MED 645 · Family Medicine And Accident And Emergency Medicine

وصف المادة (من الجامعة)

This is a clinical course-clerkship- for the fifth year medical students, nine credit hours, nine weeks for each group for a total of 5 groups around the year. The main goal of the Family and emergency Medicine clerkship is to help The students: 1-Get the required knowledge and skills needed for the graduating physician to work as a general practitioner, and be able to deal properly with emergency cases. 2- Becoming effective in interviewing patients. 3-Conducting a skilled and sensitive physical assessment. 4- Enhancing clinical reasoning skills. 5-Finding and using evidence based medicine. Teaching is a mixture of both didactic(lectures and seminars) and bedside teaching at JUST health center, KAUH emergency department, MOH Primary care centers, and others. For the family medicine part, The clerkship will provide an outstanding learning experience for the 5th year medical students who will spend training period at a university based health center and other affiliated primary health care centers in Irbid area. Students during this rotation are exposed to different medical problems commonly seen at primary healthcare setting. They will be taught how to take the proper, timely managed medical history, perform focused examination, and will learn the communication skills and participate in management plan as well. Didactic teaching is composed of lectures and seminars, which are selected based on the common diseases with an emphasis on disease prevention and health promotion. The Emergency Department at King Abdullah University hospital (ED-KAUH) hosts the Emergency Medicine part, During this training period, 5th year medical students will get a comprehensive experience in Emergency Medicine. The Clerkship starts on with a mandatory orientation. The orientation period is a 2-day long phase that includes a series of lectures, interactive discussions and hands-on simulation sessions. The goal of this phase is to allow students to acquire the essential knowledge and skills in preparation for the clinical experience of the clerkship. Topics covered in the orientation period include medical imaging, airway management, trauma, toxicology, chest pain, and trauma. After completing their 2-day orientation period, students are expected to do approximately 7-8 clinical, daytime shifts at ED-KAUH, Princess Basmah Teaching Hospital and Prince Rashid Military Hospital. Student are expected to perform as sub-interns; they will evaluate and manage patients that present to the ED under the supervision of a senior Emergency Medicine (EM) physician. They will be responsible for taking histories, performing physical examinations, ordering laboratory and radiology studies, and implementing treatment plans as guided by the EM physician. During their clerkship, students will be exposed to a wide variety of patient presentation from low acuity cases to complicated and critically ill patients, to having the chance to observe and participate in cardiac arrest and trauma codes. During the clerkship, students will also be able to observe simple procedures such as laceration repairs, incision and drainage of abscesses, arterial blood gas withdrawal, and splinting of fractures. During their clinical shifts period, most of the teaching will be bedside by senior EM residents and attending physicians. In order to maximize their learning experience, students are asked to participate in the weekly resident education day which takes place at the department. Students performance during the clerkship is evaluated through a multitude of tools. In addition to the final written and OSCE exam at the conclusion of the clerkship, performance is evaluated through a special student evaluation form, filled by the attending physician, on a shift by shift basis. This form evaluates students regarding the following skills and competencies: attendance, history taking and physical examination, clinical reasoning, presentation, follow-up, professionalism, and documentation. In addition, as part of their evaluation, students present an interesting case they have seen in the ED. They are expected to discuss the clinical presentation, workup, diagnosis and management of the case. The case presentation sessions, in addition to their role in student evaluation, are meant to improve the student's teaching skills as well as learn to a greater depth about a subject.

كيف تُحسب علامة المادة في الجامعة

مساقات السنة الرابعة والخامسة السريرية، للطلبة المقبولين من ٢٠١٨/٢٠١٩

• ١٥٪تقييم مدرسي المساق أثناء التدريب السريري
• ٤٠٪امتحان سريري بعد انتهاء التدريب (حالات طويلة وقصيرة، شفوي، OSCE، محاكاة)
• ٤٥٪امتحان كتابي أو محوسب مرة واحدة في نهاية العام الدراسي

مواضيع المادة بالترتيب (من خطة المادة)

1. Principles of Family Medicine (lecture)+daily clinical bedside teaching(BST)
2. Consultation Skills and breaking bad news (lecture)+daily clinical bedside teaching
3. Diabetes Mellitus (lecture)+daily clinical bedside teaching
4. Evidence based medicine (lecture)+daily clinical bedside teaching
5. Tobacco dependence and smoking cessation (lecture)+daily clinical bedside teaching
6. Upper respiratory tract infections (URTI) (lecture)+daily clinical bedside teaching
7. Approach to patients with Dizziness(lecture)+daily clinical bedside teaching
8. Women's health and osteoporosis (lecture)+daily clinical bedside teaching
9. Approach to patients with high blood pressure (lecture)+daily clinical bedside teaching
10. Minor injuries in primary care (lecture)+daily clinical bedside teaching
11. Approach to patients with Backache and musculoskeletal pain (lecture)+daily clinical bedside teaching
12. Mental health in primary care (lecture)+daily clinical bedside teaching
13. Introduction to geriatric medicine -active and health ageing (lecture)+daily clinical bedside teaching
14. Approach to patients with dyslipidemias (lecture)+daily clinical bedside teaching
15. Approach to patients with headache (lecture)+daily clinical bedside teaching
16. Approach to patients with dyspepsia (lecture)+daily clinical bedside teaching
17. Approach to patients with thyroid disorders (seminar)+daily clinical bedside teaching
18. Approach to patients with chest pain (seminar)+daily clinical bedside teaching
19. Approach to patients with dyspnoea (seminar)+daily clinical bedside teaching
20. Approach to patients with obesity (seminar)+daily clinical bedside teaching
21. Approach to patients with Anemia (seminar)+daily clinical bedside teaching
22. Well-adult care and periodic health evaluation (seminar)+daily clinical bedside teaching
23. Health benefits of exercise (seminar)+daily clinical bedside teaching
24. ECG interpretation (seminar)+daily clinical bed bedside teaching
25. Emergency cases in primary care settings (seminar)+daily clinical bedside teaching
26. Approach to chest pain at emergency department (seminar)+daily clinical bedside teaching
27. Approach to Shortness of breath at emergency department (seminar)+daily clinical bedside teaching
28. Approach to cardiac arrest (seminar)+daily clinical bedside teaching
29. Environmental/Toxicologic Emergencies (seminar)+daily clinical bedside teaching
30. Approach to trauma (seminar)+daily clinical bedside teaching
31. Exam week-OSCE and MINIOSCE

ماذا تقيس المادة، ووزن كل جزء

• 10%Students will be able to develop treatment plan for patients with common medical conditions encountered at primary care setting or emergency departments for the best treatment outcomes.
• 20%Students will be able to recommend evidence-based preventive measures of important medical conditions to prevent diseases and improve the well- being of the individuals and community.
• 20%Students will be able to demonstrate counseling skills of patients with common medical conditions encountered at primary care setting or emergency departments for the best treatment outcomes.
• 20%Students will be able to know how to take focused medical history and examination of the most common diseases encountered at primary care and emergency departments in order to reach the diagnosis in timely manner.
• 20%Students will be able to know common investigations and medications used in primary care and emergency setting, to be able to deal with it properly in their future career.
• 10%Students will be able to interpret common investigations of common medical conditions at primary care level and emergency departments in order to reach the right diagnosis and treatment.

الكتاب المقرر

• Essentials of Family Medicine., Slone PD, Slatt LM, Baker RM, Williams & Wilkins, Baltimore. (5th Edition)

مواد ذات صلة في السنة الخامسة

• MED 510 · Obstetrics And Gynecology (1)
• MED 550 · Ear ,Nose & Throat
• MED 557 · Neurosurgery
• MED 560 · Ophthalmology