COURSE INTRODUCTION AND APPLICATION INFORMATION

Course Name
Clinical Basis of Medicine VI
Code
Semester
Theory
(hour/week)
Application/Lab
(hour/week)
Local Credits
ECTS
CBM 302
Spring
2
4
4
6
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 This course aims to introduce basic principles of clinical reasoning and provide opportunities to practice patient interview, physical examination, clinical decision making and properly present a medical case.
Learning Outcomes The students who succeeded in this course;
  • 1. Demonstrate appropriate clinical skills for making a complete patient interview.
  • 2. Demonstrate appropriate clinical skills for complete systematical physical examination of the body systems.
  • 3. Demonstrate clinical thinking and clinical reasoning skills over structured clinical scenarios.
  • 4. Demonstrate clinical thinking and clinical reasoning skills in clinical settings.
  • 5. Demonstrate ability to prepare and present a patient medical report.
Course Description Clinical Basis of Medicine 302 includes clinical skills related to evaluation and management of disorders in the Gastrointestinal System, Central &Peripheral Nervous System, Eye, Ear Nose Throat, Psychiatry, Musculoskeletal System, Dermatology, Obstetrics & Gynecology, and Urology.
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 Symptoms and signs of GI system disorders Approach to pyrosis/epigastric pain Pathophysiology of nausea and vomiting Approach to nausea and vomiting 1. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1 2. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e by McGraw-Hill Education, 2020. ISBN 978-1-260-12111-7
2 Pathophysiology of acute and chronic diarrhea Approach to constipation Pathophysiology of abdominal pain Approach to acute abdominal pain (surgical/nonsurgical) 1. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1 2. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e by McGraw-Hill Education, 2020. ISBN 978-1-260-12111-7 3. Gerard M. Doherty. Current Diagnosis and Treatment in Surgery 14e, by McGraw-Hill Education 2015. ISBN 978-0-07-179211-0 4. F. Charles Brunicardi, Dana K. Andersen, Timothy R. Billiar, David L. Dunn, Lillian S. Kao, John G. Hunter, Jeffrey B. Matthews, Raphael E. Pollock. Schwartz's Principles of Surgery, 11e, by McGraw-Hill Education, 2019. Set ISBN 978-1-259-83535-3; MHID 1-259-83535-9
3 Approach to chronic abdominal pain Manifestations of liver dysfunction 1. Gerard M. Doherty. Current Diagnosis and Treatment in Surgery 14e, by McGraw-Hill Education 2015. ISBN 978-0-07-179211-0 2. F. Charles Brunicardi, Dana K. Andersen, Timothy R. Billiar, David L. Dunn, Lillian S. Kao, John G. Hunter, Jeffrey B. Matthews, Raphael E. Pollock. Schwartz's Principles of Surgery, 11e, by McGraw-Hill Education, 2019. Set ISBN 978-1-259-83535-3; MHID 1-259-83535-9 3. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1 4. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e by McGraw-Hill Education, 2020. ISBN 978-1-260-12111-7
4 Approach to acute GI bleeding Approach to chronic GI bleeding Clinical Reasoning I Jaundice and abnormal liver enzymes Clinical Reasoning II Abdominal pain/ascites 1. Gerard M. Doherty. Current Diagnosis and Treatment in Surgery 14e, by McGraw-Hill Education 2015. ISBN 978-0-07-179211-0 2. F. Charles Brunicardi, Dana K. Andersen, Timothy R. Billiar, David L. Dunn, Lillian S. Kao, John G. Hunter, Jeffrey B. Matthews, Raphael E. Pollock. Schwartz's Principles of Surgery, 11e, by McGraw-Hill Education, 2019. Set ISBN 978-1-259-83535-3; MHID 1-259-83535-9 3. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1 4. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e by McGraw-Hill Education, 2020. ISBN 978-1-260-12111-7
5 Ophthalmologic examination Neurological examination in clinical practice Symptoms and signs of neurology Localization in Clinical Neurology 1. Bruce James Larry Benjamin. Ophthalmology: Investigation and Examination Techniques 1st Edition by Elsevier, 2006. ISBN: 9780750675864 2. Mathias Bähr, Michael Frotscher. Duus' Topical Diagnosis in Neurology: Anatomy - Physiology - Signs - Symptoms 5th edition Edition Thieme, 2012. ISBN-13: 978-3136128053 3. Elan D. Louis MD MS, Stephan A. Mayer MD, Lewis P. Rowland MD. Merritt's Neurology Thirteenth Edition LWW.2015. ISBN-13: 978-1451193367 4. Richard S.Snell. Clinical Neuroanatomy for medical students. by LWW, 2010. ISBN-13: 978-0316801034 5. Joseph Jankovic John Mazziotta Scott Pomeroy, Robert Daroff. Bradley's Neurology in Clinical Practice, 2-Volume Set 7th Edition, Elsevier 2016. ISBN: 9780323339179 6. Roger P. Simon, Michael J. Aminoff, David A. Greenberg. Clinical Neurology 10e, by McGraw-Hill Education, 2018. ISBN 978-1-259-86172-7
6 Approach to vertigo 1. Melissa Scholes Vijay Ramakrishnan. ENT Secrets 4th Edition by Elsevier, 2015. ISBN: 9780323298568
7 Approach to headache 1. Mathias Bähr, Michael Frotscher. Duus' Topical Diagnosis in Neurology: Anatomy - Physiology - Signs - Symptoms 5th edition Edition Thieme, 2012. ISBN-13: 978-3136128053 2. Richard S.Snell. Clinical Neuroanatomy for medical students. by LWW, 2010. ISBN-13: 978-0316801034 3. Joseph Jankovic John Mazziotta Scott Pomeroy, Robert Daroff. Bradley's Neurology in Clinical Practice, 2-Volume Set 7th Edition, Elsevier 2016. ISBN: 9780323339179 4. Elan D. Louis MD MS, Stephan A. Mayer MD, Lewis P. Rowland MD. Merritt's Neurology Thirteenth Edition LWW.2015. ISBN-13: 978-1451193367 5. Roger P. Simon, Michael J. Aminoff, David A. Greenberg. Clinical Neurology 10e, by McGraw-Hill Education, 2018. ISBN 978-1-259-86172
8 Approach to the patient with blurred consciousness in primary care Hospital practice 1. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1
9 Hospital practice Clinical Reasoning I Clinical reasoning II 1. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1 2. Mathias Bähr, Michael Frotscher. Duus' Topical Diagnosis in Neurology: Anatomy - Physiology - Signs - Symptoms 5th edition Edition Thieme, 2012. ISBN-13: 978-3136128053 3. Elan D. Louis MD MS, Stephan A. Mayer MD, Lewis P. Rowland MD. Merritt's Neurology Thirteenth Edition LWW.2015. ISBN-13: 978-1451193367 4. Joseph Jankovic John Mazziotta Scott Pomeroy, Robert Daroff. Bradley's Neurology in Clinical Practice, 2-Volume Set 7th Edition, Elsevier 2016. ISBN: 9780323339179 5. Richard S.Snell. Clinical Neuroanatomy for medical students. by LWW, 2010. ISBN-13: 978-0316801034 6. Roger P. Simon, Michael J. Aminoff, David A. Greenberg. Clinical Neurology 10e, by McGraw-Hill Education, 2018. ISBN 978-1-259-86172
10 -
11 Symptoms and signs of musculoskeletal system disorders Physical examination of the musculoskeletal system 1. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2020. ISBN 978-1-26-045528-1
12 Approach to the Patient with Low Back Pain Clinical evaluation of the patient with rheumatic disease Approach to polytrauma patients 1. Sara Cuccurullo. Physical Medicine and Rehabilitation Board Review 3dr ed Springer, 2019. ISBN 13 9780826134561 2. Mark D. Miller & Stephen R. Thompson. Miller's Review of Orthopaedics, 8th Edition Elsevier 2019. ISBN 9780323609784 3. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2020. ISBN 978-1-26-045528-1
13 Clinical Reasoning I Clinical Reasoning II 1. Sara Cuccurullo. Physical Medicine and Rehabilitation Board Review 3dr ed Springer, 2019. ISBN 13 9780826134561
14 - -
15 Approach to vaginal bleeding in pregnancy Symptoms and signs of reproductive system Approach to dysfunctional uterine bleeding 1. DeCherney AH, Nathan L,Laufer N, Roman AS. Current Diagnosis&Treatment: Obstetrics&Gynecology, 12e, 2013. ISBN 978-0-07-183390-5 2. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment McGraw-Hill Education, 2020. ISBN 978-1-26-045528-1
16 Approach to STD Symptoms and signs of the male reproductive system 1. National STD Curriculum https://www.std.uw.edu/ 2. Clinical Overview, Pelvic inflammatory disease, Elsevier Point of Care, 2018. https://www.clinicalkey.com/#!/content/clinical_overview/67-s2.0-c37391d7-0760-416c-850e-b464a68188d1 3. McAninch JW, Lue TF. Smith&Tanagho’s General Urology, 18th Ed.2013. ISBN 978-0-07-162497-8
17 Approach to erectıle dysfunctıon Approach to delirium Hospital practice 1. McAninch JW, Lue TF. Smith&Tanagho’s General Urology, 18th Ed.2013. ISBN 978-0-07-162497-8 2. Scott D.C. Stern, Adam S. Cifu, Diane Altkorn. Symptom to Diagnosis: An Evidence-Based Guide, 4e by McGraw-Hill Education, 2020. Chapter 11: Delirium and Dementia. ISBN 978-1-260-12111-7 3. Desai S, Seidler M. Metabolic & Endocrine Emergencies. In: Stone C, Humphries RL. eds. CURRENT Diagnosis & Treatment: Emergency Medicine, 8e McGraw-Hill Education, 2017. ISBN 978-0-07-184061-3
18 Hospital practice Clinical Reasoning I Clinical Reasoning II 1. DeCherney AH, Nathan L,Laufer N, Roman AS. Current Diagnosis&Treatment: Obstetrics&Gynecology, 12e, 2013. ISBN 978-0-07-183390-5
Course Notes/Textbooks

1.              Burns EA, Corn K, Whyte J. Oxford American Handbook of Clinical Examination and Practical Skills. 198 Madison Avenue, New York: Oxford University Press; 2011. 721 p.

2.              Bickley LS, Szilagyi PG. Bates’ Guide to Clinical Examination and History Taking. 11th ed. 2001 Market Street, Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins; 2013. 1022 p.

3.              Gleadle J. History and Clinical Examination at a Glance. 3rd ed. West Sussex, UK: Wiley-Blackwell; 2012. 232 p.

4.              Stephenson M, Shur J, Black J. How to Perform Clinical Procedures: for Medical Students and Junior Doctors. UK: Wiley-Blackwell; 2013. 326 p.

5. Kassirer JP, Wong JB, Kopelman RI. Learning Clinical Reasoning. 2nd ed. UK: Wolters Kluwer; 2009. 352 p.

6.              Hotton E, Qureshi Z. The Unofficial Guide to Medical Skills. UK: Cambrian Printers; 2014. 34 p.
Suggested Readings/Materials
  1. IUEFoM Clinical Skills Guide
  2. References stated in the IUEFoM Clinical Skills Guide
  3. Web-based educational videos

 

EVALUATION SYSTEM

Semester Activities Number Weigthing
Participation
Laboratory / Application
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
Presentation / Jury
1
40
Project
Seminar / Workshop
Oral Exam
Midterm
3
30
Final Exam
1
30
Total

Weighting of Semester Activities on the Final Grade
62
Weighting of End-of-Semester Activities on the Final Grade
38
Total

ECTS / WORKLOAD TABLE

Semester Activities Number Duration (Hours) Workload
Course Hours
(Including exam week: 18 x total hours)
18
2
36
Laboratory / Application Hours
(Including exam week: 18 x total hours)
18
2
Study Hours Out of Class
18
2
36
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
Presentation / Jury
1
3
Project
Seminar / Workshop
Oral Exam
Midterms
3
6
Final Exams
1
10
    Total
139

 

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.

 X

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