Propaedeutics in Internal Medicine

Internal Propedeutics

 

 

 

The Internal Propedeutics course takes place in the 3rd year, winter semester; consists of lectures and internships and is completed with an exam.

The lectures are held on Wednesday from 12:45 to 14:15 in the lecture hall of the 3rd Internal Clinic (U Nemocnice 1, mezzanine, entrance from the main staircase).

Internal Propedeutics internships take place at the wards of internal clinics Monday-Thursday from 7:45 to 10:00 o´clock.

The first meeting of Practical training in clinical propaedeutics (group 3056) is organised on 1.10.2019 at 14:30 in library – next to the sekretariát office of the 3rd Department of Internal Medicine (U Nemocnice 1).

The first meeting of Practical training in clinical propaedeutics(group 3052) is organised on 2.10.2019 at 14:15 in the lecture hall of the 3rd Department of Internal Medicine (U Nemocnice 1).


 

The schedule of the study groups into internal clinics is provided in a separate link on these webpages.

To participate in the internships, a white coat and a phonendoscope and a visually-mounted student card are required.

The schedule of internships is available here:

The Schedule of lectures is available here

The credit is given by the teacher during the last placement of the subject.

The exam is held in the winter semester.

Credit and exam of Internal propedeutics

1. The condition for passing the exam is the credit which the student obtains on the basis of a sufficient attendance and compilation of the medical record with the following parts:

1. Patient´s history

2. Physical examination

3. Conclusion (based on symptomatology): formulation of the conclusion will

not be perfect because students can not have the necessary knowledge in

the 3rd year. The intent is to make the students prepared to include this part

in a medical record from the beginning.

Medical record is compiled by the student repeatedly throughout the

semester and is supervised by the teacher. It is advisable for the student to

process at least 3-5 of these exemplary medical histories during the

propedeutic education. In such a case, it is not necessary to prepare another

medical record for granting of the credit, and the teacher confirms by the

signature that the student's ability to compile the medical record has been

verified. It is not necessary to bring the medical record to the exam, it is a

condition of granting the credit.

Attendance: participation in internships is mandatory. It is possible to

tolerate 1 absence (1absence means 1 internship). In case of multiple

absences, it is necessary to excuse the absence in writing to the tutor. If the

student is absent for more than one internship, he / she is obliged to replace

the traineeship with a different study group upon prior agreement with the

tutor. Replacement internships will only be tolerated in exceptional cases.

2. Examination of internal propedeutics

1. The exam will take place at the clinic where the student has completed

the internship.

2. The exam will take place by selecting one pair out of 25 questions.

3. The first of a pair of questions devoted to a certain part of the physical

examination will be performed at the patient's bed.

Students should demonstrate to the examiner the ability to perform the

physical examination on a selected patient. Each student in the group

of examinees should perform part of the physical examination under

the supervision of the examiner. The area of investigation does not

necessarily have to respect the topic of the selected question, especially

in the case of overlapping topics.

4. In the theoretical part of the exam, the second question from the pair

will be answered.

The discussion of the first question the student has practically

performed at the bed can be completed.

5. Special emphasis will be placed on the physical examination. The

student should demonstrate to the examiner the ability to practice part

of the physical examination.

6. The examiner evaluates the student's overall performance by a grade.

The lack of practical skills at least on a "good" level is a reason for

repeating the test even with satisfactory theoretical knowledge.

3. Preparation for the internal propedeutics test

1. The preparation takes place continuously during the winter semester within

the framework of teaching propedeutics. Internship teachers must stimulate

students to practice propedeutic skills as much as possible - during the

internship at the bed, it is necessary to minimize the substitution of

theoretical instruction and, on the contrary, to use the majority of time for

the examination of patients.

2. It is desirable to teach the course according to the syllabus of the subject

and to copy the lectures from internal propedeutics thematically (see

attachment).

3. It is also advisable for students to write out medical history continuously

throughout the semester and a proportional part of physical examinations

that they already obtained in the course to control the ability to classify and

combine anamnestic data.

4. Documents for preparation for the internal propedeutics test

1. The basic material for study is the textbooks of propedeutics:

• Ladislav Chrobák a kol. Interní propedeutika. Grada 2007, 244 s.

• Pavel Klener a kol. Propedeutika ve vnitřním lékařství. Galén 2009, 324 s.

• Žák, Petrášek: základy vnitřního lékařství, Praha, Galén 2011.

2. Sample medical record and exemplary physical examination

3. The syllabus of the internal propedeutics, which defines the scope of

knowledge and skills.

The students perform the exam of the internal propedeutics at the clinic where they have completed the internship. A designated teacher of a specific clinic is responsible for all matters which are related to organization of the exams.

The exams take place 1/20/2020 – 2/21/2020 (proper terms). The specific internal clinics may define preliminary exam terms at their discretion before the beginning of the examination period, as well as additional terms after the winter semester completion. The students register for the exam using SIS.

Come to the exam at 13 o'clock of the exam day in front of secretariat of the clinic, building U nemocnice 1, ground floor. You will be picked up by the examiner and brought to the ward, where the exam will be performed. A white coat with a visually-mounted student card, a phonendoscope, and writing accessories are required for the exam.

Please note that according to the new Study and Examination Regulations, effective from 10/1/2017, the exam term expires: „If the student does not come to the exam, to which he /she is registered, without a prior proper excuse, he / she is not classified and the exam term expires. A delayed excuse can be accepted only due to serious reasons. The examiner or the chair of the examining board decides whether the term excuse is justifiable“. The secretariat of a specific clinic where the exam will be performed will communicate a name of the examiner.

The term excuse is considered as justifiable up to 3 working days before the exam term, when it is possible to de-register the exam term in SIS. The exam day is the fourth day. Questions for the exam of internal propedeutics can be found here.

Propaedeutics in Internal Medicine exam questions


Following are links to the websites containing collections of heart and breaths sounds : 

Blaufuss Multimedia: 
http://www.blaufuss.org
The R.A.L.E. Repository: Respiratory sounds:
http://www.rale.ca/Recordings.htm
David Arnall: Pulmonary Breath Sounds: 
http://faculty.etsu.edu/arnall/www/public_html/heartlung/breathsounds/contents.html
Frontiers in Bioscience, Virtual Library: Heart Sounds 
http://www.lf2.cuni.cz/Projekty/interna/heart_sounds/h14/sound.htm
McGill University: Heart Sounds:
http://www.lf2.cuni.cz/Projekty/interna/heart_sounds/h6/heart_tables.html

 

 

 

Education - Propaedeutics in Internal Medicine