klaus Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology
6th Edition New York : McGraw-Hill Inc., 2009
4. Fekete Gy L., Fekete L. Basic dermatology and venerology for medical students. Editura University
Press, Tîrgu Mureş, 2015
Crt.
no.
8.1
Seminaries/Laborato
ries/Practical
activities/Stages
Teaching
methods Hours Observations ICS correlation
First semester
1.
Structura si functiile
pielii. Etapele
diagnosticului
diferential in
dermatologie.
Demonstratii
practice,
prezentari de
caz
1
Structura pielii (epidermul
dermul, hipodermul, anexele
cutanate), Functiile pielii
(melanogeneza,
keratinogeneza, functia
imunologica, functia de
aparare si termoreglare),
Leziunile elementare ale
pielii (tulbarari de
pigmentare, leziuni solide,
leziuni lichide, leziuni prin
pieredere de substanta,
deseuri cutanate), anamneza
in dermatologie, examenul
obiectiv in dermatologie,
evaluarea leziunilor
elementare si corelare
acestora cu anamneza si
datele obiective
Erupție
buloasă/veziculară,
Patologii ale cavității
bucale (inclusiv cariile),
Prurit, Leucoree
Adenopatie, Edem ,
Tulburări ale nervilor
periferici, Prurit, Leziuni
eczematoase ale pielii,
Boli ale părului,
Ulcerațiile pielii, Purpură
2. Tratamentul local in
dermatologie
Demonstratii
practice,
prezentari de
caz
1
Principii de terapie locala,
preparate locale ( solutii,
geluri, mixturi, paste, creme,
pomezi), preparate topice
(dermatocorticoizii,
retinoizii, antibioticele,
antimicoticele, substantele
citotoxice)
Prurit, Leucoree,
Adenopatie, Edem ,
Tulburări ale nervilor
periferici, Prurit, Leziuni
eczematoase ale pielii,
Boli ale părului,
Ulcerațiile pielii, Purpură,
Acnee, Psoriazis
3.
Examinari
paraclinice in
dermatologie
Demonstratii
practice,
prezentari de
caz
1
Diascopia, Dermatoscopia,
Examinarea cu lampa
Wood, citodiagnosticul
Tzanck, biopsia cutanata
Carcinom al capului și
gâtului, Patologii
limfoproliferative,
Patologii
mieloproliferativePatologi
i ale cavității
bucale(inclusiv cariile),
Cancer de piele,
Ulcerațiile pielii, Boli cu
transmitere sexuală,
Infecțiile pielii,Candidoză,
Psoriazis, Acnee
4. Tratamentul sistemic
in dermatologie
Demonstratii
practice,
prezentari de
caz
1
Corticoterapia in
dermatologie, Retinoizii in
dermatologie,
Antibioterapia, Terapia
sistemica cu antimicotice,
Terapia cu agenti biologici
Ulcerațiile pielii, Boli cu
transmitere sexuală,
Infecțiile pielii,Candidoză,
Psoriazis
(adalimumab, ustekinumab,
etanerceptum,
sekukinumab), Terapia cu
alti agenti terapeutici in
dermatologie ( metotrexat,
azathioprina, ciclosporina
A)
5.
Tratamentul
dermatologic prin
agenti fizici
Demonstratii
practice,
prezentari de
caz
1
Electrocauterizarea,
Crioterapia, Terapia cu
ultraviolete A, B cu banda
ingusta, Fotochiomioterapia
(PUVA – terapia),
Fotochimioterapia topica,
Fotochimioterapia
extracorporeala (fotoforeza),
Principiile Laserterapiei,
tipuri de LASER, indicatiile
diferitelor tipuri de LASER,
Terapia fotodinamica
(PDT), Radioterapia in
dermatologie
Carcinom al capului și
gâtului, Patologii
limfoproliferative,
Patologii
mieloproliferativePatologi
i ale cavității
bucale(inclusiv cariile),
Cancer de piele,
6.
Diagnosticul
diferențial în
afecțiunile
eritematoscuamoase
CBL
Demonstratii
practice,
prezentari de
caz. CBL
1 Psoriazisul, Pitiriazis rozat
Gibert, Eczematide,
Prurit, LeucoAdenopatie,
Edem , Tulburări ale
nervilor periferici, Leziuni
eczematoase ale pielii,
Boli ale părului,
Ulcerațiile pielii, Purpura,
7.
Diagnosticul
diferențial în
afecțiunile
veziculobuloase
CBL
Demonstratii
practice,
prezentari de
caz. CBL
1
Herpes simplex, herpes
zoster, eritem polimorf,
pemfigusuri, pemfigoidul
bulos, epidermoliza buloasă
și dobândită
Erupție
buloasă/veziculară,
Patologii ale cavității
bucale (inclusiv cariile),
LeucoreeAdenopatie,
Edem , Tulburări ale
nervilor periferici, Prurit,
Leziuni eczematoase ale
pielii, Boli ale părului,
Ulcerațiile pielii, Purpură,
8. Paraneoplazii
cutanate
Demonstratii
practice,
prezentari de
caz
1
Acrokeratoza
paraneoplazică, Acanthosis
nigricans malign,Erythema
gyratum repens, Ichtioza
paraneoplazică, semnul
Lesser -Trelat, Hipertricoza
lanuginoasă, Eritemul
necrolitic migrator
Adenopatie, Leziuni
eczematoase ale pielii,
Prurit, Carcinom al
capului și gâtului,
Patologii
limfoproliferative,
Patologii
mieloproliferative
9. Reacții cutanate
postmedicamentoase
Demonstratii
practice,
prezentari de
caz. CBL
1
Incidență, Reacții
inumologice, Reacții non-
imunologice, Reacții
cutanate generalizate,
Reacții cutanate localizate,
Prurit, Edem, Leziuni
eczematoase ale pielii,
Purpură, Erupție
buloasă/veziculară
Tratament
10.
Diagnosticul
diferențial în raport
cu regiunile
anatomice
Demonstratii
practice,
prezentari de
caz
1
Afecțiunile scalpului, feței,
trunchiului, regiunii genitale
la femei și bărbați, brațelor
și mâinilor, membrelor
inferioare și superioare
Erupție
buloasă/veziculară,
Patologii ale cavității
bucale (inclusiv cariile),
Leucoree,Adenopatie,
Edem , Tulburări ale
nervilor periferici, Prurit,
Leziuni eczematoase ale
pielii, Boli ale părului,
Ulcerațiile pielii, Purpură
11. Patologia mucoasei
bucale
CBL
Demonstratii
practice,
prezentari de
caz. CBL
1
Stomatite difuze, Afecțiuni
ale limbii, buzelor și
mucoasei jugale
Patologii ale cavității
bucale (inclusiv cariile),
Adenopatie, Erupție
buloasă/veziculară,
12. Patologia regiunii
genitale
CBL
Demonstratii
practice,
prezentari de
caz. CBL
1
Pruritul și afecțiunile
eczematoase. Infecții
bacteriene și micotice.
Afecțiuni papuloscuamoase
Leucoree, Adenopatie,
Edem , Leziuni
eczematoase ale pielii
13. Patologia regiunii
genitale
Demonstratii
practice,
prezentari de
caz
1 Ulcerații ale mucoasei
genitale. Afecțiuni maligne
Adenopatie, Edem ,
Tulburări ale nervilor
periferici, Ulcerațiile pielii
14. Lucrare
recapitulativă
Demonstratii
practice,
prezentari de
caz
2
Recapitularea examenului
local dermatologic,
diagnosticului diferențial și
al unei prezentări de caz
dermatologic
Erupție
buloasă/veziculară,
Patologii ale cavității
bucale (inclusiv cariile),
Prurit,
Leucoree,Adenopatie,
Edem , Tulburări ale
nervilor periferici, Prurit,
Leziuni eczematoase ale
pielii, Boli ale părului,
Ulcerațiile pielii, Purpură
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Rook A et al - Textbook of dermatology. Ed Elservier. 2010
2. Color Atlas & Synopsis of Clinical Dermatology 6th Edition New York : McGraw-Hill Inc., 2009
3. Fekete Gy L., Fekete L. Basic dermatology and venerology for medical students. Editura University
Press, Tîrgu Mureş, 2015
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Absolventul trebuie sa cunoască și să aplice cunoștințele din domeniul dermatologiei deoarece
dermatologia reprezinta o disciplina de baza atat prin complexitatea si prin frecventa bolilor cutanate cat
si prin faptul ca reprezinta oglinda intregului organism, foarte multe boli ale organelor interne avand
modificari specifice la nivel cutanat.
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of
the final grade
10.4 Evaluation during the
semester
Lecture In functie de specificul disciplinei TBL 10%
Practical activities In functie de specificul disciplinei CBL 10%
10.5 Final evaluation
Theoretical final
exam
Understanding and integration of all
theoretical concepts
Knowing of bibliographical
references
final test verification
during the year 60%
Practical final exam
Correlation between theoretical and
practical notions
Capacity of performing practical
work
Practical skills acquired during
internship
Practical exam clinical
case 20%
10.6 Minimal performance standards
1. Making medical history, clinical examination, and could efectuate the based diagnostics maneuvers ,
request appropriate complementary examinations, formulating a positive and differential diagnosis in
skin and venereal diseases
2. Making an individualized treatment plan and perform core therapeutic maneuvers, including those
relating to first aid in skin diseases
3. Making a plan for primary, secondary and tertiary prevention,for dermatological and venereal diseases
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty Medicine
1.3 Department M4
1.4 Field of study Health Care
1.5 Study cycle Licence
1.6 Study program General Medicine - English Section
2. Data regarding the discipline 2.1 Name Endocrinology
2.2 Course coordinator Prof. Dr. Pascanu Ionela
2.3 Practical activity coordinator(s) Prof. Dr. Pascanu Ionela
2.4 Study year IV 2.5 Semester I 2.6 Type of evaluation Ex 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 4 3.2 out of which
lecture 2
3.3 laboratory practical
activity 2
3.4 Total hours in the curriculum 56 3.5 out of which
lecture 28
3.6 laboratory practical
activity 28
Distribution of time pool per week 4
hours
Study of books, lecture materials, bibliography, notes 1
Supplemental documentation at the library, from specialized information portals and in the field 1
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1/2
Tutorial activities 1/2
Examinations 1
Other activities
3.7 Total hours of individual study per
week 8
3.8 Total hours per semester 56
3.9 Credits 4
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable)
5.1 for lectures the presence is mandatory on at least 80% of the lectures, which means
on at least 11 lectures from the total 14
5.2 for laboratory and practical the presence is mandatory on at least 80% of the practical activities,
activities which means at least 11 presences from the total 14; absences above 3
must be recovered during the semester; mandatory participation on the
mid-semester seminar (on the 9th or 10th semester week)
6. Specific competencies acquired
Professional competencies
- to describe the concepts, theories and fundamental notions in the
pathogenesis, symptoms, clinical signs of endocrine diseases, useful for
the diagnosis, management and prevention of endocrine disorders,
- to identify the risk factors for endocrine conditions, and the populational
health problems in the field of endocrinology
- to formulate hypotheses to solve clinical cases, to evaluate correctly the
clinical signs and symptoms of endocrine disturbances, as well as the
specific laboratory results and imagistic finding in endocrinology in order
to elaborate a presumptive diagnosis,
- to apply therapeutic notions in order to formulate therapeutic strategies,
to describe the mechanisms of action, indications, contraindications, side
effects of medicines and other possibilities of treatment in endocrine
diseases.
Transversal competencies
- to identify the objectives, and how the available resources can be used to
realize them, working steps and times, to evaluate the opportunities to
realize the deadlines on time, and the possible afferent risks,
- to identify the roles and responsabilities in a multidisciplinary
teamwork, and to apply communication skills, flexibility and adaptability
in the partnership with the colleagues and relationship with the patients,
to learn to construct working partnerships,
- to aware of the need for a lifelong learning and training, the efficient
application of learning resources and skills which ensure the path to
lifetime learning; knowledge, skills and attitudes that together give to
students a solid basis for further learning,
- to learn to transfer the skills for critical thinking in the medical practice,
- to use efficiently informational and communication resources for
professional qualification, maintain telecommunications electronic
equipment or servicies, telecommunications network management, use of
professional vocabulary and languages appropriate for effective
communication,
- to offer individualised guidance and support for student motivated to
continue their training in the field of endocrinology and allow the
construction of flexible routes to qualifications,
- to be involved in social and civic competence, in public health problems
in the field of endocrinology, by informing/educating population to learn
the prevention or management of risk factors for endocrine diseases.
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective
- to provide excellent training in clinical endocrinology, to motivate and
inspire innovative clinical and basic research in endocrinology, and to
prepare the trainees to become academic physicians/scientists and future
leaders of endocrine research, education and practice.
7.2 Specific objectives - to present the importance of endocrinology in academic medical
education,
- to highlight the close correlations between endocrinology and other
medical and surgical specialities,
- to transfere a minimal endocrinological knowledge necessary for an
adequate medical activity,
- to train the students to understand basic endocrinological mechanisms,
hormone actions, hormone interactions, endocrine physiology and
pathophysiology of endocrine diseases,
- to train the fellows to diagnose, prevent and manage endocrine diseases,
including history and physical examination of endocrine glands, selection
and interpretation of hormonal tests and imaging procedures, different
therapeutical possibilities used in endocrinology,
- to emphasize the importance of endocrine conditions being considered
populational endocrine health problems (endemic goiter and iodine-
deficiency disorders, osteoporosis, obesity etc.), to sensitize the fellows
for prophylactic and screening endocrinological programmes,
- to learn the fellows how to perform endocrine research (clinical and/or
basic), to collaborate with colleagues of other specialities, and to be
involved in research project during academic education
- to understand of the need to engage in lifelong learning to stay abreast of
relevant scientific advances.
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
1. Fundamental endocrinology knowledge. The
hormone’s classification, measuring methods,
biorhythms, action mechanisms. Etiology and
pathogeny of endocrine diseases.
Oral
presentation
and
multimedia
2
Thyroid
disorders,
Pituitary
disorders
2.
2. Hypothalamus – superior neurovegetative centre
and neuroendocrine coordinator. Congenital
hypothalamic dysfunctions. Hypothalamic-
neurohypophysis system: AVP, oxitocine.
Diabetes insipidus.
Oral
presentation
and
multimedia
2
Pituitary
disorders,
Electrolyte and
water balance,
Brain tumors,
Eating disorders,
Headache, visual
impairment,
polyuria, short
stature, weight
gain, weight loss,
sleep disturbance
3.
3. The anterior pituitary gland. The pituitary
tumoral syndrome. Pituitary adenomas.
Acromegaly. Prolactinoma and other
hyperprolactinemias.
Oral
presentation
and
multimedia
2
Pituitary
disorders Raised
intracranial
pressure,
headache,
Cefalee, visual
impairment
4. 4. The clinical non-secretory adenoma. TSH Oral 2
Pituitary
secreting adenoma. Cushing disease. Pituitary
failure. Carniopharyngioma. Empty sella
syndrome.
presentation
and
multimedia
disorders,
Dezechilibru
hidro-electrolitic
Headache, visual
impairment, short
stature, weigth
gain, raised
intracranial
pressure
5.
5. Thyroid gland - Anatomy, embryology,
physiology, biosynthesis and action of the thyroid
hormones. Thyroid function regulation
Oral
presentation
and
multimedia
2
Thyroid disorders
6.
6. Thyreotoxicosis syndrome. Basedow Graves
disease. Thyroid function autonomy. Iodine
induced hyperthyroidism. Other thyreotoxicosis.
Thyreotoxic crisis.
Oral
presentation
and
multimedia
2
Thyroid disorders
Palpitations,
visual
impairment,
visual loss,
weight loss,
orbital swelling
7.
7. Hypothyroidism – newborn, child, adult, old
age. Hypothyroid coma. Endemic and sporadic
goiter.
Oral
presentation
and
multimedia
2
Thyroid
disorders,
Learning
disorders,
Anemia hearing
loss,
constipation,
dysphagia, short
stature, weight
gain, oedema,
8.
8. Acute, subacute and chronic thyroiditis. (forms -
chronic lymphocitary Hashimoto, atrophic and
lignosa). Thyroid tumors. Benign tumors. Thyroid
cancer – diagnostic and therapeutic course of
action. Other malign tumors.
Oral
presentation
and
multimedia
2
Thyroid
disorders,
Carcinoma of
head and neck
PUO-pyrexia of
unknown origin
Dysphagia, lump
in neck,
lymphadenopathy
9.
9. Morphology and physiology of the parathyroid
glands. Hypoparathyroidism. Spasmophilia.
Hyperparathyroidism. Osteoporosis.
Oral
presentation
and
multimedia
2
Disorders of
calcium and
vitamin D
metabolism,
Osteoporosis,
Pagets disease
Back pain
10. 10. Regulation of the secretion of the adrenal
cortex hormones. Cushing syndrome.
Oral
presentation
and
2
Adrenal excess
Hypertension
Diabetes mellitus
multimedia
11.
11. Chronic primary adrenal failure. (Addison
disease). Addisonian crisis. Congenital adrenal
hyperplasia. Adrenal incidentalomas.
Oral
presentation
and
multimedia
2 TBL
Adrenal failure,
Adrenal excess
Hypertension
Palpitațion,
tiredness,
vomiting
12. 12. Hypermineralocorticism. Adrenal medulla –
physiology. Pheochromocytoma. Paraganglioma
Oral
presentation
and
multimedia
2
Adrenal failure,
Adrenal excess
Hypertension
Palpitațion,
tiredness,
vomiting
13.
13. Sexualization. Disorders of sex development.
Turner syndrome. Klinefelter syndrome. Other
sexual development disturbances. Normal and
patological puberty. Male hypogonadism. Male
infertility. Cryptorchidism. Gynecomastia. The
andropause.
Oral
presentation
and
multimedia
2
Chromosomal
disorders,
Normal child
development,
Disorders of
puberty,
Hypogonadism,
Infertility
gynaecomastia
14.
14. Primary ovarian failure. Primary and
secondary amenorrhea. Benign breast diseases.
Polycystic ovary syndrome. The menopause.
Obesity: Etiology, pathogenesis. The metabolic
syndrome. Treatment.
Oral
presentation
and
multimedia
2 TBL
Hypogonadism,
Menstrual
disorders,
Disorders of
puberty,
Infertility, Breast
lump, Birth
control,
Disorders of lipid
metabolism
Diabetes
mellitus, Acne
Weight gain
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Ionela M. Pascanu, Florina Gliga, Gabriela Madaras, Raluca Pop, Corina Radu-Pop, Zsuzsana Szanto:
ENDOCRINOLOGY LECTURE, Lithography UMPh Targu Mures, 2012
2. Gardner DG, Shoback D (eds.) Greenspan's Basic & Clinical Endocrinology, Ninth Edition, 2011.
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations ICS correlation
First semester
1.
1. The observation sheet – particularities in
endocrinology. Filling the observation sheet.
Developing bedside manners – practical activities.
practical
activities 2
Patologie
tiroidiana,
Patologia
glandei
hipofize
2.
2. Patological practical aspects of hypothalamic-
pituitary syndromes. Congenital hypothalamic
dysfunctions. Pituitary tumoral syndrome –
neurological, imagery, ophthalmological and
endocrine. Diabetes insipidus
Case
presentation,
practical
activities
2
Patologia
glandei
hipofize,
Dezechilibru
hidro-
electrolitic,
Tumori
cerebrale,
Tulburări de
apetit
alimentar,
Cefalee,
afectare
vizuala,
poliurie,
nanism, castig
ponderal,
pierdere
ponderala,
tulburări de
somn
3. 3. Pituitary adenomas (acromegaly, prolactinoma):
diagnostic and treatment options
Case
presentation,
practical
activities
2 CBL
Patologia
glandei
hipofize,
Presiune
intracraniană
crescută,
Cefalee,
afectare
vizuala
4.
4. TSH secreting adenoma. Pituitary failure –
practical aspects of the diagnosis and therapy.
Craniopharyngioma.
Case
presentation,
practical
activities
2
Patologia
glandei
hipofize,
Dezechilibru
hidro-
electrolitic
Cefalee,
afectare
vizuala,
nanism, castig
ponderal,
Presiune
intracraniană
crescută,
5. 5. Diagnostic methods in thyroid diseases –
paraclinical and laboratory findings
Case
presentation,
practical
activities
2
Patologie
tiroidiana
6.
6. Thyreotoxic syndrome. Basedow Graves disease,
thyroid autonomy, iodine induced hyperthyroidism,
etc. Practical aspects for positive and differential
diagnosis, treatment guidelines.
Case
presentation,
practical
activities
2 CBL
Patologie
tiroidiana,
Palpitatii,
afectare
vizuala,
cecitate,
pierdere
ponderala,
inflamație a
orbitei
7.
7. Hypothyroidism – clinical findings depending on
age. Thyroiditis – positive and differential
diagnostic, therapeutic options.
Case
presentation,
practical
activities
2
Patologie
tiroidiana,
Tulburări de
învățare,
Anemie
constipație,
disfagie,
nanism, castig
ponderal,
edem,
8. 8. Endemic goiter. Thyroid nodule – diagnostic
guideline. Thyroid cancer.
Case
presentation,
practical
activities
2
Patologie
tiroidiana,
Carcinom al
capului și
gâtului
Disfagie,
surditate, nodul
cervical,
adenopatie
9.
9. Hypoparathyroidism. Hypocalcemic disorders.
Spasmophilia. Hyperparathyroidism. Hypercalcemic
disorders. Osteoporosis.
Case
presentation,
practical
2
Tulburări ale
metabolismului
calciului și
activities vitaminei D,
Osteoporoza,
Boala Paget
Durere de
spate
10.
10. Cushing syndrome – clinical, paraclinical,
diagnostic aspects. Hyperaldosteronism. Congenital
adrenal hyperplasia – diagnostic and treatment
aspects.
Case
presentation,
practical
activities
2
Hiperfuncție a
glandei
suprarenale
Hipertensiune
Diabet zaharat
Hipogonadism,
Tulburări ale
pubertății
11. 11. Adrenal failure. Pheochromocytoma and
paraganglioma.
Case
presentation,
practical
activities
2
Insuficiență a
glandei
suprarenale,
Hiperfuncție a
glandei
suprarenale
Hipertensiune,
Palpitații,
oboseală,
vărsături
12.
12. Normal and patological sexualization. Pubertal
status evaluation. Male hypogonadism. Masculine
infertility. Cryptorchidism. Gynecomastia. The
andropause.
Case
presentation,
practical
activities
2
Patologii
cromozomiale,
Dezvoltarea
normală a
copilului,
Tulburări ale
pubertății,
Hipogonadism,
Infertilitate
ginecomastia
13.
13. Ovulation – clinical and paraclinical diagnostic.
Primary ovarian failure. Primary and secondary
amenorrhea. Benign breast disease. Polycystic ovary
syndrome. The menopause.
Case
presentation,
practical
activities
2
Hipogonadism,
Tulburări ale
menstruației,
Tulburări ale
pubertății,
Infertilitate,
Nodul mamar,
Contracepție,
Acnee
14. 14. Practical methods for obesity management. The
metabolic syndrome.
Case
presentation,
practical
activities
2
Tulburări ale
metabolismului
lipidic, Diabet
zaharat, Câștig
ponderal
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Ionela M. Pascanu, Florina Gliga, Gabriela Madaras, Raluca Pop, Corina Radu-Pop, Zsuzsana Szanto:
ENDOCRINOLOGY LECTURE, Lithography UMPh Targu Mures, 2012.
2. Gardner DG, Shoback D (eds.) Greenspan's Basic & Clinical Endocrinology, Ninth Edition, 2011.
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain - the student must have a minimal endocrine knowledge in order to recognize endocrine diseases, to
recommend the appropriate investigations and current therapeutical opportunities for patients, and to
collaborate succesfully with other medical and surgical specialists in the future
- the student have to know prophylactic measures to prevent endocrine diseases: to indicate lifestyle,
dietary and other preventive advices, especially in high risk populational groups (obesity in any age
group, iodine deficiency in pregnancy, osteoporotic fractures in elderly etc.)
- the student must know populational endocrine health problems, in order to recommend screening and
therapeutical programs
- the student have to gain skill to interact with patients suffering from endocrine diseases and/or diabetes
mellitus
- the student must know the endocrine emergencies, in order to identify them and act promptly in case of
patients with one of these severe health problems.
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of
the final grade
10.4 Evaluation
during the
semester
Lecture A test with 9 simple choice questions from
the lectures at TBL lecture
For each question the
student will receive 1 point
if is correct
10%
Practical
activities A case scenario
3-5 practical questions
related to a case reports
similar to those presented
during semester at practical
activities. For each question
the student must give details
regarding correct diagnosis,
signs and symptoms,
treatment
10%
10.5 Final
evaluation
Theoretical
final exam
evaluation of theoretical knowledge in
endocrinology
A written test consisting of
90 multiple& simple choice
questions
40%
Practical
final exam
To realize general and local physical
examination, to evaluate paraclinical
investigations (hormonal assessment,
tumor markers, cytological exam,
endocrine ultrasound, X-Ray, CT, MRI), to
identify endocrine emergencies, to identify
the therapeutic objectives and priorities in
endocrine diseases, drug prescription, to
identify the risk factors of endocrine
diseases and prophylaxis. - evaluation of
the practical abilities by a case scenario of
a patient with endocrinological pathology
5 practical questions related
to a case reports similar to
those presented during
semester at practical
activities. For each question
the student must give details
regarding correct diagnosis,
signs and symptoms,
diferential diagnosis,
treatment
40%
10.6 Minimal performance standards
The exam is considered passed if the student has obtained at least the minimum grade (5) both on the
written and practical exam. For the theoretical part each question has maximum 4 right answers. The
questions with one answer are corrected by the rule “all or nothing”. For the questions with multiple right
answers, a point is awarded for recognizing both the right and wrong answers.
Obtaining a lower grade on either the written or practical exam means flunking the exam for that session.
The minimal standards are: To realize anamnesis in adult patient and child with endocrine disease,
general and local physical exam, to evaluate paraclinical investigations (hormonal assessment, tumor
markers, cytology, endocrine ultrasound, X-Ray, CT, MRI), to identify endocrine emergencies, to identify
the therapeutic objectives and priorities in endocrine diseases, drug prescription, to identify the risk
factors of endocrine diseases and prophylaxis.
Corespunzator Caietului de abilitati practice:
Abilitati privind tehnologia informatiei: 1.1, 1.2, 1.3, 1.4,1.5
Abilitati clinice: 2.1-> 2.11
Abilitati tehnice: 3.36
Abilitati paraclinice: 4.3; 4.6; 4.8; 4.10;4.12; 4.13; 4.16; 4.17; 4.18; 4.20; 4.21; 4.22; 4.24; 4.25; 4.26;
4.27; 4.28; 4.30; 4.31;
Abilitati privind deciziile si prescriptiile terapeutice: 6,1; 6.2; 6.4; 6.5; 6.6; 6.7;
Abilitati privind profilaxia bolilor si promovarea sanatatii: 7.1-> 7.8 (cu exceptia 7.7)
Abilitati de comunicare: 8.1-> 8.14;
Abilitati de cercetare si evaluare critica a dovezilor medicale: 9.1-> 9.5;
Abilitati diverse: 10.1->10.4;
Must seen clinical situation: Adenom hipofizar, Acromegalie, Insuficienta hipofizara, Nanism hipofizar,
Diabet insipid, Gusa nodulara, Sindrom tireotoxic, Tiroidita cronica, Hipotiroidie, Osteoporoza,
Hipoparatiroidism, Hiperparatiroidsm, Sindrom Cushing, Insuficienta adrenala, Sindrom de ovare
polichistice, Obezitate
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M3
1.4 Field of study HEALTH
1.5 Study cycle LICENCE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name INTERNAL MEDICINE 2
2.2 Course coordinator Prof.Dr.Daniela Dobru
2.3 Practical activity coordinator(s) Podoleanu Cristian, Cernea Simona, Magdas Annamaria, Jerremias
Zsuzsanna
2.4 Study year V 2.5 Semester 1 2.6 Type of evaluation EXAMEN 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 18 3.2 out of which
lecture 3
3.3 laboratory practical
activity 15
3.4 Total hours in the curriculum 207 3.5 out of which
lecture 42
3.6 laboratory practical
activity 165
Distribution of time pool per week 18
hours
Study of books, lecture materials, bibliography, notes 3
Supplemental documentation at the library, from specialized information portals and in the field 1
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1
Tutorial activities 0
Examinations 1
Other activities 1
3.7 Total hours of individual study per
week 31
3.8 Total hours per semester 414
3.9 Credits 10
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical
activities
6. Specific competencies acquired
Professional competencies
- Formulation of hypotheses and interpret the signs, clinical symptoms
and laboratory changes to develop presumptive diagnosis.
- Use concepts of therapeutic resources to formulate treatment plan and
correct interpretation, evolving clinical data and praclinice.
- Use principles, specific research methodology for correct interpretation
of phenomena linked to health, to do the diagnosis, development and
prognosis, prevention and therapeutic medical and surgical diseases.
- Application of methods, techniques and clinical knowledge acquired to
be integrated with laboratory data for positive diagnosis, differential
diagnosis and disease.
- Implement the treatment plan established in accordance with the current
state of the disease and its adaptation to individual patient characteristics.
- Implement appropriate preventive measures to prevent illness and
recovery rebalancing of the consequences of diseases already started.
Transversal competencies
Achieving a work / project, performing specific tasks responsibly role in a
multidisciplinary team.
- Design, Layout and support in Romanian and one international language
of specialized works on a current topic in the field, using different
information sources and tools.
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective
Acquiring main disease-specific diagnostic and therapeutic aspects
contained in the analytic syllabus:
- Gastroenterology and hepatology
- Nephrology
7.2 Specific objectives Acquiring knowledge for diagnosis and specific treatment guidance
in major diseases studied.
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
1.Gastroesophageal reflux disease : definition ,
classification, diagnosis , management .Barrett
esophagus , Esophageal Cancer , Dismotility
disorders
oral
presentation
+
multimedia
3
Dysphagia,
Weight loss,
Hematemesis,
Oesophageal
cancer,
Dismotility
disorders
2.
2.Peptic ulcer disease :definition , classification,
diagnosis , management .Gastric tumors ;
nosological terms , etiopathogeny , diagnosis ,
management
oral
presentation
+
multimedia
3 TBL1
Peptic ulcer,
Abdominal
pain,
Hematemesis,
Gastric cancer
3. 3.Diareea and constipation :nosological terms ,
etiopathogeny , diagnosis , management
oral
presentation
+
multimedia
3
Diarrhoea,
Changes in
bowel habits,
Malabsorption
4.
4.Inflamatory bowel disease : Ulcerative Colitis ,
Crohn disease: diagnosis , management ,
complications
oral
presentation
+
multimedia
3
Inflammatory
bowel disease,
Rectal bleeding
5. 5.Colonic polips , Poliposis Syndromes , Colorectal
cancer
oral
presentation
+
multimedia
3
Intestinal
obstruction,
Abdominal
pain, abdominal
distension,
Anemia,
Weight loss,
Anorectal pain,
Rectal bleeding
6. 6.Cronic Hepatitis , Cirhosis , Hepatic cancer :
epidemiology , pathology , diagnosis , management
oral
presentation
+
multimedia
3
Chronic liver
pathology,
Jaundice,
Hepatomegaly,
Splenomegaly
7. 7.Chronic Pancreatitis , Pancreatic Cancer , Biliary
disorders
oral
presentation
+
multimedia
3
Pancreatic
pathology,
Pancreatic
cancer,
Gallbladder
pathology
8.
8.Signs and sypmtoms in nephrology: anatomo-
functional correlations. Estimated gfr for evaluation
of kidney function. Proteinuria. Hematuria.
oral
presentation
+
multimedia
3
Acute renal
disease/failure,
Dysuria,
Hematuria,
Oedema,
Polyuria
9.
9.Clinical investigations in kidney diseases. Imaging
modalities: laboratory, iv-urography, ultrasound, ct-
scan, mri, scintigraphy, biopsy
oral
presentation
+
multimedia
3
Haematuria,
Oedema,
Orbital
swelling
10.
10.Glomerular syndromes: nephritic syndrome,
nephrotic syndrome, glomerular nephropaties:
minimal change disease, membranous nephropathy,
focal and segmental glomerulosclerosis (gsfs),
poststreptococal glomerulonephritis, rapide
progressive gn
oral
presentation
+
multimedia
3
Haematuria,
Oedema,
Orbital
swelling
11.
11.Kidney involvement in systemic diseases:
vasculitis, iga nephropathy, hypertension, diabetes
mellitus, atherosclerosis
oral
presentation
+
multimedia
3
Hypertension,
Diabetes
mellitus
12. 12.Tubulo-interstitial nephropathies: acute and oral 3
Acute renal
chronic pyelonephritis, analgesic nephropathy, urate
chronic interstitial nephrytis. Acute renal failure:
patient approach, rhabdomyolisis, sepsis, pregnancy
presentation
+
multimedia
disease/failure,
Disorders of
calcium and
vitamin D
metabolism,
Disorders of
uric acid
metabolism,
Urinary tract
obstruction,
hematuria
13. 13.Chronic kidney disease: clinical management of
the patient before substitution therapies
oral
presentation
+
multimedia
3 TBL2
Chronic renal
disease,
Disorders of
calcium and
vitamin D
metabolism,
Pruritus,
anemia
14. 14.Chronic kidney disease: renal replacement
therapy
oral
presentation
+
multimedia
3
Chronic renal
disease,
Disorders of
calcium and
vitamin D
metabolism,
Pruritus,
anemia.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1.Mayo Clinic Gastroenterology and Hepatology , Third Edition , Stephan C.Hauser , Mayo Clinic
Scientific Press
2. Lecture Notes - Gastroenterology 2014 . Daniela Dobru. University Press
3.Simon Steddon, Alistair Chesser, John Cunningham, and Neil Ashman - Oxford Handbook of
Nephrology and Hypertension (2 ed.), Oxford University Press, 2014
4.LECTURE NOTES
Additional :Essentials in clinical nephrology, MA SOBH, 2000, Ed Shorouk Press
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations
ICS
correlation
First semester
1. 1.Approach to the patient with disphagia
CBL;PPT
presentation
and case
presentations
3x5
internship
Gastroenterology
Departament
week 1
Dysphagia,
Oesophageal
cancer
2. 2. Approach to the patient with dyspepsia
CBL;PPT
presentation
and case
presentations
3x5
internship
Gastroenterology
Departament
week 2
Gastric
cancer, Peptic
ulcer
3. 3. Approach to the patient with diareea
CBL;PPT
presentation
and case
presentations
3x5
internship
Gastroenterology
Departament
week 3
Diarrhoea
4. 4. Approach to the patient with constipation
CBL;PPT
presentation
and case
presentations
3x5
internship
Gastroenterology
Departament
week 4
Constipation
5. 5. Approach to the patient with abnormal liver
tests
CBL;PPT
presentation
and case
presentations
3x5
internship
Gastroenterology
Departament
week 5
Jaundice,
6. 6. Approach to the patient with abdominal pain
CBL;PPT
presentation
and case
presentations
3x3
internship
Gastroenterology
Departament
week 6
Abdominal
pain
7. 7. Paracentesis , plypectomy- live demonstration
CBL;PPT
presentation
and case
presentations
3x2
internship
Gastroenterology
Departament
Week 6
Chirrosis
8. 8. Approach to the patient with nephritic
syndrome
CBL;PPT
presentation
and case
presentations
3x5
Internship
Nephrology
week 7
Haematuria,
Hypertension,
Chronic renal
disease
9. 9. Approach to the patient with nephrotic
syndrome
CBL;PPT
presentation
and case
presentations
3x5
Internship
Nephrology
week 8
Oedema,
Orbital
swelling,
Chronic renal
disease
10. 10.Approach to the patient with urinary tract
infection
CBL;PPT
presentation
and case
presentations
3x5
Internship
Nephrology
week 9
Polyuria,
Urinary tract
infection,
Urinary tract
obstruction
11. 11. Approach to the patient with chronic kidney
disease
CBL;case
presentations 3
Internship
Nephrology
week 10
Chronic renal
disease,
Pruritus,
Hypertension,
pericardial
disease,
vomiting
12. 12 Approach to the patient with acute renal
failure
CBL;case
presentations 3x2
Internship
Nephrology
week 11
Chronic renal
disease,
Pruritus,
Hypertension,
shock.
13. 13. Kidney biopsy CBL;case
presentations 3
Internship
Nephrology
week 11
Chronic
kidney
disease
14. 14. Kidney ultrasound CBL;case
presentations 3x2
Internship
Nephrology
week 11
Acute and
chronic renal
disease
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1.Mayo Clinic Gastroenterology and Hepatology , Third Edition , Stephan C.Hauser , Mayo Clinic
Scientific Press
2.Lecture Notes - Gastroenterology 2014 . Daniela Dobru. University Press
3.Simon Steddon, Alistair Chesser, John Cunningham, and Neil Ashman - Oxford Handbook of
Nephrology and Hypertension (2 ed.), Oxford University Press, 2014
4.LECTURE NOTES
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of
the final grade
10.4 Evaluation
during the
semester
Lecture
Learning orientation key
diagnostic elements and
principles of treatment of
diseases presented during the
previous courses
TBL 1+TBL 2 20%
Practical
activities
Practical orientation in positive
and differential diagnosis as well
as adopting a correct therapeutic
behaviour in the studied
pathology
Clinical examination, practical
bedside, with discussion of
diagnosis and treatment of the case
10%
10.5 Final
evaluation
Theoretical
final exam
Learning orientation key
diagnostic elements and
principles of treatment of
diseases included in the course
syllabus.
Test with 100 questions, simple and
multiple answers 50%
Practical final
exam
Practical orientation in positive
and differential diagnosis as well
as adopting a correct therapeutic
behavior in major diseases
studied.
Clinical examination, practical
bedside, with discussion of
diagnosis and treatment in case At
least 3 test/checks made during the
semester
20 %
10.6 Minimal performance standards
Achieve at least 50% of the test score scale.
- Making history complete clinical examination and diagnosis of basic maneuvers, requiring appropriate
complementary examinations, formulating a differential diagnosis and positive;
- Creating a customized treatment plan and performing basic therapeutic maneuvers, including those
relating to first aid qualified.
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M5
1.4 Field of study HEALTH
1.5 Study cycle Licence
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name NEUROSURGERY
2.2 Course coordinator DR. BALASA ADRIAN
2.3 Practical activity coordinator(s) DR. BALASA ADRIAN
2.4 Study year 4-6 2.5 Semester 2 2.6 Type of evaluation v 2.7 Type of discipline OPTIONAL
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 1 3.2 out of which
lecture 1
3.3 laboratory practical
activity 0
3.4 Total hours in the curriculum 14 3.5 out of which
lecture 14
3.6 laboratory practical
activity 0
Distribution of time pool per week 5,28
hours
Study of books, lecture materials, bibliography, notes 1
Supplemental documentation at the library, from specialized information portals and in the field 1
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1
Tutorial activities
Examinations 1
Other activities
3.7 Total hours of individual study per
week 5
3.8 Total hours per semester 28
3.9 Credits 2
4. Prerequisites (where applicable) 4.1 curricular prerequisites -
4.2 competency prerequisites -
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical
activities
6. Specific competencies acquired
Professional competencies
- reimprospatarea cunostintelor legate de neuroanatomie
- introducerea notiunilor de baza legate de semiologia neurochirurgicala
- introducerea notiunilor de baza legate de tratamentul specific
neurochirugical (investigatii clinice si imagistice preoperatorii, tehnici
operatorii neurochirurgicale, supravegerea postoperatorie a pacientului
neurochirurgical, recuperare si prognostic)
Transversal competencies
- relatia dintre neurochirurgie si celelalte discipline medicale in special
neurologie, radilogie si imagistica medicala, medicina de urgenta si
medicina de familie
7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective cunoasterea semiologiei si patologiei neurochirurgicale
7.2 Specific objectives acumularea de cunostinte teoretice si practice neurochirurgicale utilizabile
in toate ramurile medicale
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations
ICS
correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1. Introduction in neurosurgery. Coma and its causes -
Introducere in neurochirurgie, comele si etilogia lor
prezentare orala
cu
videoproiectie
2 2 hours
/lecture
2. Traumatic head injuries - Notiuni de traumatologie
neurochirurgicala
prezentare orala
cu
videoproiectie
2 2 hours
/lecture
3. Supratentroial tumors - Patologie tumorala
supratentoriala
prezentare orala
cu
videoproiectie
2 2 hours
/lecture
4. Infratentorial tumors - Patologie tumorala
infratentoriala
prezentare orala
cu
videoproiectie
2 2 hours
/lecture
5. Neurosurgical vascular diseases - Patologie
vasculara TBL 2
2 hours
/lecture
6. Neurosurgical spinal diseases - Patologie
degenerativa spinala
prezentare orala
cu
videoproiectie
2 2 hours
/lecture
7.
Lumbar punction (indications and technique) -
Tehnica efectuarii punctiei LCR (indicatii,
containdicatii,tehnica)
prezentare orala
cu
videoproiector
2 2 hours
/lecture
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Adrian Balasa, Rares Chinezu, Rodica Balasa et al. - Curs de neurochirurgie, University Press, Targu
Mures, 2014
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations
ICS
correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Adrian Balasa, Rares Chinezu, Rodica Balasa et al. - Curs de neurochirurgie, University Press, Targu
Mures, 2014
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain importanta cunoașterii semiologiei si patologiei neurochirurgicale in vederea unei diagnoze precoce si a
unui tratament adecvat
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation
methods
10.3 Percent of
the final grade
10.4 Evaluation during the
semester
Lecture
TBL - patologie
vasculara 30%
Practical activities
10.5 Final evaluation
Theoretical final exam
-cunoașterea materialului bibliografic
-ințelegerea conceptelor de bază și
integrarea lor
test grila 70%
Practical final exam
10.6 Minimal performance standards
Minimum grade : 5.00
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty Faculty of Medicine
1.3 Department Department M4
1.4 Field of study Field of study: Health
1.5 Study cycle License
1.6 Study program GENERAL MEDICINE
2. Data regarding the discipline 2.1 Name NEUROLOGY
2.2 Course coordinator Prof. dr. Rodica Balasa
2.3 Practical activity coordinator(s) Anca Motataianu
2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Exam 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 17 3.2 out of which
lecture 2
3.3 laboratory practical
activity 15
3.4 Total hours in the curriculum 73 3.5 out of which
lecture 28
3.6 laboratory practical
activity 45
Distribution of time pool per week 6
hours
Study of books, lecture materials, bibliography, notes 2
Supplemental documentation at the library, from specialized information portals and in the field 2
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 2
Tutorial activities
Examinations
Other activities
3.7 Total hours of individual study per
week 6
3.8 Total hours per semester 146
3.9 Credits 6
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical
activities
6. Specific competencies acquired
Professional competencies
-Fixing and deepening of basic concepts related to neuroanatomy, the
neurological semiology, neurology with which the student will face
during exercise profession.
-Acquiring the necessary knowledge on the causes, investigations, the
neurological manifestations of these disease, especially diagnosis and
treatment. Some patients in addition to the underlying disease, usually
shows heart problems, lung problems, liver problems, kidney problems,
diabetes etc. which may cause the neurological disease.
-Filling the whole range of medical knowledge that are required to be
known and applied..
Transversal competencies
- Identifying roles and responsibilities within a multidisciplinary team and
applying of effective working techniques in team framework and in
relationship with the patient..
- Effective use of information sources and communication resources and
training assistance (portals, Internet, specialized software, data bases,
online courses, etc.). both in romanian and in a foreign language.
- Project working under coordination to solve specific issues with
accurate assessment of workload, of available resources and time required
to complete with application of the rules of conduct and professional
ethics in the field, and health and safety at work.
7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective knowing of neurological semiology and pathology
7.2 Specific objectives
Acquiring the necessary knowledge on the causes, investigations,
neurological manifestations and especially the recovery. In the case of a
patient with additional heart problems, lung problems, liver problems,
kidney problems, diabetes etc. (which are involved in the etiology of the
neurological disease), completing the full range of care and medical
knowledge that is required to be known and applied.
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1. Introduction in neurology. Upper
motor neuron syndrome
Oral lecture, drawing, video
projection.
Cases presentation.
2
Cerebral palsy,
cerebrovascular
disorders,
movement
disorders,
multiple
sclerosis
2.
Lower motor neuron syndrome,
pathology of the peripheral
nervous system (ALS,
Polineuropathies, Lumbar disc
herniation)
CBL, Oral lecture, drawing,
video projection.
Cases presentation.
2
peripheral
nerve
disorders,
movement
disorders,
cranial nerve
disorders
3.
Senzitive syndromes,
syringomyelia, neurological
complications of symphilis
Oral lecture, drawing, video
projection.
Cases presentation.
2
peripheral
nerve disorders
4. Spinal cord syndromes, vestibular
syndromes, cerebellar syndromes
Oral lecture, drawing, video
projection.
Cases presentation.
2
spinal cord
malformations,
dizziness,
cerebrovascular
disorders,
vomiting
5. Brainstem syndromes, headache,
cranial neuralgias
Oral lecture, drawing, video
projection.
Cases presentation.
2
headache,
migraine,
peripheral
nerve disorders
6.
Extrapiramidal syndromes,
Parkinson’s disease, Wilson
disease
Oral lecture, drawing, video
projection.
Cases presentation.
2
movement
disorders,
cromosomial
disorders,
hereditary
metabolical
disorders
7. Cortical syndromes, epilepsy,
disorder of consciousness
Oral lecture, drawing, video
projection.
Cases presentation.
2
epilepsy,
Disturbance of
consciousness,
cerebrovascular
disorders
8. Intracranial hypertension Oral lecture, drawing, video 2
dizziness,
syndrome, meningeal syndrome,
recapitulation of the major
neurological syndromes
projection.
Cases presentation.
cerebrovascular
disorders,
vomiting,
headache
9.
Written evaluation (exam): major
neurological syndromes, the
vascularization of the brain
Oral lecture, drawing, video
projection.
Cases presentation.
2
cerebrovascular
disorders
10. Multiple sclerosis, myasthenia
gravis
CBL, Oral lecture, drawing,
video projection.
Cases presentation.
2
multiple
sclerosis,
movement
disorders
11. TBL, Stroke
TBL, Oral lecture, drawing,
video projection.
Cases presentation.
2
cerebrovascular
disorders
12. Ischaemic stroke
Oral lecture, drawing, video
projection.
Cases presentation.
2
cerebrovascular
disorders
13. Hemorrhagic stroke
Oral lecture, drawing, video
projection.
Cases presentation.
2
cerebrovascular
disorders
14. Muscular diseases
Oral lecture, drawing, video
projection.
Cases presentation.
2
mulscular
disorders,
movement
disorders
Bibliography:
Bibliography:
1. Rodica Bălaşa, Ion Pascu – Major neurological syndromes. University Press, Târgu-Mureş, 2006.
2. Adams ,R.; Victor, M.; - Principles of Neurology-Mc Graw-Hill, New York, 1997
Crt
.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages Teaching methods
Hou
rs Observations
ICS
correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1. 1. Neurological history taking
(anamnesis)
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Type and history of
symptoms,
precipitating factors,
treatment and
previous
investigations.
confusion,
dizziness,
disturbance of
consciousness,
headache,
cerebrovascular
disease,
migrain,
peripheral
nerve disorders
2. 2. Examination of the sensory
system.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Somatosensory
pathways, the
semiology of the
sensory system,
sensory syndromes,
peripheral nerve
diseases
(polyneuropathies,
mononeuropathies,
plexopathies,
radiculopathies).
cranial nerve
disorders,
cerebrovascular
disease,
peripheral
nerve disorders,
multiple
sclerosis
3.
3. Motor system: examination of
the muscle tone, the semiology of
the muscle tone disorders.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Pyramidal
hypertonia,
extrapyramidal
hypertonia,
decerebration and
decortication rigidity,
muscle hypotonia,
motore deficit,
muscle atrophy.
peripheral
nerve disorders,
cerebral palsy,
disorders of
muscle
4.
4. Motor system: examination of
the reflexes, the semiology of the
pathological reflexes.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Hyporeflexia and
areflexia, exaggerated
reflexes, diminished
reflexes, postural
reflexes, pathological
reflexes..
peripheral
nerve disorders,
cerebral palsy,
disorders of
muscle
5. 5. Examination of the balance and
coordination.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Upper and lower
extremity
coordination, finger
to nose and heel to
shin coordination test,
Romberg’s test.
dizziness,
cerebrovascular
disease,
peripheral
nerve disorders
6. 6. Examination of the unconscious
patient.
CBL, Bedside
learning-internship, 3
Causes and duration
of the coma,
confusion,
disturbance of
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
evaluation of the
unconsciousness and
confusion. Glasgow
Coma Scale.
consiousness,
raised
intracranial
pressure,
encephalopathy
7. 7. Examination of the cranial
nerves (I-XII).
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3 The semiology of the
cranial nerves I-XII.
cranial nerve
disorders
8. 8. Clinical case reports: ischaemic
stroke.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Etiology, clinical
findings, treatment
options,
rehabilitation..
cerebrovascular
disease
9. 9. Clinical case reports:
hemorrhagic stroke.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Etiology, clinical
findings, treatment
options,
rehabilitation.
cerebrovascular
disease
10. 10. Clinical case reports: multiple
sclerosis, Parkinson’s disease.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Symptomatology,
evolutive stages,
therapeutical
principles.
multiple
sclerosis
11. 11. Clinical case reports:
miasthenia gravis and epilepsy.
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
The clinical findings,
management of the
miasthenic and
epileptic patient,
status epilepticus.
disorders of
muscle,
epilepsy
12.
12. Paraclinical examinations:
lumbar puncture (spinal tap), CSF
examination.Electroencephalograp
hy and electromiography in normal
and pathological conditions,
cervico-cerebral artery ultrasound
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Preparing the
equipment and the
patient, post lumbar
puncture care.
meningitis,
cerebrovascular
disorders,
epilepsy
13.
13. Clinical case reports:spinal
cord pathology and peripheral
nervous system pathology
CBL, Bedside
learning-internship,
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
3
Preparing the patient
for the examination,
normal and
pathological
examples.
peripheral
nerve disorders
14. 14. Neuroradiological
demonstrations: CT scan, MRI,
CBL, Bedside
learning-internship, 3+3
Preparing the patient,
technics, presentation
cerebrovascular
disease,
DSA.
15. Clinical case reports:
peripheral nervous system
pathology.
using teaching aids
such as: atlases of
anatomy and
pathology, etc.
of normal and
pathological
conditions: CT, MRI.
Polineuropathies,
mononeuropathies,
plexopathies,
radiculopathies,
peripheral nerve
palsies,
poliradiculoneuropath
ies.
multiple
sclerosis
Bibliography:
1. Rodica Bălaşa, Ion Pascu – Major neurological syndromes. University Press, Târgu-Mureş, 2006.
2. Adams ,R.; Victor, M.; - Principles of Neurology-Mc Graw-Hill, New York, 1997
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain The neurology is a synthesis of medical conditions because they can lead to a variety of neurological
complications. Thus, the graduated medical doctor (either family physician or specialist in different
fields) meets with different primary or secondary neurological diseases
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation
methods
10.3 Percent of
the final grade
10.4 Evaluation
during the semester
Lecture
- knowledge of the semiology and
topography of major neurological
syndromes
-written test, TBL 30
Practical
activities -active participation during the lectures -interview 5
10.5 Final evaluation
Theoretical final
exam
-the knowledge of the material of
theoretical lectures - multiple choice test 35
Practical final
exam
-the knowledge of major neurological
syndromes, positive diagnosis,
paraclinical investigations, case
presentation
-bedside neurological
examination, case
presentation
30
10.6 Minimal performance standards
Minimum performance standard: the knowledge of the neurological examination, major neurological
syndromes, major neurological diseases, neurological diseases treatments, to promote, the student will
need to know 50 % of exam topics
Practical standard in accordance with the clinical abilities booklet: - making the patient's anamnesis; performing the general clinical examination; differential diagnosis;
observation and description of lumbar puncture; interpreting the written results of biochemical CSF
analyzes; interpretation of CT scan results ; interpretation of MRI results; interpretation of blood counts,
coagulation panel, normal blood chemistry, plasma concentration of drugs, bacterial culture and
antibiogram, tumor markers, immunology, cytology, serological tests, genetic tests; interpretation of
written results of carotid and vertebro-basilary Doppler ultrasound; angiography interpretation;
interpreting the written results of EEG and EMG; Identifying therapeutic objectives and priorities in a
correct clinical setting; making correct and complete therapeutic prescriptions in various patient
categories; evaluating the risk / benefit ratio of drugs in a specific clinical setting; choosing the route of
administration and optimal pharmaceutical form in a particular clinical context; recognition of adverse
drug reactions; monitoring the therapeutic response to drugs; patient education / counseling; giving the
minimal anti-smoking advice; assessment of the weighting state; to guide the patient to participate in
early disease prevention and screening programs; realization of a primary, secondary and tertiary
prophylactic plan in a given situation; completing the history and the objective examination in the
patient's medical records; explaining the diagnostic and therapeutic procedures and obtaining the inform
consent of the patient, recording the patient's evolution in the observation sheet; communicating bad news
to the patient ; communicating with the family for recommendations and explanations; communicating
with the patient in the terminal phase of the disease and with his / her family; writing epicrisis,
completing hospital forms; oral presentation of cases; critical evaluation of the evidence regarding the
benefits and risks of therapeutical/ medicinal interventions; participation in training programs and
professional work-shops.
Must Seen Clinical Cases List: Ischaemic stroke in carotid artery territory, Ischaemic stroke in vertebro-basilar territory, Supratentorial
hemorrhagic stroke, infratentorial hemorrhagic stroke, Cerebral venous thrombosis, Multiple sclerosis,
Parkinson’s disease, Atherosclerotic parkinsonian syndrome, Acute inflammatory demyelinating
polineuropathy, Amyotrophic lateral sclerosis, Chronic inflammatory demyelinating polineuropathy,
Myasthenia gravis, Cranial nerve palsies (III, VII), Radial and peronial nerve palsy, Trigeminal neuralgia,
medullary syndrome, Polineuropathy, Epilepsy, Lombar radiculopathy, Cerebral atherosclerosis,
Pseudobulbar palsy
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M5
1.4 Field of study HEALTH CARE
1.5 Study cycle LICENSE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name OPHTHALMOLOGY
2.2 Course coordinator Associate Professor Karin Horvath
2.3 Practical activity coordinator(s) Associate Professor Karin Horvath
2.4 Study year V 2.5 Semester I 2.6 Type of evaluation Exam 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 4 3.2 out of which
lecture 2
3.3 laboratory practical
activity 1
3.4 Total hours in the curriculum 42 3.5 out of which
lecture 28
3.6 laboratory practical
activity 14
Distribution of time pool per week 4
hours
Study of books, lecture materials, bibliography, notes 1.5
Supplemental documentation at the library, from specialized information portals and in the field 0.5
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 0.5
Tutorial activities
Examinations 1
Other activities 0.5
3.7 Total hours of individual study per
week 8
3.8 Total hours per semester 84
3.9 Credits 4
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical activities
6. Specific competencies acquired
Professional competencies
- C1 Identification of eye diseases, establishing a presumptive diagnosis,
recognition of ophthalmic emergencies
- C2 Knowing the therapeutic plan of diseases with positive diagnosis
- C3 Prophylaxis measures for avoiding the illness of congener eye or of
the community to which it belongs the patient
- C4 Guidance of patients at risk to specialized ophthalmologic screening
units
- C5 The ability to participate to team research of ophthalmologic issues
Transversal competencies
Multidisciplinary team work, understanding the objective of the activity,
the assignment of specific duties to each specialty, the sequencing of
work, verbal-written communication skills, linguistic skills to develop
and present projects and to communicate with the patient as well as with
team members.
7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Acquisition of basic knowledges of general ophthalmology
7.2 Specific objectives
1. Identify ophthalmic emergencies, drawing up an investigational plan
for establishing finally the diagnostic of certainty by the eye specialist
physician.
2. Positive diagnosis of uncomplicated eyelid or conjunctival diseases,
development of a therapeutic drug plan, proper monitoring of the disease,
recognition of unfavorable evolution and referring the patient to the
ophthalmologist.
3. Appropriate monitoring of the therapeutic plan initiated by
ophthalmologist.
4. Initiating preventive measures within a community when a contagious
eye disease occurs.
5. Prophylaxis measures for avoiding the illness of the congener eye.
6. Referral to specialized screening of patients at risk for eye disease.
8. Contents Crt.
no. 8.1 Lecture Teaching methods Hours Observations ICS correlation
First semester
1. 1. Orbital pathology Oral presentation and
PowerPoint 2
oedema, orbital swelling,
brain tumor, inflammatory
arthritis, red eye, visual
impairment, tyroid disorders,
trauma to head
2. 2. Lacrimal drainage
system diseases
Oral presentation and
PowerPoint 2
oedema, inflammatory
arthritis, red eye, visual
impairment
3. 3. Eyelids Oral presentation and
PowerPoint 2
oedema, allergic disorders,
lymphoproliferative
disorders, cranial nerve
disorders, skin cancer, skin
infections, skin ulcerations
4. 4. Pathology of the
conjunctiva
Oral presentation and
PowerPoint 2
oedema, allergic disorders,
inlammatory arthritis,
lymphoproliferative
disorders, red eye
5. 5. Corneal diseases Oral presentation and
PowerPoint 2
brain tumor, red eye, visual
impairment, visual loss,
cranial nerve disorders
6. 6. Uvea Oral presentation and
PowerPoint 2
inlammatory bowel disease,
inflammatory arthritis,
lymphoproliferative
disorders, red eye, visual
impairment, visual loss,
HIV, septicaemia, sexually
transmited diseases
7. 7. TBL Refractive vices.
Lens disorders
Oral presentation and
PowerPoint 2
agression/violence, visual
impairment, visual loss,
diabetes mellitus, trauma to
head
8. 8. Glaucoma Oral presentation and
PowerPoint 2 TBL
headache, red eye, visual
impairment, visual loss,
diabetes mellitus, glaucoma
9.
9. Optic nerve pathology,
neuro-ophthalmology
elements
Oral presentation and
PowerPoint 2
brain tumor, meningitis,
multiple sclerosis, raised
intracranial pressure, squint,
visual impairment, visual
loss, cranial nerve disorders,
degenerative CNS disease,
hypertension,
thromboembolic disease,
trauma to head, poisoning,
temporal arteritis
10.
10. Vitreous pathology,
retinal detachment, retinal
tumours, retinal vascular
diseases
Oral presentation and
PowerPoint 2
agression/violence, falls,
cerebrovascular disease,
myeloproliferative disorders,
visual impairment, visual
loss, diabetes mellitus,
hypertension, septicaemia,
thromboembolic disease,
trauma to head
11. 11. Ocular motility
disorders, strabismus
Oral presentation and
PowerPoint 2
agression/violence, falls,
headache, oedema, squint,
visual impairment, visual
loss, trauma to head
12.
12. Red eye,
ophthalmological
emergencies
Oral presentation and
PowerPoint 2
agression/violence, falls,
oedema, allergic disorders,
cerebrovascular disease, red
eye, visual impairment,
visual loss, glaucoma,
hypertension, poisoning,
septicaemia
13. 13. TBL Eye trauma Oral presentation and
PowerPoint 2 TBL
squint, visual impairment,
visual loss, cranial nerve
disorders, degenerative CNS
disease
14.
14. Review, video
presentation of surgical
procedures
Oral presentation and
PowerPoint 2
red eye, visual impairment,
visual loss, glaucoma,
trauma to head
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Karin Horvath, Florina Vultur, Gh. Muhlfay: Ophthalmology-Lecture notes, Editura University Press,
UMF TgMures, 2014
Jack J. Kanski, Clinical Ophthalmology: A Systematic Approach, 7th Edition, 2011
American Academy of Ophthalmology, Basic and Clinical Science Course, 2010-2011
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods
Hou
rs Observations ICS correlation
First semester
1.
1. Presenting ophthalmological office,
equipment and medicinal substances used in
ophthalmology. Case presentation from
orbital pathology
Practical
demonstrations,
case
presentation
1
oedema, orbital
swelling, brain
tumor,
inflammatory
arthritis, red eye,
visual impairment,
tyroid disorders,
trauma to head
2.
2. Medical history in ophthalmology, eye
exam, case report from conjunctival
pathology
Practical
demonstrations,
case
1
oedema,
inflammatory
arthritis, red eye,
presentation visual impairment
3. 3. Examination of the eyelids,
demonstrations, case presentation
Practical
demonstrations,
case
presentation
1
oedema, allergic
disorders,
lymphoproliferative
disorders, cranial
nerve disorders,
skin cancer, skin
infections, skin
ulcerations
4.
4. Examination of the conjunctiva, learning
examination maneuvers, therapeutic
maneuvers (subconjunctival injection etc),
case presentation
Practical
demonstrations,
case
presentation
1
oedema, allergic
disorders,
inlammatory
arthritis,
lymphoproliferative
disorders, red eye
5.
5. Slit lamp examination of the cornea, case
presentations, practical demonstrations
(corneal foreign body removal, etc.)
Practical
demonstrations,
case
presentation
1
brain tumor, red
eye, visual
impairment, visual
loss, cranial nerve
disorders
6. 6. Uveal diseases, case presentations
Practical
demonstrations,
case
presentation
1
inlammatory bowel
disease,
inflammatory
arthritis,
lymphoproliferative
disorders, red eye,
visual impairment,
visual loss, HIV,
septicaemia,
sexually transmited
diseases
7. 7. Cataracts - examination, diagnosis,
surgery
Practical
demonstrations,
case
presentation
1
agression/violence,
visual impairment,
visual loss, diabetes
mellitus, trauma to
head
8.
8. Ocular tension, tonometry, computed
perimetry, examination of glaucomatous
patient
Practical
demonstrations,
case
presentation
1
headache, red eye,
visual impairment,
visual loss, diabetes
mellitus, glaucoma
9.
9. Eye fundus examination, direct and
indirect ophthalmoscopy, exam of normal
eye fundus
Practical
demonstrations,
case
presentation
1
brain tumor,
meningitis,
multiple sclerosis,
raised intracranial
pressure, squint,
visual impairment,
visual loss, cranial
nerve disorders,
degenerative CNS
disease,
hypertension,
thromboembolic
disease, trauma to
head, poisoning,
temporal arteritis
10. 10. Viteous and retinal disease presentation
Practical
demonstrations,
case
presentation
1
agression/violence,
falls,
cerebrovascular
disease,
myeloproliferative
disorders, visual
impairment, visual
loss, diabetes
mellitus,
hypertension,
septicaemia,
thromboembolic
disease, trauma to
head
11.
11. Examination of the patient with ocular
trauma, interdisciplinary investigations, tests,
laboratory analysis, preparation for surgery
Practical
demonstrations,
case
presentation
1
agression/violence,
falls, headache,
oedema, squint,
visual impairment,
visual loss, trauma
to head
12. 12. CBL. Red eye, ophthalmological
emergencies, case presentation
Practical
demonstrations,
case
presentation
1 CBL
agression/violence,
falls, oedema,
allergic disorders,
cerebrovascular
disease, red eye,
visual impairment,
visual loss,
glaucoma,
hypertension,
poisoning,
septicaemia
13. 13. Strabismus, refractive vices, eyeglasses
prescriptions
Practical
demonstrations,
case
presentation
1
squint, visual
impairment, visual
loss, cranial nerve
disorders,
degenerative CNS
disease
14. 14. Review, preparing for the practical exam Case
presentation 1
red eye, visual
impairment, visual
loss, glaucoma,
trauma to head
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Karin Horvath, Florina Vultur, Gh. Muhlfay: Ophthalmology-Lecture notes, Editura University Press,
UMF TgMures, 2014
Jack J. Kanski, Clinical Ophthalmology: A Systematic Approach, 7th Edition, 2011
American Academy of Ophthalmology, Basic and Clinical Science Course, 2010-2011
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Acquired ophthalmologic knowledges will serve to adequate recognition of ophthalmic emergencies, the
presumptive diagnosis and proper guidance of the patient to appropriate specialist.
10. Evaluation
Type of activity 10.1 Evaluation
criteria 10.2 Evaluation methods
10.3 Percent of
the final grade
10.4 Evaluation during
the semester
Lecture
TBL 25%
Practical activities
CBL 10%
10.5 Final evaluation
Theoretical final
exam
În funcție de
specificul
disciplinei
Written evaluation 50%
Practical final
exam
În funcție de
specificul
disciplinei
Practical exam, clinica case presentation,
evaluation of ophthalmological maneuvers 15%
10.6 Minimal performance standards
Knowing of minimum 50% from the presented subjects.
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M5
1.4 Field of study HEALTH CARE
1.5 Study cycle LICENSE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name OPHTHALMOLOGY
2.2 Course coordinator Associate Professor Karin Horvath
2.3 Practical activity coordinator(s) Associate Professor Karin Horvath
2.4 Study year V 2.5 Semester I 2.6 Type of evaluation Exam 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 4 3.2 out of which
lecture 2
3.3 laboratory practical
activity 1
3.4 Total hours in the curriculum 42 3.5 out of which
lecture 28
3.6 laboratory practical
activity 14
Distribution of time pool per week 4
hours
Study of books, lecture materials, bibliography, notes 1.5
Supplemental documentation at the library, from specialized information portals and in the field 0.5
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 0.5
Tutorial activities
Examinations 1
Other activities 0.5
3.7 Total hours of individual study per
week 8
3.8 Total hours per semester 84
3.9 Credits 4
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical activities
6. Specific competencies acquired
Professional competencies
- C1 Identification of eye diseases, establishing a presumptive diagnosis,
recognition of ophthalmic emergencies
- C2 Knowing the therapeutic plan of diseases with positive diagnosis
- C3 Prophylaxis measures for avoiding the illness of congener eye or of
the community to which it belongs the patient
- C4 Guidance of patients at risk to specialized ophthalmologic screening
units
- C5 The ability to participate to team research of ophthalmologic issues
Transversal competencies
Multidisciplinary team work, understanding the objective of the activity,
the assignment of specific duties to each specialty, the sequencing of
work, verbal-written communication skills, linguistic skills to develop
and present projects and to communicate with the patient as well as with
team members.
7. Objectives of the discipline (based on the grid of specific competencies) 7.1 General objective Acquisition of basic knowledges of general ophthalmology
7.2 Specific objectives
1. Identify ophthalmic emergencies, drawing up an investigational plan
for establishing finally the diagnostic of certainty by the eye specialist
physician.
2. Positive diagnosis of uncomplicated eyelid or conjunctival diseases,
development of a therapeutic drug plan, proper monitoring of the disease,
recognition of unfavorable evolution and referring the patient to the
ophthalmologist.
3. Appropriate monitoring of the therapeutic plan initiated by
ophthalmologist.
4. Initiating preventive measures within a community when a contagious
eye disease occurs.
5. Prophylaxis measures for avoiding the illness of the congener eye.
6. Referral to specialized screening of patients at risk for eye disease.
8. Contents Crt.
no. 8.1 Lecture Teaching methods Hours Observations ICS correlation
First semester
1. 1. Orbital pathology Oral presentation and
PowerPoint 2
oedema, orbital swelling,
brain tumor, inflammatory
arthritis, red eye, visual
impairment, tyroid disorders,
trauma to head
2. 2. Lacrimal drainage
system diseases
Oral presentation and
PowerPoint 2
oedema, inflammatory
arthritis, red eye, visual
impairment
3. 3. Eyelids Oral presentation and
PowerPoint 2
oedema, allergic disorders,
lymphoproliferative
disorders, cranial nerve
disorders, skin cancer, skin
infections, skin ulcerations
4. 4. Pathology of the
conjunctiva
Oral presentation and
PowerPoint 2
oedema, allergic disorders,
inlammatory arthritis,
lymphoproliferative
disorders, red eye
5. 5. Corneal diseases Oral presentation and
PowerPoint 2
brain tumor, red eye, visual
impairment, visual loss,
cranial nerve disorders
6. 6. Uvea Oral presentation and
PowerPoint 2
inlammatory bowel disease,
inflammatory arthritis,
lymphoproliferative
disorders, red eye, visual
impairment, visual loss,
HIV, septicaemia, sexually
transmited diseases
7. 7. TBL Refractive vices.
Lens disorders
Oral presentation and
PowerPoint 2
agression/violence, visual
impairment, visual loss,
diabetes mellitus, trauma to
head
8. 8. Glaucoma Oral presentation and
PowerPoint 2 TBL
headache, red eye, visual
impairment, visual loss,
diabetes mellitus, glaucoma
9.
9. Optic nerve pathology,
neuro-ophthalmology
elements
Oral presentation and
PowerPoint 2
brain tumor, meningitis,
multiple sclerosis, raised
intracranial pressure, squint,
visual impairment, visual
loss, cranial nerve disorders,
degenerative CNS disease,
hypertension,
thromboembolic disease,
trauma to head, poisoning,
temporal arteritis
10.
10. Vitreous pathology,
retinal detachment, retinal
tumours, retinal vascular
diseases
Oral presentation and
PowerPoint 2
agression/violence, falls,
cerebrovascular disease,
myeloproliferative disorders,
visual impairment, visual
loss, diabetes mellitus,
hypertension, septicaemia,
thromboembolic disease,
trauma to head
11. 11. Ocular motility
disorders, strabismus
Oral presentation and
PowerPoint 2
agression/violence, falls,
headache, oedema, squint,
visual impairment, visual
loss, trauma to head
12.
12. Red eye,
ophthalmological
emergencies
Oral presentation and
PowerPoint 2
agression/violence, falls,
oedema, allergic disorders,
cerebrovascular disease, red
eye, visual impairment,
visual loss, glaucoma,
hypertension, poisoning,
septicaemia
13. 13. TBL Eye trauma Oral presentation and
PowerPoint 2 TBL
squint, visual impairment,
visual loss, cranial nerve
disorders, degenerative CNS
disease
14.
14. Review, video
presentation of surgical
procedures
Oral presentation and
PowerPoint 2
red eye, visual impairment,
visual loss, glaucoma,
trauma to head
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Karin Horvath, Florina Vultur, Gh. Muhlfay: Ophthalmology-Lecture notes, Editura University Press,
UMF TgMures, 2014
Jack J. Kanski, Clinical Ophthalmology: A Systematic Approach, 7th Edition, 2011
American Academy of Ophthalmology, Basic and Clinical Science Course, 2010-2011
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods
Hou
rs Observations ICS correlation
First semester
1.
1. Presenting ophthalmological office,
equipment and medicinal substances used in
ophthalmology. Case presentation from
orbital pathology
Practical
demonstrations,
case
presentation
1
oedema, orbital
swelling, brain
tumor,
inflammatory
arthritis, red eye,
visual impairment,
tyroid disorders,
trauma to head
2.
2. Medical history in ophthalmology, eye
exam, case report from conjunctival
pathology
Practical
demonstrations,
case
1
oedema,
inflammatory
arthritis, red eye,
presentation visual impairment
3. 3. Examination of the eyelids,
demonstrations, case presentation
Practical
demonstrations,
case
presentation
1
oedema, allergic
disorders,
lymphoproliferative
disorders, cranial
nerve disorders,
skin cancer, skin
infections, skin
ulcerations
4.
4. Examination of the conjunctiva, learning
examination maneuvers, therapeutic
maneuvers (subconjunctival injection etc),
case presentation
Practical
demonstrations,
case
presentation
1
oedema, allergic
disorders,
inlammatory
arthritis,
lymphoproliferative
disorders, red eye
5.
5. Slit lamp examination of the cornea, case
presentations, practical demonstrations
(corneal foreign body removal, etc.)
Practical
demonstrations,
case
presentation
1
brain tumor, red
eye, visual
impairment, visual
loss, cranial nerve
disorders
6. 6. Uveal diseases, case presentations
Practical
demonstrations,
case
presentation
1
inlammatory bowel
disease,
inflammatory
arthritis,
lymphoproliferative
disorders, red eye,
visual impairment,
visual loss, HIV,
septicaemia,
sexually transmited
diseases
7. 7. Cataracts - examination, diagnosis,
surgery
Practical
demonstrations,
case
presentation
1
agression/violence,
visual impairment,
visual loss, diabetes
mellitus, trauma to
head
8.
8. Ocular tension, tonometry, computed
perimetry, examination of glaucomatous
patient
Practical
demonstrations,
case
presentation
1
headache, red eye,
visual impairment,
visual loss, diabetes
mellitus, glaucoma
9.
9. Eye fundus examination, direct and
indirect ophthalmoscopy, exam of normal
eye fundus
Practical
demonstrations,
case
presentation
1
brain tumor,
meningitis,
multiple sclerosis,
raised intracranial
pressure, squint,
visual impairment,
visual loss, cranial
nerve disorders,
degenerative CNS
disease,
hypertension,
thromboembolic
disease, trauma to
head, poisoning,
temporal arteritis
10. 10. Viteous and retinal disease presentation
Practical
demonstrations,
case
presentation
1
agression/violence,
falls,
cerebrovascular
disease,
myeloproliferative
disorders, visual
impairment, visual
loss, diabetes
mellitus,
hypertension,
septicaemia,
thromboembolic
disease, trauma to
head
11.
11. Examination of the patient with ocular
trauma, interdisciplinary investigations, tests,
laboratory analysis, preparation for surgery
Practical
demonstrations,
case
presentation
1
agression/violence,
falls, headache,
oedema, squint,
visual impairment,
visual loss, trauma
to head
12. 12. CBL. Red eye, ophthalmological
emergencies, case presentation
Practical
demonstrations,
case
presentation
1 CBL
agression/violence,
falls, oedema,
allergic disorders,
cerebrovascular
disease, red eye,
visual impairment,
visual loss,
glaucoma,
hypertension,
poisoning,
septicaemia
13. 13. Strabismus, refractive vices, eyeglasses
prescriptions
Practical
demonstrations,
case
presentation
1
squint, visual
impairment, visual
loss, cranial nerve
disorders,
degenerative CNS
disease
14. 14. Review, preparing for the practical exam Case
presentation 1
red eye, visual
impairment, visual
loss, glaucoma,
trauma to head
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Karin Horvath, Florina Vultur, Gh. Muhlfay: Ophthalmology-Lecture notes, Editura University Press,
UMF TgMures, 2014
Jack J. Kanski, Clinical Ophthalmology: A Systematic Approach, 7th Edition, 2011
American Academy of Ophthalmology, Basic and Clinical Science Course, 2010-2011
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Acquired ophthalmologic knowledges will serve to adequate recognition of ophthalmic emergencies, the
presumptive diagnosis and proper guidance of the patient to appropriate specialist.
10. Evaluation
Type of activity 10.1 Evaluation
criteria 10.2 Evaluation methods
10.3 Percent of
the final grade
10.4 Evaluation during
the semester
Lecture
TBL 25%
Practical activities
CBL 10%
10.5 Final evaluation
Theoretical final
exam
În funcție de
specificul
disciplinei
Written evaluation 50%
Practical final
exam
În funcție de
specificul
disciplinei
Practical exam, clinica case presentation,
evaluation of ophthalmological maneuvers 15%
10.6 Minimal performance standards
Knowing of minimum 50% from the presented subjects.
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty Faculty of Medicine
1.3 Department M4
1.4 Field of study Healthcare
1.5 Study cycle License
1.6 Study program Medicine
2. Data regarding the discipline 2.1 Name Medical Oncology
2.2 Course coordinator Lecturer Dr. Toganel Cornelia
2.3 Practical activity coordinator(s) Lecturer Dr. Toganel Cornelia
2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Exam 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 2 3.2 out of which
lecture 1
3.3 laboratory practical
activity 1
3.4 Total hours in the curriculum 28 3.5 out of which
lecture 14
3.6 laboratory practical
activity 14
Distribution of time pool per week 4
hours
Study of books, lecture materials, bibliography, notes 1
Supplemental documentation at the library, from specialized information portals and in the field 1
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1
Tutorial activities 0
Examinations 1
Other activities 0
3.7 Total hours of individual study per
week 6
3.8 Total hours per semester 56
3.9 Credits 4
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical activities
6. Specific competencies acquired
Professional competencies
The general oncolgy discipline will provide the student the necessary
knowledge bases regarding the ethiology of the oncological ilness,
characteristic signs and symptoms of the various diseases, therefor to be
able to apply them in order to establish a possible diagnosis.
The knowledge obtained during the teaching classes and the workshops
will allow an accurate anamnesis, a full phisycal examination, diagnosis
procedures, requests for additional paraclinic values, and establish an
accurate positive and differential diagnosis.
Transversal competencies
Given the fact that the oncological diagnosis and matter of treatment is
determined within an interdisciplinary board, the sudent is taught over the
importance of this certain board, preparing the oral and written
presentations, in compliance with the ethical and professional values
regarding the patient's situation.
The preparations of the material to be presented within the board needs to
be correct, efficient and will teach the student about the responsibility as a
member in an interdisciplinary board. To accomplish that, other resources
are at hand: the Internet, software applications, databases, online seminars
held both in english and in romanian.
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective
General oncology gives the student the certain knowledge base needed for
setting the diagnosis of any of the oncological condition and establishing
an accurate treatment plan.
Further more, being aware of the ethiological factors regarding the
oncological disease, the student will be able to correctly asess the risk of
individual and collective disease, and will be able to choose and apply the
correct profilaxy measures.
The knowledge accumulated will be integrated in the struggle against
cancer, being aware of the radical increase of the number of oncological
patients in the recent years.
7.2 Specific objectives
Correct evaluation of the risk of occurence of oncological disease.
Identifying the stade of the illness and setting the correct diagnosis.
Conceiving and applying an accurate therapy plan of the established
disease.
Initiation and development of a research activity.
8. Contents Crt.
no. 8.1 Lecture Teaching methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1. 1. The ethiology of cancer oral presentation
multimedia 2 hours
2 hours/
lecture
2. 2. Malignant fenotype oral presentation
multimedia 2 hours
2 hours/
lecture
Chromosomal
disorders
3. 3. Malignity diagnosis TBL 2 hours 2 hours/
lecture
4. 4. Paraneoplasical syndromes oral presentation
multimedia 2 hours
2 hours/
lecture
5.
5. Treatment principles in
radiotherapy and medical
oncology
oral presentation
multimedia 2 hours
2 hours/
lecture
6. 6. Pain management TBL 2 hours 2 hours/
lecture
Pain
management
7. 7. Oncological urgencies oral presentation
multimedia 2 hours
2 hours/
lecture
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Kacso Gabriel "Cancer:principles and practice of general oncoloy" ; Editura medicala Iuliu Hatieganu
cluj-napoca 2009/ pag 1-164/ limba engleza
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
1. Symptomatology, diagnosis
and treatment of uterine and
endometrial cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
1
carcinoma of the
cervix/uterus/ovary
2.
2. Symptomatology, diagnosis
and treatment of colon and
rectum cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
2 CBL carcinoma of the
colon and rectum
3. 3. Symptomatology, diagnosis
and treatment of breast cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
2 CBL carcinoma of the
breast
4. 4. Symptomatology, diagnosis
and treatment of bladder cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
1
carcinoma of the
kidney and bladder
5. 5. Symptomatology, diagnosis
and treatment of prosthate cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
1
disorders of
prostate
6. 6. Symptomatology, diagnosis
and treatment of renal cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
1
carcinoma of the
kidney and bladder
7. 7. Symptomatology, diagnosis
and treatment of ovarian cancer
Practical demonstration,
case studies, radiograph 2 CBL
carcinoma of the
cervix/uterus/ovary
exams, CT scans, lab test
results, hystopathological
results
8.
8. Symptomatology, diagnosis
and treatment of
bronhopulmonary cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
2 CBL carcinoma of the
bronchus
9. 9. Symptomatology, diagnosis
and treatment of testicular cancer
Practical demonstration,
case studies, radiograph
exams, CT scans, lab test
results, hystopathological
results
2 CBL carcinoma of the
testis
10.
11.
12.
13.
14.
Bibliography:
1. Kacso Gabriel "Cancer:principles and practice of general oncoloy" ; Editura medicala Iuliu Hatieganu
cluj-napoca 2009/ pag 1-164/ limba engleza
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Being given that oncological conditions affect more and more patients, the knowledge about this domain
offers the student the possibility of a better aproach regarding the patient's social, economical and familiar
implications of this condition.
The student will be able to successfuly establish a diagnosis and apply a treatment sceheme,
accomplishing the complete cure of the ilness in certain cases, where it is possible, assuring his social
rehabilitation.
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation
methods
10.3 Percent of
the final grade
10.4 Evaluation during the
semester
Lecture TBL Test 10%
Practical activities CBL Test 20%
10.5 Final evaluation
Theoretical final exam În funcție de specificul
disciplinei Test 50%
Practical final exam În funcție de specificul
disciplinei Test 20%
10.6 Minimal performance standards
Evaluating pain in cancer.
Pain treatment.
Diagnosis of malignant tumors on locations.
General treatment of malignant tumors on localizations.
Etiology of malignant tumors on localizations.
General principles for correct diagnosis of oncological disease.
General principles of treatment.
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M5
1.4 Field of study HEALTH
1.5 Study cycle LICENCE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name ENT
2.2 Course coordinator LECTURER NEAGOS ADRIANA MD. PHD.
2.3 Practical activity coordinator(s) LECTURER NEAGOS ADRIANA MD. PHD.
2.4 Study year V 2.5 Semester I 2.6 Type of evaluation E 2.7 Type of discipline OBL
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 3 3.2 out of which
lecture 2
3.3 laboratory practical
activity 1
3.4 Total hours in the curriculum 42 3.5 out of which
lecture 28
3.6 laboratory practical
activity 14
Distribution of time pool per week 3
hours
Study of books, lecture materials, bibliography, notes 1,5
Supplemental documentation at the library, from specialized information portals and in the field 0,5
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 0,5
Tutorial activities 0,5
Examinations 1
Other activities 1
3.7 Total hours of individual study per
week 8
3.8 Total hours per semester 84
3.9 Credits 4
4. Prerequisites (where applicable) 4.1 curricular prerequisites -
4.2 competency prerequisites -
5. Conditions (where applicable) 5.1 for lectures -
5.2 for laboratory and practical activities -
6. Specific competencies acquired
Professional competencies
Description of concepts, theories, and fundamental notions of ENT
pathology, signs and symptoms of each disorder orientation useful for
clinical diagnosis
- The correct interpretation of signs, clinical symptoms and laboratory
abnormalities and to elaborate positive and differential diagnostic
- Training on most modern ENT examination techniques, methods of
diagnosis and treatment in otorhinolaryngology pathology
- Use concepts of therapeutic resources to formulate treatment plan and
correct interpretation in evolution,of clinical and laboratory data,
therapeutic surgical technics setting, and specific nonsurgical
therapeutical possibilities
Transversal competencies
Identify objectives to be achieved, resources available, their closing
conditions, stages of work, working time,and deadlines
- Identify roles and responsibilities within a multidisciplinary team and
application techniques and effective work relationships within the team
and the relationship with the patient
- Awareness of the need for continuous training
- Familiarity with the use of medical information systems
- Design, Layout and support in a Romanian specialty papers on a current
topic in the field, using different information sources and tools
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective
Establishing the close relationship between ENT and other medical and
surgical specialties, the need to have a minimum standard of knowledge
for the proper conduct of the activity and maintaining a high quality of the
information provided and updating them.
7.2 Specific objectives
Training students in ENT pathology problems
• Harmonization topics in accordance with the requirements in this field
in the world for effective cooperation with leading centers in the field
• Encourage the research initiatives and providing support for their
achievement
•Deepening diseases that are considered highly topical issues (laryngeal
tumors, allergic pathology, congenital deafness, respiratory pathology
sleep
•Training students to use existing diagnostic and therapeutic algorithms
8. Contents Crt.
no. 8.1 Lecture Teaching methods Hours Observations
ICS
correlation
First semester
1. Introductory Course ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
2.
Otology-Anatomy and physiology
of the ear ; Diseases of the
external ear
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
3.
Otology- Acute and chronic
inflammatory pathology of the
middle ear
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
4.
Otology – The complications of
the ear suppurations and inner
ears pathology
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
5. Otology- Vestibular Syndromes
and the hearing loss
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
6.
Rhinology-The Anatomy and
physiology of the nose and
sinuses
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
7. Rhinology- Inflammatory
pathology of the nose and sinuses
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
8. Rhinology- Tumor pathology of
the nose and sinuses
ORL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
9.
Rhinology- Nasal obstruction
syndrome; Sleep disorders
breathing
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
10. Allergies in ENT ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
11.
Laryngology and Pharyngology-
The anatomy and physiology of
the larynx and pharynx; Acute
and chronic Laryngitis
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
12. Laryngology- The benign and
malignant laryngeal tumors
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
13.
Laryngology and Pharyngology-
Pharyngeal, Esophageal and
tracheobronchial foreign body
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
14. Faryngology- Acute pharyngeal
pathology; Chronic tonsillitis
ORAL PRESENTATION
AND MULTIMEDIA 2 2 HOURS
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
- Adriana Neagos- Otorhinolaringology for V years General Medicine, course , University press, 2013
- Hans Behrbohm, oliver Kaschke, Tadeus Nawka, Andrew Swift- EAR, NOSE AND THROAT
DISEASEWITH HEAD AND NECK SURGERY, Thieme 2009
- W.J RANDERATH, BM SANNER, VK SOMER- SLEEP APNEA, CURRENT DIAGNOSIS AND
TREATMENT, KARGER 2006
- COMMINGS- 4TH EDITION
-Rudolf Probst, Gerhard Grevers, Heinrich Iro - BASIC OTHORHINOLARYNGOLOGY, THIEME
2006
Crt.
no.
8.1
Seminaries/Laboratories/Practical
activities/Stages
Teaching methods Hours Observations ICS
correlation
First semester
1. ENT INSTRUMENTS
PRESENTATION
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
2. INSPECTION AND PALPATION
TECHNIQUE IN ENT
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
3. OTHOSCOPY AND EAR
EXAMINATION TECHNIQUE
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
4. AUDIOMETRY AND
INSTRUMENTAL ACUMETRY
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
5. THIMPANOMETRY AND
VESTIBULAR TESTS
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1HOURS/week
6. NASAL CAVITY EXAMINATION
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
7. EXAMINATION WITH RIGIDE
AND FLEXIBLE OPTICS
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
8. ORAL CAVITY EXAMINATION
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
9.
EXAMINATION OF THE
LARYNX AND
NASOPHANRYNX
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
10. ANTERIORE RHNIMANOMETRY
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1 1
HOURS/week
11. INVESTIGATION THECHNIQUES THEORETICAL 1 1
IN ENT PRESENTATION AND
CLINICAL EXAMINATION
HOURS/week
12. TRACHEOSTOMY
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1
HOURS/week
13. BRONCHOSCOPY AND RIGIDE
ESOPHAGOSCOPY
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1
HOURS/week
14. ANTERIORE AND POSTERIORE
NASAL BUFFER
THEORETICAL
PRESENTATION AND
CLINICAL EXAMINATION
1
HOURS/week
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
- Adriana Neagos- Otorhinolaringology for V years General Medicine, practical Guide - University Press,
2013
- Hans Behrbohm, oliver Kaschke, Tadeus Nawka, Andrew Swift- EAR, NOSE AND THROAT
DISEASEWITH HEAD AND NECK SURGERY, Thieme 2009
- Rudolf Probst, Gerhard Grevers, Heinrich Iro - BASIC OTHORHINOLARYNGOLOGY, THIEME
2006
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Possession of a minimum standard ENT specific knowledge for the proper conduct of the medical activity
- Knowledge of classical diagnostic methods and surgical techniques,
- Acquisition of the ability to make a correct diagnosisa full routine ENT diseases and , frequently
encountered in clinical practice
-Acquiring the ability to use specific instruments ENT, so the classic as well as best-type endoscopes,
flexible nasopharyngoscope
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of
the final grade
10.4 Evaluation during the
semester
Lecture activity in the course power point presentations 50%
Practical activities activity in the practical questions,how they performe the
ENT examinatiobn 50%
10.5 Final evaluation
Theoretical final exam În funcție de specificul
disciplinei EXAMINATION WITH TESTS 70%
Practical final exam În funcție de specificul
disciplinei
PRACTICAL ENT
EXAMINATION 30 %
10.6 Minimal performance standards
Knowledge of clinical examination methods OF OtoRHINOlaryngology-oralpharyngoscopy, anterior
rhinoscopy, otoscopy and laryngoscopy, audiological testing, audiometry and acumetry, knowledge of
vestibular test smaking practice
- Obtaining the minimum mark of 5 for each of the 2 exams: theory and practice.
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M4
1.4 Field of study HEALTH
1.5 Study cycle UNDERGRADUATE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name PAEDIATRICS
2.2 Course coordinator Professor. Oana Mărginean
2.3 Practical activity coordinator(s) Associate Prof. Dr Duicu Carmen Lecturer Borka Balas Reka,
Lecturer Bodescu Virginia
2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Exam 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 19 3.2 out of which
lecture 4
3.3 laboratory practical
activity 15
3.4 Total hours in the curriculum 147 3.5 out of which
lecture 42
3.6 laboratory practical
activity 105
Distribution of time pool per week 10
hours
Study of books, lecture materials, bibliography, notes 3
Supplemental documentation at the library, from specialized information portals and in the field 3
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 2
Tutorial activities 1
Examinations 1
Other activities
3.7 Total hours of individual study per week 10
3.8 Total hours per semester 294
3.9 Credits 8
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical activities
6. Specific competencies acquired
Professional competencies
Specific skills acquired:
- Making history, complete clinical examination in paediatrics
- Performing basic diagnostic maneuvers in children
- Formulating a positive and differential diagnosis in paediatrics
- Development of a treatment plan individualized to the child
- Presentation of a clinical case of pediatric
- Request appropriate complementary examinations in pediatric pathology
Transversal competencies
Transversal competences:
- Acquisition of oral and written communication skills with both mother
and pediatric patient.
- Achieving a work / project, performing specific tasks responsibly in a
team role.
- Coordinated projects to solve specific problems Pediatric field, the
correct evaluation of workload, available resources, time required for
completion and risks in terms of enforcement of ethics and professional
ethics in the field, as well as health and safety at work
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective
General objectives of discipline
The knowledge of pediatrics problems.
Acquisition of physical and functional characteristics of a healthy child in
order to distinguish him from the sick one.
7.2 Specific objectives
Specific objectives of the discipline
The known of speciphic pediatric pathology: neonatology, pneumology,
gastroenterology, hematology and pediatric oncology.
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
1.Fever. Septicemia in infants/children.
Respiratory pathology : Infections of the
upper respiratory tract;
Oral presentation
+ multimedia 3
septicaemia, PUO
(pyrexia of
unknown origin),
hypothermia,
respiratory tract
infection
2.
2. Respiratory pathology : Cough in
children; child otomastoiditis; acute
epiglotitis and acute spasmodic
laryngitis (spasmodic croup); acute
bronhiolitis.
Oral presentation
+ multimedia 3
dysphagia, stridor,
respiratory tract
infection, otitis
media,
breathlessness
3.
3. Respiratory pathology: bacterial
pneumonia; interstitial pneumonia; the
treatement of pneumonia;
Oral presentation
+ multimedia 3
chest pain,
cyanosis,
haemoptysis, acid
base disturbance,
breathlessness,
back pain
4.
4. Patologia aparatului respirator :
astmul bronşic Patologia aparatului
cardiovascular: cardiopatiile
congenitale; endocardiomiopatii;
pericardita; insuficienţa cardiacă;
Oral presentation
+ multimedia 3
asthma,
breathlessness,
endocarditis,
shock, pericardial
disease,
malformations of
cardiovascular
system,
hypertension,
cyanosis, chest
pain, oedema,
5.
5. Afecţiunile tractului digestiv:
Particularități ale bolii diareice acute
infectioase la copil. BDA neinfecțioasă
la copil
Oral presentation
+ multimedia
Integrated course
with Discipline of
Infectious
Disease
3
Integrated
course with
Discipline of
Infectious
Disease
bowel habit
change, vomiting,
gastroenteritis,
diarrhea,
abdominal
distension,
abdominal pain
6.
6.Digestive system’s diseases : acute
dehydration syndrome. ); reccurent
abdominal pain.
Oral presentation
+ multimedia 3
bowel habit
change, vomiting,
gastroenteritis,
acid base
disturbance,
abdominal pain
7.
7. Digestive system’s diseases :
intestinal malabsorbtion (celiac sprue,
cystis fibrosis, others feeding
intolerance)
Oral presentation
+
multimedia+TBL-
Chronic Diarrhea
in pediatrics in
3
TBL- Chronic
Diarrhea in
pediatrics
abdominal pain,
abdominal
distension,
constipation,
malabsorption,
pediatrics inflammatory
bowel disease,
cystic fibrosis,
bowel habit
change
8.
8. Digestive system’s diseases : gastro-
esophageal reflux; peptic disease and
gastritis.
Oral presentation
+ multimedia 3
peptic ulcer,
haematemesis,
abdominal pain
9.
9. Deficiency disease : Rickets; iron
deficiency anemia; protein-energy
malnutrition.
Oral presentation
+ multimedia 3
malnutrition,
disorders of
calcium and
vitamin D
metabolism,
anaemia
10.
10. Connective tissue diseases: juvenile
rheumatoid arthritis, Kawasaki disease,
Renourinary diseases : urinary tract
infections
Oral presentation
+ multimedia 3
connective tissue
disease, joint
pain, joint
swelling, pain
management,
frequency of
micturition,
dysuria,
haematuria,
urinary
incontinence,
urinary tract
infection, back
pain, retention of
urine
11. 11. Renourinary diseases : Acute diffuse
glomerulonephritis; nephrotic syndrome;
Oral presentation
+ multimedia
+TBL EDEMA in
pediatric
pathology
3
TBL EDEMA
in pediatric
pathology
haematuria,
oedema,
electrolyte and
water balance,
back pain,
retention of urine
12.
12. Haemorrhagic diseases : Purpura
Henoch-Schonlein; Idiopathic
thrombocytopenic purpura; hemophilia.
Pediatric Oncology : Leukemia;
abdominal mass (Wilms tumor,
neuroblastoma); Hodgkin and non-
Hodgkin lymphoma; pain in children.
Oral presentation
+ multimedia 3
joint swelling,
joint pain,
purpura,
splenomegaly,
coagulation
disease, childhood
tumors, lump in
neck,
lymphadenopathy,
hepatomegaly,
pain management,
splenomegaly
13. 13. Nervous systems pathology :
Seizures, childhood epilepsy, pediatric
Oral presentation
+ multimedia 3
Integrated
course with
raised intracranial
pressure, visual
intracranial hypertension syndrome Integrated course
with Pediatric
Neuropsychiatry
Pediatric
Neuropsychiatry
impairment,
visual loss,
vomiting,
encephalopathy,
epilepsy,
headache,
confusion
14. 14. Metabolic and nutrition diseases :
Diabetus mellitus. Headache in children
Oral presentation
+ multimedia 3
Diabetes mellitus,
polyuria,
electrolyte and
water balance,
acid base
disturbance,
hypoglycaemia,
headache, raised
intracranial
pressure, visual
impairment,
visual loss,
vomiting
Bibliography:
Mandatory bibliography
1. Mărginean C O Togănel R Cucerea M Balas Borka R Duicu C Chinceşan M Grama A Pitea A M
Pediatrics – course notes, Editura University Press Tg. Mureş, 2013, 268 pg, ISBN 978-973-169-266-41,
CIP 616-053.2(075.8), cod CNCSIS 210
Additional bibliography
2. Kliegman R, Stanton B, St. Geme, Schor N. Nelson Textbook of Pediatrics, 2-Volume Set, 20th
Edition, 2015 Elsevier, ISBN : 9781455775668
3. Tenore Alfred, Levene Malcolm (eds). European Mastercourse in Pediatrics. Churchill Livingstone
Elsevier 2011
4. Rudolph C., Rudolph A., Lichter G.L., Gershon A. Rudolph`s Pediatrics ed. 22, McGrawHills 2011,
pp. 1386-9
5. Kliegman R.M., Marcdante K.J., Jenson H.B., Behrman R.E. Nelson Essentials of Pediatrics sixth ed.,
Elsevier Saunders, Philadephia, 2010
6. McInerny T.K., Adam H.M., Campbell D.E., Kamat D.M., Kelleher K.J. (eds.). Textbook of Pediatric
Care. American Academy of Pediatrics, 2009, p. 1424
Crt.
no.
8.1
Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
Week 1. Clinical Observational
Sheet. Clinical exam in children.
Nervous systems pathology:
Seizures, meningitis; encephalitis.
Metabolic and nutrition diseases:
Diabetes mellitus.
Practical
demonstrations,
case
presentations
12
hours+
3
hours
CBL
Clinical Observational
Sheet. Clinical exam in
children.lumbar
puncture- indications;
the assessment of
cerebro-spinal fluid
examinations
(cytology, culture, etc).
Case report: febrile
convulsions/meningitis.
Case report- diabetes
mellitus; blood sugar
monitoring; glycosuria,
ketonuria; acid-base
disturbance; the
monitoring of
intake/output in
paediatric diabetes
septicaemia, PUO
(pyrexia of
unknown origin),
hypothermia,
raised intracranial
pressure, visual
impairment,
visual loss,
vomiting,
encephalopathy,
epilepsy,
meningitis,
headache,
confusion,
diabetes mellitus,
polyuria,
electrolyte and
water balance,
acid base
disturbance,
hypoglycaemia
2.
Week 2. Respiratory pathology :
Infections of the upper respiratory
tract; child otomastoiditis; acute
epiglotitis and acute spasmodic
laryngitis (spasmodic croup); acute
bronhiolitis; bacterial pneumonia;
interstitial pneumonia; the
treatement of pneumonia;
bronchial asthma.
Practical
demonstrations,
case
presentations
12
hours+
3
hours
CBL
The assessment of
laboratory parameters
in respiratory tract
pathology. The chest
X-ray in children.
Dysphagia,
stridor,
respiratory tract
infection, otitis
media,
breathlessness,
chest pain,
cyanosis,
haemoptysis,
tiredness, asthma,
acid base
disturbance,
breathlessness,
back pain
3.
Week 3. Cardiovascular pathology
: Congenital cardiac diseases;
endocardiomiopathies; pericarditis;
Practical
demonstrations,
case
12
hours+
3
The pediatric EKG
interpretation; the
evaluation of a child
tiredness,
endocarditis,
shock, pericardial
hearth failure; Connective tissue
diseases: juvenile rheumatoid
arthritis
presentations hours
CBL
with congenital heart
defect (cyanogenvs
noncyanogen forms);
imagistic
investigations.
disease,
malformations of
cardiovascular
system,
connective tissue
disease, joint
pain, joint
swelling, pain
management
4.
Week 4. Digestive system’s
diseases : Acute diarrhea disease;
acute dehydration syndrome;
reccurent abdominal pain.
Practical
demonstrations,
case
presentations
12
hours+
3
hours
CBL
Imagistics of
gastrointestinal tract
(ultrasouns,
gastrointestinal
endoscopy/
colonoscopy); The
interpretation of
digestion test,
conventional stool test
for parasites. Cases
reports.
bowel habit
change, vomiting,
gastroenteritis,
acid base
disturbance,
abdominal pain,
abdominal
distension,
constipation,
malabsorption,
inflammatory
bowel diseases
5.
Week 5. Digestive system’s
diseases : intestinal malabsorbtion
(celiac sprue, cystis fibrosis, others
feeding intolerance); gastro-
esophageal reflux; peptic disease
and gastritis.
Practical
demonstrations,
case
presentations
12
hours+
3
hours
CBL
Imagistics of
gastrointestinal tract
(ultrasouns,
gastrointestinal
endoscopy/
colonoscopy); the
sweat test cystic
fibrosis; The
interpretation of
digestion test,
conventional stool test
for parasites;
gastrointestinal
bleeding,
genetic/immunologic
tests). Cases reports.
bowel habit
change, vomiting,
gastroenteritis,
acid base
disturbance,
abdominal pain,
abdominal
distension,
constipation,
malabsorption,
inflammatory
bowel diseases,
cystic fibrosis,
peptic ulcer,
haematemesis
6.
Week 6. Deficiency disease :
Rickets; iron deficiency anemia;
protein-energy malnutrition.
Practical
demonstrations,
case
presentations
12
hours+
3
hours
CBL
Iron deficiency
anemia- case report.
Antropometric indices
evaluation.
malnutrition,
disorders of
calcium and
vitamin D
metabolism,
anaemia,
7.
Week 7.
- Renourinary diseases : Acute
diffuse glomerulonephritis;
nephrotic syndrome; urinary tract
infections
- Haemorrhagic diseases : Purpura
Henoch-Schonlein; Idiopathic
Practical
demonstrations,
case
presentations
12
hours+
3
hours
CBL
Imagistics of the
urinary system in
children (ultrasoung,
i.v. urography, voiding
cystouretrography),
urinary bladder
catheterization
polyuria, dysuria,
haematuria,
oedema, urinary
incontinence,
electrolyte and
water balance,
urinary tract
thrombocytopenic purpura;
hemophilia. Pediatric Oncology :
Leukemia; abdominal mass
(Wilms tumor, neuroblastoma);
Hodgkin and non-Hodgkin
lymphoma .
procedure. Case report:
UTI +/- kidney
abnormality.
The interpretation of
CBC test,
coagulogram. The
observation of lumbar
puncture/ bone marrow
biopsy and aspiration.
Case report:
leukemia/hemophilia
infection, back
pain
joint swelling,
joint pain,
purpura,
splenomegaly,
coagulation
disorders,
Childhood
tumors, lump in
neck,
lymphadenopathy,
hepatomegaly,
splenomegaly,
pain management
8.
9.
10.
11.
12.
13.
14.
Bibliography:
Mandatory bibliography
1. Mărginean C O Togănel R Cucerea M Balas Borka R Duicu C Chinceşan M Grama A Pitea A M
Pediatrics – course notes, Editura University Press Tg. Mureş, 2013, 268 pg, ISBN 978-973-169-266-41,
CIP 616-053.2(075.8), cod CNCSIS 210
2. Mărginean Oana, Marginean Claudiu, Duicu Carmen, Chinceșan Mihaela, Borka-Balas Reka, Pitea
Ana Maria, Grama Alina, Man Lidia, Melit Lorena (sub redacția Mărginean Oana). Clinical cases in
Pediatrics, University Press Tg. Mureş, 2016, ISBN 978-973-169-473-3
Additional bibliography
3. Kliegman R, Stanton B, St. Geme, Schor N. Nelson Textbook of Pediatrics, 2-Volume Set, 20th
Edition, 2015 Elsevier, ISBN : 9781455775668
4. Tenore Alfred, Levene Malcolm (eds). European Mastercourse in Pediatrics. Churchill Livingstone
Elsevier 2011
5. Rudolph C., Rudolph A., Lichter G.L., Gershon A. Rudolph`s Pediatrics ed. 22, McGrawHills 2011,
pp. 1386-9
6. Kliegman R.M., Marcdante K.J., Jenson H.B., Behrman R.E. Nelson Essentials of Pediatrics sixth ed.,
Elsevier Saunders, Philadephia, 2010,
7. McInerny T.K., Adam H.M., Campbell D.E., Kamat D.M., Kelleher K.J. (eds.). Textbook of Pediatric
Care. American Academy of Pediatrics, 2009, p. 1424
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain
The graduate must know and apply their knowledge in the field of pediatrics as a discipline is basic
pediatrics entering residency topics is useful GP (entering the training curriculum) and the least in need of
this discipline for their children.
10. Evaluation
Type of activity 10.1 Evaluation
criteria 10.2 Evaluation methods
10.3 Percent of
the final grade
10.4 Evaluation during
the semester
Lecture
Depending on the
specific of the
discipline
Evaluation during semester: 10% TBL 1-
preparation:5% TBL2 preparation- 5% 20
Practical activities
Depending on the
specific of the
discipline
Case report-CBL 10
10.5 Final evaluation
Theoretical final
exam
Depending on the
specific of the
discipline
Written evaluation / multiple choice test -
simple and multiple complement(like
residency).
50%
Practical final
exam
Depending on the
specific of the
discipline
Practical exam 20%
10.6 Minimal performance standards
- Minimal grade required for the promotion of the exam is 5 (the final grade being a result of the
evaluations during the semester and the final exam)
- In order to be able to sustain the final theoretical exam, the student has the obligation to be present at the
evaluation during the semester
- The final practical exam is mandatory, the minimal grade required for promotion being 5
- In case of absence at the TBL sessions, the students will receive the grade 1; there is no possibility to
repeat this evaluation; but the student will be allowed to sustain the final exam!
CLINICAL SKILS:
- Taking a paediatric patient’s history 2.4- 10
- General paediatric physical examination 2.5- 10
- Physical examination of the newborn2.6- 4
- Listing and ranking differential diagnoses 2.10- 10
- Listing and supporting the features of positive diagnosis2.11- 10
TECHNICAL SKILS: LAY FIGURE/MANECHIN:
- Performing venipuncture3.1- 2
- Performing intravenous perfusion 3.2- 2
- Administering subcutaneous, intradermal, intramuscular, and intravenous injections3.3-2
- Performing an intraosseous approach in the child 3.4-2
- Observing and describing enemas 3.12- 1
- Observing and describing the exercise stress test 3.24- 1
- Observing and describing upper gastrointestinal endoscopy 3.29-1
- Observing and describing paracentesis 3.30- 1
- Observing and describing lumbar puncture 3.32-1
PARACLINICAL SKILS:
Performing and interpreting an ECG 4.1- 2
Interpreting blood count results 4.3- 5
Interpreting coagulation results 4.4- 5
Interpreting the results of chemical component dosage in blood 4.10- 5
Interpreting the results of biochemical CSF analysis 4.11-2
Interpreting acid-base balance results 4.12- 2
Interpreting culture and antibiogram results 4.15- 3
Interpreting cytology results 4.17-1
Interpreting immunology results 4.18- 1
Interpreting serological test results 4.19-1
Interpreting genetic test results 4.20-1
Interpreting coproparasitologic examination results 4.21-2
Interpreting pathological examination results 4.22-2
- Interpreting simple radiographs 4.24-4
- Interpreting radiographs with radiocontrast agents 4.29-2
- Interpreting ultrasound results 4.31-2
THERAPEUTIC PRESCRIPTIONS:
- Identification of targets and therapeutic priorities in a specific clinical context 6.1- 2
- Making accurate and complete therapeutic prescriptions to various categories of patients 6.2- 2
- Prescription of drugs that require special forms 6.3- 2
- The choice of administration route and the optimal dosage form in a specific clinical context 6.5- 2
- Recognition of adverse drug reactions 6.6- 2
PROPHILAXY:
- Giving minimal advice on smoking cessation 7.2- 2
- Assessment of adult and child weight status at different ages 7.3- 5
- Planning primary, secondary, and tertiary prevention in a specific context 7.6- 1
COMUNICATION:
- Completing the clinical history and physical examination of the patient’s medical documents 8.1- 1
- Explaining diagnostic and therapeutic procedures and obtaining the patient’s informed consent 8.2-1
- Recording the patient’s progress in the observation chart 8.3- 3
- Communication with the patient’s family giving advice and explanations 8.6- 1
- Completing the discharge summary 8.8-1
- Writing discharge recommendations and their verbal communication to the patient 8.9-1
- Writing a letter of medical necessity 8.10-1
- Completing hospital forms and charts 8.11- 3
- Oral case presentations 8.13- 1
- Written/ poster case presentations 8.14-1
MUST SEEN CLINICAL SITUATIONS LIST:
1. Acute bronchilitis/acute laryngitis
2. Pneumonia
3. Bronchial asthma
4. Foreign body aspiration
5. Febrile seizure
6. Acute gastritis
7. Bowel inflammatory disease
8. Malabsortion disorders (celiac disease/ cysric fibrosis)
9. Acute dehydration syndrome
10. Juvenile idiopathic arthritis
11. Kawasaki disease
12. Schonlein-Henoch Purpura
13. Urinary tract infection
14. Nephrotic syndrome/Hematuria
15. Arterial hypertension
16. Iron deficiency anemia
17. Acute leukemia
18. Hodgkin lymphoma
19. Immune Idiopathic thrombocytopenic purpura /hemophillia
20. Diabetes mellitus
21. Congenital heart defects
22. Pericarditis/endocarditis
23. Sepsis
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M4
1.4 Field of study HEALTH
1.5 Study cycle LICENCE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name PNEUMOLOGY AND TUBERCULOSIS
2.2 Course coordinator PROF. DR. GABRIELA JIMBOREAN
2.3 Practical activity coordinator(s) PROF. DR. GABRIELA JIMBOREAN
2.4 Study year V 2.5 Semester II 2.6 Type of evaluation Ex 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 16 3.2 out of which
lecture 1/week
3.3 laboratory practical
activity 1/week
3.4 Total hours in the curriculum 29 3.5 out of which
lecture 14
3.6 laboratory practical
activity 15
Distribution of time pool per week 5
hours
Study of books, lecture materials, bibliography, notes 1.5
Supplemental documentation at the library, from specialized information portals and in the field 1
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1
Tutorial activities 0.5
Examinations 0.5
Other activities 0.5
3.7 Total hours of individual study
per week 9
3.8 Total hours per semester 58
3.9 Credits 2
4. Prerequisites (where applicable) 4.1 curricular prerequisites -
4.2 competency prerequisites -
5. Conditions (where applicable) 5.1 for lectures -
5.2 for laboratory and practical activities -
6. Specific competencies acquired
Professional competencies
C1. Identification of the disease condition and the corect diagnosis of the
disease (diseases)
C1.1. Description of the medical fundamental concepts, theories and
notions concerning the pathogenesis and the suggestive typical signs or
symptoms for the clinical diagnosis
C1.2. Developing the hypotheses and comissioning in work of the key-
concepts for the accurate intendment and integration of the clinical signs
and symptoms and of the paraclinical data in order to establish the
presumtive diagnosis
C1.3. Detection of the obtained clinical methods, techniques and global
knowledge which have to be integrated with the paraclinical data in order
to precise the positive and the differential diagnosis and to establish the
disease prognosis
C1.4. Critical assessment of the hypotheses, means and methods used as
the background for the personalized definition of the diagnosis
C2. The elaboration and the implementation of a proper treatment plan for
the identified disease (diseases)
C2.1. Defining and learning the acting mechanisms of the drugs;
knowledge of indications contraindications and side-effects of the
treatment resources which are used in the medical practice and the
learning of the resuscitation maneuvers in emergency conditions
C2.2. The use of the learned notions over the treatment resources in order
to establish a treatment plan and the proper interpretation of the clinical
and paraclinical data evolution under treatment
C2.3. Implementation of the treatment plan which is stated according to
the current stage and its individualized adaptation with the patient ad
disease characteristics
C2.4. Critical monitoring of the treatment effects and adaptation of the
treatment according to the patient evolution which is reflected by the
clinical and paraclinical dynamic changes
C3. Correct assessment of the disease risk and occurrence of the context
of an individual (or collective) disease, followed by choosing and
applying the proper prophylaxis measures
C3.1. Identifying and deepening the principles for applying the preventive
measures and the instruments affordable to the physician
C3.2. Interpretation and analysis of the risk factors in order to identify the
most effective disease prevention measures
C3.3. Implementation of the preventive measures adequate to prevent
illness (primary prevention) as well as the recovery of already triggered
consequences of the disease (secondary and tertiary prevention)
C3.4. Observation and critical evaluation of the results of the applying
preventive measures concerning both the individual and the collective
pathology using the epidemiology methods.
Transversal competencies
CT1
Implementation of strategies for identifying and analyzing and executing
the tasks assigned and that it has assumed, and to establish relationships
with patients or colleagues in a professional setting and beyond
CT2
Applying the techniques of effective multidisciplinary team working on
various hierarchical levels in order to achieve a common project
CT3
Update knowledge about medical problems, using active learning
methods and techniques and using documentary sources both in
Romanian and in an international language
Developing a synthesis papers on a current topic in the field and typing it
into an international language
C4. The approach of the health or disease problems from the point of
view of the community, in direct relationship with the social, economic
and/or cultural conditions characteristic to that community
C4.1. Description of the fundamental concepts and theories which
influence and/or determine the health of a defined community; measures
that influence the health of the collectivities
C4.2. Interpretation and correct analysis of the demographic data
characterizing the target group and evaluating the causes involved in
altering the health of the community
C4.3. The practical application of appropriate measures (prevention,
social, economic) to ensure improving health, reducing disease risk and
improve quality of life
C4.4. The use of the instruments and of the epidemiologic datae and of
the socio-economic measures applied to assess the results and thereby
ensuring the monitoring the health of the population that makes up the
target collectivity
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective
-Sending to student information on diagnosis technique and targeted treatment for
the major respiratory diseases (diseases with large spread in population = update
according to national and international guidelines)
-Gaining the student's abilities to recognize the signs / symptoms of pulmonary
diseases and performing some specific investigations in Pneumology
7.2 Specific objectives
-Gaining the student's abilities for the specific diagnosis and treatment in
respiratory medicine
-Conducting and interpreting spirometry, performing thoracic echography,
bacteriological exam
-Administration of the inhaled bronchodilators and corticosteroid medication
-Managing and monitoring oxygen therapy, nonivazive ventilation, CPAP
-Indication of bronchoscopy, Interpretation of bronchoscopic results, chest X-ray
and thoracic CT
-Interpretation of respiratory polygraphy during sleep and polysomnography
-Anti-smoking counseling and combat withdrawal symptoms
8. Contents Crt.
no. 8.1 Lecture
Teaching
methods Hours Observations ICS correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
1.1. Elements of integrated anatomy,
physiology / pathophysiology in clinic of
respiratory diseases a). Ribcage and
content b). Ribcage muscle impairment =
generator of restrictive ventilatory
dysfunction c). Upper and lower airways.
Bronchoscopy - technique of endoscopy,
indications, prelevates, EBUS
(endobronchial US). Tracheomalacia d).
Lung function and Pleura function e)
Mechanisms of pleural effusions
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Normal and abnormal
structure and function
Back pain/chest pain
Breathlessness Stridor
Carcinoma of the
bronchus Chronic
bronchitis and
emphysema Chronic
lung disease Hemoptysis
Pleural effusion
Pneumothorax
2.
2.1 Respiratory function tests RFT a).
Spirometry and reversibility test b).
Plethysmography, DLCO c).
Pulseoximetry, gasometry d). 6 min walk
test e). BODE prognostic composite index
(BMI, Obstruction, Dyspnea Scale,
Exercise Test) 2.2. a). Ventilatory
dysfunction (obstruction / restriction /
mixed); diffusion disorders, pulmonary
failure by bronchopulmonary diseases -
etiology, mechanisms, diagnostic, clinical
features treatment guidelines) b). Inhaled
foreign bodies - endobronchial treatment
c). Home oxygen therapy in short and
long-term d). Noninvasive ventilation
(NIV) in chronic respiratory failure
(indication, home) e). Guidelines for long
Oral
presentation
+ multimedia
TBL
1
Knowledge base (
Technical + Contextual)
Chronic lung disease
Chronic bronchitis and
emphysema Asthma;
Stridor Breathlessness;
Cyanosis Electrolyte
and water balance Acid
base disturbance
Condition affecting
individual and family.
Explain disease. Advice
on management
Treatment; education
Home long time oxygen
treatment
term home management of NIV suport
and home long term oxygen therapy
(European guidelines and Romanian
legislation)
3.
3. 1. Infectious and noninfectious
pneumopathies in adults (classification,
algorithm for clinical diagnosis, radiology,
bronchoscopy, 2015 diagnosis and
treatment UE guidelines) a) Acquired
community pneumonia,
bronchopneumonia, lung aspiration b)
Hypersensitivity pneumopathies /
alveolitis c). Pulmonary suppurations /
lung abscess 3.2. Bronchiectasis
a).Congenital and acquired bronchiectasis
b) Cystic fibrosis
Oral
presentation
+ multimedia
Integrated
course with
Dep. of
Infectious
Diseases -
Treatment of
lower
respiratory
tract
infections
(30 min)
1
Knowledge base
(Technical +
Contextual) Respiratory
tract infection Cystic
fibrosis Weight loss,
Breathlessness,
Cyanosis, Condition
affecting individual and
family. Explain disease.
Advice on management
Treatment; education;
Prescription and
technique of
bronchodilators, O2,
sputum fluidificants,
VNI
4.
4. Chronic obstructive pulmonary disease
1. The main phenotypes (emphysema,
bronchitis, «overlap syndrome» ACOS
(Asthma, COPD), bronchiolitis,
exacerbator phenotype, alpha 1-antitrypsin
deficiency) 2. Specific investigations in
COPD – quantitative CT multidetector,
functional respiratory tests,
Oral
presentation
+ multimedia
1
Knowledge base
(Technical +
Contextual) Chronic
bronchitis and
emphysema Substance
abuse - smoking
Breathlessness,
Cyanosis, Disability
Main systemic
Complications
Condition affecting
individual, family and
society Explain disease.
Advice on management
Treatment; education
Pulmonary
rehabilitation Procedural
skill: Prescription and
technique of
bronchodilators, O2,
NIV
5.
5. Bronchial asthma 1. Etiology, particular
forms 2. Chronic asthma with remodeling
fibrosis 3. Specific Investigations in
asthma – spirometry with reversibility test,
questionnaires, immunological dosages,
imaging 4. The exacerbation of asthma 5.
Fenotype – “difficult to treat asthma”, 6.
Principles of treatment in asthma and
monitoring, triggers eviction, education 7.
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Asthma Allergic
disorders Chronic lung
disease Breathlessness
Advice on management
Treatment, education
Allergens eviction
Pulmonary
GINA 2016 guideline - treatment 8.
Pulmonary rehabilitation in asthma
rehabilitation
6.
6. Lung cancer and malignant pleural
mesothelioma a) Epidemiology, risk
factors (smoking, radiation, pollution) b)
Clinical diagnosis (bronchoscopy, CT,
PET - CT, bronchial biopsy and
transbronchial EBUS) c). Solitary
pulmonary nodule c) Lung cancer Staging
d). Guidelines for diagnosis and treatment
ESMO European Guide and 2015 ATS /
CHEST/NCCN + National Guide of the
Romanian Society of Pneumology Lung
Cancer Management e). Screening in
Lung cancer f). Malignant mesothelioma
2. Pulmonary/mediastinal benign tumors
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Carcinoma of the
bronchus Chronic lung
disease Substance abuse
- smoking
Breathlessness,
Hemoptysis Chest pain,
back pain, weight loss;
depression Poor
Prognosis Condition
affecting individual,
family and society
Explain disease Advice
on management.
Treatment. Pain
management Terminal
care
7.
7. 7.1. Sarcoidosis 7.2. Interstitial lung
fibrosis (ILF) a). Classification, etiology,
pathogenesis b). Clinical features c)
Investigation - HRCT, bronchoscopy and
bronchoalveolar lavage, lung biopsy d).
Idiopathic and iatrogenic fibrosis e).
Positive and differential diagnosis of ILF.
ILF treatment f). Lung transplant
indications, monitoring, complications,
legislation g) European guidelines / ATS
in diagnosis and treatment of ILF
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Breathlessness Cyanosis
Chronic lung disease
Fibrosis in connective
lung disease Condition
affecting individual and
family Explain disease
Prognosis Advice on
management Treatment;
education Home long
time oxygen therapy
8.
8. Pleural pathology 1. Pleural punction/
thoracentesis under thoracic US 2. Pleural
biopsy 3. Pleural fluid examination –
“LIGHT criteria” - differentiation exudate
/ transudate, cytology, bacteriology,
immunology from pleural fluid 4. The
main respiratory causes of pleural effusion
a) Parapneumonic pleural effusion b) TB
pleurisy c) Malignant pleural effusion d)
Pleural empyema 5. Pleural plaques 7.
Pneumothorax, chylotorax, hemotorax 8.
Pahipleuritis / fibrothorax
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Chest pain Back pain
Breathlessness Oedema
Pleural effusion
Pneumothorax Poor
mesothelioma prognosis
Performance base -
procedural skills –
thoracic ultrasound,
thoracocentesis
9.
9. Sleep – related respiratory disorders a)
Obstructive sleep apnea syndromes
(OSAS) b) Central sleep apnea c). Obesity
- hypoventilation syndrome OHS d).
Polysomnography/ventilatory polygraphy,
nocturnal oximetry, actigraphy, sleep
Oral
presentation
+ multimedia
1
Knowledge base Sleep
disturbance Weight
gain. Complication
Condition affecting
individual and family.
Explain disease.
questionaires e). Treatment and
monitoring of CPAP / APAP / BiPAP
SAS and SHO
Prognosis Prevention
and treatment of
complication. Advice on
management. Treatment
CPAP/VNI/weight loss
10.
10. Smoking - severe disease of addiction
a) Active smoking - respiratory and
systemic adverse effects of smoking b).
Oral
presentation
+ multimedia
TBL –
adverse
effects of
smoking
1
Knowledge base
Substance abuse -
smoking Breathlessness
– chronic bronchitis and
emphisema, carcinoma
of the bronchus
Ischemic heart disease
Condition affecting
individual and family
Explain disease.
Prognosis Advice on
management Treatment,
Smoking cessation
counselling
11.
11. Tuberculosis a). Epidemiology of TB
Mondial and national endemics b). Risk
factors c). Etiology - M tuberculosis and
atypical mycobacteria – Modern
techniques for diagnosis –
microscopy/culture/drug sensisivity test
d). TB pathogenesis e). Pathology of TB -
TB granulomas. Sampling for
histopathological exam f) Latent TB. Skin
test, Quatiferon test
Oral
presentation
+ multimedia
Integrated
course with
Microbiology
Dep. 30 min.
1
Knowledge base (
Technical + Contextual)
Tuberculosis
Respiratory tract
infection Chronic lung
disease
Immunodeficiency, HIV
coinfection Condition
affecting individual and
family
12.
12. Primary Tuberculosis a) Clinical
diagnosis b) Imaging aspects in primary
TB. Differential diagnosis of mediastino-
hylar adenopathy c) Tuberculin skin test
and QuantiFERON TB GOLD test d).
Complications of primary TB – extensive
caseation and hematogenic dissemination
e) Bacteriological diagnosis of TB -
prelevates, microscopy techniques,
culture, PCR, and sensitivity drug tests f)
Milliary TB (pulmonary and generalisated
TB)
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Infectious disease of
childhood Weight loss
Stridor Chest pain
Hemoptisis Sepsis by
milliary TB Condition
affecting individual and
family
13.
13. Secondary Tuberculosis 1. Secondary
Pulmonary TB a). Clinical diagnosis,
imaging b). TB nodular, infiltrative,
cavitary TB fibrous TB c) Differential
diagnosis of TB c). Hemoptysis - positive
and differential diagnosis. Treatment
(general treatment and by bronchoscopy)
d). Complications of the secondary TB e)
Tuberculoma 2. Extrapulmonary TB
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Tuberculosis Chronic
lung disease Condition
affecting individual and
family Weight loss,
Chest pain Hemoptisis,
TB pleural effusion,
PTX Joint swelling –
(lymph node TB, osteo-articular TB, renal
TB, genital TB, digestive TB, pericardial
TB, peritoneal, other organs) - positive
and differential diagnosis through specific
modern investigation
TB Osteoarthrosis ,
meningitis, pericarditis
Chronic renal disease –
renal TB Infertility –
genital TB Intestinal
obstruction - digestive
TB
14.
14. Treatment and prevention of TB a).
Etiological treatment of TB with
antibiotics (WHO regimes / National TB
Control Program 2016-2020)+
symptomatic treatment, surgical treatment
b). Directed Observed Treatment in Short
Course DOTS treatment - categories,
regimes, monitoring, c). MDR - multidrug
resistant TB d). TB prophylaxis - BCG
vaccination, the fight in the outbreak,
education e). Case finding f). UE and
NTCP strategies for 2015 - 2020
Oral
presentation
+ multimedia
1
Knowledge base (
Technical + Contextual)
Tuberculosis Condition
affecting individual and
family. Condition in
society Explain disease
and treatment
Prevention and
treatment of
complication. Advice on
management
Treatment/Immunisation
– BCG vaccination
Education. Supervision
and suport. Drug
reaction
Bibliography:
1.Gabriela Jimborean, Edith Simona Ianosi - ”Pneumology/Tuberculosis”, Ed. University Press,Târgu-
Mureş, 2013,ISBN ISBN – 978 -973 – 169 – 225 -8, cod CNCS 210; [email protected];
2.Edith Simona Ianosi, Gabriela Jimborean, Alexandra Comes, Dombi Istvan, Delia Georgeta Lupuț -
„Pneumology. Textbook of respiratory medicine”, Ed. UniversityPress;
[email protected] Tg. Mures/2014; ISBN 978 – 973 – 169 – 139 – 8, cod CNCS 210;
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages
Teaching
methods Hours Observations
ICS
correlation
First semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
Stage sesion no. 1 1. Regulation/statute of
Department of Pneumology, minimum of
maneuvers/skills. Notebook / CBL 2. Examination
of the patient with lung disease 2. Clinical
examination - medical history, physical exam in
pulmonology - Request of the appropriate laboratory
examinations - Formulating a positive and
differential diagnosis and differential - Individual
plan for personalised therapy and prophylaxis
(primary, secondary / tertiary) 3. The model of a
clinical case presentations (oral / multimedia) 4.
TFR respiratory function tests (Spirometry +
Reversibility f tests) performing / interpreting, 5.
Pletismography, Airway resistance to flow, Pressure
/ volume curve, DLCO – interpretation 6.
Gasometry - interpretation Pulseoximetry 7. 6 min
walk test. BODE index 8. Questionnaires quality of
life; Asthma Control Questionaire (ACQ), COPD
Assessement Test (CAT) 9. Inhalation therapy
(bronchodilators, inhaled corticosteroids, antibiotics,
expectorant)Indications/Devices/ Spacer/nebulizers
Practical
demonstration
Case
presentations
3 h
Pulmonology
Clinic
Functional
test
Laboratory
Knowledge
base (
Technical +
Contextual)
Skills
(performance
base) Demo
of the
approach for
interpersonal
skills and
intellectual
skills
2.
Stage sesion no 2. 1. Imaging tests in respiratory
diseases - CXR in various respiratory diseases, CT,
HRCT, Multidetector CT - PET - CT 2. Thoracic
ultrasound- Diagnostic and Therapeutic Indications
(Common and
Practical
demonstration
Case
presentations
CBL
3 h
Knowledge
base (
Technical +
Contextual)
Performance
base (skills)
Intellectual +
Interpersonal)
3.
Stage sesion no 3. 1. Thoracentesis, pleural biopsy -
Indication, guidance by US /CT - Demonstrations on
patients admitted to Cl. Of Pneumology -
Investigation of pleural fluid (bacteriological,
cytological, biochemical) Recommendation and
interpretation bulletins 2. Fibrobronchoscopy,
bronchial biopsy, bronchoalveolar lavage, EBUS -
endobronchial UltraSound - Indications, devices,
techniques, prelevates – demonstration
+Interpretation bulletins - Presentation techniques
on real cases in the clinic and in the Simulation
Center UMF
Practical
demonstration
Case
presentations
CBL
3 h
Practice in
Pulmonology
Clinic and
Simulation
center UMPh
Knowledge
base (
Technical +
Contextual)
Performance
base (skills)
Intellectual +
Interpersonal)
4.
Stage sesion no 4. 1. Obstructive and Central Sleep
apnea (OSA + ACS) 2. Obesity - hypoventilation
syndrome SOH 3. Assessment Questionnaire of the
excessive daytime sleepiness (Berlin Q, Epworth
Scale) 4. Polygraphy, Polysomnography -
Practical
demonstration
Case
presentations
CBL
3 h
Knowledge
base (
Technical +
Contextual)
Performance
indications, assessment of the results 5. CPAP and
ventilator support (non-invasive ventilation NIV, BI
PAP) - Indications, devices, masks, legislation,
practice, home monitoring 6. Presentation of cases
with indications for CPAP / VNI - severe COPD,
hypoventilation / obesity, etc. 7. Oxygen therapy in
short and long-term (in hospital and at home),
Indications, appliances 8. Home Monitoring,
legislation 9. Case reports
base (skills)
Intellectual +
Interpersonal
5.
Stage sesion no 5. 1. Chronic smoking cessation.
Smoker„ file. Nicotine dependence Fagenstrom
Questionnaire - Smoking cessation counseling.
Specific anti-smoking drug therapy: indications,
treatment plan, monitoring 3. Presentation of cases
from respiratory pathology : COPD,Asthma,
Tuberculosis, Lung Cancer, Pulmonary Fibrosis,
Pleural Effusion, PTX, pioPtx, Pneumonia and
pleuropulmonary suppurations, Lung
Transplantation, Sleep apnea,Respiratory failure,
VNI
Practical
demonstration
Case
presentations
TEST
3 h
Knowledge
base (
Technical +
Contextual)
Performance
base (skills)
Intellectual +
Interpersonal)
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1.Gabriela Jimborean, Edith Simona Ianosi - ”Pneumology/Tuberculosis”, Ed. University Press,Târgu-
Mureş, 2013,ISBN ISBN – 978 -973 – 169 – 225 -8, cod CNCS 210 [email protected];
2.Edith Simona Ianosi, Gabriela Jimborean, Alexandra Comes, Dombi Istvan, Delia Georgeta Lupuț -
„Pneumology. Textbook of respiratory medicine”, Ed. UniversityPress, 2014; ISBN 978 – 973 – 169 –
139 – 8, cod CNCS 210, [email protected]
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain The themes of Pneumology courses and of the practical workshops are adapted to community issues and
health system issues and they are in accordance with actual EUROPEAN Community requests in the
medical system and in PNEUMOLOGY Specialty
Pulmonology specialty studies the lung disease that are met very frequent in general population (with
important morbidity and mortality and social and financial burden )
- Chronic Obstructive Disease (COPD ~ 10% of the population, asthma -7 -8% of the population)
- Lung cancer – first place of malignancies in men, first place in mortality
- Tuberculosis - the most frequent infectious contagious disease in the world (Romania is situated on the
1st place in the European Community)
- Nonspecific lung infections and inflammation, pulmonary suppurations – complication in
immunosupressed patients
- Pathology of pleura – complex etiology , difficult positive and differential diagnosis
- Pulmonary fibrosis – caused by a multitude of factors (frequently without known etiology), poor
prognosis
- Chronic smoking (active and passive) - 27% active smokers of all the population in Romania
- Sleep apnea (preset both in young children and adults) - over 10% of the adult population (80%
undiagnosed yet – underdiagnosed with severe complications)
Our course and practical training have the main goals to transmit to the students the basic Knowledges
(Technical + Contextual) and to develop the Intellectual and Interpersonal skills ( learning the techniques
for prevention of risk factors and early diagnosis in lung diseases to decrease morbidity, improve quality
of life and reduce the costs for the health system)
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of
the final grade
10.4 Evaluation
during the
semester
Lecture
2 TBL Pleural pathology
Smoking-severe disease of
addiction
20%
Practical
activities
Mandatory presence Learning techniques
according to the skills list (attached
below) Clinical case presentation in the
“Abilities Notebook” with the
specification of skills/maneuvers that
were performed/studied (minimum 1 case
of each criteria/maneuver, at least 1 case
from the each corse and PT theme 28
CBL)
Previously studied topics
CBL 10%
10.5 Final
evaluation
Theoretical
final exam
Final theoretical exam - 50
questions grid 50%
Practical
final exam
Mastering the techniques of clinical
examination and paraclinic investigations
according to the skills criteria from the
“Abilities Notebook”
The final practical
examination – 1 case
presentation, interpretation of
investigations (chest – x - ray,
CT, bulletins TFR,
bronchoscopy, Astrup,
polysomnography)
20%
10.6 Minimal performance standards
10.5. Minimum level of performance :
Minimum validation criteria of the intermediar evaluation during the semester ( correlation with the of the
statut and Regulation of the discipline of Pneumology
-The presence to the periodic evaluation is mandatory, Minimum grade 5 at the each test
-The “Abilities Notebook” with written clinical cases and performed technique is mandatory (according
to the abilities/skills provided in the course and PT themes)
-Mastering the criteria of ICS 'performance base "(skills) -" intellectual skills "(problem solving and
Decision Making in diagnosis, treatment and management" and "interpersonal skills"
-Minimal criteria for admission to the final examination
-ANY absences at the practical training
-Diary skills with examples of cases around the theme of skills / courses and
MANAGING OF ALL MANEUVERS DURING THE SEMESTER IN CONFORMITY WITH THE
LIST OF ABILITIES
1.CLINICAL SKILL
oAnamnesis in patients with respiratory disease – 10
oMaking physical examination in patients with respiratory disease – 10
oRequiring appropriate examinations – 10
oFormulating a presumptive diagnosis and differential dignosticelor listing and ranking of 2.10 – 10
oListing and sustaining positive diagnosis Elements of 2.11 – 10
oDisease Prophylaxis and Treatment plan - 10
2. TECHNICAL SKILLS
- Spirometry and bronchial reversibility test (performing and interpretation) - 2
- Conducting and interpretation EKG in patient with respiratory disease -4.1 - 2
- Observation and description of the 6-minute exercise test (+ conducting) 3.24 - 2
- Pulse oximetry (conducting and interpretation)
- The interpretation of acido - basic examination (astrup) 4.12 - 2
- Interpretation of the results of culture and sensitivity testing 4.15 - 5
- The interpretation of cytology 4.17 – 2 and immunology 4.18 - 2
- Interpretation of results of serological tests 4.19 - 2
- Interpretation of the results of the histo - pathological exam- 4.22 - 2
-Chest – x ray - interpretation 4.24 – 7; Imaging with contrast interpretation 4.29 - 2
- Interpretation and performing of thoracic ultrasound - 4.31 - 5
- Analysis of pleural fluid (interpretation) - 2
- Fibrobronchoscopy - indications, interpretation (practice - Cl. Pulmonary + simulation center) - 2
- Ventilatory Polygraphy during sleep (indications, performing, interpretation) - 2
- Interpretation of results of blood counts 4.3 - 3
- Interpretation of the results of dosing chemical blood components 4.10 - 5
3.TREATMENT/PRESCRIPTION skills (ability in therapy indication)
- Identify objectives and therapeutic priorities in a clinical setting 6.1 - 2
- Making the correct therapeutic prescriptions to a Complex disease 6.2- 2
- Prescription drugs that require special formulation 6.3- 2
- Choice of route of administration and optimal therapeutic form in a concrete clinical context 6.5- 2
(inhaled medications, oxygen therapy in hospital and at home, NIV)
- Recognition of adverse drug reactions 6.6- 2
PREVENTION
- Education / patient counseling on behavioral risk factors 7.1-0
- Counseling smoking cessation 7.2- 2
- Evaluation of the adult/child weight status 7.3- 5
- Making a plan for primary prevention, secondary and tertiary in a given situation 7.6- 1
COMMUNICATION SKILLS
- Completion of a medical history and physical examination in patient medical documents 8.1- 1
- Explanation of diagnostic and therapeutic procedures and obtaining the patient's informed consent 8.2- 1
- Recording evolution of patient observation sheet 8.3- 3
- Communication with family for advice and explanations 8.6- 1
- Elaborating epicrisis 8.8- 1
- Written and verbal recommendations and communication with patients at their discharge 8.9- 1
- Writing the final medical letter at the discharge of the patient 8.10- 1
- Completing forms of hospital 8.11- 3
- Oral case presentation 8.13- 1
- Presentation of cases in written / poster form 8.14-1
Minimum grade 5 in the intermediary evaluation
Minimal criteria for graduation in the final exam (theoretical and practical exam)
-Promoting the practical exam (1 spirometry interpretation bulletin, 1 bulletin Astrup; 1 bulletin of
bronchoscopy, 1 chest X-ray, 1 CT scan interpretation, 1 demo – administration of the inhaled treatment)
-Minimum 5 grade to the theoretical examination
Summer practice will complete the skills in specific investigation in Pneumology Clinic - Polygraphy,
polysomnography (technique, interpretation), questionnaires for evaluation of sleep – related – breathe
disorders, sleep questionnaires; nicotine dependence questionnaires, chest CT, plethysmography,
thoracentesis, installing the CPAP or VNI machines, O2 portable administering in fixed and portable
devices, aerosols and inhalation techniques, respiratory rehabilitation, counseling for smoking cessation,
etc.
Abilities for Vth MG students - ENGLISH SECTION - Pneumology specialty
A. Performing techniques for clinical diagnosis in respiratory diseases – medical history, physical exam,
risk factors
B. Performing / interpretation of specific investigations for the diagnosis in respiratory diseases:
1. Respiratory functional tests
1.1 Spirometry and bronchial reversibility testing - performing and interpretation
1.2. Plethysmography, Diffusion Lung CO - interpretation
1.3 Oximetry - performing and interpretation
1.4. Gasometry (Astrup) - indications, interpretation
2. Chest radiograph, chest CT, PET - CT - interpretation
3. Thoracic Ultrasound- performing, evaluation of the normal and pathological aspects (fluid collections,
pneumothorax, peripheral tumor) (Practice in Pneumology Clinic and Simulation Center at the University
UMPh Tirgu Mures)
4. Thoracentesis - indications, technique, execution, recommendation investigation of pleural fluid
5. Fibrobronchoscopy, bronchoalveolar lavage, EBUS - endobronchial UltraSound - indications,
interpretation bulletins (practice in Pneumology Clinic and Simulation Center UMF)
6. Tests for sleep related respiratory disorders evaluation (sleep apnea, hypoventilation – obesity)
6.1.Polygraphy, Questionnaires for excessive daytime sleepiness evaluation (Q Berlin, Epworth) -
indications, performing, interpretation
6.2. Polysomnography - indications, evaluation /assessment of the PSG results
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty MEDICINE
1.3 Department M4
1.4 Field of study HEALTH
1.5 Study cycle LICENCE
1.6 Study program MEDICINE
2. Data regarding the discipline
2.1 Name REHABILITATION, PHYSICAL MEDICINE AND
BALNEOLOGY
2.2 Course coordinator COPOTOIU MONICA
2.3 Practical activity coordinator(s) Şef de lucrări DR. COPOTOIU MONICA
2.4 Study year 5 2.5 Semester 1 2.6 Type of evaluation E 2.7 Type of discipline DS
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 16 3.2 out of which
lecture 1
3.3 laboratory
practical activity 15/sapt
3.4 Total hours in the curriculum 29 3.5 out of which
lecture 14
3.6 laboratory
practical activity 15
Distribution of time pool per week 3
hours
Study of books, lecture materials, bibliography, notes 1/2
Supplemental documentation at the library, from specialized information portals and in the
field 1/2
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1/2
Tutorial activities -
Examinations 1
Other activities 1/2
3.7 Total hours of individual study per week 5
3.8 Total hours per semester 58
3.9 Credits 3
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical activities
6. Specific competencies acquired
Professional competencies
- The main objective of this lecture is to offer to the medical student an
image of the problems imposed by different pathologies concerning the
quality of life of the patients and also to offer solutions, aiming the
improvement of their outcome by rehabilitation.
- The medical student should be able to complete a whole physiatric
evaluation in order to establish the status and the future management of
the patient.
- The medical student should be able to give solutions (in terms of
rehabilitations programme) and to apply them aiming a major
reintegration of the patient in society, taking into account the pro and
cons according with the pathology.
Transversal competencies
- Rehabilitation is teamwork, so in order to fulfill it the medical student
should find and to adapt its position in a team whose main aim is the
needs of the patient. So, she/he would be able to communicate with the
nurse, the occupational therapist, the nurse and therapist specialized in
physical rehabilitation, the psychologist and the physician of the current
disease.
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective As stated before, the main objective is to be able to provide a rehabilitation
programme in different pathologies.
7.2 Specific objectives
The secondary objectives, after following this lecture, are:
-To be able to evaluate a patients from the perspective of the physiatric
physician,
-To be able to apply the principles of rehabilitation,
-To be able to recognize the benefits of a complex rehabilitation plan
-To know how to work in a rehab team
8. Contents Crt.
no. 8.1 Lecture Teaching methods Hours Observations
ICS
correlation
First semester
1.
Achieving functional independence
– general notions (physical
modalities - electrotherapy)
Oral presentations +
multimedia (PP) 2
rehabilitation
management
2hours/week
jint pain, back
pain, limp,
falls
2.
Therapeutic exercise -essentials.
Manipulation, massage and
tractions
Oral presentations +
multimedia (PP) 2
rehabilitation
management
2hours/week
jint pain, back
pain, limp,
falls
3. Musculoskeletal rehabilitation part
1
Oral presentations +
multimedia (PP) 2
rehabilitation
management
2hours/week
jint pain, back
pain, limp,
falls
4. Musculoskeletal rehabilitation part
2
Oral presentations +
multimedia (PP) 2
rehabilitation
management
2hours/week
jint pain, back
pain, limp,
falls
5. Cardiac rehabilitation Oral presentations +
multimedia (PP) 2
rehabilitation
management chest pain
2hours/week
6. Pulmonary rehabilitation Oral presentations +
multimedia (PP) 2
rehabilitation
management
2hours/week
tiredness
7. Rehabilitation and management of
neurological disorders
Oral presentations +
multimedia (PP) 2
rehabilitation
management
2hours/week
jint pain, back
pain, limp,
falls
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Physical Medicine and Rehabilitation (fourth edition), Randall L. Braddom, Elsevier Saunders ed.,
2011, 1- 1506, ISBN: 978-1-4137-70884-4
2. Physical Medicine and Rehabilitation Secrets (third edition), B. J. O’Young, Mosby Elsevier ed., 2008,
1-748, ISBN- 13: 978-1-4160-3205-2
Crt.
no.
8.1
Seminaries/Laboratories/Practical
activities/Stages
Teaching methods Hours Observations ICS
correlation
First semester
1. The physiatric history. Physical
examination
Oral presentations, multimedia,
Practical skills – working with the 3
rehabilitation
management
jint pain,
back pain,
patient 3hours/day limp, falls
2. Psychological assessment and
interventions in rehabilitation
Oral presentations, multimedia,
Practical skills – working with the
patient
3
rehabilitation
management
3hours/day
jint pain,
back pain,
limp, falls
3. Gait analysis. Physical agents
modalities
Oral presentations, multimedia,
Practical skills – working with the
patient
3
rehabilitation
management
3hours/day
jint pain,
back pain,
limp, falls
4. Neurologic and musculoskeletal
imaging studies
Oral presentations, multimedia,
Practical skills – working with the
patient
3
rehabilitation
management
3hours/day
jint pain,
back pain,
limp, falls
5.
Quality and outcome measures
for medical rehabilitation.
Therapeutical exercise
Oral presentations, multimedia,
Practical skills – working with the
patient
3
rehabilitation
management
3hours/day
jint pain,
back pain,
limp, falls
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. Physical Medicine and Rehabilitation (fourth edition), Randall L. Braddom, Elsevier Saunders ed.,
2011, 1- 1506, ISBN: 978-1-4137-70884-4
2. Physical Medicine and Rehabilitation Secrets (third edition), B. J. O’Young, Mosby Elsevier ed., 2008,
1-748, ISBN- 13: 978-1-4160-3205-2
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain The field of Physical Medicine and Rehabilitation is a dynamic one, due to new treatments and an
expending field of research with the main aim being the rehabilitation of human pathological condition
and so of patient’s quality of life. The students after finishing this educational program will be able to
assess the patient’s functional capabilities, to design interdisciplinary treatment plans and to coordinate
rehabilitation interventions to maximize the outcome.
10. Evaluation
Type of activity 10.1 Evaluation
criteria 10.2 Evaluation methods
10.3 Percent of
the final grade
10.4 Evaluation during
the semester
Lecture
20
Practical activities
10
10.5 Final evaluation
Theoretical final
exam
În funcție de
specificul disciplinei Written test 50
Practical final exam În funcție de
specificul disciplinei
Management of a clinical case
The active role of the student during the
theoretical and practical skills
20
10.6 Minimal performance standards
The medical student should be able to perform/ to apply:
-the physiatric history
-the physical examination
-the therapeutical exercise – contraindications (major)
-the physical agent modalities - contraindications (major)
-the manipulation, traction and massage - contraindications (major)
SYLLABUS
1. Data regarding the program
1.1 Higher education institution UNIVERSITY OF MEDICINE AND PHARMACY OF TÎRGU MUREȘ
1.2 Faculty UNIVERSITY OF MEDICINE
1.3 Department M4
1.4 Field of study HEALTH
1.5 Study cycle LICENCE
1.6 Study program MEDICINE
2. Data regarding the discipline 2.1 Name RHEUMATOLOGY
2.2 Course coordinator Lecturer Dr.COPOTOIU MONICA
2.3 Practical activity coordinator(s) Lecturer Dr. COPOTOIU MONICA
2.4 Study year 5 2.5 Semester 1 2.6 Type of evaluation E 2.7 Type of discipline obl.
3. Total estimated time (hours per semester of didactic activities)
3.1 Hours per week 16 3.2 out of which
lecture 1
3.3 laboratory practical
activity 15/sapt
3.4 Total hours in the curriculum 29 3.5 out of which
lecture 14
3.6 laboratory practical
activity 15
Distribution of time pool per week 3
hours
Study of books, lecture materials, bibliography, notes 1/2
Supplemental documentation at the library, from specialized information portals and in the field 1/2
Preparation for seminaries/laboratories, homework, reports, portfolios and essays 1/2
Tutorial activities -
Examinations 1
Other activities 1/2
3.7 Total hours of individual study
per week 5.4285
3.8 Total hours per semester 58
3.9 Credits 3
4. Prerequisites (where applicable) 4.1 curricular prerequisites
4.2 competency prerequisites
5. Conditions (where applicable) 5.1 for lectures
5.2 for laboratory and practical
activities
6. Specific competencies acquired
Professional competencies
- The main objective of this lecture is to offer to the medical student the
impact of the autoimmune, auto inflammatory and inflammatory diseases on
society with respect focusing on the individual.
- The medical student should be able to apply a strategy in order to diagnose
and to consider the treatment of rheumatologic disorders.
- The medical student should be able to recognize the “traps” leading to
common mistakes in rheumatology.
Transversal competencies
- After completing the theoretical and the practical skill curricula in
rheumatology, the medical student should be able to be part of a
multidisciplinary team (physician, nurse, psychologist) involved in the
management of the rheumatic patient. Rheumatology is teamwork, so in
order to fulfill it the medical student should find and to adapt its position in
a team whose main aim is the needs of the patient. So, she/he would be able
to communicate with the nurse, the occupational therapist, the nurse and
therapist specialized in physical rehabilitation, the psychologist and the
physician of the current disease.
7. Objectives of the discipline (based on the grid of specific competencies)
7.1 General objective The main objective is to be able to provide a first step management of the
musculoskeletal diseases of different pathologies.
7.2 Specific objectives
The secondary objectives, after following this lecture, are:
-To be able to evaluate a patients from the perspective of the rheumatology
physician,
-To be able to apply the principles of treat to target management in
rheumatology,
-To be able to recognize and treat the reumathologycal emergencies
8. Contents Crt.
no. 8.1 Lecture Teaching methods Hours Observations
ICS
correlation
First semester
1. Diagnostic strategy in
rheumatology.Rheumatoid arthritis
Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
joint pain,
joint swelling,
back pain,
anemia,
purpura, red
eye, tiredness
2.
Autoimmune, inflammatory disaeses
(systemic lupus erythematosous,
antiphospholipidic syndrome)
Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
connective
tissue disease
3.
Vasculitis.Sjogren’s Syndrome and
lymphoproliferations in autoimmune
diseases.
Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
connective
tissue disease
4.
Innflammatory diseases of muscle and
other myopathies.Undifferentiated
connective tissue diseases, overlap
syndrome and mixed connective tissue
Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
connective
tissue disease,
disorders of
musdcle
diseases.Systemic sclerosis
5. Spondyloarthropaties. Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
joint pain,
joint swelling,
back pain,
anemia,
purpura, red
eye, tiredness
6. Crystal arthropaties, dismetabolic
diseases and septic arthritis.
Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
joint pain,
joint swelling,
back pain
7. Miscellaneous inflammatory arthritis:
adult Still’s disease and sarcoidosis
Oral presentations +
multimedia (PP) 2
rheumatology
management
2hours/lecture
joint pain,
joint swelling,
back pain,
anemia,
purpura, red
eye, tiredness
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. EULAR Compendium on Rheumatic Diseases, JWJ Bijlsma, BMJ, 2009:1-824, ISBN: 978-1-905545-
35-3
2. A Clinician’s Pearls and Myths in Rheumatology, J.H. Stone, Springer, 2009: 1-493, ISBN: 978-1-
84800-933-2
Crt.
no.
8.1 Seminaries/Laboratories/Practical
activities/Stages Teaching methods Hours Observations
ICS
correlation
First semester
1. History in rheumatology. Physical
examination in rheumatology
Oral presentations,
multimedia, Practical
skills – working with the
patient
3
rheumatology
management
3 hours/day
connective
tissue
disease
2. Management of lab tests in rheumatology
Oral presentations,
multimedia, Practical
skills – working with the
patient
3
rheumatology
management
3 hours/day
connective
tissue
disease
3. Imagistics in rheumatology
Oral presentations,
multimedia, Practical
skills – working with the
patient
3
rheumatology
management
3 hours/day
connective
tissue
disease
4. Treatment in rheumatology
Oral presentations,
multimedia, Practical
skills – working with the
patient
3
rheumatology
management
3 hours/day
connective
tissue
disease
5. Clinical case presentations
Oral presentations,
multimedia, Practical
skills – working with the
patient
3
rheumatology
management
3 hours/day
connective
tissue
disease
6.
7.
8.
9.
10.
11.
12.
13.
14.
Second semester
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Bibliography:
1. EULAR Compendium on Rheumatic Diseases, JWJ Bijlsma, BMJ, 2009:1-824, ISBN: 978-1-905545-
35-3
2. A Clinician’s Pearls and Myths in Rheumatology, J.H. Stone, Springer, 2009: 1-493, ISBN: 978-1-
84800-933-2
9. Correlations between the contents of the discipline and the expectations of the community representatives, professional associations and representative employers in the domain Rheumatology is an open field for research, due to its still unknowns concerning the ethyopathogeny of
the disease, its treatment, evolution and outcome. It became a hot point in the health system due to its
different clinical manifestation and its interdisciplinary characteristics.
10. Evaluation
Type of activity 10.1 Evaluation criteria 10.2 Evaluation methods 10.3 Percent of
the final grade
10.4 Evaluation during
the semester
Lecture
20
Practical activities
10
10.5 Final evaluation
Theoretical final
exam
În funcție de specificul
disciplinei Written test 50
Practical final
exam
În funcție de specificul
disciplinei
Management of a clinical case
The active participation during the
theoretical and practical skills
20
10.6 Minimal performance standards
The medical student should be able to perform/ to apply:
-a strategy to diagnose the rheumatologic diseases
-a drug therapeutic approach in different autoimmune as well as inflammatory diseases (according with
the current recommendation, and such to apply the outcome medicine)
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