General provisions

The course intends to provide basic subject directed knowledge in diagnostics and treatment within the subject areas urology and nephrology, infection - and cancer diseases and clinical chemistry in order to provide the medical student with a good basis for the continued education up to the medical degree and knowledge and skills to manage the salaried probation period as physician. Specialisation should be achieved within areas mentioned earlier for example infection - and cancer and clinical chemistry. The teaching should also provide deeper skills in medical history - and physical examination concerning kidneys, urinary tract, male genital systems and infection - and cancer disease. Further, the course should facilitate a development of general skills to understand the background to and interpretation of clinical chemical analyses. The course should also give structured training to interact in and lead teamwork in healthcare and contribute to the integration of preclinical and clinical knowledge within the mentioned key areas.

Entry requirements

For admission to a new term a passed compulsory part from earlier terms is required and that all examinations, except one, from the previous term is passed. After interruptions of studies, it is required that all courses on the previous terms are passed. The education follows a course of study which implies that the courses should be accomplished in an established order.

Learning outcomes

Learning goal After the course, the student should be able to: - Account for theoretical background and diagnostics at and treatment of the tumour of the urinary tract -, infection – and stone diseases,micturition disorders and the most common diseases in the prostate and male genital systems. - Explain the origin of the glomerular, interstitial and vascular diseases of the kidney, be able to state guidelines for investigation and explain and justify the treatment principles of these conditions. - Report on how urgent kidney failure can be prevented, explain the difference between urgent and chronic kidney failure and account for the different treatment options at chronic kidney failure. - Apply adequate strategies for prescription of relevant clinical chemical analyses from a clinical situation, critically evaluate the analysis results and account for causes to deviations of the results at an individual and group level. - Account for the implication of diagnostic concepts such as the sensitivity, specificity and predictive host and apply basic statistical methods for assessing the reliability of diagnostic methods and their clinical value. - Account for symptom and signs compatible with malignant cancer and describe attitudes and diagnostic measures to confirm or exclude occurrence of such a disease. - Summarise the principles for and the effect and adverse drug reactions of established treatment methods for the more commonly occurring tumour diseases. - Achieve and show ability to, on the basis of an empathetic and professional attitude, communicate about supports, prognosis and treatment possibilities for a patient suffering from cancer or another critical disease. - State a preliminary infection diagnosis with probable differential diagnoses by summarising and analysing the medical history status, microbiological diagnostics and other sampling, and plan and organise continued investigation and treatment of the infections in adults that the student is expected to meet under its salaried probation period. - Distinguish clinical signs to critical infections and prescribe urgent sampling and treatment of such conditions independently. - Account for mechanisms of significance for microbial pathogenesis and for choices of diagnostics and antibiotics treatment on the basis of agent and resistance problem. - Apply basic hospital hygienic principles and disease control measures in the endemic and epidemic situations and identify microbiological findings that are subject to the law of communicable disease.

Content

The course is divided into 4 sections of about 3 weeks each where one section is an integration period where clinical and preclinical aspects are joined in the area of microbiology. In the section "Tumor disease", a week of clinical chemistry is included. The course is completed with a week allocated to self-tuition and examination. The clinical duty is located in clinics within urology, nephrology, infection medicine, oncology, oncological endocrinology and haematology and at clinical chemistry, at the Academic laboratory. The theoretical parts of the course comprise also the above mentioned areas. To that effect comes under the sections "Infections" and "Kidneys and the urinary tracts", seminars featuring the Centre for bioethics in order to discuss ethical issues concerning organ donation and life-sustaining treatment. Theory, demonstration and as far as possible practical training concerning diagnostic and therapeutic encroachment such as bone marrow apsiration, bone marrow biopcy, lumbar punction and the placement of urinary tract catheter are included in the clinical duty. Certain students have under the section "Kidneys and urinary tracts" clinical practice outside the Academic hospital in hospitals in the region. In the section "Infections", clinical practice in Gävle is included.

Instruction

The teaching goes on for 13 weeks including a study period and comprise lectures, demonstrations, laboratory sessions, group tuition, case discussions and problem-based seminars. The course is given with support from the IT-based learning management systems Studentportalen and Pingpong. The practical teaching is located to ward - and reception duty with patient-close work, demonstrations, auscultation and rounds. 24-hour duty is included in the infection section.

Assessment

REQUIREMENTS TO BE QUALIFIED TO PARTICIPATE IN EXAMINATION To be qualified to participate in examination, the student should have gone through all compulsory parts of the course with approved result. Exemption from the above requirement can be applied at the course administration before the current examination if there are special reasons. The course is completed with a written examination. Practical patient examinations with medical history, status, followed of tentative diagnoses, presentation of investigation and treatment suggestion may also be included in the examination or be included as a teaching item. At this part, the medical student is also assessed concerning examination skills, conduct, attitudes and ability to communice with the patient. NUMBER OF EXAMINATIONS Students who have not passed the examination have a right to attend 4 additional examinations (i.e. 5 examinations in total). If special circumstances apply, the programme committee may admit additional examinations. Practice interrupted prematurely A student may fail and may interrupt the school located education prematurely if there is a noticeable risk that the student due to incompetence may injure another individual or valuable property if he or she continues to participate in the school located education. An individual plan should be established for the student and given to him or her in writing. In this plan, determined by the programme committee, must be stated the knowledge and skill shortages at hand and the support the student may obtain from the department to rectify these and how and when the control will take place and the procedure for these. A student is entitled to a maximum of two control occasions, however no more than once during one year. The student may not participate in the school located education again, before the programme committee has controlled and confirmed that the student has the knowledge and skills that are required. Decisions of individual study programme may, by the programme committee, be delegated to a Student welfare committee or equivalent with student representation. A student that has not passed in clinical education has a right to go through renewed clinical education once. If special circumstances apply, the programme committee may admit an additional occasion to go through clinical education. VALID ABSENCE FROM COMPULSORY COURSE PARTS If a student do not attend a compulsory part due to valid absence (see instructions), the student is entitled to one occasion during the ongoing term in order to recover this part. The compensation should make it possible for the student to acquire relevant knowledge compared with the missed compulsory part. This applies except for such parts where compensation during the ongoing term is not practically possible to implement. Valid absence (according to specification in the Students guide) is possible up to a maximum of 30 % , from the basic group exercise within a course, for the student to have a right to recover parts during the ongoing term. For other compulsory parts, the course director is entitled to make the decisions. At larger absence, the lacking compulsory parts must be supplemented at a later occasion e g when the next course is given.