ANNOTATION OF THE SUBJECT INTERNAL MEDICINE IV, 6 year:
The 10-week block of practice at the internal department is the final stage of the student's preparation for the state exam. The practice is to complete the previous 3.5-year study of internal medicine (propedeutics, Internal Medicine I, II and III) and to deepen the student's knowledge of internal medicine. It is assumed that the student builds on the basic knowledge of the theoretical subjects, especially anatomy, histology, pathophysiology, clinical biochemistry and other preclinical and clinical disciplines. If the student has forgotten this knowledge, it is necessary to revive it by self-study, concurrently with the study of INTERNAL MEDICINE IV topics (see state examination questions). The student builds on the knowledge, skills and competencies formulated in the teaching goals of subjecta Internal Medicine I, II and III.
In the 10-week block the student works in the Department of Internal Medicine and the Department of Cardiology in the position corresponding to the house doctor. Students, under the supervision of their teachers or other doctors in charge of student care, will participate in the operation of the department. Practice should be varied and the student should be able to treat patients in the widest possible range of internal disciplines, ie in cardiology, pneumology, nephrology, gastroenterology, rheumatology, diabetes, endocrinology, hematology and intensive care in internal medicine. Students carry out admitions of patients (taking medical history, doing physical examination, initial diferential diagnosis, setting of plan of complementary examinations and treatment), work with results of tests and examinations and focus further treatment according to them. They are involved in creating a patient release report.
Each student completes at least one service on Urgent department, writes a seminar work and at the end of the block takes a practical exam (see syllabus for details). The student also participates in routine operation of the department - morning meetings, indication seminars, grand rounds, daily rounds, journal club discussions and so on.
In parallel with practice, the student deepens her/his theoretical knowledge by studying literature (see the list of recommended literature) in the individual fields of internal medicine (see the list of state examinations).
Assesment methods and criteria linked to learning outcomes:
Condition for granting the credit is
a) participation in 10 week block of teaching (we tolerate 10% duly excused absence).
b) written seminar work (for details see attachment)
c) completion of at least one service on Urgent department
d) practical examination - at the end of the block, at the department where the student was just working, the student sits the practical exam and is given the credit. The exam consists of taking a history, doing physicals, differencial diagnosis, any proposals of additional tests and treatment of assigend patient. Take your stethoscope. The basic theme of the exam and the evaluation will be written on the Credit list by the examiner (teacher or head of the dept.).
State examinatin:
Oral exam only: 2 questions from internal medicine and one from pulmonology. Description of 3 ECG records.

Required literature:
amboss.com Davidson's Principles and Practice of Medicine, last ed., Author: Stuart H. Ralston et al.
The ECG Made Easy, last Edition; Author: John R. Hampton
Macleod's Clinical Examination, last Edition; Authors: Graham Douglas & Fiona Nicol & Colin Robertson.
Recommended literature:
Davidson's 100 Clinical Cases, 2nd Edition; Authors: M. Strachan, S. Sharma, J. Hunter
The ECG In Practice, last ed. Author: John R. Hampton
150 ECG Problems, last Edition Author: John R. Hampton

Interna IV (1)

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