Physical exam, chest X-Ray, microbiology, types of pneumonia, basic therapy
Pneumology 3
Patient with suspected lung cancer
Physical examination, chest X-Ray, testing, bronchoscopy, approach to patient with cancer
Pneumology - procedures
Chest X-Ray - how to do and how to read
Spirometry - what does it mean?
1 practice = 1 signature
to obtain clinical credit, student must do 12 practice sessions and present an admission notes
Missed practice sessions can be replaced only after individual agreement of a student with the senior teacher of the cardiology department where the practice was missed and will depend on availability of our doctors due to their clinical duties.
Practical procedures are recommended, but not compulsory.
Schedule of practices - AVSEOB, academic year 2023/24, summer semester, loop 3, 4, 5, week 6-10:
Fyzikální vyšetření, RTG S+P, mikrobiologie, typy pneumonií, základy terapie
Pneumologie 3
Pacient s podezřením na plicní tumor
Fyzikální vyšetření, RTG S+P, možnosti diagnostiky, bronchoskopie, přístup k pacientovi s plicním nádorem
Pneumologie - praktické dovednosti
Hodnocení RTG S+P
Spirometrie:
Podmínkou klinického zápočtu je potvrzená účast na alespoň 12 z celkového počtu 15 klinických praktik (kardiologie a pneumologie).
Praktika lze nahradit po domluvě s vedoucím lékařem každého oddělení – dle provozních možností.
Praktické dovednosti jsou doporučené, ale nejsou povinné.
Rozpis praktik: pro VSEOB, výukový týden 11- 15 LS AR 2023/24, kruh 1, 2
Místo výuky
Praktika
1
2
3
4
5
6
7
8
9
10
11
12
zápočet
datum
2/5
3/5
6/5
7/5
9/5
13/5
15/5
16/5
17/5
27/5
28/5
29/5
31/5
čas
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
9:45-11:15
ROZPIS skupin:
Kardiologie standard C
1
18
17
16
15
14
13
12
11
10
9
8
7
KJ B
2
1
18
17
16
15
14
13
12
11
10
9
8
angiologie amb
3
2
1
18
17
16
15
14
13
12
11
10
9
Kardiologie standard D
4
3
2
1
18
17
16
15
14
13
12
11
10
katlab 1
5
4
3
2
1
18
17
16
15
14
13
12
11
KJ A
6
5
4
3
2
1
18
17
16
15
14
13
12
Kardiologie standard E
7
6
5
4
3
2
1
18
17
16
15
14
13
echo 1
8
7
6
5
4
3
2
1
18
17
16
15
14
arytmologický sál
9
8
7
6
5
4
3
2
1
18
17
16
15
Kardiologie standard C
10
9
8
7
6
5
4
3
2
1
18
17
16
KJ C
11
10
9
8
7
6
5
4
3
2
1
18
17
arytmologická ambulance
12
11
10
9
8
7
6
5
4
3
2
1
18
Kardiologie standard D
13
12
11
10
9
8
7
6
5
4
3
2
1
katlab 2
14
13
12
11
10
9
8
7
6
5
4
3
2
echo 2
15
14
13
12
11
10
9
8
7
6
5
4
3
Kardiologie standard E
16
15
14
13
12
11
10
9
8
7
6
5
4
KJ B
17
16
15
14
13
12
11
10
9
8
7
6
5
angiologický sál
18
17
16
15
14
13
12
11
10
9
8
7
6
Course completion requirements
Last update: doc. MUDr. Viktor Kočka, Ph.D. (21.02.2022)
Organization of course Cardiology, pneumology, cardiac surgery and angiology; Year 4
1. This course forms a significant part of tuition in internal medicine - cardiovascular and pulmonary fields. Emphasis will be placed on the repetition of propedeutics and on gaining experience in diagnostic methods, differential diagnosis, and the basics of therapy. We believe we have prepared an interesting block, there is a recent electronic textbook available (http://www.lf3.cuni.cz/cs/pracoviste/3interni/vyuka/elektronicke_srdce_a_plice/) and a nice ECG textbook was attacked by hackers in the past, but has been repaired and is available for you (www.ucebnice-ekg.cz), but unfortunately only in Czech. Feel free to use the book by John Hampton: ECG made easy. OR just watch: https://www.youtube.com/watch?v=XNXVGAneSyk
2. Participation in this course must be preceded by successful passing of the exam „Basics of general pathology and pathophysiology" in Year 3. This will be verified before the start of our course in SIS; any student not fulfilling this condition can not participate in this course.
3. Practice sessions (bedside teaching) are compulsory, seminars are strongly recommended but not compulsory and lectures are not compulsory.
Practical information: for a clinical part please bring hospital shoes, coat, name badge, stethoscope, ECG ruler may be helpful.
Practice sessions at the Department of Cardiology will be organized in small groups of 2-3 students and distribution of students into specific sites will be available.
Pneumology is taught at University Hospital Bulovka. All parts of this course take place at Pavilion 4 on the hill, it is opposite the Proton Centre. Meet always by the Lecture Hall – 2nd floor on the left.
4. Credit conditions – there are 2 credits, both are independently entered into SIS and your logbook (if you use it). Should a student fail in any of those credits he will need to repeat the whole course. a. Written multiple-choice test from the pre-clinical part, this test will be formed by 30 questions from pharmacology, 30 questions from pathology and 30 questions from pathophysiology. Every test will last 90 minutes in total. Evaluation "passed" requires the correct answer of at least 70% of questions in every field and at the same time at least 75% of all questions. This test is evaluated overall; therefore, even a student who failed in one field only must repeat the whole test. The pre-clinical test will be scheduled at the end of every course block; this test is open only to students of this course; no other students will be allowed to sit it. Further tests will be scheduled: 2 in the winter examination period, 2 in the summer examination period and 1 in September – there will be no limit on the number of students. Students who fail the test 3 times will be examined orally by a panel formed by examiners from fields of pharmacology, pathology, and pathophysiology. In case this is needed one date will be scheduled in September.
Every student has to register for any test in SIS. Should there be any questions as far as the organization of pre-clinical test is concerned, please contact: - Department of pharmacology, Věra Mendlová, DiS or Naďa Hemberová, DiS, tel. 267102524 or 267102404, email: vera.mendlova@lf3.cuni.cz or nadezda.hemberova@lf3.cuni.cz
In case of need, feel free to contact also directly the guarantor of this subject, dr. Váslav Eis, MD, email: vaclav.eis@fnkv.cz.
b. Clinical credit – there has to be 80% presence on practical teaching sessions with the signed logbook (at least 12 signed practise sessions) plus the presentation of a correctly written admission patient admission notes including working diagnosis plus basic differential diagnosis and also to demonstrate physical examination at the patient bedside (or by a simulator). This credit is organised by the Department of Cardiology at the end of every course and participation is compulsory. In case of absence, the student must agree on the replacement credit slot individually with the assigned examiner. This clinical credit can be taken 3 times only.
5. Examination is organized during the examination period only. Successful passing of both above-mentioned credits is necessary to register for the examination in SIS. The examination is oral and the list of questions is available in SIS. There will be enough slots available during the examination periods and also in September. We recommend passing this exam early.
This exam has 2 parts: part 1 consists of ECG description – faultless description is needed to proceed to part 2 and incorrect ECG description results in “failed” classification; part 2 is one question from cardiology and/or pneumology, always including clinically relevant pathology, pathophysiology, pharmacology, clinical propaedeutics, diagnostic methods and if applicable basic therapy. There will be an emphasis on clinical propaedeutics (history and physical examination); poor knowledge will result in classification "failed" even should the other knowledge be acceptable.
6. Students, who studied this subject abroad (i.e. Erasmus programme), will present a document proving their participation including the extent of practical bedside sessions and may receive clinical credit based on this document. All students must pass the preclinical test and final exam organized by 3.LF UK.
7. Teaching specifications during the COVID-19 pandemic:
a) Practice sessions will still be organized in a physical form and are compulsory. Precautionary measures will be followed per currently valid recommendations by Charles University. Every student will sign the declaration: http://covid19.lf3.cuni.cz/cestne-prohlaseni/. Students must have covered their mouth and nose with an FFP2 respirator or surgical mask (i.e. not cloth mask).
b) Should any student not be able to participate in all practical sessions due to objective reasons - i.e. not able to travel to the Czech republic at all, please contact the subject guarantor below and you will be allowed to arrange a clinical practice at an alternative hospital and time. The acknowledgement of this arrangement must be agreed between the guarantor and the teacher responsible for your education, who will be required to fill in your logbook per SIS.
c) Seminars form the knowledge base of this subject and define the minimal extent required to succeed at the exam. Participation in seminars is strongly recommended but not compulsory. Seminars will be presented in person.
d) Lectures form subject extension into every lecturer interesting or favoured topics. All lectures will be presented in person.
e) Preclinical test, clinical credit and final exam will be preferentially organized in person but might also be available online per current epidemiological situation
f) all online teaching in this subject will use the platform Meet 3.LF UK, the online preclinical test will also use the 3. LF UK system.
g) The epidemiological situation is subject to a change and the organization of this subject might need to adapt accordingly. Please, do follow your email inbox which you entered into SIS – we shall use this for all future communication.
Revised by VK on 20.2.2022
Please follow the electronic Time-table on https://rozvrh.lf3.cuni.cz/kalendar/
Distribution of students into Groups for practice sessions held at Department of Cardiology is bellow, the group assignment will be performed at your first practice session on Monday FEB 22 at 08:00 hours
Practice
1
2
3
4
5
6
7
8
9
10
11
12
clinical credit
Date
21.2.
23.2.
28.2.
2.3.
3.3.
7.3.
9.3.
10.3.
11.3.
21.3.
23.3.
24.3.
25.3.
Time
08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00
08:00
11:30
Standard Ward C - 3F
Group 1
18
17
16
15
14
13
12
11
10
9
8
7
Coronary Unit A - 2F
2
1
18
17
16
15
14
13
12
11
10
9
8
Angiology outpatients - 1F
3
2
1
18
17
16
15
14
13
12
11
10
9
Standard Ward D - 2F
4
3
2
1
18
17
16
15
14
13
12
11
10
Cathlab 1 - -1F
5
4
3
2
1
18
17
16
15
14
13
12
11
Coronary Unit C - 3F
6
5
4
3
2
1
18
17
16
15
14
13
12
Standard Ward E - 3F
7
6
5
4
3
2
1
18
17
16
15
14
13
Echo lab 1 - 1F
8
7
6
5
4
3
2
1
18
17
16
15
14
Arrhythmology lab - 0F
9
8
7
6
5
4
3
2
1
18
17
16
15
Standard Ward C - 3F
10
9
8
7
6
5
4
3
2
1
18
17
16
Coronary Unit A - 2F
11
10
9
8
7
6
5
4
3
2
1
18
17
Arrhythmology outpatients - 1F
12
11
10
9
8
7
6
5
4
3
2
1
18
Standard Ward D - 2F
13
12
11
10
9
8
7
6
5
4
3
2
1
Cathlab 2 - -1F
14
13
12
11
10
9
8
7
6
5
4
3
2
Echo lab 2 - 1F
15
14
13
12
11
10
9
8
7
6
5
4
3
Standard Ward E - 3F
16
15
14
13
12
11
10
9
8
7
6
5
4
Coronary Unit C - 3F
17
16
15
14
13
12
11
10
9
8
7
6
5
Angiology lab - -1F
Group 18
17
16
15
14
13
12
11
10
9
8
7
6
Literature -
Last update: doc. MUDr. Viktor Kočka, Ph.D. (12.03.2021)
The basic source is the electronic textbook available here: https://www.lf3.cuni.cz/3LF-1430.html.
Oxford Handbook of Cardiology is great for quick reference.
For ECG use: 1) ECG made easy; 2) http://ucebnice-ekg.cz/ - only in Czech; 3) ECG quiz available at - https://ecg.bidmc.harvard.edu/maven/mavenmain.asp; 4) any other ECG textbook or online quiz per your choice
Large reference textbooks are:
ESC Textbook of Cardiovascular Medicine
Braunwald's Heart Disease
Last update: doc. MUDr. Viktor Kočka, Ph.D. (04.10.2021)
Základní zdroj: P.Widimský, P.Zatloukal, P.Osmančík, Z.Moťovská, P.Gregor, V.Kočka, H.Línková, N.Pauk : Elektronické srdce, plíce. 3.Lékařská fakulta UK Praha, 2011
Elektronická učebnice má celkem 370 stran a je ke stažení na: https://www.lf3.cuni.cz/3LF-1425.html
EKG stručně, jasně, přehledně, 7. vydání, Hampton,, 2013, GRADA
http://www.ekg.kvalitne.cz/obsah.htm
EKG online kvíz interaktivní je na stránkách: https://ecg.bidmc.harvard.edu/maven/mavenmain.asp
Kardiologie, 3. vydání, Štejfa, 2014
Kardiologie, Táborský, Kautzner et al., 2021
P.Widimský a kolektiv : Základní klinické problémy v kardiologii a pneumologii. Praha, Triton 2004
P.Gregor, P.Widimský a kolektiv: Kardiologie. Praha, Galén 1999
Syllabus -
Last update: doc. MUDr. Viktor Kočka, Ph.D. (12.03.2021)
Cardiovascular and pulmonary diseases are together the most frequent cause of mortality and morbidity and cause decreased quality of life for our patients and significant financial cost for the health-care system. Their symptoms are often similar (for example chest pain and dyspnoea) and this course is therefore very suitable for a problem-oriented approach to teaching. There is close cooperation of pre-clinical and clinical specialists and this allows us to offer a complex and multi-faceted way of education.
1) Practice sessions at the bedside.
Every student has to participate in at least 12 clinical practice sessions. The practice schedule ensures a balanced student distribution among all clinical stations.
· Cardiology standard ward
o Patient with chest pain
o Acute versus chronic coronary artery disease
· Cardiology standard ward
o Patient with heart failure
o chest X-Ray, physical exam, causes of dyspnoea, tests and basic therapy
· Cardiology standard ward
o Patient with valvular heart disease
o Physical exam, tests, pre-OP evaluation, valve prostheses types
· Cardiology standard ward
o Patient with arrhythmia - indication for permanent pacing
o Permanent pacing indication, types of pacing, complications
· Cardiology standard ward
o Angiology patient
o Physical exam, ankle-brachial index, acute or chronic ischaemia, tests, basic therapy
· Cardiology standard ward
o Patient with syncope
o Differential dg. of syncope, evaluation of patient history, testing, approach to therapy
· Cardiology standard ward
o Procedures - ward-round, elective admission, informed consent
· Coronary Care Unit
o Patient with acute MI
o ECG analysis, urgent catheterization indication, types of MI, testing, complications, acute phase therapy and long-term medication
· Coronary Care Unit
o Patient with malignant arrhythmia
o History, ECG, acute therapy, cardioversion, ECG monitoring
· Coronary Care Unit
o Patient with large pulmonary embolism
o Risk stratification of PE, diagnosis, chest X-Ray, CT angiography, causes of PE, basic therapy
· Coronary Care Unit
o Patient requiring intubation and ventilation
o Types of shock, physical exam, how to measure haemodynamic data, types of circulation support, basic therapy
· Coronary Care Unit
o Procedures - central vein cannulation, cardioversion/defibrillation, pleural effusion evacuation under ultrasound
· Arhythmology - out-patients
o How to obtain ECG, pacemaker programming
· Angiology out-patients
o Basic principles of vascular ultrasound, clinical exam in angiology
· Echocardiography 1
o Principle of ultrasound, M-mode, 2D, colour doppler. common views, the principle of the TOE
· Echocardiography 2
o How to recognize a tamponade, severe LV systolic dysfunction, pulmonary embolism or severe aortic stenosis?
· Interventional cardiology lab
o Coronary angiography and PCI - indications, risks, informed consent, demonstration
· Interventional cardiology lab
o Basic technique of arterial puncture, haemodynamic data - how to measure invasive pressure
· Interventional angiology lab
o Peripheral angiography and intervention, indications, risks, demonstration
· Arrhythmology lab
o Central vein cannulation, the principle of cardiac pacing and ablation, indications, risks, demonstration
o Physical exam, chest X-Ray, microbiology, types of pneumonia, basic therapy
· Pneumology 3
o Patient with suspected lung cancer
o Physical examination, chest X-Ray, testing, bronchoscopy, approach to the patient with cancer
· Pneumology
o Procedures - chest X-Ray - how to do and how to read; spirometry - what does it mean?
2) Seminars form the basis of the theoretical knowledge base in this subject and cover the whole field of cardiovascular medicine and pneumology. Both preclinical (pathology, pathophysiology, pharmacology) and clinical disciplines are represented. Student participation is strongly recommended but not strictly compulsory.
· Examination methods in angiology, peripheral arterial disease.
· Lung function tests - assessment
· Examination methods in pneumology and x-ray assessment
· COPD, Asthma bronchiale, ILD
· Medication for cardiac ischaemia
· Hypolipidemic medication
· Drugs affecting respiratory system (Asthma, COPD, cough-remedies)
· Overview of drugs in cardiology
· Pneumothorax, Haemothorax, cardiac tamponade
· Inflammation of the Lungs
· Hypertension.
· Diseases of the aorta
· Numerical simulations and models for clinical practice
· Vascular surgery
· Sudden cardiac death, resuscitation.
3) Lectures are voluntary and their topics are selected by lecturers per their selection.
Last update: doc. MUDr. Viktor Kočka, Ph.D. (04.10.2021)
Choroby kardiovaskulární a plicní jsou dohromady určitě nejčastější příčinou úmrtí a jsou zátěží pro pacienty, kterým zhoršují kvalitu života i finanční zátěží pro celý zdravotní systém. Nejčastější symptomy mají nemoci obou těchto orgánů velmi podobné (například bolest na hrudi či dušnost) a tento předmět je tedy velmi vhodný pro problémově orientované pojetí výuky. V rámci tohoto předmětu úzce spolupracují kliničtí a prekliničtí specialisté a nabízíme tedy studentům celostní a komplexní přístup k výuce.
1) Praktická výuka u lůžka - náplň.
Každý student musí absolvovat alespoň 12 klinických praktik, rozpis praktik rovnoměrně přiděluje studenty na všechna oddělení našich klinik.
· Kardiologie standardní oddělení
o Pacient s bolestí na hrudi
o Dif. diagnostika bolesti na hrudi, AKS versus stabilní ICHS, vyšetřovací metody a základy léčby
· Kardiologie standardní oddělení
o Pacient se srdečním selháním
o RTG S+P, fyzikální vyšetření, dif.dg dušnosti, vyšetřovací metody a základy léčby
· Kardiologie standardní oddělení
o Pacient s chlopenní vadou
o Fyzikální vyšetření, vyšetření, příprava k OP, typy chlopenních náhrad
· Kardiologie standardní oddělení
o Arytmologický pacient - implantace KS
o Indikace trvalé KS, EKG se stimulátorem, komplikace KS
· Kardiologie standardní oddělení
o Angiologický pacient
o Fyzikální vyšetření, ABI, akutní versus chronická ischemie DK, vyšetřovací metody, základy léčby
· Kardiologie standardní oddělení
o Pacient se synkopou
o Dif. diagnostika synkopy, rozbor anamnesy, vyšetřovací metody, přístup k léčbě
· Kardiologie standardní oddělení
o Praktické dovednosti - účast na vizitě, příjem elektivního pacienta, inf. souhlas
· Koronární jednotka
o Pacient s akutním IM
o Rozbor EKG, indikace urgentní koronarografie, typy IM, diagnostika, komplikace IM, terapie v akutní fázi a dlouhodobá léčba
· Koronární jednotka
o Pacient s maligní či závažnou arytmií
o Rozbor anamnesy, EKG, akutní možnosti terapie, kardioverze, monitorace EKG
· Koronární jednotka
o Pacient s větší plicní embolií
o Rozdělení PE dle tíže stavu, diagnostika, RTG S+P, CT angiografie plicnice, základní vyšetření etiologie PE, možnosti terapie
· Koronární jednotka
o Kardiologický pacient na UPV
o Diferenciální dg. šoku, fyzikální vyšetření, možnosti monitorace hemodynamických parametrů, možnosti podpor oběhu, základy terapie
· Koronární jednotka
o Praktické dovednosti - punkce CŽK, kardioverze, punkce pleurálního výpotku pod UZ kontrolou
· Arytmologická amnulance
o Jak natočit EKG, jak zkontrolovat kardiostimulátor
· Angiologická ambulance
o Základní principy cévního ultrazvuku, klinické vyšetření angiologického pacienta
· Echokardiografie 1
· Echokardiografie 1
o Základní princip ultrazvuku, M-Mode, 2D, barevný doppler. Obvyklé projekce. Princip TEE.
· Echokardiografie 2
o Jak poznat tamponádu, těžkou dysfunkci LK, plicní embolii a těžkou aortální stenózu? Přenosný ultrazvuk.
o Fyzikální vyšetření, RTG S+P, mikrobiologie, typy pneumonií, základy terapie
· Pneumologie 3
o Pacient s podezřením na plicní tumor
o Fyzikální vyšetření, RTG S+P, možnosti diagnostiky, bronchoskopie, přístup k pacientovi s plicním nádorem
· Pneumologie
o Praktické dovednosti - hodnocení RTG S+P, spirometry
2) Semináře tvoří základ teoretické výuky a pokrývají celou oblast kardiologie a pneumologie z pohledu preklinického (obory patologie, patofyziologie a farmakologie) a klinického. Účast je důrazně doporučena, ale nikoliv povinná.
Názvy a témata seminářů:
· Vyšetřovací metody v kardiologii.
· Fyzikální vyšetření v kardiologii.
· Hypertenze
· Základy EKG.
· Dif.dg.dušnosti.
· Bolesti na hrudi.
· Ischemická choroba srdeční.
· Patologie cév
· ICHS (Atheroskleróza a její důsledky)
· Chlopenní vady, infekční endokarditida.
· AIM, důsledky aterosklerózy
· Záněty plic a průdušek, TBC
· Hypolipidemie
· Arytmie
· Arytmie, synkopa.
· Patologie srdce, plíce
· Kardiomyopatie, myokarditidy, perikarditidy.
· Dysfunke srd. komor, levostranné srd.selhání
· Tromboza, embolie; ventilace a perfuze plic
· Srdeční selhání. (Widimský/Bednář).
· Léčba srdečního selhání
· Plicní embolie, plicní hypertenze.
· Respirační insuficience
· Patologické EKG.
· Zobrazení hrudníku I
· Zobrazení hrudníku II
· Funkční vyšetření plic - hodnocení
· Vyšetřovací metody v pneumologii a hodnocení RTG snímků
· Vyšetřovací metody v angiologii, ischemická choroba dolních končetin.
· Cévní chirurgie(indikace technika,komplikace)
· Onemocnění aorty.
3) Přednášky tvoří nadstavbu a témata jsou tvořena aktuálními prezentacemi dle volby přednášejících. Účast je dobrovolná.
Course completion requirements
Last update: doc. MUDr. Viktor Kočka, Ph.D. (21.02.2022)
Organization of course Cardiology, pneumology, cardiac surgery and angiology; Year 4
1. This course forms a significant part of tuition in internal medicine - cardiovascular and pulmonary fields. Emphasis will be placed on the repetition of propedeutics and on gaining experience in diagnostic methods, differential diagnosis, and the basics of therapy. We believe we have prepared an interesting block, there is a recent electronic textbook available (http://www.lf3.cuni.cz/cs/pracoviste/3interni/vyuka/elektronicke_srdce_a_plice/) and a nice ECG textbook was attacked by hackers in the past, but has been repaired and is available for you (www.ucebnice-ekg.cz), but unfortunately only in Czech. Feel free to use the book by John Hampton: ECG made easy. OR just watch: https://www.youtube.com/watch?v=XNXVGAneSyk
2. Participation in this course must be preceded by successful passing of the exam „Basics of general pathology and pathophysiology" in Year 3. This will be verified before the start of our course in SIS; any student not fulfilling this condition can not participate in this course.
3. Practice sessions (bedside teaching) are compulsory, seminars are strongly recommended but not compulsory and lectures are not compulsory.
Practical information: for a clinical part please bring hospital shoes, coat, name badge, stethoscope, ECG ruler may be helpful.
Practice sessions at the Department of Cardiology will be organized in small groups of 2-3 students and distribution of students into specific sites will be available.
Pneumology is taught at University Hospital Bulovka. All parts of this course take place at Pavilion 4 on the hill, it is opposite the Proton Centre. Meet always by the Lecture Hall – 2nd floor on the left.
4. Credit conditions – there are 2 credits, both are independently entered into SIS and your logbook (if you use it). Should a student fail in any of those credits he will need to repeat the whole course. a. Written multiple-choice test from the pre-clinical part, this test will be formed by 30 questions from pharmacology, 30 questions from pathology and 30 questions from pathophysiology. Every test will last 90 minutes in total. Evaluation "passed" requires the correct answer of at least 70% of questions in every field and at the same time at least 75% of all questions. This test is evaluated overall; therefore, even a student who failed in one field only must repeat the whole test. The pre-clinical test will be scheduled at the end of every course block; this test is open only to students of this course; no other students will be allowed to sit it. Further tests will be scheduled: 2 in the winter examination period, 2 in the summer examination period and 1 in September – there will be no limit on the number of students. Students who fail the test 3 times will be examined orally by a panel formed by examiners from fields of pharmacology, pathology, and pathophysiology. In case this is needed one date will be scheduled in September.
Every student has to register for any test in SIS. Should there be any questions as far as the organization of pre-clinical test is concerned, please contact: - Department of pharmacology, Věra Mendlová, DiS or Naďa Hemberová, DiS, tel. 267102524 or 267102404, email: vera.mendlova@lf3.cuni.cz or nadezda.hemberova@lf3.cuni.cz
In case of need, feel free to contact also directly the guarantor of this subject, dr. Váslav Eis, MD, email: vaclav.eis@fnkv.cz.
b. Clinical credit – there has to be 80% presence on practical teaching sessions with the signed logbook (at least 12 signed practise sessions) plus the presentation of a correctly written admission patient admission notes including working diagnosis plus basic differential diagnosis and also to demonstrate physical examination at the patient bedside (or by a simulator). This credit is organised by the Department of Cardiology at the end of every course and participation is compulsory. In case of absence, the student must agree on the replacement credit slot individually with the assigned examiner. This clinical credit can be taken 3 times only.
5. Examination is organized during the examination period only. Successful passing of both above-mentioned credits is necessary to register for the examination in SIS. The examination is oral and the list of questions is available in SIS. There will be enough slots available during the examination periods and also in September. We recommend passing this exam early.
This exam has 2 parts: part 1 consists of ECG description – faultless description is needed to proceed to part 2 and incorrect ECG description results in “failed” classification; part 2 is one question from cardiology and/or pneumology, always including clinically relevant pathology, pathophysiology, pharmacology, clinical propaedeutics, diagnostic methods and if applicable basic therapy. There will be an emphasis on clinical propaedeutics (history and physical examination); poor knowledge will result in classification "failed" even should the other knowledge be acceptable.
6. Students, who studied this subject abroad (i.e. Erasmus programme), will present a document proving their participation including the extent of practical bedside sessions and may receive clinical credit based on this document. All students must pass the preclinical test and final exam organized by 3.LF UK.
7. Teaching specifications during the COVID-19 pandemic:
a) Practice sessions will still be organized in a physical form and are compulsory. Precautionary measures will be followed per currently valid recommendations by Charles University. Every student will sign the declaration: http://covid19.lf3.cuni.cz/cestne-prohlaseni/. Students must have covered their mouth and nose with an FFP2 respirator or surgical mask (i.e. not cloth mask).
b) Should any student not be able to participate in all practical sessions due to objective reasons - i.e. not able to travel to the Czech republic at all, please contact the subject guarantor below and you will be allowed to arrange a clinical practice at an alternative hospital and time. The acknowledgement of this arrangement must be agreed between the guarantor and the teacher responsible for your education, who will be required to fill in your logbook per SIS.
c) Seminars form the knowledge base of this subject and define the minimal extent required to succeed at the exam. Participation in seminars is strongly recommended but not compulsory. Seminars will be presented in person.
d) Lectures form subject extension into every lecturer interesting or favoured topics. All lectures will be presented in person.
e) Preclinical test, clinical credit and final exam will be preferentially organized in person but might also be available online per current epidemiological situation
f) all online teaching in this subject will use the platform Meet 3.LF UK, the online preclinical test will also use the 3. LF UK system.
g) The epidemiological situation is subject to a change and the organization of this subject might need to adapt accordingly. Please, do follow your email inbox which you entered into SIS – we shall use this for all future communication.
Revised by VK on 20.2.2022
Please follow the electronic Time-table on https://rozvrh.lf3.cuni.cz/kalendar/
Distribution of students into Groups for practice sessions held at Department of Cardiology is bellow, the group assignment will be performed at your first practice session on Monday FEB 22 at 08:00 hours
