Grade Book of Clinical Skills - PTE ÁOK · Home medical care of patient 1 3 AEI ... Attending...

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Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 1 Intervention or skill to be acquired Level No. Department authorised to certify the skill Date of accomplish- ment Name of instructor in block letters Signature of the instructor Seal number of the instructor Internal Medicine history taking and physical examination, case history (inspection of the patient, examination of the nose, pharynx and the oral cavity, inspection of the mucous membranes, palpation of the salivary glands, palpation of the lymph nodes, inspection and palpation of the skin, examination of turgor and edema, examination of the thorax, examination of apical beat, percussion of cardiac boundaries, auscultation of the heart sounds, murmurs, palpation, percussion, auscultation of the abdomen, palpation of the liver and the spleen, rectal digital examination, palpation of thyroid gland, pectoral fremitus, examination of the pulse, lung boundaries, excursion of the diaphragm, auscultation, percussion of the lungs, measurement of blood pressure, palpation of the kidneys, measurement of somatometric data, assessment of genital developmental condition, assessment of psychological and social health condition) 1 15 AEI, Int

Transcript of Grade Book of Clinical Skills - PTE ÁOK · Home medical care of patient 1 3 AEI ... Attending...

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 1

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Internal Medicine history taking and physical examination, case history (inspection of the patient, examination of the nose, pharynx and the oral cavity, inspection of the mucous membranes, palpation of the salivary glands, palpation of the lymph nodes, inspection and palpation of the skin, examination of turgor and edema, examination of the thorax, examination of apical beat, percussion of cardiac boundaries, auscultation of the heart sounds, murmurs, palpation, percussion, auscultation of the abdomen, palpation of the liver and the spleen, rectal digital examination, palpation of thyroid gland, pectoral fremitus, examination of the pulse, lung boundaries, excursion of the diaphragm, auscultation, percussion of the lungs, measurement of blood pressure, palpation of the kidneys, measurement of somatometric data, assessment of genital developmental condition, assessment of psychological and social health condition)

1 15 AEI, Int

2 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Disease prevention, screening, health promotion on individual and on a society level

1 5 AEI, Clin

ABPM (ambulatory blood pressure monitoring)

2 1 Heart, Int

Recording and evaluating an ECG 1 10 AEI, Heart, Int,

Paed

Holter ECG monitoring 2 1 Heart, Int1

Calculation of ankle-brachial index (ABI) 2 1 AEI, Clin

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 3

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Planning disease-specific diets 1 1 AEI, Clin

Application of an insulin dosing device 2 1 Int, Paed

Continuous blood glucose monitoring (CGM)

2 1 Int

Inhalation therapies. Administering inhalative medication

2 1 Paed, Pulm

Use of drug delivery pump 2 5 Clin

Bone marrow biopsy and aspiration 2 1 Int1, Paed

Examination of bone marrow smear 2 1 Int1, Paed

Bone marrow transplantation, stem cell transplantation

2 1 Int1, Paed

Monitoring the pH of the stomach 2 1 Int1

Hydrogen exhalation test 2 1 Int1

Body plethysmography 2 1 Pulm

Echocardiography 2 1 Heart, Int, Skill

Carotis massage and atropin test 2 1 Heart, Int

4 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Home medical care of patient 1 3 AEI

Placement of a nasogastric tube 2 1 AITI, ENT, Int, Neur,

Paed, Skill, Surg

Ascites puncture (ascitic tap) 2 1 Int

Esophago-gastro-bulboscopy 2 1 Int

Colonoscopy 2 1 Int

Endoscopy and/or endoscopic ultrasound examination of the hepatobiliary system

2 1 Int

Peritoneal dialysis 2 1 Int2

Haemodialysis 2 1 Int2

Bronchoscopy 2 1 Int, Pulm

Lung function testing, Spirometry 1 1 AEI, Clin

Ergometry, exercise stress testing, spiroergometry

2 1 Heart, Int, Pulm

Assembling infusion, use of infusion therapy

1 5 Clin, Skill

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 5

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Therapeutic plasmapheresis 2 1 Int1

Renal biopsy 2 1 Int2, Urol

Emergency medicine history taking and physi-cal examination, preparation of a diagnostic and therapeutic plan, assessment physical and mental health condition, assessment of alcohol and drug intoxication and addiction, management of the patients route in the health care system, compilation of documentation, evaluation of findings

1 5 AEI, Clin

Gastric lavage 2 1 AITI, Emerg, Int,

Paed

Surgical history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 10 Paed, Surg

6 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Traumatological history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 10 Emerg, Paed, Skill, Trauma

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Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Wound evaluation, care and dressing of a wound

1 10 Emerg, Paed,

Skill, Surg, Trauma, Vasc

Wound treatment with surgical suture 2 1

ENT, Gyn, Orthop, Paed,

Skill, SOKI, Surg,Urol,

Trauma, Vasc

Stabilization of broken extremities 2 1 Paed, Trauma

Reposition of a closed bone fracture 2 1 Paed, Trauma

8 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Preoperative preparation, hand disinfection, preparation of the operative field, dressing up for operation, assisting

1 10

ENT, Gyn, Heart, Orthop, Paed, SOKI,

Surg, Trauma, Urol, Vasc

Assessment of an acute abdomen 2 1 Emerg, Int, Paed

Thoracic and abdominal surgical interventions

2 1 Surg

Proctologic and anal operation 2 1 Surg

Laparoscopic operation 2 1 Paed, Skill, SOKI,

Surg

Coronary angiography and coronary catheter interventions

2 1 Heart

Pacemaker implantation 2 1 Heart

Vascular operation 2 1 Vasc

Transthoracic needle biopsy 2 1 Pulm

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 9

Intervention or skill to be acquired

Le

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No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Infiltrational anaesthesia 2 1 Surg, Trauma

Stoma care 2 1 Paed, Skill, Surg,

Urol

Neurological history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 10 Neur, Paed

Psychiatrical history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 Psych

Polysomnography 2 1 Neur

10 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Electromyography (EMG) examination 2 1 Neur

Evoked potential examination 2 1 Neur

EEG examination 2 1 Neur, Paed

Carotid ultrasound 1 1 Neur, Rad

Attending antenatal counselling 1 5 Gyn

Genetical interventions in obstetrics 2 1 Gyn, Skill

Examination of a pregnant woman in the 3

rd trimester

1 5 Gyn

Pregnancy ultrasound examination 2 1 Gyn

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 11

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Examination of fetal heart function 1 5 Gyn

Observation of a labouring woman in the birth room

1 5 Gyn

Conducting labour 2 1 Gyn, Skill

Observation of the placental stage of delivery

1 5 Gyn

Caesarean section 2 1 Gyn

12 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Puerperal care 1 5 Gyn

Gynaecological history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 3 Gyn, Skill

Ultrasound examination in gynaecology 2 1 Gyn

Gynaecologic laparoscopy 2 1 Gyn, Skill

Abdominal operation in gynaecology 2 1 Gyn

Vaginal operation in gynaecology 2 1 Gyn

Minor surgery in gynaecology 2 1 Gyn

Hysteroscopy 2 1 Gyn

IUD insertion and removal 2 1 Gyn

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 13

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Urologic history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 Urol

Practising typical prostate palpation findings on a phantom

1 5 Skill, Urol

Urologic macroscopic and microscopic examination of the urine

1 5 Urol

Presentation of typical urological instrumental examinations, biopsies and operations

2 1 Urol

Urological ultrasound examination 2 1 Urol

Catheterization of the female urethra and removal of the catheter

1 1 Clin, Skill

14 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Catheterization of the male urethra and removal of the catheter

1 1 Clin, Skill

Insertion, replacement and cleansing of transrenal drain

2 1 Urol

Uroflowmetric examination 2 1 Urol

Closed circuit venous blood sampling 1 5 AEI, Clin, Lab,

Skill

Blood sampling from the finger pad 1 5 AEI, Clin, Skill

Preparation and examination of a blood smear

1 5 Clin, Lab

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 15

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Capillary blood sampling for blood gas analysis

1 5 AEI, Clin

Liquor examination, liquorcytology 2 3 Neur, Paed, Skill

Blood glucose determination 1 5 AEI, Clin

Routine urinalysis (rapid test, protein, bilirubin, UBG, specific gravity, pH, urin sediment)

1 5 AEI, Clin, Lab

16 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Faecal occult blood test 1 2 AEI, Int, Lab

Evaluation and interpretation of laboratory findings

1 10 AEI, Clin, Lab

Blood typing 1 3 Clin, Lab

Participating in performing transfusion 1 1 Clin

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 17

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Sampling for microbiological examination (urine, pharynx mucus, sputum, wound excrete, blood culture, stool, etc.)

1 5 AEI, Clin

Evaluation of typical X-ray pictures (thoracic, abdominal, bone, etc.)

1 5 Orthop, Paed, Rad, Trauma

Evaluation of typical CT, MRI pictures 1 5 Clin, Rad

Typical radiologic examinations (diagnostic X-ray, MRI, CT, mammography)

2 1 Clin, Rad

Routine ultrasound examinations (abdominal, soft tissue, vascular/Doppler, etc.) 2 1

Clin, Paed, Rad, Skill

Arterial angiography and vascular intervention

2 1 Rad

18 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Nuclear medicine examinations 2 1 Rad

Examination of reaction to radiation-exposure (skin, mucous membrane)

2 1 Oncol

Nonvascular radiologic intervention 2 1 Rad

Emergency ultrasound, focused assessment with sonography for trauma (FAST)

2 1 AITI, Emerg,

Paed, Pulm, Rad, Skill, Trauma

Urological X-ray examinations, intravenous urography, anterograde pyelography, cystography

2 1 Rad, Urol

Dermatological history taking, physical and instrumental examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 Derm

Treatment of crural ulcers 2 1 AEI, Clin

Treatment of bedsore (decubitus) 2 1 AEI, Clin

Allergy skin test 2 1 Derm, Pulm

Light sensitivity test 2 1 Derm

Phototherapy 2 1 Derm

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 19

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Paediatric history taking and physical ex-amination at infants, children, new-born babies. (General condition, development, state of nourishment, measurement of somatometric data. Examination of the skin, of the turgor, oedema. Examination of the mucous membranes. Examination of the ear, nose, oral cavity pharynx and tongue. Chest examination. Auscultation and percussion of the lungs. Heart sounds, heart murmurs, pulse, capillary function, palpation of the a. femoralis. Palpation of the abdomen, auscultation of intestinal sounds. Examination of the navel. Palpation of the liver and spleen. Examination of the urogenital organs. Examination of meningeal signs, focal neurological signs, reflexes)

1 10 Paed

Examination and evaluation of the signs of puberty

1 5 Paed

20 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Infant-resuscitation on a phantom 1 5 Paed, Skill

The application and assessment of the Glasgow Coma Scale (GCS) in childhood

1 5 Paed

Administration of im., sc., iv. injections in infants and children

2 1 Paed

Intravenous cannulation in infants and children

2 1 Paed, Skill

Development-neurological examination 2 1 Genet, Paed

Genetic counseling 2 1 Genet, Paed

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 21

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Taking blood pressure in new-born babies, infants and children

1 5 AEI, Paed

Ear-nose-throat (ENT) history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 ENT

Typical ENT examination using instruments

2 1 ENT

Conicotomy 2 1 AITI, Emerg,

ENT, Skill

Orthopaedic history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 Orthop

22 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

History taking and physical examination of patients with chronic locomotor diseases, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 Orthop, Rheuma

Starting medical rehabilitation, documentation and evaluation

1 1 Clin

Medical rehabilitation techniques 2 1 Clin

Medical first aid 1 5 AEI, Clin, Skill

Basic life support (BLS) 1 5 Clin, Skill

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 23

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Complex cardiopulmonary resuscitation (advanced life support, ALS)

1 5 Clin, Skill

Artificial respiration using a face mask at adults

1 10 AITI, Emerg,

Skill

24 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Introduction of a laryngeal mask at adults 1 5 AITI, Emerg,

Skill

Endotracheal intubation at adults 1 5 AITI, Emerg,

Skill

Defibrillation, electrical cardioversion 2 1 AITI, Heart, Int,

Skill

Evaluation of disorientations and of the Glasgow Coma Scale (GCS) at adults

1 5 AITI, Emerg, Int,

Neur

Demonstration of the application of an anaesthesia workstation

2 1 AITI, Int, Neur

Application of oxygen therapy 1 1 Clin

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 25

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Epidural anaesthesia 2 1 AITI, Skill

Insertion of a central venous catheter 2 1 AITI

Measurement of the central venous pressure

2 1 AITI

Injection (subcutaneous, intramuscular and intravenous)

1 10 AEI, Clin, Skill

26 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Puncture and cannulation of peripheral vein in adults

1 10 AEI, Clin, Skill

Intraosseous cannulation 2 1 AITI, Emerg, Int,

Paed, Skill, Trauma

Suction of the oral cavity and pharynx 2 1 AITI, Int, Neur,

Paed

Arterial puncture 1 1 AITI, Emerg, Int, Neur, Skill, Heart

Sampling of blood for arterial blood gas analysis

2 1 AITI, Heart, Int

Locoregional anaesthesia 2 1 AITI, Trauma

Invasive arterial blood pressure monitoring

2 1 AITI, Heart, Int

Pleural tap (thoracic puncture), insertion of pleural drain

2 1 AITI, Int, Paed,

Pulm, Surg, Trauma

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 27

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Diagnosis and management of pneumothorax

2 1 AITI, Emerg, Int,

Paed, Pulm, Skill, Surg

Basic dental examination 1 5 Dent

Ambulatory dental surgical interventions 2 1 Dent

Ophthalmologic history taking and physical examination, preparation of a diagnostic and therapeutic plan, evaluation of test results, compilation of patient documentation

1 5 Ophthalm

Instrumental examinations in ophthalmology

2 1 Ophthalm

Ophthalmologic emergency treatment 2 1 Ophthalm

28 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

Intervention or skill to be acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

Communication during patient care (verbal, mother tongue, foreign language, interpreter, telephone, non-verbal, written) (doctor-patient, doctor-patient’s relative, doctor-doctor, doctor-medical personnel), communication with a dying patient and with the family members, patient management, patient care, counselling, communication with a disabled person, giving information, acquiring and documenting informed patient consent, psychologic support of the patient

1 5 AEI, Clin

Examination of a dead person, post-mortem examination, initiating autopsy

2 1 AEI, Clin

Writing a forensic medical report 1 1 Forensic

Documentation on patient care (diagnostic and therapeutic plan, patient file, referral, evaluation of test results, complete medical documentation, final report)

1 10 AEI, Clin

Please write your name and Neptun code on each page! Name: .................................................. Neptun code: ................................ 29

Additional acquired skills

Intervention or skill acquired

Le

vel

No

. Department authorised to

certify the skill

Date of accomplish-ment

Name of instructor in block letters

Signature of the instructor

Seal number of the instructor

30 Name .......................................................... Neptun code: ............................................... Please write your name and Neptun code on each page!

I the undersigned being fully aware of my legal liability do declare that the entries of the Gradebook are true; I have acquired the skills certified with the signatures on the required level.

Date: ................................................................. ................................................................... student’s signature

Countersigned and closed:

Date: ................................................................. ................................................................... (Registrar’s Office)