VLTZ0732 Theoretical Bases of Clinical Medicine II

Faculty of Medicine
autumn 2023
Extent and Intensity
0/3/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
MUDr. Martin Ambroz (seminar tutor)
MUDr. Eliška Bartečková, Ph.D. (seminar tutor)
Mgr. Martina Bruzlová (seminar tutor)
Mgr. Lenka Divišová (seminar tutor)
Mgr. Jan Dvořáček, DiS. (seminar tutor)
Mgr. Milada Dvořáčková, Ph.D., MBA (seminar tutor)
MUDr. Dominik Fabián (seminar tutor)
MUDr. Kamila Greplová (seminar tutor)
Mgr. Petra Hájková (seminar tutor)
MUDr. Hana Harazim, Ph.D. (seminar tutor)
MUDr. Martin Harazim, Ph.D. (seminar tutor)
MUDr. Matěj Hrunka (seminar tutor)
Ing. Lenka Hýblová, DiS. (seminar tutor)
doc. MUDr. Petr Jabandžiev, Ph.D. (seminar tutor)
MUDr. Marek Jeřábek (seminar tutor)
MUDr. Marek Jiříček (seminar tutor)
Mgr. Bc. Veronika Justrová (seminar tutor)
MUDr. Eva Klabusayová, DESAIC (seminar tutor)
MUDr. Marek Kovář (seminar tutor)
MUDr. Tomáš Kratochvíl (seminar tutor)
MUDr. Lucie Litzmanová (seminar tutor)
doc. MUDr. Martin Pail, Ph.D. (seminar tutor)
MUDr. Martina Reissnerová (seminar tutor)
Mgr. Petra Růžičková (seminar tutor)
doc. Ing. Daniel Schwarz, Ph.D. (seminar tutor)
MUDr. Tamara Skříšovská, DESAIC (seminar tutor)
MUDr. Marek Škorňa (seminar tutor)
MUDr. Martin Štork, Ph.D. (seminar tutor)
MUDr. Štěpán Tuček, Ph.D. (seminar tutor)
MUDr. Jana Unar Vinklerová, Ph.D., MBA (seminar tutor)
MUDr. Václav Vafek (seminar tutor)
MUDr. Tereza Vafková (seminar tutor)
MUDr. Michaela Veškrnová (seminar tutor)
doc. MUDr. Eva Vlčková, Ph.D. (seminar tutor)
MUDr. Ondřej Zahradníček (seminar tutor)
Guaranteed by
doc. Ing. Daniel Schwarz, Ph.D.
Department of Simulation Medicine – Theoretical Departments – Faculty of Medicine
Supplier department: Department of Microbiology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (14,75 %), Department of Internal Medicine, Hematology and Oncology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (8,20 %), Department of Internal Gastroenterology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (14,75 %), Department of Pulmonary Diseases and Tuberculosis – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (8,20 %), Department of General Internal Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (14,75 %), Department of Pediatrics – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (14,75 %), Department of Paediatric Anaesthesiology and Intensive Care Medicine – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (13,11 %), Department of Pharmacology – Theoretical Departments – Faculty of Medicine (4,93 %), Comprehensive Cancer Care Department – Institutions shared with the Masaryk Memorial Cancer Institute – Faculty of Medicine (6,56 %)
Timetable of Seminar Groups
VLTZ0732/01: Wed 20. 9. 13:30–16:20 F37/366, Wed 4. 10. 13:30–16:20 F37/366, Wed 18. 10. 13:30–16:20 F37/366, Wed 1. 11. 13:30–16:20 F37/366, Wed 15. 11. 13:30–16:20 F37/366, Wed 29. 11. 13:30–16:20 F37/366, Wed 13. 12. 13:30–16:20 F37/366
VLTZ0732/02: Wed 20. 9. 13:30–16:20 F37/366, Wed 4. 10. 13:30–16:20 F37/366, Wed 18. 10. 13:30–16:20 F37/366, Wed 1. 11. 13:30–16:20 F37/366, Wed 15. 11. 13:30–16:20 F37/366, Wed 29. 11. 13:30–16:20 F37/366, Wed 13. 12. 13:30–16:20 F37/366
VLTZ0732/03: Mon 25. 9. 13:30–16:20 F37/366, Mon 9. 10. 13:30–16:20 F37/366, Mon 23. 10. 13:30–16:20 F37/366, Mon 6. 11. 13:30–16:20 F37/366, Mon 20. 11. 13:30–16:20 F37/366, Mon 4. 12. 13:30–16:20 F37/366, Mon 18. 12. 13:30–16:20 F37/366
VLTZ0732/04: Mon 25. 9. 13:30–16:20 F37/366, Mon 9. 10. 13:30–16:20 F37/366, Mon 23. 10. 13:30–16:20 F37/366, Mon 6. 11. 13:30–16:20 F37/366, Mon 20. 11. 13:30–16:20 F37/366, Mon 4. 12. 13:30–16:20 F37/366, Mon 18. 12. 13:30–16:20 F37/366
VLTZ0732/05: Mon 18. 9. 13:30–16:20 F37/366, Mon 2. 10. 13:30–16:20 F37/366, Mon 16. 10. 13:30–16:20 F37/366, Mon 30. 10. 13:30–16:20 F37/366, Mon 13. 11. 13:30–16:20 F37/366, Mon 27. 11. 13:30–16:20 F37/366, Mon 11. 12. 13:30–16:20 F37/366
VLTZ0732/06: Mon 18. 9. 13:30–16:20 F37/366, Mon 2. 10. 13:30–16:20 F37/366, Mon 16. 10. 13:30–16:20 F37/366, Mon 30. 10. 13:30–16:20 F37/366, Mon 13. 11. 13:30–16:20 F37/366, Mon 27. 11. 13:30–16:20 F37/366, Mon 11. 12. 13:30–16:20 F37/366
VLTZ0732/07: Tue 19. 9. 13:30–16:20 F37/366, Tue 3. 10. 13:30–16:20 F37/366, Tue 17. 10. 13:30–16:20 F37/366, Tue 31. 10. 13:30–16:20 F37/366, Tue 14. 11. 13:30–16:20 F37/366, Tue 28. 11. 13:30–16:20 F37/366, Tue 12. 12. 13:30–16:20 F37/366
VLTZ0732/08: Tue 19. 9. 13:30–16:20 F37/366, Tue 3. 10. 13:30–16:20 F37/366, Tue 17. 10. 13:30–16:20 F37/366, Tue 31. 10. 13:30–16:20 F37/366, Tue 14. 11. 13:30–16:20 F37/366, Tue 28. 11. 13:30–16:20 F37/366, Tue 12. 12. 13:30–16:20 F37/366
VLTZ0732/09: Fri 22. 9. 13:30–16:20 F37/366, Fri 6. 10. 13:30–16:20 F37/366, Fri 20. 10. 13:30–16:20 F37/366, Fri 3. 11. 13:30–16:20 F37/366, Fri 1. 12. 13:30–16:20 F37/366, Fri 15. 12. 13:30–16:20 F37/366
VLTZ0732/10: Fri 22. 9. 13:30–16:20 F37/366, Fri 6. 10. 13:30–16:20 F37/366, Fri 20. 10. 13:30–16:20 F37/366, Fri 3. 11. 13:30–16:20 F37/366, Fri 1. 12. 13:30–16:20 F37/366, Fri 15. 12. 13:30–16:20 F37/366
VLTZ0732/11: Thu 21. 9. 13:30–16:20 F37/366, Thu 5. 10. 13:30–16:20 F37/366, Thu 19. 10. 13:30–16:20 F37/366, Thu 2. 11. 13:30–16:20 F37/366, Thu 16. 11. 13:30–16:20 F37/366, Thu 30. 11. 13:30–16:20 F37/366, Thu 14. 12. 13:30–16:20 F37/366
VLTZ0732/12: Thu 21. 9. 13:30–16:20 F37/366, Thu 5. 10. 13:30–16:20 F37/366, Thu 19. 10. 13:30–16:20 F37/366, Thu 2. 11. 13:30–16:20 F37/366, Thu 16. 11. 13:30–16:20 F37/366, Thu 30. 11. 13:30–16:20 F37/366, Thu 14. 12. 13:30–16:20 F37/366
VLTZ0732/13: Wed 27. 9. 13:30–16:20 F37/366, Wed 11. 10. 13:30–16:20 F37/366, Wed 25. 10. 13:30–16:20 F37/366, Wed 8. 11. 13:30–16:20 F37/366, Wed 22. 11. 13:30–16:20 F37/346, Wed 6. 12. 13:30–16:20 F37/366, Wed 20. 12. 13:30–16:20 F37/366
VLTZ0732/14: Wed 27. 9. 13:30–16:20 F37/366, Wed 11. 10. 13:30–16:20 F37/366, Wed 25. 10. 13:30–16:20 F37/366, Wed 8. 11. 13:30–16:20 F37/366, Wed 22. 11. 13:30–16:20 F37/346, Wed 6. 12. 13:30–16:20 F37/366, Wed 20. 12. 13:30–16:20 F37/366
VLTZ0732/15: Thu 12. 10. 13:30–16:20 F37/366, Thu 26. 10. 13:30–16:20 F37/366, Thu 9. 11. 13:30–16:20 F37/366, Thu 23. 11. 13:30–16:20 F37/366, Thu 7. 12. 13:30–16:20 F37/366, Thu 21. 12. 13:30–16:20 F37/366
VLTZ0732/16: Thu 12. 10. 13:30–16:20 F37/366, Thu 26. 10. 13:30–16:20 F37/366, Thu 9. 11. 13:30–16:20 F37/366, Thu 23. 11. 13:30–16:20 F37/366, Thu 7. 12. 13:30–16:20 F37/366, Thu 21. 12. 13:30–16:20 F37/366
VLTZ0732/17: Tue 26. 9. 13:30–16:20 F37/366, Tue 10. 10. 13:30–16:20 F37/366, Tue 24. 10. 13:30–16:20 F37/366, Tue 7. 11. 13:30–16:20 F37/366, Tue 21. 11. 13:30–16:20 F37/346, Tue 5. 12. 13:30–16:20 F37/366, Tue 19. 12. 13:30–16:20 F37/366
VLTZ0732/18: Tue 26. 9. 13:30–16:20 F37/366, Tue 10. 10. 13:30–16:20 F37/366, Tue 24. 10. 13:30–16:20 F37/366, Tue 7. 11. 13:30–16:20 F37/366, Tue 21. 11. 13:30–16:20 F37/346, Tue 5. 12. 13:30–16:20 F37/366, Tue 19. 12. 13:30–16:20 F37/366
Prerequisites (in Czech)
VLTZ0631 Theor. Bases of Clinical Med I
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
V posledních dvou semestrech tohoto třísemestrálního multioborového předmětu se ve výuce navazuje na již získaný patofyziologický základ ke všem vybraným tématům (TZKM I), a to řešením konkrétních klinických případů v podobě 14 virtuálních pacientů. Jednotlivé případy se řeší ve struktuře TBL (Team-Based Learning), která mj. zahrnuje samostatnou přípravu studiem preclass-reading materiálů, složení individuálního a týmového testu iRAT/tRAT (Readiness Assessment Test) a řešení aplikačního cvičení, při kterém týmy diskutují průběh diagnosticko-terapeutického procesu spojeného s jednou konkrétní kazuistikou. Studenti svá řešení konzultují s facilitátorem a klinickým expertem na probíranou látku. V jednotlivých tématech se tedy necílí na přehled celého klinického oboru, ale na rozvoj dovedností klinického usuzování (clinical reasoning), a to v konturách personalizované medicíny.
Learning outcomes
Upon completion of all instructional units during the 2nd and 3rd semesters of TBCM course, students will be able to:
1. Apply foundational knowledge from pathophysiology to solve specific clinical problems stemming from the 15 chosen case studies - virtual patients;
2. Justify the steps of clinical reasoning based on knowledge acquired from previous studies in theoretical medical fields;
3. Employ principles of evidence-based medicine when deciding on care for a specific – albeit virtual – patient;
4. Defend their stance on the choice of the next step in the diagnostic-therapeutic procedure of a specific case against alternative solutions proposed by peers.
Syllabus
  • Over the course of two semesters, the topics covered include:
  • 1. Coagulation disorders, pulmonary embolism
  • 2. Metabolic bone disorders in geriatric patient
  • 3. Various infections with fever including those of tropical origin
  • 4. Digestive tract disorders
  • 5. Chronic obstructive pulmonary disease
  • 6. Gastroesophageal reflux disease
  • 7. Breast carcinoma
  • 8. Introduction to psychiatry
  • 9. Liver and biliary tract disease
  • 10. Multiple myeloma
  • 11. Food poisoning, anaphylactic shock
  • 12. Impaired consciousness, delirium, convulsions, poisoning
  • 13. Meningitidis
  • 14. Headaches
  • The timing of individual topics may vary from one academic year to the next.
Literature
  • Preclass-reading materiály: pomáhají studentům seznámit se s klíčovými pojmy a informacemi předtím, než se účastní lekce. V elektronické formě budou poskytnuty s dostatečným předstihem před každou lekcí.
Teaching methods
Collaborative learning - TBL (Team-based learning): students work in teams of 7 at individual tables in a lesson structured into several different activities. Preclass-reading materials: help students become familiar with key concepts and information before attending class. Pre-prepared students can focus more on discussion, questioning, and application of concepts during the lesson instead of basic explanation. Knowledge of the pre-class reading materials is tested using the RAT tests, see below. RAT tests (Readiness Assessment Tests – iRAT/tRAT/gRA): form the introductory part of the lesson, during which the same test is taken three times in sequence, individually, in a small team around a table, and finally as a whole group. Test format: 10 single-best answer, closed-book. The results of the team tests serve as formative assessments for each team during the lesson. The results of the individual tests are collected and their average score will be used to determine the summative assessments in both TBCM II and TBCM III. Tests are taken exclusively in the SIMUportfolio app – students have to use their own smart phone or laptop with internet connectivity (Eduroam/MUNI networks, or students’ own data connection). Application exercise: the virtual patient, or interactive patient story, allows students to practice clinical reasoning, critical thinking and decision-making skills.
Assessment methods
The results of the individual entrance exams (iRAT – Individual Readiness Assessment Test) are recorded by the SIMUportfolio application. At the end of each semester, an analysis of all results will be conducted. For credit in TBCM II, it will suffice if a student's average score is above the median of the entire group's results. Instruction takes place in-person and attendance at all sessions is mandatory. The results from tests that a student could not take for objective reasons (national holiday or excuse due to medically confirmed illness) will not be counted. Students who attend fewer than 5 lessons (i.e., iRAT tests) in TBCM II will not receive credit. Students who attend fewer than 10 lessons (i.e., iRAT tests) in TBCM II and III will be graded X for TBCM III.
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
Information on the extent and intensity of the course: 45.
Listed among pre-requisites of other courses
  • Enrolment Statistics (recent)
  • Permalink: https://is.muni.cz/course/med/autumn2023/VLTZ0732