'I

AUTHORS: I.V.Karnialiuk, MD, Ph. D., Associa I.A.Varonko, MD, Ph. D., Associate O.V.Laskina, MD, Assistant, (department о A.K.Tushina, MD, Ph. D., Associate

:e Pro Profes

R E C O M M E N D E D FOR A P P R O V A L BY:

essor, lsl department of internal diseases; sor, 2nd department of internal diseases; f cardiology and internal diseases;

Professor, 2nd department of internal diseases.

1st department of internal diseases of ed| medical university" (protocol № 10 dated

ucational establishment "Belarusian state 5.04.2019) on

2 department of internal diseases of educational establishment "Belarusian state medical university" (protocol № 13 dated on 11.05.2019)

Department of cardiology and internal "Belarusian state medical university" (proi

Considered and approved at a meeting therapeutical disciplines of educational university" (protocol №227/10 dated on 14

diseases of educational establishment tbcol 15 № dated on 04.05.2019)

of the Methodological committee of establishment "Belarusian state medical .05.2019)

3

EXPLANATORY NOTE

The organization and procedure for established by the Resolution of the Council of Ministers of the Republic of Belarus dated June 3, 2010, No. 860 "Oft the approval of the regulation on the practice of students, cadets, and listeners Council of Ministers dated on 04.08.2011 11.09.2012 No. 844, on 08.05.2013 No. Regulation "On the practice of students of the educational institution "Belarusian State Medical University" No. 118 dated oL 29.01.2014.

The aim of the medical clinical practice in internal diseases is to consolidate the gained knowledge and to acquire performing the professional activity of the

conducting medical clinical practice are

' (formulated by the Resolution of the No. 1049, on 09.12.2011 No. 1663, on

356, on 22.08.2013 No. № 736) and the

the skills and abilities necessary for doctor.

The tasks of the clinical medidal practice of students are: - acquaintance with the structure of a specific health care institution and the

organization of the work of medical personnel; - formation of the foundations of social and personal competence by acquiring

the skills of interpersonal communication with medical staff and patients; - improving and systematization of knowledge and the formation of

professional competence through the acquisition the skills of practical application of knowledge gained in studying the discipline of internal diseases;

- working out and improving the practical skills necessary for self-employment, including high-tech equipment technologies.

Medical clinical practical training in therapy is carried out by students in medical posts as physician's assistant of the therapeutic inpatient unit of a health care institution.

During the period of medical clinical practice in therapy, students follow all the rules of internal labor regulations of the basic health care institution. Students should have a personal medical record book and know the instructions on safe working conditions.

A t the end of the clinical internship s1: should know:

regulatory legal acts of the Belarus.,

orders and instructions governing the sanitary and anti-epidemic regime in a health care institution,

the role and tasks of the doctc medical care to the population,

rules for registration of accounting and reporting documentation in the hospital,

udents

Ministry of Health of the Republic of

or in providing qualified and specialized

principles of emergency care, modern me thods of diagnosis and treatment of therapeutic diseases, order of drug provision of patients, principles of drug therapy, basics of medical labor examination,

other specialists and services,

of consciousness and the severity of the

principles of cooperation with rules and norms of labor protection and fire safety,

should be able to: evaluate the patient's level

condition; collect anamnesis morbi ancjl vitae, identify the main and additional

complaints of the patient; carry out a physical examinadon of the patient according to the organs

and systems: respiration, cardiovascular, gastrointestinal, biliary system, musculoskeletal system;

identify and interpret the identified pathology; analyze and present the data obtained in the case history; justify the preliminary diagnosis; determine the plan of laboratory and instrumental examination in order

to verify the diagnosis; interpret the results of laboratory tests: blood (clinical, biochemical,

immunological, hemostasiological), urine (general, according to Nechypoirenko, Zimnitsky, etc.), pleural, ascitic and cerebrospinal fluids;

interpret the results of instrumental studies of internal organs and joints (electrocardiographic, spirographic, radiological, radiological, ultrasound, endoscopic);

to perform differential diagnostics and formulate a clinical diagnosis; determine the likely prognosis and tactics of treatment; prescribe and approve etiotropic, pathogenetic and symptomatic therapy,

its duration; to determine the program of primary and secondary prevention, to set

up an individual rehabilitation program; draw up a case history,

should be able to provide emilf - fainting; - acute respiratory failure (pneumothorax, adult respiratory distress

syndrome, pulmonary thromboembolism); - asthma attack; - acute coronary syndrome, unstable angina, myocardial infarction; - shock (cardiogenic, anaphylactic, infectious-toxic, hemorrhagic); - acute left ventricular failure; - arrhythmias and blockades (paroxysmal tachycardia, atrial fibrillation

and ventricles, severe bradycardia, Morgagni-Edems-Stokes syndrome); - hypertensive crisis; - acute violation of cerebral circijilation; - acute allergic reactions (urticar ia, angioedema, laryngeal edema); - acute renal failure; - acute urinaiy retention; - acute liver failure;

ergcncy assistance in case of:

e pulse and respiration, determining the

- coma (hypoglycemic, hyperosmolar, ketoacidotic, alcoholic, hepatic, renal, hyperthermic, epilepticj apoplexic, adrenal, etc.);

- thermal and solar shock; - insect bites, animals, snakes; - drowning and electric shock,

should be able to perform: - measurements of body temperature; - counting the frequency of tl

characteristics and deficit of the pulse; - blood pressure measurement; - ECG recording and analyzing; - determine the function of external respiration - gastric lavage with a thick stomach tube; - gastric sensing to study gastric secretion; - bladder catheterization; - carrying out cleansing enemas - determination of blood group ^nd rhesus factor - transfusions of erythrocyte

substitutes; - puncture of the veins, intraven - stopping of capillary, venous ^nd arterial bleeding; - indirect heart massage; - artificial respiration.

A total of 162 academic hours are therapy during 3 weeks after 10 semesters

mass, plasma, blood products, blood

DUS injection;

bases of the practice of the Belarusiatji State Medical University educational institution for a period of five years.

Of these, 108 classroom hours, 54 h Audience hours include 2 shifts.

The current attestation is carried out specialty in the form of a differentiated te

ours of independent work of the student.

in accordance with the curriculum in the st (10 semester), taking into account the

'Clinical Medical Practice Diary" submitted by the student. Differentiated assessment is determined by the student fulfilling the test of standards for medical clinical work practice, the level of knowledge and skills obtained by the student in the course.

allocated to medical clinical practice in in health care institutions, which are the

CONTENT OF EDUCATIONAL PR PRACTICE

()(i RAM OF MEDICAL CLINICAL IN THERAPY

1. Vehicle and equipment of the hos Safe working conditions, fire safety rul Medical equipment. Rules of asepsis and antiseptics, methods medical personnel, sanitary and anti-epide

pital's departments es. Medical instalments and materials.

m

methi 2. Professional techniques and Passing the clinical practical training

volume of the qualification requirements qualification category.

2.1. Functions of a theirape faculty during the period of industrial pyro

designing a diagnosis ar̂ d treat compliance with labor protect! interaction and manage

2.2. Official duties of a doctor о student during the work practice for the practice student:

2.2.1. carries out professional 2.2.2. determines the severit

ods of work in therapy, the student fulfills 50% of the Df a doctor's position that does not have a

utic dhysician (5th-year student of the medical technics in therapy): rnent to the patient; on rules;

ment

THEMES AND FORMS OF SANIT Approximate topics for individua Rational nutrition of patients with сг

ARY AND ED health educatioifi rdiovascular path

Rational nutrition of patients with di abetes mellitus ents

Patient and physician collaboration for occupational Rational nutrition of overweig ht pati

Features of primary and secondary p

UCATIONAL WORK conversations:

ology Rational nutrition of patients with pathology of the gastrointestinal tract

ci

1 1.1. 1.2. 1.3. 1.4. 1.5. 1.6. 1.7. Smoking as a risk factor for diseases of the respirato system, gastrointestinal tract 1.8. Hypodynamia as a risk factor for tb physical activity regimens for IHD, AH, obesity 1.9. Obesity as a risk factor for the development of disei: system, musculoskeletal system, organs of the gastrointestin 2. Approximate topics for discussion 2.1. The role of hypodynamia in the development of ische Questions

2.1.1. Is physical activity contraindicatled for heart dis0^s 2.1.2. Which types of physical activity should be pres

patients (healthy individuals, patients with coronary artery disease, patients

2.1.3. What periodicity of the physic groups of patients (healthy indiv with coronary artery disease, patients with CHF)

2.1.4. What is the intensity of physical activity shoul groups of patients (health)' indiv with coronary artery disease, pat

2.1.5. How to determine the individual

seases revention of ocdiipational diseases

ry system, cardiovascular

e development of cardiovascular diseases,

ses of the cardiovascular al tract

:nic heart disease.

hyp with CHF)? al activity shoul iduals, patients v*,

iduals, patients v ients with CIU )'.: optimal load for

2.2. The dangers of smoking Questions:

2.2.1. 2.2.2. 2.2.3.

2.2.4. 2.2.5.

2.3. The Questions:

2.3.1. 2.3.2. 2.3.3.

2.3.4.

What causes the harmful effects Is there a safe dose of smoking? What is more harmful, stress smoking? What are the ways to quit smoki Will the electronic cigarette help dangers of alcohol

What causes harmful effects of Alcohol on the bo Is there a safe dose of alcohol? Do you need a complete wan patients? What types of alcohol are most Harmful?

of tobacco on the

due to quitting

fig? 9

er of alcohol a

;e? ent in different groups of

ertension, patients with

d be present in different ith hypertension, patients

d be present in different ith hypertension, patients

each patient?

body?

smoking or continuing

dy?

rid for which groups of

8

bij

dise

2.4. Balanced diet Questions:

2.4.1. What is the energy requirement 2.4.2. What foods most calories 2.4.3. What foods contain the most fat 2.4.4. What foods contain the most pr< 2.4.5. What foods are good for overwe 2.4.6. What cooking methods are bene

3. Approximate topics for sanitarj 3.1. Rational nutrition for cardiovascular 3.2. Rational nutrition for diabetes 3.3. Rational nutrition for peptic ulcer 3.4. Risk factors for cardiovascular disea 3.5. Prevention of acute respiratory illne 4. Approximate topics for sanitary a 4.1. FLisk factors for the development of 4.2. FLisk factors for the development of 4.3. FLisk factors for the development of ( 4.4. FLisk factors for kidney disease. 4.5. Non-drug treatment of hypertension. 4.6. Non-drug treatment of kidney dise 4.7. Phytotherapy of chronic obstructive 4.8. Prevention of complications of acute 4.9. Smoking as a risk factor for disease^ system, gastrointestinal tract. 4.10. Hypodynamia as a risk factor for th physical activity regimens for IHD, AH, 4.11. Peptic ulcer and duodenal ulcer prevention. 4.12. Obesity as a risk factor for the dev system, musculoskeletal system, organs of 4.13. Vitamins and their role in human nut

of different patient groups?

and carbohydrates? d>tein and vitamins?

ght people? icial and which are harmful? Iletins:

diseases

:ase ses s complications

educational lectures: diseases of the cardiovascular system, respiratory diseases,

iseases of the gastrointestinal tract.

ase

obe

bronchitis. respiratory diseases. of the respiratory system, cardiovascular

cS

development of cardiovascular diseases, sity. e risk factors,! primary and secondary

elopment of diseases of the cardiovascular he gastrointestinal tract, "ition.

INFORMATION AND ME

CALENDAR AND THEMATIC PL

?

TIIODOLOGICAL PART

AN OF THE PRACTICAL TRAINING

Type of work Number of days

Number of hours

Familiarization with the structure of heall the organization of protective and sanitary study of the regulatory framework, equ equipment

th facilities, regime, the ipment and

1 7

Patient curation, participation in medi prepara tion of medical records, the appoini examination and treatment of supervised p;

:al rounds, ment of the itients

8 45

Practicing practical skills in monitoring se^ in therapeutic wards

'ere patients 2 12

Practicing practical skills to therapeutic and diagnostic procedure

perfoi s

m certain 2 16

Practical skills in emergency care 2 14 Shift in the admission department - 7 Shift in the therapeutic department - 7

Total: 15 days 108 hours

ID

1. METHODICAL INSTRUCTIONS FOR PRACTITIONERS AND STUDENTS

Medical clinical practice in therapy is held on the basis of therapeutic departments of therapy, cardiology, pulmonology, rheumatology, gastroenterology, nephrology.

Practical activities of students include daily work in the hospital and attending of a night shift in one of the therapeutic departments and a night shift in the admission department.

During practice, the students get acquainted with the organization of the work of the department and the procedure of issuing sick-leaves and other medical documentation. Under the supervision of the head of the practice, the student supervises 5-8 patients in the hospital, takes part in daily medical rounds, fulfills medical records (initial examination, observation diaries, discharge epicrisis), as well as, under the supervision of the attending assigns examination and treatment to supe diagnostic work of a student with patients i

Llnder the supervision of the head о

physician and the head of the department, rvised patients. Independent medical and

not allowed. f the medical clinical practice in therapy,

the student performs simple diagnostic and therapeutic procedures: measurement of blood pressure, ECG recording, spirometry, bladder catheterization, etc. (see the list of necessary practical skills), and also participates in emergency care procedures in life-threatening conditions. During the practice, the student participates in laboratory and instrumental studies; therapeutic and physiotherapeutic procedures.

During shifts, the student takes part in the admission of incoming patients, conducting urgent diagnostic and therapeutic measures; monitoring of patients in severe condition hospitalized in therapeutic!and admission departments.

Implementation of crediting standards ensures the acquisition of practical training at the required level.

Educational, methodological and organizational management of medical clinical practice in therapy is carried out by teachers of the 1st department of internal diseases, the 2nd department of internal diseases, the department of cardiology and internal diseases.

The direct management of the practice in the medical institution is carried out by the deputy head of healthcare facility and the heads of the therapeutic departments (hereinafter referred to as the heads of the practice), who confirm the student's attendance of practice and the description of his daily work by their signature in the diary.

The teachers of the 1st department of internal diseases, the 2nd department of internal diseases, the department of cardiology and internal diseases are responsible for the quality of the medical clinical practice in therapy:

- supervise the organization and conduct of the practice; - monitor the implementation of the program of practice; - provide students with practical organizational methodological assistance;

11

- check diaries and reports of students; - take a differentiated credit on the place of practice or in the classrooms. The head of the practice from the healthcare facility, which is the base of the

practice, is also responsible for the quality of the medical clinical practice: - instructs students on safety conditions (hereinafter - SC) and labor protection

(hereinafter - LP); - identifies and promptly eliminates deficiencies in the course of the practice,

and, if necessary, report them to the management of the educational institution "Belarusian State Medical University" and the healthcare facility;

- controls student's discipline; - informs the dean of the student's practice debts; - creates the necessary conditions for students to complete the practice

program; - at the end of the practice, gives a description of the work of each student,

which is signed by the head of the practice, the head physician and sealed by the health institution {Appendix No. 4)\

- performs other necessary duties.

OBLIGATIONS OF THE STUDENT DURING THE PRACTICE

During the internship the student has to: 1. See the website with the program of medical clinical practice in therapy; 2. To follow the rules of the internal regulations of a healthcare facility; 3. Comply with the principles of deontology; 4. To follow the medical clinical practice program. 5. Comply with the rules and regulations of SC and LP, fire safety and

industrial hygiene. During the internship the student must fulfill a "Diary of medical clinical

practice in therapy" 1. The diary is a document which records the! implementation of the

program of medical clinical practice and details all the manipulations performed during the working day.

The student records the main points of his introductory and practical activities in various departments of the healthcare facility, indicating which procedures, diagnostic tests or other manipulations he attended or performed independently under the guidance of health workers daily.

2. The report is compiled at the end of medical clinical practice. It should contain a list of medical manipulations which were attended by the student; a list of medical manipulations (with an indication of their number), which the student performed independently under the guidance of the medical staff. It is necessary to give a phased description of all the actions of one of the medical manipulations, which the student most often independently carried out during the practice.

At the end of the practice, the diary, the report (.Appendices 1, 2, 3) is signed by the head of the practice, the head physician and sealed by the health care institution.

QUESTIONS FOR PREPARATION FOR THE DIFFERENTIATED CREDIT

1. Interpret the total blood county 2. Interpret urinalysis 3. Interpret biochemical blood test 4. Interpret the coagulogram. 5. Decipher ECG 6. Describe the chest radiographs. 7. Outline the technique of gastric sensing. 8. Outline a man's catheterization technique. 9. Outline a woman's catheterization technique. 10.Outline the methodology for determining blood group and Rh factor. 11.Outline the methodology for carrying out stress tests (VEP, treadmill test) 12.Outline the method of indirect heart massage 13.Outline the procedure for performing cardiopulmonary resuscitation. 14.Outline the procedure for assisting a patient with pneumothorax 15.Outline the procedure for assisting the patient with pulmonary embolism 16.Outline the procedure for assisting a patient with an asthma attack in bronchial

asthma. 17.Outline the procedure for assisting a patient with an asthmatic status. 18.Outline the procedure for assisting a patient with respiratory distress syndrome

in adults 19.Outline the procedure for assisting a patient with cardiogenic shock. 20.Outline the procedure for assisting a patient with anaphylactic shock. 21.Outline the procedure for assisting a patient with hemorrhagic shock. 22.Outline the procedure for assisting a patient with hypovolemic shock. 23.Outline the procedure for assisting a patient with an infectious-toxic shock. 24.Outline the procedure for assisting a patient with acute left ventricular failure

and pulmonary edema. 25.Outline the procedure for assisting a patient with paroxysm of monomoiphic

ventricular tachycardia 26.Outline the procedure for assisting a patient with torsades de pointes pirouette

tachycardia 27.Outline the procedure for assisting a patient with atrial fibrillation paroxysm. 28.Outline the procedure for assisting a patient with supraventricular tachycardia 29.Outline the procedure for assisting a patient with AV paroxysm of reciprocal

tachycardia with WPW syndrome 30.Outline the procedure for assisting a patient with atrial tachycardia paroxysm. 31.Outline the procedure for assisting a patient with a paroxysm of atrio-

ventricular nodal reciprocal tachycardia 32.Outline the procedure for assisting a patient with frequent ventricular

extrasystoles

13

33.Outline the procedure for assisting the patient with a complete AV block. 34.Outline the procedure for assisting a patient with an uncomplicated

hypertensive crisis. 35.Outline the procedure for assisting a patient with a cardiac hypertensive crisis

complicated by acute left ventricular failure 36.Outline the procedure for assisting a patient with a cardiac hypertensive crisis

complicated by acute coronary syndrome. 37.Outline the procedure for assisting a patient with a cardiac hypertensive crisis

complicated by aortic dissection. 38.Outline the procedure for assisting a patient with a cerebral hypertensive crisis

complicated by ischemic stroke. 39.Outline the procedure for assisting a patient with a cerebral hypertensive crisis

complicated by hemorrhagic stroke. 40.Outline the procedure for assisting a patient with cerebral hypertensive crisis

complicated by acute hypertensive encephalopathy. 41 .Outline the procedure for assisting a patient with aortic dissection. 42.Outline the procedure for assisting a patient with angioedema. 43.Outline the procedure for assisting a patient with an acute allergic reaction

(urticaria) 44.Outline the procedure for assisting a patient with laryngeal edema. 45.Outline the procedure for assisting a patient with a hyperglycemic ketoacidotic

coma 46.Outline the procedure for assisting a patient with hyperglycemic hyperosmolar

coma 47.Outline the procedure for assisting a patient with hypoglycemic coma 48.Outline the procedure for assisting a patient with acute baked encephalopia. 49.Outline the procedure for assisting a patient with acute adrenal insufficiency. 50.Outline the procedure for assisting a patient with acute renal failure. 51.Outline the procedure for assisting a patient with acute urinary retention. 52.Outline the procedure for assisting a patient with acute hyperthermia. 53.Outline the procedure for assisting a patient with heat stroke. 54.Outline the procedure for assisting a patient with sunstroke. 55.Outline a procedure for assisting a patient with a swoon. 56.The wording of the diagnosis of myocardial infarction in accordance with the

classification 57.The procedure for formulating the diagnosis of arterial hypertension according

to the classification 58.The procedure for formulating the diagnosis of bronchial asthma in accordance

with the classification 59.The wording of the diagnosis of COPD according to the classification 60.The wording of the diagnos is of pneumonia in accordance with the

classification 61.The wording of the diagnosis of rheumatism in accordance with the

classification

\и

62. The procedure for fonriulating the diagnosis of stable angina in accordance with the classification

63.The wording of the diagnosis of glomerulonephritis in accordance with the classification

64.The wording of the diagnosis of pyelonephritis in accordance with the classification

65.The wording of the diagnosis of anemia in accordance with the classification 66.The wording of the diagnosis of gastric ulcer and 12 duodenal ulcer in

accordance with the classification 67. The wording of the diagnosis of GERD in accordance with the classification 68.The wording of the diagnosis of hepatitis in accordance with the classificat ion 69.The procedure for formulating the diagnosis of liver cirrhosis according to the

classification 70.Tactics of treating a patient with acute coronary syndrome with ST segment

elevation 71.Tactics of treating a patient with acute coronary syndrome without ST segment

elevation 72.Diagnostic criteria for myocardial infarction 73.Tactics of treating a patient with arterial hypertension 74.Tactics of treating a patient with stable angina. 75.Tactics of treating a patient with peptic ulcer and duodenal ulcer 76.Tactics of treating a patient with GERD 77.Tactics for treating a patient with COPD 78.Tactics of treating a patient with community-acquired pneumonia 79.Tactics of treating a patient with bronchial asthma 80.Treatment tactics for patients with chronic glomerulonephritis 81.Tactics of treating a patient with acute glomerulonephritis 82.Tactics of treating a patient with chronic pyelonephritis 83.Tactics of treating a patient with acute rheumatic fever. Secondary prevention

LIST OF PRACTICAL SKILLS IMPLEMENTED DURING PRACTICE

1. Interpretation of complete blood count 2. Interpretation of urinalysis 3. Interpretation of biochemical analysis of blood 4. Interpretation of coagulogram 5. D etermination of blood type and Rh factor 6. ECG decoding 7. Ultrasound examination of abdominal organs 8. Fiibroesophagogastroduodenoscopy 9. Fibrocolonoscopy 10.Description of radiographs of the chest organs 11 .Male catheterization 12.Catheterization of the bladder in a woman 13.Carrying out load test (YEP, treadmill test)

15

14. Pleural puncture for pneumothorax 15.Pleural puncture with hydrothorax 16. Abdominal puncture for ascites 17. Assist patient with asthma attack with asthma and asthmatic status 18.Assist patient with cardiogenic shock. 19.Assist patient with anaphylactic shock 20.Assisting a patient with hemorrhagic shock 21 .Assisting a patient with hypovolemic shock 22. Assisting a patient with an infectious-toxic shock. 23.Assisting a patient with acute left ventricular failure and pulmonary edema 24.Cardiopulmonary resuscitation 25.Assisting a patient with paroxysm of monomorphic ventricular tachycardia 26.Assisting a patient with torsades de pointes pirouette tachycardia 27. Assisting a patient with paroxysm of atrial fibrillation 28. Assist patient with supraventricular tachycardia 29.Assisting a patient with paroxysm of AV reciprocating tachycardia in the

background of WPW syndrome 30. Assisting a patient with paroxysm of atrial tachycardia 31.Assisting a patient with paroxysm of atrio-ventricular nodal reciprocal

tachycardia 32.Assisting the patient with complete AV block 33.Assisting a patient with an uncomplicated hypertensive crisis 34.Assisting a patient with a cardiac hypertensive crisis complicated by acute left

ventricular failure 35.Assisting a patient with a cardiac hypertensive crisis complicated by acute

coronary syndrome 36.Assisting a patient with a cardiac hypertensive crisis complicated by aortic

dissection 37.Assisting a patient with a cerebral hypertensive crisis complicated by ischemic

stroke 38.Assisting a patient with a cerebral hypertensive crisis complicated by

hemorrhagic stroke 39.Assisting a patient with cerebral hypertensive crisis complicated by acute

hypertensive encephalopathy 40. Assist patient with aontic: dissection 41.Assist patient with angioedema 42. Assisting a patient with an acute allergic reaction (urticaria) 43.Assist patient with laryngeal edema 44. Assisting a patient with hyperglycemic ketoacidotic coma 45.Assisting a patient with hyperglycemic hyperosmolar coma 46.Assisting a patient with a hypoglycemic coma 47. Assisting a patient with acute hepatic encephalopia 48.Assisting a patient with acute adrenal insufficiency 49.Assisting a patient with acute renal failure 50.Assisting a patient with acute urinary retention

1(5

51. Assisting a patient with acute hyperthermia 52.Assist patient with heat stroke 53.Assist patient with sunstroke 54. Assisting the patient with fainting

17

Appendix 1. A sample design of the title page of the diary

M I N I S T R Y O F H E A L T H O F T H E R E P U B L I C O F B E L A R U S

Educational establishment BELARUSIAN STATE MEDICAL UNIVERSITY

APPROVED

Chief doctor

Name

D I A R Y CLINICAL INPATIENT PRACTICE

(THERAPY)

(Full Name)

Faculty Year of education Academic group №

Base of practice (name of health care facility)

Head of medical facility

practice from healthcare

(Surname N.P.)

BSMU Lecturer __

(Surname N. P.)

2 0

19 Appendix 2. Approximate form of student 's diary

Date Forms and types of work

Only the types of work performed by the student are listed, indicating the degree of participation (observed, assisted, performed independently). Desirable student's own assessment of the total working day, an analysis of the current result of practical training when compared with credit standards.

Signature of person in

charge

Student's signature (daily)

Date, the signature of the head (for the week)

Notes: . 1. The diary must be kept by hand. Entries are done in a neat, legible

handwriting. Corrections, additions after sighting of records by the head of practice are not allowed.

2. Registration of the report, characteristics is carried out on paper A4 format, using MS Word-2003 (or later) and is carried out in accordance with the requirements of the state standard STB 6-38-2004 for details, text, design of the document and data in tables.

3. The signature of the supervisor in the practice diary, the practice report and the student profile is certified in the prescribed manner.

4. Diaries, reports, characteristics, and other documents for each type of manufacturing practice are stored in accordance with the nomenclature of affairs of the departments of the Belarusian State Medical University responsible for organizing production practices.

Appendix 3. Practice Report Form

APPROVED Head of the hospital (name of health care

facility)

20

N.P. Surname

stamp

Student's report (Full Name)

about (type of) medical practice based on

(the name of the health care institution in accordance with the state registry)

from till

Appendix to the report. Student's research work on the topic "Name"1.

Student (signature)

Head of medical practice from healthcare facility

(signature)

2Р

Test Standards for Practical Training

Type of practical training, the name of the manipulation (methodology)

Total Performed independently

Therapy, total

1. Examined patients in the hospital 90 60

2. Shift in the hospital 1 1

3. Shift in the admission department 1 1

4. Presence on morning shift's delivery 15 15 5. Participation in patient rounds 15 15

6. Assistance for additional research: - X-ray investigations - Echocardiography - recording and analyzing of ECG - carrying out physiotherapy procedures - ultrasound of the abdominal cavity - endoscopic examinations

6 6 20 10 6 3

1 1 20 5 1 1

7. Measurement of blood pressure, heart rate, heart rate assessment

90 90

8. Participation in the pleural punctures 2 1

9. Participation in the abdominal punctures 2 1

10. Participation in resuscitation 2 2

11. Emergency assistance 6 6

12. Presence in laboratory studies 9 1

13. Sanitary and educational conversations (individual or group)

15 15

14. Injection done: «> intravenous 12 12

Appendix 4. Approximate form of the characteristic

C H A R A C T E R I S T I C

Of the student (full name)

(Surname N.P. of the student) passed (type) clinical practice on the base of healthcare facility ("Name") in (offices, • departments) since 00.00.20 to 00.00.20 . The characteristics should reflect the professional qualities of the student-trainee, the demonstrated ability to acquire professional skills by position (specify). Indicate the presence and results of the development of personal qualities necessary for the profession of a doctor. Give an overall assessment of the results of the curriculum practice and the achieved level of practical training. To characterize the relationship with the team, knowledge and implementation of the norms of medical ethics and deontology. In conclusion, it is necessary to give recommendations on the admission of the student to the current attestation on practical training, proposals by the HEI on improving the quality of theoretical training, which precedes the direction of the student to practice.

Chief doctor

stamp

Head of medical practice from the healthcare facility N.P. Surname

(signature)

Acquainted with the characteristic.

datd student's signature (full name)

Note. The volume of the characteristics is no more than one page.

AUTHORS:

Associate Professor of the 1st department of internal diseases, MD, Ph. D.;

Associate Professor of the 2nd department of internal diseases, MD, Ph. D.;

Assistant of the department of cardiology and internal diseases, MD;

signature I.V. Karnialiuk,

LA. Varonko

O.V.Laskina

Associate Professor of the 2 nd

department of internal diseases, MD, Ph. D.;

signature A.K. Tushina

Registration of the curriculum of medical clinical practice in therapy and accompanying documents complies with the established requirements.

Dean of the Medical Faculty for International Students •if OS 2019 r.

Head of the practice from the educational institution "Belarusian State Medical University" 16 Of 201 9t.

Methodist expert educational institutions "Belarusian State medical University" 16 Of 201 9 r.

O. S. Ishutin

L.I. Zilinskaya

O.R. Romanovskaya

Information about the autho rs (developers) of the practice program

Full Name Irina V. Karnialuk Position, academic degree, academic title

Associate Professor, Candidate of Medical Sciences, Associate Professor

Ш official +375297586157 Fax: E-mail: irinakomeluk.59@rnail.ru

Full Name Irina A. Varonko Position, academic degree, academic title

Associate Professor, Candidate of Medical Sciences, Associate Professor

@ official +375296317608 Fax: E-mail: ira7@tut.by

Full Name Olga V. Laskina Position, academic degree, academic title

Assistant of the Department of Cardiology and Internal Diseases

11 official S mobile +375447350090 E-mail: laskinal4@mail.ru

mailto:irinakomeluk.59@rnail.rumailto:ira7@tut.bymailto:laskinal4@mail.ru