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Clinical Phase

Clinical Phase

The successful completion of the First State Examination is a requirement for admission to the clinical segment of the undergraduate degree programme in medicine. The first year of clinical study consists of courses in basic clinical subjects, as well as a comprehensive course in clinical examination and the general examination methods in the operative and non-operative subject areas. The actual clinical part takes place in the second half of the clinical segment of studies. These activities build upon the knowledge acquired in previous semesters. Students have increased direct contact with patients and become familiar with the various areas of specialisation. The clinical courses include the presentation of patients and practical exercises on the ward. Usually a practical part and seminars in a block are accompanied by a semester long lecture course which is not compulsory.


Theoretical education is reduced from about two thirds of all classes during the first two clinical semesters to about 25% during clinical semesters 3 - 6 (Table 2). During the last clinical year theoretical classes are further restricted to one voluntary day per week which can overlap with continued medical education for postgraduates.

Regardless of these shifts the overall regimen in education is compulsory attendance on the wards during the morning 5 days a week, followed by compulsory and voluntary attendance at lectures and seminars in the afternoon sessions. Subjects are preferentially restricted to one semester. 22 compulsory subjects are complemented by 12 transversal, interdisciplinary subjects (including alternative medicine modules and methods) and 5 block practicals. Teaching methodology and examination policies are under the autonomous decision of the Faculty. Thus details of this general scheme can ary between different Faculties according to specific majors foreseen in their curricula. Therefore impact of the new ÄAPPO ruleson mobility within Germany and between German and other European partner institutions still remain to be investigated.

Obligatory Assignments in the Clinical Phase

.

Obligatory Assignments in the Clinical Phase
1st Clinical Semester
  • Course of General Clinical Examination Methods Part I
  • Epidemiology, Medical Biometry and Medical Informatics
  • Clinical Chemistry and Haematology
  • Pathology
  • Human Genetics
  • Ethics and History of Medicine
2nd Clinical Semester
  • Course of General Clinical Examination Methods Part II
  • Microbiology, Virology
  • Hygiene
  • Pharmacology, Toxicology
  • General Medicine (incl. Conversation Guidance and Communication)

3rd Clinical Semester

  • Internal Medicine
  • Dermatology, Venerology
  • Ophthalmology
  • Otorhinolaryngology (ENT)
  • Infectiology, Immunology
  • Clinical-Pathological Conference (Special Pathology) Part I
4th Clinical Semester
  • Surgery (incl. traumatology)
  • Orthopaedics
  • Urology
  • Anaesthesiology (incl. intensive care)
  • Emergency Medicine
  • Pain Medicine
  • Palliative Medicine
  • Imaging Techniques, Radiotherapy and Radiation Protection
  • Clinical-Pathological Conference (Special Pathology) Part II
 5th Clinical Semester
  • Neurology (incl. Neurosurgery)
  • Psychiatry and Psychotherapy
  • Psychosomatic Medicine and Psychotherapy
  • Clinical Pharmacology, Pharmacotherapy
  • Forensic Medicine (incl. Clinical Ethics)
  • Geriatric Medicine
  • Rehabilitation, Physical Therapy and Naturopathic Treatment
  • Clinical Environmental Medicine
  • Clinical-Pathological Conference (Special Pathology) Part III
 
  • Gynaecology and Obstetrics 
  • Paediatrics
  • Practical General Medicine
  • Occupational Medicine, Social Medicine
  • Prevention, Health Promotion
  • Health Economy, Health Care System, Public Health
  • Practical in a Voluntary Specialisation Module
+ Elective period in an accredited medical institution for 4 months
 

1st Clinical Semester

ECTS Course Code

Compulsory subjects

Hours/ Semester

ECTS Credits

5-M-O-P-1

Grundlagen klinischer Untersuchung
Basic principles of Clinical Examination Part I
(General Medicine, Ophthalmology, Dermatology, Internal Medicine, Neurology, Emergency Medicine, Psychosomatics)

The Clinical Examination Course consists of thirteen segments covering different fields of medicine with a total of 12 credits. As a rule, partial enrolment is impossible. The Practicals follow a special time scheme which is handed out at the beginning of the Course.

Content: Principles of clinical examination. Demonstration of physical examination methods, use of examination techniques using standard equipment.
Assessment: -

84

7

5-M-O-S-1
5-M-V-L-13

Epidemiologie, med. Biometrie und med. Informatik
Epidemiology, medical biometry and medical informatics including

  • Seminar
  • Lecture Medical Statistics and Medical Informatics

Content: Students will acquire an understanding of statistical methods and their application in medicine. Furthermore, the students will explain terms of genetic epidemiology.
Assessment: written examination
Knowledge and skills achieved: simple mathematical basics

14
14

4

5-M-O-P-3







5-M-V-L-15

Klinische Chemie und Hämatologie
Clinical Chemistry and Haematology

  • Course

Content: Laboratory skills and theory in chemical and haematological analysis (chemical and enzymatic determinations, clotting analysis, blood group typing)
Assessment: MCQ examination, check of practical records, oral exams
Knowledge and skills achieved: Basic laboratory skills, general theory in chemical and haematological analysis

Vorlesung Pathobiochemie
Biochemistry and Clinical Pathology of Cell and Organ Function

  • Lecture

Content: Exemplary presentation of typical disorders affecting metabolic processes and regulatory mechanisms and their impact on clinical, chemical and haematological laboratory values
Assessment: -
Knowledge and skills achieved: Theoretical background for practical course of clinical chemistry and haematology

28










14

4

5-M-O-P-5
5-M-V-L-10

Pathologie
Pathology including

  • Practical and
  • Lecture

Content: Microscopy, demonstration of autopsy slides and theoretical background for both general pathology and chosen cases. The student learns to recognise pathologic changes by examination of histopathological slides and to correlate them to both general and specific disease mechanisms. Topics compromise cell and tissue damage, metabolic diseases, growth disorders, tumours, inflammations, immunopathology and chosen diseases affecting various organ systems
Assessment: written examination using autopsy slide specimens

28
42

4

5-M-O-S-7






5-M-V-L-9

Humangenetik
Human Genetics

  • Seminar

Content: Principles and practice of Human Genetics: Formal and population genetics, cytogenetics, molecular genetics, prenatal diagnosis, genetic counselling, hereditary cancer syndromes
Assessment: MCQ examination with grading
Knowledge and skills achieved: Principles and practice of Human Genetics. Introduction and overview to genetic diseases and genetic testing

  • Lecture

Content: Mechanisms of genetics in disease etiology. Principles and practice of Human Genetics. Selected case reports and patient interviews. Attendant lecture to the Seminar Human Genetics.
Assessment: -
Knowledge and skills achieved: Basic principles of Human Genetics

14











14
3
5-M-O-S-8
5-M-V-L-16
Geschichte, Theorie und Ethik der Medizin
History, Theory and Ethics of Medicine including
  • Seminar
  • Lecture

Content: A survey of the history of medicine, important concepts of medicine, aspects of the history of ideas and social developments, current problems in medical ethics and alternative medical approaches: humoral pathology and religious medicine; medicine in mediaeval times: leprosy and pest medicine in the 18th and 19th century; medicine during National Socialism; medical anthropology and health care ethics
Assessment: written examination with open and MC questions
Knowledge and skills achieved: basic knowledge of periods and concepts in the history of medicine; contextualisation of medical and ethical problems; interpretation of classical medical texts

28
4

 

2nd Clinical Semester

ECTS Course Code

Compulsory subjects

Hours/ Semester

ECTS Credits

6-M-O-P-3

Grundlagen klinischer Untersuchung
Basic principles of Clinical Examination Part II
(Surgery, Gynaecology, Otorhinolaryngology (ENT), Paediatrics, Psychiatry, Urology)

Content: Principles of clinical examination. Demonstration of physical examination methods, use of examination techniques using standard equipment.

Assessment: -

Knowledge and skills achieved: -

84

5

6-M-O-P-1
6-M-V-L-10

Mikrobiologie, Virologie
Microbiology, Virology including

  • Practical and
  • Lecture

     

Content: Etiology and pathogenesis of infectious diseases; microbiological diagnosis of infectious diseases; simple methods for isolating and identifying pathogens; role of antibodies in the diagnosis of infectious diseases; techniques for detecting antibodies against pathogens; susceptibility testing of bacteria, fungi and viruses against antimicrobial agents; disinfection and sterilisation; laboratory safety

Assessment: MCQ examination and practical / oral examination, check of practical record

Knowledge and skills achieved: Knowledge of infectious diseases and their causative agents; knowledge of the relevant diagnostic procedures including serological techniques and their limitations; detailed knowledge of the methods for obtaining suitable clinical materials for diagnosing infectious diseases; knowledge of the principles of antimicrobial chemotherapy.

56
28

6

6-M-O-P-2
6-M-V-L-9

Hygiene
Hygiene including

  • Practical and
  • Lecture

Content: Environmental (water, soil, air, sewage) hygiene, environmental medicine and health, hospital hygiene and epidemiology, surveillance of nosocomial infections; outbreak management; infection prevention and control, sterilisation, disinfection and disinsection, isolation measurements; food hygiene, preservation and processing, Immunology, Immunoprophylaxis and vaccinations, travel and health;
occupational health and diseases; occupational influences (noise, physical, psychological, chemical and biological factors); occupational hygiene and legislation prevention of occupational accidents, sick building syndrome and building related illnesses;
introduction into social medicine, problems of disease aetiology, prevention of diseases, health education, rehabilitation, structure of medical care, social security, health economics

Assessment: Quality of seminar co-operation and presentation

Knowledge and skills achieved: Basic knowledge in the cited topics; Practice of scientific working (data base inquiry) and presentation

56
14



 

 

5

6-M-O-S-4
6-M-V-L-8

Pharmakologie, Toxikologie
Pharmacology, Toxicology including

  • Practical and
  • Lecture ´

Content:

  • General Pharmacology: Modes of drug administration, drug absorption, bioavailability; distribution of drugs in the organism; drug metabolism; pharmacokinetics for a single or repeated administration(s); drug excretion; drug action: receptor-mediated and receptor-independent: agonists, antagonists and principles of structure-activity relationship; dose-response relationship; adverse drug reactions; interactions between drugs; individual variability of the response to drugs, pharmacogenetics; therapeutic index and evaluation of the risk/benefit relationship of a drug; development of new drugs; the role of Industry, Government and Academics
  • Systematic Pharmacology: Drugs which act at the autonomic nervous system: muscarine receptor agonists and antagonists, cholinesterase inhibitors; ganglionic and neuromuscular blockers; α- and β-adrenoceptor agonists and antagonists. Drugs acting in the central nervous system: opioid analgesics: agonists, partial agonists and antagonists; anti-Parkinson drugs; benzodiazepines; other hypnotics and antianxiety drugs; psychostimulants and hallucinogenic drugs; general anaesthetics; antidepressants and mood stabilising drugs; antipsychotics, antileptic drugs. Anti-inflammatory and local anaesthetic drugs: local anaesthetics, antimigraine drugs, non-steroidal antiinflammatory and analgesic drugs; antirheumatics modifying the disease; anti-gout drugs; antihistamines. Drugs influencing cardiovascularand kidney function: anticoagulants; carbonic anhydrase inhibitors and osmotic diuretics; loop og Henle’s diuretics, thiazides, potassium savers; ACE-inhibitors and H AT1 receptor-antagonists; calcium channel blockers; vasodilators; thrombolytic agents; drugs used for treatment of hemorrhages; antidyslipidemics. Digestive system drugs: H2 -receptor antagonists, protonic pump inhibitors; antacids;prostaglandins antiemetics: dopamine and H 5-HT3 receptor antagonists; prokinetic, laxative and antidiarrheal drugs. Respiratory system: drugs against allergic rhinitis, chronical obstructive bronchopneumopathy, cough; Hβ2-adrenoceptor agonists; corticosteroids, xanthines; criteria for the choice of antiasthmatic drugs. Endocrine system drugs: hypothalamic and pituitary hormones, thyroid hormones; insulin preparations; oral hypoglycaemic drugs; estrogens; progestogens; androgens; adrenocorticoid hormones; contraceptives. Hemopoietic drugs: iron, folic acids; vit. B12; erythropoietin; colony-stimulating factors. Osseous metabolism drugs: vit. D; calcium; biphosphonates; estrogens; calcitonin.
  • Antiinfections chemotherapeitics: antibiotics influenting the cell wall; drugs for therapy in infections by worms; classification of antimicrobiotics; bacteriostatic and bactericidal drugs, spectrum of action; drug resistance; complications in antibiotic therapy; choosing antimicrobic drugs; sulphonamides; trimetoprim and cotrimoxazol; penicillins, cephalosporins and other β-lactames; tetracyclines and chloramphenicol; aminoglycosides, macrolides, lincosamides; quinolones; urinary system antiseptics; fluoroquinolones; antituberculosis agents; antifungal agents; chemotherapy in trypanosomiasis and leishmaniosis; drugs against respiratory viruses and herpes virus; anti-HIV drugs; drugs vs. viral hepatitis. Antineoplastic chemotherapeutics: principles of antineoplastic chemotherapy; antimetabolites, cytotoxic antibiotics, alkylating agents, drugs acting at microtubules; steroid hormones and antagonists.
  • Toxicology: Experimental methods of controlling toxicity of drugs and xenobiotics; their toxic manifestation; dose-response and time-effect relations; antidotes and other antitoxin measures: plant toxins; animal toxins; toxic gases; insecticide agents, heavy metals; carcinogenic agents; alcohols; nicotine.



Assessment: written examination and graded oral presentation

Knowledge and skills achieved: Profound knowledge in General and Systematic Pharmacology as a basis for further studies in Clinical Pharmacology and for treatment of patients with drugs

112
28

11

6-M-O-S-5

Allgemeinmedizin
General Medicine

  • Seminar

Content: Introduction (Special relation patient/doctor; Long-term perspective; Special functions of GP; Meaning of Bio-Psycho-Social; Unselected spectrum of diseases)
Chronic diseases (Different approach; Hypertension; Diabetes; COPD; CHD; Myocardial dysfunction)
Palliative Care (Ethic aspects; Patient’s will; Pain therapy schedules; Accompanying of the family)
Multimorbidity (Geriatric assessment; Pharmacological rules; House visits; Coordina­tive functions)
Drug/Alcohol abuse ( Diagnosis; Typical symptoms; Co-Morbidities; Techniques of communication; Options of therapy; Complications)
Preventive Care ( Unique role of GP; Individual or group consulting; Sectors of involvement; Options)
Acute Illnesses ( Emergencies in the private clinic; so called common diseases; Differential diagnosis of the most frequent incidents of consultation)

Assessment: written examination

14

1

6-M-O-S-7

Gesprächsführung und Kommunikation
Conversation Guidance and Communication

  • Seminar

Content: Communication and conversation with patients are part of the medical diagnostics and treatment. The following topics are part of the course:

  • Psychosocial aspects as parts of case history and planning of treatment
  • Different settings for conversation (i.e. information diagnosis / prognosis...)
  • Basics in diagnostics of psychic „reactions“ (i.e. Reactive depression) and coping strategies
  • Patient-oriented communication
  • Handling of emotions
  • communication in the team / with other professions
  • Doctor-centred aspects:
  • Handling of own affects
  • Handling of criticism, conflicts, medical malpractice
  • Work organisation
  • Documentation
     

Assessment: Seminar paper to one of the main topics

Knowledge and skills achieved: The student should be able to

  • conduct diagnostic and therapeutic conversations with patients
  • collect the essential information in an effective manner
  • deal appropriately with arising emotions
  • assign psychopathological symptoms to their meaning
  • recognise and consider the influence of psychosocial aspects such as addiction, violence etc.
  • reflect on his personal part in communication difficulties
  • deal with own emotions as well as with mistakes, criticism and conflicts

Finally, the basics of time management and documentation are to be learned with the objective of optimised patient care.
14
1

 

3rd Clinical Semester

ECTS Course Code

Compulsory subjects

Hours/ Semester

ECTS Credits

7-M-O-P-1
7-M-O-S-5
7-M-V-L-7
Innere Medizin
Internal Medicine including

  • Practical and
  • Seminar and
  • Lecture

Content:
Pulmonary disease, cardiology, angiology, hypertension, infectious disease, rheumatology, immunology, nephrology, gastroenterology, haematology, oncology, metabolic disorders, hepatology, endocrinology, psychosomatic diseases

Diagnosis and therapy in internal medicine with special emphasis on physical examination, interpretation of laboratory data and imaging techniques

Identification and evaluation of diagnostic work-up algorithems for major lead symptoms (i.e. fever of unknown origin, anemia, diarrhea, enlarged lymph node, tumor in the liver, icterus, coma etc.)

Work-up of patient case histories and development of diagnosis and therapy algorithm

Assessment: written examination with MC questions

Knowledge and skills achieved:
To evaluate a patient presenting with disease symptoms and to perform differential diagnosis and develop diagnostic and therapeutic decision algorithms.
35
14
42



 

 
6
3
7-M-O-P-2
7-M-V-L-8
Dermatologie, Venerologie
Dermatology, Venerology including

  • Practical and
  • Lecture

Content: Diagnosis and therapy of dermatological diseases referring to macro morphological and micro morphological analysis including the presentation of patients

Assessment: MCQ-examiniation

Knowledge and skills achieved: Compact introduction to the most important aspects of dermatology, Provides a basic understanding of dermatological diseases.

30,8
28
5
7-M-O-P-3
7-M-V-L-9
Augenheilkunde
Ophthalmology including

  • Practical and
  • Lecture

Content: examination of patients with various eye problems; exposure to ophthalmic surgery; lectures on general ophthalmology with focus on pathogenesis, diagnosis and treatment of certain diseases:
Ophthalmic emergencies: to recognise the following entities and to react appropriately: acid and alkali burns; penetrating/perforating trauma; central retinal artery occlusion / central retinal occlusion; acute angle closure glaucoma.
Systemic diseases and Ophthalmology: to know which patients to send for an ophthalmologic check-up: Diabetes; vascular diseases / hypertension; headache (various ophthalmologic causes); papilledema.
Pathophysiology and treatment of major eye diseases: lid problems; corneal disease; cataract; glaucoma; retinal detachment; macular degeneration; strabismus; amblyopia.
Most commonly used surgical techniques: cataract surgery; glaucoma surgery; retinal surgery; lid surgery.
Transfer of pathophysiology of general disease onto ocular disease: intraocular inflammation and sequelae; vascular occlusion and sequelae.
Basic concepts and fundamental terms in Ophthalmology: lid tumours; uveal melanoma; retinoblastoma

Assessment: written examination

Knowledge and skills achieved: ability to react appropriately when patients complain about eye problems or suffer from ocular trauma / diseases; basic knowledge in diagnostic and treatment of major eye diseases

30,8
14
5
7-M-O-P-4
7-M-V-L-10
Hals,- Nasen-, Ohrenheilkunde
Otorhinolaryngology (ENT) including

  • Practical and
  • Lecture

Content: Case related demonstration of diseases in otorhinolaryngology including modern aspects of diagnosis and therapy. The student is shown surgical procedures as well as functional diagnostic tools especially audiometry, neurootology, vestibular function and sonography. The accompanying lecture deals with basic knowledge, needed in the practical course.

Assessment: written examination

Knowledge and skills achieved: Knowledge of otorhinolaryngological diseases and therapy. Special otorhinolaryngological methods of investigation as for example endoscopy, otoscopy and laryngoscopy.

30,8
14
5
7-M-O-S-6
Infektiologie, Immunologie
Infectiology, Immunology

  • Practical and
  • Lecture

Content:
Assessment: written examination
Knowledge and skills achieved:

14
1
7-M-O-P-5
7-M-V-L-10
Klinisch-pathologische Konferenz
Clinical-pathological conference (special pathology) Part I

  • Practical and
  • Lecture Part I

Content:

Assessment:

Knowledge and skills achieved:

10
18
2

 

4th Clinical

ECTS Course Code

Compulsory subjects

Hours/ Semester

ECTS Credits

8-M-O-P-1
8-M-O-S-5
8-M-V-L-8

Chirugie
Surgery including:

  • Practical and
  • Seminar and
  • Lecture

Content: Lectures with systematic presentation of the entire field of surgery including abdominal, thoracic, vascular, transplant, cardiac, oral and maxillofacial surgery and traumatology

Assessment: MCQ-examination and interdisciplinary oral examination together with orthopaedics, urology and anaesthesiology

Knowledge and skills achieved: Diagnosis and therapy of all important surgical diseases with special emphasis on physical examination, interpretation of laboratory data and imaging techniques

35
14
42
6
3
8-M-O-P-2
8-M-V-L-9
Orthopädie
Orthopaedics including

  • Practical and
  • Lecture

Content: Diagnosis and therapy of orthopaedic diseases

Assessment: interdisciplinary oral examination together with surgery, urology and anaesthesiology

Knowledge and skills achieved: Basic principles and knowledge of orthopaedic diseases

30,8
14
5
8-M-O-P-3
8-M-V-L-1
Urologie
Urology including

  • Practical and
  • Lecture

In preparation for the practical, lectures on the following topics will be held and must be attended to participate in practical: introduction; bladder cancer; kidney tumours; urogenital abnormalities, renal transplantation; neurogenic bladder disorder; urological emrgencies; testicular cancer; urolithiasis; paediatric urology, urinary tract infections; benign prostatic hyperplasia; erectile dysfunction; gynaecological urology; prostate cancer

Content: The practical begins with participation during morning rounds and the clinical conference. Afterwards, the students are assigned to the following 3 rotations:

  • In-patient-care: Introduction to general basic skills: history taking, physical examinations; practical skills (venous blood sampling, placement of iv-lines, injections, application and change of wound dressings, gastric tubes etc); participation in giving preoperative informed consent; introduction to urological skills: clinical techniques of examination; placement and care of urinary catheters; sampling and dipstick testing of urine, urine cultures
  • Operating room: patient preparation and positioning; surgical scrubbing; assistance in urological procedures; hospitation in endourological procedures with video transmission; surgical knotting techniques; introduction to urologic surgical appliances, catheters and instruments
  • Amulatory: Hospitation in urological units: extracorporeal shockwave lithotrypsy; Uroflowmetry, Urodynamics; Endoscopy; Intervention and minimal-invasive procedures; radiological examinations; Hospitation and performance of ultrasound examinations; Voluntary participation in urological consultation hours (Urological paediatrics, Andrology, Infertility, Incontinence)

Assessment: interdisciplinary oral examination together with surgery, orthopaedics and anaesthesiology

Knowledge and skills achieved: Basic skills and knowledge in general urology
30,8
14
5
8-M-O-P-4
8-M-V-L-7
Anästhesiologie
Anaesthesiology including

  • Practical and
  • Lecture

Content: The principles of Aneasthesiology and intensive care.
* General anaesthesia: intravenous anaestetics, volatile aneasthetics, muscle relaxants, opioids, intubation, crush-intubation
* Regional anaesthesia: plexus axillaris, spinal epidural aneasthesia, peripheral blocks, postoperative pain therapy
* Intensive care: ventilation, fluid therapy, antibiotics, sepsis, shock

Assessment: interdisciplinary oral examination together with surgery, urology and anaesthesiology

Knowledge and skills achieved: -

30,8
14
5
8-M-O-S-6
Notfallmedizin
Emergency Medicine

  • Seminar and
  • Lecture

Content:

Assessment:

Knowledge and skills achieved:

14
14
1
8-M-O-S-8
Schmerzmedizin
Pain Medicine

  • Seminar and
  • Lecture

Content:

Assessment:

Knowledge and skills achieved:

7
14
1
8-M-O-S-7

Palliativmedizin
Palliative Medicine

  • Seminar

Content:

Assessment:

Knowledge and skills achieved:

28
2
5-M-O-S-4
5-M-V-L-14

Bildgebende Verfahren, Strahlenbehandlung und Strahlenschutz
Imaging techniques, radiotherapy and radiation protection including

  • Seminar and
  • Lecture

Content: The physics of radiation and its effects, radiation biology, dosimetry, practical safety measures, techniques of X-ray examinations, interpretation of X-ray images of the thoracic and abdominal organs and the musculo-skeletal system, contrast media, nuclear medicine and the basic principles of modern radiotherapy ,Imaging techniques and diagnostic methods in nuclear medicine, pharmacology of radioisotopes, principles of physiological concentration of radioisotopes.
Assessment: MCQ examination and certificate of attendance
Knowledge and skills achieved: Knowledge about the physics of x-rays, knowledge about the physics of magnetic resonance imaging, knowledge about the clinical applications of plain films, computed tomograpy, ultrasound and magnetic resonance imaging, knowledge about basic principles and side effects of contrast media,interpretation of X-ray images, magnetic resonance images and computed tomography images of the thoracic and abdominal organs, knowledge about the typical imaging features of common diseases of the abdomem, chest and brain

14
14
2
8-M-V-L-10

Klinisch-pathologische Konferenz
Clinical-pathological conference (special pathology) Part II

  • Practical

Content:

Assessment: written examination

Knowledge and skills achieved:

8
2

 

5th Clinical Semester

ECTS Course Code

Compulsory subjects

Hours/ Semester

ECTS Credits

9-M-O-P-2
9-M-V-L-9












9-M-V-L-9

Neurologie
Neurology (incl. neurosurgery)

  • Bedside Teaching and
  • Lecture 

Content: Headache, cerebrovascular diseases, disorders of the peripheral and cranial nerves, muscle disorders, infections of the central nervous system, epilepsy, sleep disorders, vertigo, movement disorders, ataxias, inflammatory disorders of the central and peripheral nervous system.

Assessment: written examination together with Neurosurgery (multiple choice and open questions)

Knowledge and skills achieved:
The student will learn to perfom a detailed neurological examination: Upon completion he/she will understand the anatomy, pathophysiology, and the principles of the treatment of neurological disorders.

  • Lecture  Neurosurgery

Content: Spontaneous intracerebral haemorrhage; aneurysmal subarachnoid haemorrhage; cerebral arteriovenous malformations; head injury and intracranial pressure; degenerative, tumorous, infectious, and traumatic disorders of the spine; benign and malignant tumours of the brain; hydrocephalus; epilepsy surgery; paediatric neurosurgery; pain and peripheral nerve surgery

Assessment: Oral examination

Knowledge and skills achieved: Diagnosis and treatment of cerebrovascular disease and spontaneous intracranial haemorrhage; Glasgow coma scale and classification of head injury; description of significant pathological findings on CT (i.e. epidural hematoma, or impression fracture); clinical and radiological findings in degenerative and traumatic disorders of the spine and their treatment; management of neurosurgical emergencies; classification and treatment of brain tumours; types and treatment of hydrocephalus; indications for resective epilepsy surgery

30,8
28












14

5

9-M-O-P-3

9-M-V-L-10

Psychiatrie und Psychotherapie
Psychiatry and psychotherapy

  • Group seminars organized according to principles of Problem Based Learning (PBL) with several teaching modules offering actual patient exposure
  • Introductory concept lecture

Content: Systematic assessment of psychopathological phenomena and classification into psychiatric disorders, diagnostic methods, prognosis, therapeutic strategies, primary and secondary prevention and rehabilitation

Assessment: written examination with MC questions, oral re-examination in case of failure

Knowledge and skills achieved: Basic knowledge about pathophysiology, diagnosis, course and treatment of common psychiatric disorders (depression, schiziphrenia, anxiety, dementia and addiction). Basic level skill in psychiatric interviewing techniques.

15,4

14

5

9-M-O-P-4
9-M-V-L-7

Psychosomatik und Psychotherapie
Psychosomatics and psychotherapy

 

  • Practical and
  • Lecture

Content: Covered topics are the biopsychosocial model, diagnostic classification systems, diagnostic criteria for specific mental/psychosomatic disorders, psychotherapy and integrative psychosomatic treatment strategies. The practical training focuses on diagnostic and interview skills.

Assessment: oral examination

Knowledge and skills achieved: Recognising symptoms of psychosomatic disorders, conducting a clinical interview under a psychodynamic perspective, formulating a descriptive diagnosis in terms of ICD 10 / DSM IV

28
28

4

9-M-O-S-5

Klinische Pharmakologie/Pharmakotherapie
Clinical Pharmacology/Pharmacotherapy

  • Seminar

Content:

  • Clinical Pharmacology:


    1. Pharmaceutical development/clinical examination/acquisition and evaluation of published pharmaceutical data: Preclinical examination, clinical examination (Ethics Committee, legal aspects), admission procedures, biometry, reliable sources of information, search strategies, evaluation of studies, practical examples.
    2. Pharmacokinetics: Repetition of basic pharmacokinetic terms, summary of pharmacokinetics in risk populations, therapeutic drug monitoring, evaluation, dose calculation, practising dose calculation with clinical examples.
    3. Pharmacogenetics: Polymorphisms (CYP450, transferases, G6PDH), clinical impact (dose relevance, efficacy, safety), diagnostics, dose individualization, clinical examples.
    4. Adverse pharmaceutical effects I: Frequency, classification, epidemiological and economic relevance, evaluation of causal interrelation, post marketing surveillance, clinical examples.
    5. Adverse pharmaceutical effects II: Decision finding in suspected adverse events, evaluation incl. single-case-randomized-trial-design, registration, successive procedures, local pharmaceutical committies, clinical examples.
    6. Drug interactions and incompatibilities: Frequency, classification, epidemiological and economic relevance, mechanisms (induction, inhibition, complexing, antagonism), avoidance and considerations before prescription, clinical examples.
    7. Intoxication and withdrawal syndromes: Typical substance classes, detection, symptoms, emergency measures, prevention, clinical examples.
    8. Pharmaceutical therapy in risk populations I: Restricted kidney function and kidney compensation therapies (diagnostics, evaluation, procedures, practical exercises in case studies).
    9. Pharmaceutical therapy in risk populations II: Kidney disorders (diagnostics, evaluation, procedures, practical exercises in case studies).
    10. Pharmaceutical therapy in risk populations III: Geriatric patients and children (special features, evaluation, procedures, practical exercises in case studies).
    11. Pharmaceutical therapy in risk populations IV: Pregnancy and breastfeeding (special features, evaluation, procedures, practical exercises in case studies).
    12. Prescription of drugs: Patient education and instruction, placebo effect, prescription, opioids, basic legal principals, off-label-use, practical exercises.
    13. Difficulties in cases of non-efficiency: Detection, monitoring, non-compliance, non-response, economic relevance, clinical examples.
    14. Pharmaco-Economy: Pharmaco-economical problems (cost pool, cash flow, pharmaceutical market, pharmaceutical industry, political institutions and instruments), methodology of pharmaco-economical studies (design, outcome parameters, data origin, cost-effectiveness, cost-minimization, cost-utility, cost-benefit, decision models), discussion of chosen subjects (rheumatoid arthritis, HIV, malaria, vaccination/prevention, “lifestyle drugs).

  • Pharmaco-Therapy with case presentation:


    1. Pharmaco-therapy of arterial hypertension.
    2. Pharmaco-therapy of cardiac insufficiency.
    3. Pharmaco-therapy of coronary heart disease/myocardial infarct and therapy with coagulation and aggregation inhibiting substances.
    4. Pharmaco-therapy of the respiratory tract diseases (asthma, COPD).
    5. Pharmaco-therapy of gastrointestinal diseases.
    6. Pharmaco-therapy of Diabetes mellitus, dyslipidemia and other metabolic disorders.
    7. Pharmaco-therapy of thyroid diseases, osteoporosis and therapy with sexual hormones.
    8. Pharmaco-therapy of bacterial infections.
    9. Pharmaco-therapy of viral, mycotic and parasitic infections.
    10. Pharmaco-therapy of psychiatric emergency situations and depressions, M. Parkinson, seizures, sleep disorders and migraine.
    11. Pharmacotherapy of acute and chronic pain.
    12. Pharmaco-therapy of rheumatic diseases / immunsuppression.
    13. Pharmaco-therapy of neoplasia (including supportive measures) and disorders of the water and electrolyte metabolism.
    14. Pharmaco-therapy with controversial drugs or drugs with restricted prescription recommendations (e.g. anabolic steroids, antidysmenorrhoics, carminativa, intestinal flora drugs, enzymes, immunstimulants, menopause drugs, therapeutica of the mouth and throat, venous drugs, vitamins, etc.), wound healing drugs and phyto-pharmaca.


Assessment: written examination

28

5

9-M-O-S-6

Medizin des Alterns und des alten Menschen (Geriatrie)
Geriatric medicine

  • Seminar

Content:

Assessment:

Knowledge and skills achieved:

14

1

9-M-O-S-7

Rehabilitation, Physikalische Medizin und Naturheilverfahren
Rehabilitation, physical therapy and naturopathic treatment

  • Seminar

Content:

Assessment:

Knowledge and skills achieved:

14

1

10-M-O-S-9

Klinische Umweltmedizin
Clinical environmental medicine

  • Seminar

Content:

Assessment:

Knowledge and skills achieved:

7

1

9-M-O-S-8
9-M-V-L-11

Rechtsmedizin
Forensic Medicine (incl. clinical ethics)

 

  • Seminar and
  • Lecture

Content: Forensic thanatology, psychopathology, pathology, traumatology, toxicology, criminology, medical jurisprudence

Assessment: MCQ examination, seminar paper

Knowledge and skills achieved: external examination, certification of the cause of death, description and certification of body harm and sexual environment

21
14

2

9-M-O-S-9
9-M-V-L-12

Klinisch-pathologische Konferenz
Clinical-pathological conference (special pathology) Part III

 

  • Practical and
  • Lecture Part III

Content:

Assessment:

Knowledge and skills achieved:

8
13

2

 

6th Clinical Semester

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