Neurology

1.Acute and chronic syndromes and diseases: diagnosis, treatment tactics, monitoring and referral to specialists. Has an idea, knowledge and understanding of the following: Syndromes and diseases of the nervous system: - patient examination: detection of motor and sensory disorders, balance and coordination disorders, symptoms of cranial nerve damage, speech disorders, dementia, - peripheral nerve diseases, nerve and muscle pain: neuritis, polyneuritis, carpal tunnel syndrome, myofascial pain, neuromuscular block, - lumbar and cervical osteochondrosis, discopathy: radiculitis, osteochondrosis, - neuroinfections: tick-borne encephalitis, borreliosis, meningitis, - cerebral circulation disorders: transient cerebral ischemia, ischemic stroke, prevention of cerebral circulation disorders, treatment and care of stroke patients, rehabilitation, - somatoform disorders, - headache, - dizziness, - epilepsy, - brain tumours. Rehabilitation and physical medicine: - knowledge of physical therapy indications and contraindications, - knowledge of the rehabilitation process, referral of patients to rehabilitation. Patient care process: - comprehensive solving of patient problems, - cooperation with social workers and the municipality. Disease prevention: - knowledge of risk groups and early signs of the disease, - knowledge of screening tests, application thereof, - knowledge of primary and secondary prevention. Health promotion: - nutrition (energy value, vitamins, diet planning), - promoting a healthy lifestyle, - knowledge and skills to evaluate the indications and contraindications of exercise and sports classes, - the ability to assess an individual’s physical fitness, state of health before starting sports training, - assessment of the state of health in relation to physical load and training intensity, - patient education: harmfulness of smoking, weight control, nutrition, stress management, sexual problems, injury prevention, problems caused by menopause.

1.Skills to be strengthened during the family medicine education programme – examination, treatment methods, disease prevention and health promotion measures: Skills in elderly care: - obtaining adequate information from people with reduced memory, hearing and vision impairments, - examination of patients with limited mobility, - evaluating the amount of necessary examinations for an elderly person (evaluating the productivity of information, possible complications of examinations), - ability to evaluate the possibilities of examinations and therapeutic measures, - communication skills with patients with chronic and incurable diseases, - ability to advise on health care and social rehabilitation options for the elderly, - good knowledge of the rehabilitation options for the elderly and disabled. Skills to treat a person with mental and behavioural disorders: - anamnesis collection skills, - treatment tactics and referral to a specialist. • in the evaluation of language, practice and cognitive functions; • evaluation of active movements, paresis and muscle strength; • determination and evaluation of direct and consensual response of the pupils; • determination and evaluation of eyeball movements; • determination and evaluation of the corneal reflex; • determination and evaluation of nystagmus (vertical, horizontal); • evaluation of movements of mimic muscles; • determination and evaluation of soft palate and pharyngeal reflex; determination of bulbar syndrome; • determination of the reflex of the tendons of the arms and legs; • determination and evaluation of the snout and Marinesco reflex; • determination and evaluation of the Babinski reflex; • determination of palpable points of nerves and roots; • determination and evaluation of root stretch symptoms (Lasègue and Neri); • determination and evaluation of neck stiffness and Kernig’s sign; • evaluation of superficial sensation disorders; • determination of the feeling of the state of motion; • determination and evaluation of muscle tone; • evaluation of coordination disorders, Romberg’s maneuver; • evaluation of additional examinations – EMG, NG, EEG, Duplex US for cerebral blood vessels.

1.Able to independently formulate and critically analyse complicated scientific and professional problems. The knowledge and skills of a family doctor are manifested in six key competences: 1. Organisation/management of primary health care, 2. Person-centred care, 3. Specific problem solving skills, 4. A comprehensive approach to problem solving, 5. Community-oriented health care, 6. A holistic approach. The acquired competences allow to justify decisions, to perform additional analysis if necessary: - Able to explain the impact of environmental changes on the incidence of diseases in the population, to understand the application of preventive, diagnostic and therapeutic methods in this aspect. - Able to assess patient complaints, their connection to the patient’s state of health. Has a broad understanding of diseases and risk factors thereof, the most common diseases in the population, care in case of chronic diseases, diseases that cause disability, and conditions that require emergency care. - Has an understanding of the use of preventive and diagnostic manipulations in primary health care, which covers practically all specialties (i.e. paediatrics, gynaecology, surgery, otolaryngology, dermatovenerology, ophthalmology, neurology, psychiatry, cardiology). - Ability to provide treatment to the patient at the level of primary care, organise rehabilitation if necessary. - Understanding of diagnostic possibilities at the primary and secondary level of health care, the possibilities of referring the patient to a specialist doctor if necessary. - Ability to organise and conduct consultations on issues related to the organisation of health care, especially in matters related to maternal and child health care, family planning. - Understanding of public health issues. - Ability to understand the importance of a positive doctor-patient relationship, to teach the patient to understand their complaints, to learn to live with them. - Ability to work in a team with other members of the primary health care team and other specialists. Able to integrate knowledge from different fields: - Understanding of health care organisation issues in general and primary health care organisation in particular. - Knowledge of legislative acts and directives in health care, ability to participate in the development thereof. - Knowledge and understanding in special disciplines: clinical chemistry, physiology, microbiology, pharmacology, care of acute conditions, basic principles of family medicine, ethical issues, psychology, epidemiology, statistics, application of research methods in family medicine, preventive work, and other disciplines.