COURSE INTRODUCTION AND APPLICATION INFORMATION


Course Name
Clinical Basis of Medicine IV
Code
Semester
Theory
(hour/week)
Application/Lab
(hour/week)
Local Credits
ECTS
CBM 202
Spring
1
2
3
4
Prerequisites
None
Course Language
English
Course Type
Required
Course Level
First Cycle
Mode of Delivery -
Teaching Methods and Techniques of the Course
Course Coordinator
Course Lecturer(s)
Assistant(s) -
Course Objectives The aim of the course is to provide the students with the ability of medical history taking and of physical examination skills on the basis of clinical communication skills and to apply these gains on the simulated patients or the mannequin where appropriate.
Learning Outcomes The students who succeeded in this course;
  • 1. Demonstrate the technique of general physical examination, and of the skin-hair-nail-head-neck-oral cavity on the simulated patient
  • 2. Demonstrate the technique of physical examination of thorax and lungs on the simulated patient
  • 3. Demonstrate the technique of physical examination of cardiovascular system on the simulated patient
  • 4. Demonstrate the technique of physical examination of abdomen and hernias on the simulated patient
  • 5. Demonstrate the technique of physical examination of musculoskeletal system on the simulated patient
  • 6. Demonstrate the technique of physical examination of nervous system, behavior and mental status on the simulated patient
  • 7. Demonstrate the technique of physical examination of urogenital system, the breast and axilla on the manikin
  • 8. Demonstrate clinical communication skills and medical history taking in addition to physical examination skills in the cases of simulated patients.
Course Description Clinical Basis of Medicine 202 provides the acquisition of medical history taking and physical examination skills based on clinical communication skills using the simulated patient program (SPP).
Related Sustainable Development Goals

 



Course Category

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

 

WEEKLY SUBJECTS AND RELATED PREPARATION STUDIES

Week Subjects Required Materials
1 An Introduction to CBM 202 and the Simulated Patient Program
2 Physical Examination: General, skin-hair-nail-head-neck-oral cavity 1. Bickley, Lynn S., Peter G. Szilagyi. "Physical Examination and History Taking" Chap. 1 In Bates’ Guide to Clinical Examination and History Taking, 99-126. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013. 2. Bickley, Lynn S., Peter G.Szilagyi. "The Skin, Hair and Nails." Chap. 6 In Bates’ Guide to Clinical Examination and History Taking, 171-203. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013. 3. Bickley, Lynn S., Peter G.Szilagyi. "The Head and Neck." Chap. 7 In Bates’ Guide to Clinical Examination and History Taking, 205-91. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
3 Physical Examination: The Thorax and Lungs 1. Bickley, Lynn S., Peter G. Szilagyi. "The Thorax and Lungs." Chap. 8 In Bates’ Guide to Clinical Examination and History Taking, 293 - 333. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
4 Physical Examination: The Cardiovascular System 1. Bickley, Lynn S., Peter G. Szilagyi. "The Cardiovascular System." Chap. 9 In Bates’ Guide to Clinical Examination and History Taking, 334 - 405. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
5 March 14 Feast of Medicine
6 Physical Examination: The Abdomen and Hernias 1. Bickley, Lynn S., Peter G. Szilagyi. "The Abdomen." Chap. 11 In Bates’ Guide to Clinical Examination and History Taking, 433 - 89. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
7 Physical Examination: The Musculoskeletal System 1. Bickley, Lynn S., Peter G. Szilagyi. "The Musculoskeletal System." Chap. 16 In Bates’ Guide to Clinical Examination and History Taking, 597 - 664. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
8 Physical Examination: The Nervous System Behavior and Mental Status 1. Bickley, Lynn S., Peter G. Szilagyi. "The Nervous System." Chap. 17 In Bates’ Guide to Clinical Examination and History Taking, 681 - 765. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013. 2. Bickley, Lynn S., Peter G. Szilagyi. "Behavior and Mental Status." Chap. 5 In Bates’ Guide to Clinical Examination and History Taking, 141 - 71. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
9 Physical Examination: The Urogenital System Male Genitalia Female Genitalia The Breasts and Axillae 1. Bickley, Lynn S., Peter G. Szilagyi. "Male Genitalia and Hernias." Chap. 13 In Bates’ Guide to Clinical Examination and History Taking, 519 - 39. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013. 2. Bickley, Lynn S. , and Peter G. Szilagyi. "Female Genitalia." Chap. 14 In Bates’ Guide to Clinical Examination and History Taking, 539 - 77. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013. 3. Bickley, Lynn S. , and Peter G. Szilagyi. "The Breasts and Axillae." Chap. 10 In Bates’ Guide to Clinical Examination and History Taking, 405 - 33. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
10 Simulated patient interview-1 Scenario application Bickley, Lynn S. , and Peter G. Szilagyi. "Male Genitalia and Hernias." Chap. 14 In Bates’ Guide to Clinical Examination and History Taking, 519 - 39. 2001 Market Street, Philadelphia: Wolters
11 Simulated patient interview-1 Scenario application
12 Simulated patient interview-1 Scenario application Bickley, Lynn S. , and Peter G. Szilagyi. "The Musculoskeletal System." Chap. 16 In Bates’ Guide to Clinical Examination and History Taking, 597 - 664. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
13 Feedback meeting-1 Bickley, Lynn S. , and Peter G. Szilagyi. "The Nervous System." Chap. 17 In Bates’ Guide to Clinical Examination and History Taking, 681 - 765. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
14 Simulated patient interview-2 Scenario application Bickley, Lynn S. , and Peter G. Szilagyi. "The Nervous System." Chap. 17 In Bates’ Guide to Clinical Examination and History Taking, 681 - 765. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
15 Simulated patient interview-2 Scenario application Bickley, Lynn S. , and Peter G. Szilagyi. "Behavior and Mental Status." Chap. 5 In Bates’ Guide to Clinical Examination and History Taking, 141 - 71. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013..
16 Simulated patient interview-2 Scenario application Bickley, Lynn S. , and Peter G. Szilagyi. "The Head and Neck." Chap. 7 In Bates’ Guide to Clinical Examination and History Taking, 95-126. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
17 Feast of Ramadan Bickley, Lynn S. , and Peter G. Szilagyi. "The Head and Neck." Chap. 7 In Bates’ Guide to Clinical Examination and History Taking, 95-126. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins, 2013.
18 Feedback meeting-2
Course Notes/Textbooks
  1. Bickley, Lynn S., Peter G.  Szilagyi. In Bates’ Guide to Clinical Examination and History Taking, 11thed. Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins; 2013.
Suggested Readings/Materials
  1. Gleadle J. History and Clinical Examination at a Glance. 3rd ed. West Sussex, UK: Wiley-Blackwell; 2012. 
  2. Stephenson M, Shur J, Black J. How to Perform Clinical Procedures: for Medical Students and Junior Doctors. UK: Wiley-Blackwell; 2013. 
  3. Qureshi Z. The Unofficial Guide to Passing OSCES. 3rded. UK: Cambrian Printers; 2012.
  4. Fortin AH VI, Dwamena FC, Frankel RM, Lepisto BL, Smith RC. Smith's Patient-Centered Interviewing 4e  Symptom-Defining Skills. 4th ed. New York, NY: McGraw-Hill; 2018.
  5. Web based educational videos

 

EVALUATION SYSTEM

Semester Activities Number Weigthing
Participation
Laboratory / Application
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
Presentation / Jury
1
25
Project
Seminar / Workshop
Oral Exam
Midterm
1
35
Final Exam
1
40
Total

Weighting of Semester Activities on the Final Grade
6
40
Weighting of End-of-Semester Activities on the Final Grade
1
60
Total

ECTS / WORKLOAD TABLE

Semester Activities Number Duration (Hours) Workload
Course Hours
(Including exam week: 18 x total hours)
18
1
18
Laboratory / Application Hours
(Including exam week: 18 x total hours)
18
2
Study Hours Out of Class
0
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
Presentation / Jury
1
4
Project
Seminar / Workshop
Oral Exam
Midterms
1
4
Final Exams
1
12
    Total
74

 

COURSE LEARNING OUTCOMES AND PROGRAM QUALIFICATIONS RELATIONSHIP

#
Program Competencies/Outcomes
* Contribution Level
1
2
3
4
5
1

Explain the normal structure and functions of the human body at the molecular, cellular, tissue, organ and system levels, associate them with suggestions, practices and clinical situations (nutrition, exercise, vaccination, mental health, etc.); to protect and improve the health of individuals.

X
2

Describe the mechanisms of diseases at the molecular, cellular, tissue, organ and system levels and make evidence-based decisions by associating them with disease findings, diagnosis and treatment approaches.

X
3

Consider the ethical principles, scientific facts, legal regulations and the biopsychosocial and cultural characteristics of the patient in the medical decision making process. Place importance and respect the autonomy of patients and the confidentiality of patient information, within the framework of the law and the provisions of healthcare application standards.

X
4

Prioritize patient safety to minimize malpractice by carrying out risk assessment, take the necessary precautions, perform the necessary medical practice and record them.

X
5

Communicate healthily, openly and effectively with healthcare workers, patients and their relatives, with the communication structured on empathy and care, trust and constructiveness; while being respectful to language, belief, race and cultural characteristics.

X
6

By bearing in mind the patients’ values, beliefs, priorities, and needs; provide evidence-based options and include them in the decision making process.

X
7

Preserve our planet’s resources and consider its effects on the public and individual’s health, advocate to disseminate healthy lifestyle behaviors and modify factors that affect health adversely.

X
8

Reach current, valid and reliable information effectively using technology. Critically evaluate this information for solving problems in an evidence-based medical decision-making process, bearing in mind prevention, diagnosis, and management of diseases.

X
9

Identify problems, create hypotheses, conduct research and employ teamwork to analyze results for generation and dissemination of health-related scientific knowledge.

X
10

By taking feedback and evaluating their performance, determine the areas and options for improvement and implement them within a plan.

X
11

Care for their own personal health, safety and appearance, take the necessary precautions in order to set an example for their colleagues and society.

X
12

Continuously renew themselves in their medical knowledge by always bearing in mind their commitment to lifelong learning principles.

X
13

Using various communication tools, share their professionally gained knowledge in the field of healthcare, opinions, experiences, and evaluations with institutions, colleagues and the public.  Advocate for healthcare and contribute to developing policies to protect and improve it.

*1 Lowest, 2 Low, 3 Average, 4 High, 5 Highest