Veidlapa Nr. M-3 (8)
Study Course Description
Advanced Physical Examination
Course Code
ISK_222
Branch of Science
Clinical medicine; Internal medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Valdis Ģībietis
Structure Unit Manager
Jūlija Voicehovska
Structural Unit
Department of Internal Diseases
Contacts
Riga, 2 Hiprokrāta Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
Teach how to draft complete medical records: taking academic and clinical medical history and integrating them into clinical practice.
Carry out a detailed patient assessment with physical examination methods: specific inspection, palpation, percussion and auscultation.
Ensure the possibilities to use physical examination methods during the third year of study.
Preliminary Knowledge
Successful completion of the study course “Introduction to Clinical Medicine”.
Successful completion of the study course “Medical Communication”.
Skills in the subjective part of the clinical history acquired: an interview on the main complaint, current history of the disease, history of previous diseases and the screening of systems.
Learning Outcomes
Knowledge
1.On completion of the course students will know how to: • structurally interview and record patient medical history: academic and/or clinical; • perform in-depth physical examination according to the presented disease/condition; • make objective the patient's subjective experience with the condition; • think critically in a clinical environment.
Skills
1.On completion of the course students will be able to: • engage in clinical reasoning and decision making; • communicate with patients, their relatives, colleagues, other persons involved in the process of health care; • specify the complaints, medical history, structurally interviewing and recording history data; • perform systematic physical examination using the method of inspection, palpation, percussion, auscultation and other derived methods.
Competences
1.1. Evaluate the acquired symptoms, linking them with pathological processes in the patient's body. 2. Able to analyse situations, substantiate, logically formulate and explain their own opinion.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Students independently familiarise themselves with the requirements for each class and learn clinical manipulations using the recommended sources.
Students are required to individually look up the latest information on patient physical examination methods using the sources advised by the department or the sources of their own choice.
In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
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-
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Full class attendance is required.
Theoretical knowledge is assessed with the help of tests during lectures – 30% of the total assessment.
Practical skills are assessed with the help of clinical cases – 70% of the total assessment.
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Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
|
Topics
|
Taking in-depth medical history. Critical thinking.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
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On site
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Specialized room
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3
|
Topics
|
Extensive medical records.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Extensive medical records.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
In-depth general physical examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
In-depth general physical examination.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
14 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
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2
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Topics
|
Specific physical examination.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
In-depth chest examination.
|
-
Class/Seminar
|
Modality
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Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
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3
|
Topics
|
In-depth chest examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
In-depth abdominal examination.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
In-depth abdominal examination.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
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3
|
Topics
|
Critical thinking in clinical environment.
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Total ECTS (Creditpoints):
1.50
Contact hours:
17 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Bates’ guide to physical examination and history taking / Lynn S. Bickley, Peter G. Szilagyi. 2017
2.
The Merck Manual of Patient Symptoms: A Concise, Practical Guide to Etiology, Evaluation, and Treatment. 1st Edition, 2008 (akceptējams izdevums)