Internal Medicine I (MED401) Course Detail

Course Name Course Code Season Lecture Hours Application Hours Lab Hours Credit ECTS
Internal Medicine I MED401 18 18 0 6 10
Pre-requisite Course(s)
-
Course Language English
Course Type N/A
Course Level Bachelor’s Degree (First Cycle)
Mode of Delivery Face To Face
Learning and Teaching Strategies Lecture, Discussion.
Course Coordinator
Course Lecturer(s)
Course Assistants
Course Objectives Diagnosis, treatment and follow-up, prevention, early diagnosis and delivery of gastrointestinal, oncological, lympho-hematopoietic and coagulation system diseases at the first level level; gaining knowledge, skills and attitudes towards the recognition of emergency situations related to these systems and initial intervention.
Course Learning Outcomes The students who succeeded in this course;
  • Explains the normal structure and functions and changes of gastrointestinal, lympho-hematopoietic and coagulation systems.
  • Explain cancer biology, main stages of carcinogenesis and tumor immunology.
  • Explains transfusion medicine related blood components, transfusion indications and correct blood component usage principles.
  • Explains the causes of diseases (genetics, developmental, metabolic, toxic, microbiological, autoimmune, neoplastic, degenerative, traumatic, etc.) and pathophysiology of diseases related to gastrointestinal, oncological, lympho-hematopoietic and coagulation systems.
  • Explains and applies the approaches to the epidemiology, prevention and early diagnosis of common gastrointestinal, oncologic, lympho-hematopoietic and coagulation system diseases.
  • He / she evaluates the most common clinical, laboratory and pathological findings of common gastrointestinal, oncological, lympho-hematopoietic and coagulation system diseases on a patient basis.
  • Gains detailed and reliable anamnesis for gastrointestinal, oncologic, lympho-hematopoietic and coagulation system and performs a full physical examination.
  • Explains the methods and indications used in the diagnosis of gastrointestinal, oncological, lympho-hematopoietic and coagulation system, selects in the appropriate order and interprets the results.
  • Evaluates anamnesis, results of physical examination and laboratory examinations and diagnoses the gastrointestinal, oncologic, lympho-hematopoietic and coagulation system diseases.
  • Explains evidence-based scientific approaches in the treatment of common gastroenterological, oncological, lympho-hematopoietic and coagulation system diseases, makes treatment and follow-up at the primary level, and transports under appropriate conditions when necessary.
  • Recognize emergency situations related to gastrointestinal, oncologic, lympho-hematopoietic and coagulation systems, conduct first intervention and refer properly.
  • Compiles and presents the history, physical examination and diagnostic test findings of the patient with complaints of gastrointestinal, oncologic, lympho-hematopoietic and coagulation systems.
  • Informs the patients and their relatives appropriately about the main elements in the preventive measures, diagnostic methods, treatment and follow-up of common gastrointestinal, oncological, lympho-hematopoietic and coagulation system diseases.
  • Takes responsibility in medical practice, makes effective team work with colleagues and other health workers.
  • Communicates effectively with patient and patient relatives and makes bad news in a proper and progressive manner.
Course Content Functional and inflammatory diseases, cancers of gastrointestinal, oncologic, lympho-hematopoietic and coagulation systems; symptoms and clinical course of these diseases, diagnosis and treatment planning.

Weekly Subjects and Releated Preparation Studies

Week Subjects Preparation
1 Esophageal diseases Peptic ulcer Tumors of the stomach Upper and lower gastrointestinal bleeding Inflammatory bowel diseases Colorectal cancers Chronic diarrhea Malabsorption Gastroenterology laboratory practice Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar -
2 Functional bowel diseases Cholecystitis and cholelithiasis Pancreatitis and neoplasic diseases of the pancreas Liver function disorders Chronic hepatitis Non-viral chronic liver diseases Cirrhosis and its complications Portal hypertension Gastroenterology laboratory practice Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar 1st Midterm Exam -
3 Diagnostic approach in hematology: Laboratory Hemorrhage diathesis Hypercoagulability Hemolytic anemia Nutritional anemia Lymphomas Introduction to hematology and hematology laboratory Approach to the patient with anemia Approach to bleeding diathesis Approach to hypercoagulability Approach to lymphadenopathy and splenomegaly Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar -
4 Plasma cell diseases Acute leukemias Chronic myeloproliferative diseases Bone marrow failure Blood banking and apheresis Stem cell transplantation Approach to lymphadenopathy and splenomegaly Approach to the patient with acute leukemia Stem cell transplantation Blood bank and transfusion / apheresis Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar Second midterm exam -
5 Cancer cell biology and development of metastases Cancer prevention and early diagnosis Principles of approach to cancer patients Lung cancer Breast cancer Testicular germ cell and gynecological cancers Gastrointestinal system cancers Cancer prevention and early diagnosis Basic principles of cancer chemotherapy Basic principles of radiotherapy Early and late effects of radiotherapy Approach to cancer with unknown primary Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription Seminar -
6 Hematological problems and infections in cancer Oncological emergencies Immunoretism and targeted therapies in cancer Cytotoxic drugs and hormonal treatment Pain and support therapies in cancer Ethics of consultation Clinical aspects of leukemia genetics and bone marrow failure syndromes Genetic approach in sporadic solid tissue tumors Familial and hereditary cancer syndromes Oncological emergencies Tumor markers Bad news Burnout and protection methods Patient preparation in clinic and outpatient clinic Discussion of prepared patients Writing a prescription 3. Midterm Exam General Examination for Internal Medicine 1 -

Sources

Course Book 1. Harrison's Principles of Internal Medicine (20th Edition) J. Larry Jameson , Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo; McGraw-Hill, Europe, 2018.
2. Goldman-Cecil Medicine (25th Edition); Lee Goldman, Andrew I. Schafer; Elsevier, New York, 2015.
3. Textbook of Gastroenterology (5th Edition); Tadataka Yamada,‎ David H. Alpers,‎ Anthony N. Kalloo,‎ Neil Kaplowitz,‎ Chung Owyang,‎ Don W. Powell; Wiley Blackwell, 2011.
4. Practical Hemostasis and Thrombosis (3rd Edition); Nigel Key, Micheal Makris; Wiley Blackwell, 2017.
5. Pathophysiology of Blood Disorders (3rd Edition); H. Fraklin Bunn, Jon C. Aster; McGraw-Hill, New York, 2011.
6. Wintrobe’s Clinical Hematology (13th Edition); John P. Greer; Daniel A. Arber, Bertil Glader, Alan F. List, Robert T. Means, Frixos Paraskevas, George M. Rodgers; Lippincott Williams & Wilkins, Philadelphia, 2014.
7. Oxford Textbook of Oncology (3rd Edition); David J. Kerr,‎ Daniel G. Haller,‎ Cornelis J. H. van de Velde,‎ Michael Baumann,‎ Nagahiro Saijo; Oxford University Press, 2016.

Evaluation System

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

Course Category

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

The Relation Between Course Learning Competencies and Program Qualifications

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

ECTS/Workload Table

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