Training program for clinical master of Internal Medicine 2 Training program for clinical master of Surgery 26

1. 
   Aim of rotation
   

Understand: Treatment and nursing of acute myelitis; main components of extrapyramidal system and symptoms of their disorders; etiology, classification and mechanism of epilepsy; clinical application of electroencephalogram and electromyogram.

2. 
   Basic requirements
   
   1. 
      Diseases to be learned and case number requirements:
      

1. 
   Basic skill requirement: Perform lumbar puncture for 3 cases.
   
1. 
   Further requirements:
   
   1. 
      Diseases to be learned and case number requirements: Acute myelitis, polyneuritis, periodic paralysis, Parkinson's syndrome and Parkinsonism-Plus syndrome.
      
   2. 
      Clinical knowledge and skills requirements:
      
      1. 
         Electroencephalography
         
      2. 
         Electromyography
         

1. 
   Aim of rotation
   

To understand: Etiology and mechanism of psychiatric diseases; concepts and types of mood stabilizer medications; the concept of biopsychosocial medical model; the descriptive definition of hyperkinetic and mood disorders in children and adolescents; the concepts and common types of psychometrics; other therapies for psychiatric diseases, such as electroconvulsive therapy and psychotherapy.

2. 
   Basic requirements
   
   1. 
      Diseases to be learned and case number requirements:
      

2. 
   Basic skills requirements:
   

3. 
   Further requirements
   
   1. 
      Diseases to be learned:
      

2. 
   Clinical knowledge and skills requirements: ECT therapy; cognitive behavior psychotherapy; family psychotherapy; psychodynamic (psychoanalytic) psychotherapy; biofeedback; music and recreation therapy; application of intelligence, personality and neuro-psychologicalmeasurements.
   

5. 
   Emergency Medicine (2 months)
   
   1. 
      Aim of rotation
      

Understand: The pathogenesis, etiology, diagnostic criteria and principles of management of multiple organ dysfunction syndrome (MODS); mechanisms of reperfusion injury and its clinical significance; principles of treatment of various crises (hypertensive crisis, hyperthyroidism crisis), severe disorders of water-electrolyte and acid-base balance).

2. 
   Basic requirements
   
   1. 
      Diseases to be learned and case number requirements: At least 80 cases.
      

2. 
   Basic skills requirements: At least 20 cases.
   

3. 
   Further requirements
   
   1. 
      Diseases to be learned and case number requirements: Multiple organ dysfunction syndrome – 3 cases.
      
   2. 
      Clinical knowledge and skill requirement: Frequently used ventilation mode of ventilator.
      

5. 
   Intensive care unit (1month)
   
   1. 
      Aim of rotation
      

Understand: Theories and advancement of SIRS and multiple organ dysfunction syndrome (MODS).

2. 
   Basic requirements
   
   1. 
      Diseases to be learned and case number requirements: At least 30 cases.
      

2. 
   Basic skillsrequirements
   

3. 
   Further requirements
   
   1. 
      Skills to be learn: Post-operative monitoring; respiratory monitoring; cerebral monitoring.
      
   2. 
      Clinical knowledge and skills requirements:
      

5. 
   Medical Imaging – 2 months (including ultrasonography and nuclear medicine)
   
   1. 
      Aim of rotation
      
      1. 
         Master:
         
         1. 
            Normal anatomy, basic pathologic lesion presentation, essential diagnosis and differential diagnosis of common diseases of respiratory, cardiovascular, digestive and neurologic systems by x-ray and/or CT and/or MRI.
            
         2. 
            Normal anatomy of ultrasound imaging; basic principle of color Doppler; ultrasonic diagnosis of common digestive, cardiovascular and urologic diseases.
            
         3. 
            The characteristics and principles of nuclear medicine imaging; application of thyroid scan, whole body bone scan, myocardial perfusion imaging, renal scintigraphy, and liver blood pool scan, and their manifestations in common diseases.
            
      2. 
         Understand:
         
         1. 
            Fundamentals of CT and MRI and application of “M spot”;
            
         2. 
            Indication of angiography in gastrointestinal bleeding and common diseases; the manifestations of ERCP and MRCP in common pathologic lesions;
            
         3. 
            Application of cerebral vascular DSA;
            
         4. 
            Fundamentals of diagnostic ultrasonography;
            
         5. 
            2D sonography, M-mode echocardiography, color Doppler flow imaging (CDFI), interventional sonography, endoluminal ultrasound, etc.;
            
         6. 
            The principles and applications of gastrointestinal bleeding imaging, cerebral perfusion imaging, testicular blood pool imaging and salivary gland imaging.
            
   2. 
      Basic requirements
      
      1. 
         Diseases to be learned and case number requirements: