Otolaryngology 1600-Lek4OTOL-NJ

https://www.wl.cm.umk.pl/katedra-otolaryngologii-i-onkologii-laryngologicznej/

The seminars are intended to present issues related to the most common diseases of the upper respiratory tract, mouth, throat, ears and neck, including pathophysiology, which will allow for proper understanding of disease processes. Also, the discussed problems related to developmental defects of the upper respiratory tract and ears will allow for a proper understanding of the problem, which will facilitate appropriate management of such cases in the future. A particularly important problem discussed during the seminars is the diagnosis and treatment of cancers in the larynx, nose and paranasal sinuses, nasopharynx, middle and lower throat, oral cavity and salivary glands. A separate issue are aspects related to acute and chronic inflammatory diseases. During the classes, the problems of infections of the nose and sinuses, ears, oral cavity, pharynx and larynx, and salivary glands in adults and children, as well as appropriate diagnostic and treatment algorithms, will be broadly presented. With regard to chronic inflammatory diseases affecting the nose and paranasal sinuses, larynx, oral cavity and pharynx, the basic principles of diagnosis and qualification for surgical treatment will be discussed. Various surgical techniques will be presented, from functional surgery that preserves the function of organs to radical procedures that deprive the patient of the basic functions of diseased organs. Much attention will be devoted to issues related to inflammatory complications of sinusitis, highlighting the appropriate approach to the diagnosis of these conditions and appropriate treatment. The seminars also aim to familiarize students with the problems of emergencies such as bleeding, shortness of breath and foreign bodies. Craniofacial injuries and appropriate treatment of the patient. The exercises conducted during the classes are devoted to:
- mastering the skills of collecting patient and family history in diseases of the nose and paranasal sinuses, oral cavity and pharynx, larynx, esophagus, trachea and bronchi,
- mastering the technique of examining the nose and paranasal sinuses, oral cavity, pharynx, larynx, esophagus, trachea and bronchi,
- mastering the ability to independently perform basic procedures concerning ORL organs.
- becoming familiar with modern methods of endoscopic and microsurgical examinations,
- becoming familiar with the care of a patient with tracheostomy and tracheostomy tube replacement,
- becoming familiar with the most common procedures performed and basic surgical methods, with particular emphasis on endoscopic and microsurgical methods, including the use of laser radiation.
- learning about rehabilitation methods for patients after complete removal of the larynx.

Term 2023/24:

The seminars are intended to present issues related to the most common diseases of the upper respiratory tract, mouth, throat, ears and neck, including pathophysiology, which will allow for proper understanding of disease processes. Also, the discussed problems related to developmental defects of the upper respiratory tract and ears will allow for a proper understanding of the problem, which will facilitate appropriate management of such cases in the future. A particularly important problem discussed during the seminars is the diagnosis and treatment of cancers in the larynx, nose and paranasal sinuses, nasopharynx, middle and lower throat, oral cavity and salivary glands. A separate issue are aspects related to acute and chronic inflammatory diseases. During the classes, the problems of infections of the nose and sinuses, ears, mouth, throat and larynx, as well as salivary glands in adults and children, as well as appropriate diagnostic and treatment algorithms, will be broadly presented. With regard to chronic inflammatory diseases affecting the nose and paranasal sinuses, larynx, oral cavity and pharynx, the basic principles of diagnosis and qualification for surgical treatment will be discussed. Various surgical techniques will be presented, from functional surgery that preserves the function of the organs to radical procedures that deprive the patient of the basic functions of the diseased organs. Much attention will be devoted to issues related to inflammatory complications of sinusitis, highlighting the appropriate approach to the diagnosis of these conditions and appropriate treatment. The seminars also aim to familiarize students with the problems of emergencies such as bleeding, shortness of breath, and foreign bodies. Craniofacial injuries and appropriate treatment of the patient.
Exercises conducted during classes are devoted to:
- mastering the ability to collect patient and family history in diseases of the nose and paranasal sinuses, oral cavity and pharynx, larynx, esophagus, trachea and bronchi,
- mastering the technique of examining the nose and paranasal sinuses, oral cavity, pharynx, larynx, esophagus, trachea and bronchi,
- mastering the ability to independently perform basic procedures involving ORL organs.
- getting acquainted with modern methods of endoscopic and microsurgical examinations,
- learning about the care of a patient with a tracheostomy and the replacement of the tracheostomy tube
- becoming familiar with the most frequently performed procedures and basic surgical methods, with particular emphasis on endoscopic and microsurgical methods, including the use of laser radiation.
- learning about rehabilitation methods for patients after complete removal of the larynx.

Total student workload

1. The workload related to classes requiring the direct participation of academic teachers is: - participation in seminars: 20 hours - participation in exercises: 30 hours - conducting the exam: 4 hours The workload related to classes requiring the direct participation of academic teachers is 54 hours, which corresponds to 2.08 ECTS points. 2. Balance of student workload: - participation in seminars: 20 hours - participation in exercises: 30 hours - preparation for the seminar (including reading the indicated literature): 9 hours - preparation for the exercises (including reading the indicated literature): - 10 hours - preparation for the test, practical test and exam: 5 + 4 = 9 hours The total student workload is 78 hours, which corresponds to 3.0 ECTS points 3. Balance of workload related to the implementation of learning outcomes in medical simulation conditions (group F) - participation in exercises – 4 hours The total workload related to the implementation of learning outcomes in medical simulation conditions is 4 hours, which corresponds to 0.15 ECTS points; percentage of activities enabling the achievement of learning outcomes: 8% 4. Balance of workload related to the implementation of learning outcomes related to medical communication: - not applicable

Learning outcomes - knowledge

Learning outcomes - skills

U1. plans and conducts otolaryngological interviews, including audiological and otoneurological ones (E.U1) U2. Performs otoscopic examination correctly and is able to describe it (E.U5) U3. Conducts a hearing test using a set of reeds (E.U5) U4. can perform anterior and posterior rhinoscopy (E.U5) U5. examines the oral cavity and middle pharynx (E.U5) U6. performs indirect laryngoscopy (E.U5) U7. performs palpation of the neck, including lymph nodes and salivary glands (E.U5) U8. Is able to describe a pure tone audiometry test. Evaluates hearing tests and divides them into conductive and sensorineural hearing loss (E.U5) U9. lists the types of tests for the patency of the eustachian tubes (E.U5) U10. Is able to perform basic vestibulospinal tests (Romberg test, Unterberger test, passing test) (E.U9) U11. Differentiates peripheral and central vertigo (E.U9) U12. Recognizes conditions requiring hospitalization (E.U12) U13. Is able to apply empirical antibiotic therapy depending on the clinical condition (E.U22) U14. Is able to wash hands surgically in accordance with aseptic rules, prepare the surgical field, treat a simple wound, apply a sterile dressing (F.U1), (F.U2), (F.U3) U15. Is able to apply an anterior nasal tamponade and replace the tracheostomy tube (E.U14) U16. Is able to provide health education regarding risk factors for head and neck cancer, plan diagnostic procedures in ENT oncology (E.U19), (E.U21)

Learning outcomes - social competencies

K1. Addresses the patient with respect, shows understanding and respect for ideological and cultural differences, is guided by the patient's well-being, respects medical confidentiality and patient rights, taking actions taking into account the limitations resulting from from illness (K_K.01, K_K.02, K_K.03, K_K.04) K2. Promotes healthy behaviors (K_K.06) K3. Implements the principles of professional camaraderie, assumes responsibility for decisions made as part of professional activity, including in terms of the safety of oneself and other people (K_K.09, K_K.011)

Teaching methods

Seminars: • information seminar • conversation seminar • didactic discussion • case analysis Exercises: • demonstration with instruction • subject exercises • simulation methods (case study; simulated patient)

Observation/demonstration teaching methods

- display

Expository teaching methods

- description
- participatory lecture
- informative (conventional) lecture

Exploratory teaching methods

- seminar
- case study
- practical

Type of course

compulsory course

Prerequisites

A student starting education in otolaryngology should have knowledge of the anatomy and physiology of the head and neck.

Course coordinators

Term 2023/24:

Maciej Wróbel

Term 2024/25:

Maciej Wróbel

Term 2025/26:

Katarzyna Bilicka

Assessment criteria

1. Admission pass - test regarding knowledge in the field of anatomy and physiology of the head and neck >60% (0-20 points)
2. Continuous assessment of current preparation for classes (seminars) in the form of a test regarding individual topics of classes >50% W1 – W30
3. Prolonged observation during practical classes to assess social competences >50% K1-K3
4. Passing the course with a practical test in otolaryngological examination >75% U1-U16
5. Final pass of the course - test exam.
The condition for obtaining a pass is obtaining a result of 60% of positive answers (0-40 points).
The student received a pass for the course, obtaining positive test results and a positive assessment in the field of social competences, which is a condition for taking the final written test.

Practical placement

Not applicable

Bibliography

LITERATURA OBOWIĄZKOWA:
Behrbohm H., Kaschke O., Nawka T., Swift A., Choroby ucha, nosa i gardła z chirurgią głowy i szyi (tytuł oryginalny: Ear, Nose, and Throat Diseases: With Head and Neck Surgery), red. wyd. pol. Wiesław Gołąbek, Czesław Stankiewicz, Wrocław, Edra Urban & Partner, 2011

LITERATURA UZUPEŁNIAJĄCA:
1. Probst R., Grevers G., Iro H., Otorynolaryngologia (tytuł oryginalny: Basic Otorhinolaryngology.A Step-by-Step Learning Guide), red. wyd. pol. H. Skarżyński, Wrocław, EdraUrban &Partner, 2019.
2. Niemczyk K., Jurkiewicz D., SkładzieńJ., Stankiewicz C., Szyfter W., Otorynolaryngologia kliniczna, Warszawa, Medipage, 2015, t. 1-2.
3. Audiologia kliniczna, red. M. Śliwińska-Kowalska, Łódź, Mediton, 2005.
4. Zarys foniatrii klinicznej, red. A. Obrębowski, A. Pruszewicz, Poznań, UM Poznań 2019.
5. Otolaryngologia dziecięca, red. D. Gryczyńska, Bielsko-Biała, Alfa-medica Press, 2007.
6. Bochenek A., Reicher M.: Anatomia człowieka PZWL
7. Boeninghaus H.G.: Otolaryngologia. PZWL, Warszawa 1997
8. Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R et all. EUROPEJSKIE WYTYCZNE NA TEMAT ZAPALENIA ZATOK PRZYNOSOWYCH i POLIPÓW NOSA2020–EPOS2020 https://epos2020.com/Documents/Ex-Summary-EPOS2020-Polish.pdf (tytuł oryginalny: European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020 Feb 20;58(Suppl S29):1-464. doi: 10.4193/Rhin20.600. PMID: 32077450)

Term 2023/24:

Term 2024/25:

Term 2025/26:

Notes

Term 2023/24:

Additional information

Additional information (registration calendar, class conductors, localization and schedules of classes), might be available in the USOSweb system:

Description of 1600-Lek4OTOL-NJ in USOSweb