Neurology
1655-Lek4NEUR-J
The seminars focused on etiology, diagnostic and treatment of neurological diseases. Expose the most important symptoms suggesting diagnosis of the diseases. Shows elements of neurological examination important for syndrom and localisation diagnosis. Elucidate the basic aspect of differential diagnosis. Presents the best diagnostic, treatment nursing and rehabilitation options.
The exercise should give the students ability of neurological examination and its interpretation. Student on assistant's supervision perform full neurological examination - objective and subjective, reports pathologies, analyze them for etiology, suggests syndrome and localization diagnosis, makes differential diagnosis with other possible etiology of patients condition.
During the exercises the assistant shows how to fill medical documentation, Student by the supervision of assistant analyse and interpret laboratory and radiological tests, especially neuroimaging. The topics of seminars correspond with exercises topics.
Total student workload
1.Workload associated with direct participation of academic teachers:
- seminars: 20 h
- tutorials: 60 h
- final texam: 2 h
Total workload involving the direct participation of academic teachers: 62 h, which equals 2.07 of an ECTS point.
2.Total student workload:
- seminars: 20 h
- tutorials: 60 h
- preparation for tutorials (including reading of the selected literature and written tasks completion): 20 h
- preparation for final test and final test: 18 + 2 = 20 h
Total student workload: 120 h, which equals 4 ECTS point.
3. Workload related to achievement of learning outcomes in medical simulation settings :
- tutorials: 6 h
Total workload related to achievement of learning outcomes in medical simulation settings: 6 h, which equals 0.2 ECTS points.
Percentage of classes required to achieve necessary learning outcomes: 5 %
4. Workload associated with achievement of learning outcomes related to medical communication:
Not applicable
Learning outcomes - knowledge
W1: Lists the risks associated with hospitalization of older people (E.W12.)
W2: Applies the basic principles of organizing care for an elderly person and the burden placed on the caregiver of an elderly person (E.W13.)
W3: Defines the basic sets of neurological symptoms (E.W15.)
W4: Reproduces environmental and epidemiological conditions, causes, symptoms, principles of diagnosis and therapeutic procedures in the case of the most common neurological diseases and their complications:
1) headaches, including migraines, tension-type headaches and headache syndromes, and V neuralgia;
2) cerebrovascular diseases, in particular stroke;
3) epilepsy;
4) infections of the nervous system, in particular meningitis, Lyme disease, herpes encephalitis, neurotransmission diseases;
5) dementias, in particular Alzheimer's disease, frontal dementia, vascular dementia and other dementia syndromes;
6) diseases of the basal ganglia, in particular Parkinson's disease;
7) demyelinating diseases, in particular multiple sclerosis;
8) diseases of the neuromuscular system, in particular amyotrophic lateral sclerosis, sciatica, compression neuropathies;
9) craniocerebral injuries, in particular concussion;
10) cancer (E.W16.)
W5: Indicates the symptoms of mental disorders in the course of somatic diseases, their impact on the course of the underlying disease and prognosis, and the principles of their treatment (E.W21.)
W6: Specifies indications for the implementation of monitored therapy (E.W41.)
W7: Defines the rules for suspecting and diagnosing brain death (F.W23)
W8: Repeats issues in the field of neurology, in particular causes, symptoms, principles of diagnosis and therapeutic procedures in the case of the most common diseases of the central nervous system in the field of:
1) cerebral edema and its consequences, with particular emphasis on emergencies;
2) other forms of intracranial compartment with their consequences;
3) cancerous tumors of the central nervous system;
4) diseases of the spine and spinal cord (F.W20).
Learning outcomes - skills
U1: Is able to conduct an interview with an adult, including an elderly person, using skills related to the content, process and perception of communication, taking into account the biomedical perspective and the patient's perspective (E.U1.)
U2: Is able to perform a complete and focused physical examination of an adult adapted to a specific clinical situation, including a neurological examination (E.U5.)
U3: Identifies conditions requiring treatment in a hospital setting (E.U12.)
U4: Is able to keep patient medical records, including in electronic form, in accordance with legal regulations (E.U18.)
U5: Is able to make diagnostic and therapeutic decisions together with the patient (assess the degree of patient involvement, his needs and possibilities in this area, encourage the patient to take an active part in the decision-making process, discuss the advantages, disadvantages, expected results and consequences resulting from the decision) and obtain informed consent from the patient (E.U26.)
U6: Is able to assume, explain and analyze his own role and responsibilities in the team and recognize his role as a doctor in the team (E.U31.)
U7: Obtains information from team members, respecting their diverse opinions and specialized competences, and incorporates this information into the patient's diagnostic and therapeutic plan (E.U32.)
U8: Is able to discuss the patient's situation in the team, excluding subjective assessments, respecting the patient's dignity (E.U33.)
Learning outcomes - social competencies
K1: Demonstrates the ability to establish and maintain deep and respectful contact with the patient, as well as showing understanding for ideological and cultural differences (K_K01)
K2: Has the habit of being guided by the patient's good (K_K02)
K3: Applies the principle of observing medical confidentiality and patient rights (K_K03)
K4: Demonstrates willingness to take action towards the patient based on ethical principles, with awareness of social conditions and limitations resulting from the disease (K_K04)
K5: Demonstrates the habit of noticing and recognizing one's own limitations and self-assessing educational deficits and needs (K_K05)
K6: Shares the implementation of the principles of professional camaraderie and appropriate rules of cooperation in a team, including with representatives of other medical professions, also in a multicultural environment (K_K09)
Teaching methods
Seminars:
• didactic discussion
• case analysis
Tutorials:
• clinical exercises
• subject exercises
• case analysis
• simulation methods (case study; simulated patient)
• design and analysis of scientific research
• education covered by scientific activity (including
scientific research methodology, research results, studies).
Observation/demonstration teaching methods
- staging
Expository teaching methods
- discussion
- description
Exploratory teaching methods
- seminar
- case study
- practical
Online teaching methods
- cooperation-based methods
- methods developing reflexive thinking
- content-presentation-oriented methods
Type of course
compulsory course
Prerequisites
A student starting education in the subject should become familiar with the anatomy and physiology of the central nervous system
Course coordinators
Assessment criteria
Practical test ( >75%):): U1 – U8
Final written test (≥60%): W1 – W8, U2, U3.
Extended observation (> 50%): K1 – K6
In order to be eligible to take the final written test, the student is required to pass the practical test.. A positive social competence assessment of the student is also required.
Assessment methods:
The basis for passing the seminars and classes is the activity of the student. During the exercises, the assistant constantly checks the students' preparation for classes in the form of an oral answer,
Practical pass in neurology
The practical part takes place on the last day of the exercise block.
The assistant doctor, neurologist specialist, assigns a patient to the student, whose task is to examine the patient, present the research methodology and deviations in the study to the assistant, propose localization, etiology, syndrome diagnosis, as well as differentiation and proposed treatment.
The assistant assesses the ability to conduct a neurological examination, the correct naming of abnormalities found in the examination, the accuracy of the initial diagnosis, the thoroughness of differentiation from other diseases of the nervous system.
Only students after passing the practical part can go through the written exam.
Written theoretical exam - consists of 50 questions- each has 5 possible answers- only one of them is correct.
The grade for the test exam is issued according to the number of points obtained in accordance with the following principle:
number of the points- grade
46-50 very good
44-45 good plus
40-43 good
36-39 sufficient plus
31-35 sufficient
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Practical placement
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: