Clinical Block-Practice 4

Data

Official data in SubjectManager for the following academic year: 2024-2025

Topic

The subject provides possibilities for clinical practice - bedside practice, laboratory practice and practice at outpatient care – between semester 7 and 12 for students of General Medicine with the involvement of Teaching Hospitals and UP Clinical Wards during Clinical module, in line with Hungarian and international trends and expectations.

In connection with the studies a two-week practice can be done during the instruction period of each semester except for its last 2 weeks, maximum four times (Clinical Block-Practice I.-IV). The practice can be done at the same location or at two different locations for each week within a semester. If someone is doing the course several times, it is up to the students if they choose a different location or the same location from previous semesters. During the practice, besides taking of case history and physical examination of the patient and analyzing the results of special examinations, students participate in medical meetings, ward-rounds, consultations about patients and they also assist in diagnostic, operative, interventional procedures. Location for the practice can be chosen based on the students’ preference and on the capacity of the accepting institutions for the given period. The practice can be done any time during instruction period except for its last 2 weeks, but not in the examination period. In the first 2 weeks of the Instruction period, we do not recommend completing the practice, due to the tasks at the beginning of the semester and the orientation consultation.

During rotational year the practice can be done any time, there is no distinction of instruction period and exam period. However, the duration of professional practice in the rotational year cannot be reduced with this course, the student must choose a different practice from professional practice.

The amount of absences in other subjects should be reduced by maximum 14,3% each semester on the basis of the Certificate of Fulfillment of Clinical Block-Practice relating to the given period. The dates of the practice should be chosen in a way that in the case of not evenly distributed subjects, absences due to the Clinical Block-Practice may not exceed the maximum allowed as mentioned above.

During rotational year no absences from regular practices can be allowed due to the Clinical Block-Practice attendance.

 

The practice can be done in divisions and laboratories of the following fields: surgery, vascular surgery, thoracic surgery, cardiac surgery, neurosurgery, traumatology, transplant surgery, intensive therapy, anaesthesiology, emergency department, ophthalmology, obstetrics and gynecology, urology, otorhinolaryngology, orthopedics, pediatric surgery, dermatology, oral surgery,  angiology, metabolism, internal medicine, diabetology, endocrinology, immunology, cardiology, nephrology, oncology, pulmonology, tropical diseases, geriatrics, infectology, gastroenterology, hematology, radiology, diagnostic nuclear medicine, neurology, psychiatry, pediatrics, rheumatology, laboratory medicine, microbiology, pathology, family medicine, laboratory genetics, forensic medicine. Based on individual validation further areas can also be targeted.

 

At least 30 hours and 4 days of practice during usual working hours should be certified in order to have an approved practice. Night duties, on site public/bank holidays, scientific work cannot be accepted as part of the practice.

 

The permission of practice can be asked by filling out and submitting an “Acceptance Letter” to the course leader by the end of the 4^th week of instruction period and a week before the planned start of your practice the latest (way of submitting: sending it electronically to kovacs.eva5@pte.hu).

 

Upon successful completion of practice, certificate signed and stamped by the practice leader must be obtained from the head of the department/ward/unit with their legible name on the last day of practice with the stamp of the institution. The certificate should be sent electronically to kovacs.eva5@pte.hu in a pdf format together with the case studies, in one file, directly after the practice, but until Monday on the last but one week of the instruction period the latest. The deadline is also valid for rotational year students.

If needed, the certificate must be sent to all the other subject leaders electronically by the penultimate week Wednesday of the instruction period the latest for the appropriate correction of absences. 

Practice can be spent in a foreign country, at an accredited medicine ward in a University Hospital, in a Teaching Hospital or County Hospital with 24-hour patient admission. The student is required to have a language certificate of the host country, or to speak the local language on a basic level and have a B2 English language certificate.

Lectures

Practices

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Seminars

Reading material

Obligatory literature

ABC

Literature developed by the Department

Acceptance Letter Form can be reached:

https://aok.pte.hu/docs/th/file/2022-2023/urlapok/klinikai_blokkgyak-befogadoANGOL20230123.pdf

Certificate of Completion Form can be downloaded:

https://aok.pte.hu/docs/th/file/2022-2023/urlapok/klinikai_blokkgyak-igazolasANGOL20230123.pdf

Notes

Recommended literature

Conditions for acceptance of the semester

Practice hours, case reports, complication form.

Mid-term exams

At least 30 hours/week and 4 days/week of practice should be certified in order to have an approved practice.

Making up for missed classes

During practice the rules concerning medical confidentiality, the rules and regulations of the University of Pécs, data protection, fire and accident prevention, occupational safety, institutional secrecy and job orders shall be observed.

Exam topics/questions

1. Practice should be 6-8 hours on working days during usual working hours.

2. A regular presence of students is required at medical workshops, consultations, graduate and postgraduate teaching programs of the ward. The practice period is optimally supported by consultations and case presentations.

3. Students should take part in activities of residents, ward doctors and doctors in training under supervision according to the applicable local professional, safety and legal regulations. These should include venipuncture, taking medical history, performing physical examination, admitting new patients, planning diagnostic and therapeutic measures, fulfilling tasks required by the ward-round, regularly reporting to the staff, participating in writing discharge summaries and giving account of their patients during the professorial grand-rounds. They should also accompany their patients to special examinations and therapies (e.g. endoscopy, biopsy, echocardiography, exercise stress test, operations).

4. Students should be prepared to present at least 2 detailed anonymized patient/case documentations from each week of the practice. (4 Patient Documentation need to be uploaded)

a) in an anonymised form, with the date, class and tutor and student details, signed by the student and the tutor).

b) This should include the medical history (complaints)

c) a detailed physical examination of the patient treated in the ward or a detailed diagnostic examination of a single person or sample

d) a diagnostic and therapeutic treatment plan

e) a written summary evaluation of the results of the studies and the clinical course of the disease.

f) We do not accept a discharge summary in any form.

g) A patient documentation should be at least one, and a maximum of four typed (A/4, Font size 12 and 1,5 spacing) pages long. The documentations should be sending it electronically to kovacs.eva5@pte.hu in a pdf format (scanned) and they should not exceed 1 Mbyte. (, the name of the tutor, the name of the student and they should also be signed by both the student and the tutor.)

h) If the case descriptions do not comply with the formal and substantive requirements, the subject has not been fulfilled. Not acceptable: any image format (jpeg, jpg, png, attachment in this amyl), any other extension (IPhone applications) in summary: 1 case description 1 scanned pdf (up to 1 - 4 pages)

5. Students get a certificate of the gained clinical skills that they acquire during the practice (8 skills are required to be signed). They will be acknowledged in the Booklet of Clinical Skills by the course leader on the basis of the certificate.

Examiners

Instructor / tutor of practices and seminars

• FELKÉRT OKTATÓ
• KURZUSHOZ RENDELT OKTATÓ
• Szabó Imre (I. Bel)