Training program for clinical master of Internal Medicine 2 Training program for clinical master of Surgery 26
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Hematology 2 months (including hematologic medicine clinic for 1 week) Aim of rotation Master: Etiology, clinical manifestation, basis of diagnosis, differential diagnosis, and essence of treatment of various anemia; normal mechanism of hemostasis and coagulation; classification, characteristic and principle management of hemorrhagic diseases; the clinical manifestation, laboratory examinations, basis of diagnosis, common therapeutic medications and treatment strategy of acute and chronic leukemia; classification, staging, basis of diagnosis and treatment of lymphoma; indications and contraindications of bone marrow aspiration and biopsy. Understand: Classification and treatment principle for myelodysplastic syndrome (MDS); laboratory examination and rescue of disseminated intravascular coagulation; indication of component blood transfusion and management of various transfusion reaction; clinical presentation, diagnosis and differential diagnosis of myeloproliferative neoplasms and common coagulopathy disorders; application of immnophenotypic, cytogenetic and molecular biology in blood disorders; principle of examination methods and clinical meanings for various hemolytic, bleeding and coagulation laboratory studies; other blood disorders. Basic requirements Diseases to be learned and case number requirement: At least 10 in-patients and 20 out-patients.
Basic skill requirement
Further requirements Diseases to be learned
Clinical knowledge and skill requirements: general interpretation of blood smear and bone marrow smear. Nephrology 2 months (including 1 week in clinic, 1 week in hemodialysis room). Aim of rotation To master: Physiology of nephron and kidney; etiology, pathogenesis, clinical classification, clinical presentation, diagnosis, differential diagnosis and treatment of glomerular disease; application of corticosteroids, immunosuppressant and anticoagulants; diagnosis, differential diagnosis and management of acute and chronic pyelonephritis; etiology, pathogenesis, diagnosis and treatment of acute and chronic renal failure; the purpose and demand of nutritional treatment in non-dialysis therapy; indications for hemodialysis and peritoneal dialysis; application of renal function tests and results interpretation. To understand: Pathologic classification of glomerular disease; indications for renal biopsy; etiology, pathogenesis and treatment principle of renal tubular disease and interstitial nephritis; kidney transplant anti-rejection therapy; other clinical diagnosis and treatment techniques. Basic requirements Disease__Case_no._(≥)'>Diseases to be learned and case number requirement: At least 20 cases and complete 2 medical records.
Basic skill requirements: Urine sediment microscopy: 10 cases. Further requirements Diseases to be learned: Rapidly progressive glomerulonephritis. Skill requirements: Renal biopsy Endocrinology and Metabolism 2 months (including endocrinology clinic for 1 week) Aim of rotation Master: Etiology, clinical manifestation, laboratory examination and treatment of hyperthyroidism; classification, etiology, diagnostic criteria, clinical presentation, and treatment of diabetic mellitus, principle of diet control, food calorie calculation and application essentials; chronic complications of diabetes; diagnosis and rescue of diabetic ketoacidosis and hyperosmolar coma; methods and significance of oral glucose tolerance test. Understand: Diagnosis and principle of treatment for other endocrine diseases; principles, procedures and clinical significance of hormone immunoassays;endocrine function tests (including the principles, steps and significance of excitement and inhabitation tests). Basic requirements Diseases to be learned and case number requirement: At least 30 cases and complete more than 3 medical records.
Basic skill requirements
Further requirements Diseases to be learned
Clinical knowledge, skill requirements: Dexamethasone suppression test; Water deprivation test; continuous blood sugar monitoring; adjustment insulin dose of an insulin pump. Rheumatology 1 month (including 1 week in rheumatologic clinic). Aim of rotation Master: Specialist theory, clinical presentation, basis of diagnosis, differential diagnosis and treatment principle for common rheumatic diseases; action mechanism, usage and adverse reaction of common anti-rheumatic medications. Understand: The principle of autoantibodies and related subjects’ detection in common rheumatic diseases; normal joint structure and imaging manifestations of common joint disease; understanding of rheumatic disease in interaction with other disciplines, and establish an overall concept for diagnosis and treatment of disease. Basic requirements Diseases to be learned and case number requirement: At least 25 cases. In charge of inpatient 8-10 cases.
Basic skill requirements: Master the principle of various rheumatic related antibodies tests, results interpretation and their clinical significance; basic examination methods for joints. Further requirements (5 cases of other diseases) Diseases to be learned
Clinical knowledge and skill requirements: Pathologic characteristics of various arthritis; joint aspiration, synovial fluid analysis and its clinical significance; correctly identify the imaging features of rheumatoid arthritis (RA), osteoarthritis (OA), ankylosing spondylitis (AS) and other rheumatic diseases. Read the “ChineseRheumatology”, “Diagnostic Guidance of Rheumatology”, and “Minimal Invasive Rheumatology”. Infectious Diseases Department 1 month (including 2 weeks in hepatitis ward, 2 weeks in other infectious diseases ward). Aim of rotation Master:Pathogenesis, clinical presentation, basis of diagnosis, differential diagnosis and treatment of viral hepatitis;know the identical transmission route of intestinal infectious diseases such as typhoid fever, dysentery, amoebiasis, bacterial food poison, etc., and their diagnostic basis, differential diagnosis and specific management; pathogenesis and anti-shock therapy for septicemia and septic shock; antibiotic selection, evolution and clinical application of antibacterial drugs;treatment of parasitic diseases; diagnosis and differential diagnosis of prolonged fever of unknown origin, its diagnostic thinking process and strategy of treatment; indications for lumbar puncture; pathogenesis, clinical presentation, diagnostic basis, differential diagnosis and management of acquired immunodeficiency syndrome (AIDS); rules and procedures for disinfection and isolation. Understand: Action mechanism and selection of antifungal drugs; clinical epidemiology and prevention of nosocomial infection; action mechanism and selection of antiviral drugs; indications and contraindications of liver biopsy. Basic requirements Diseases to be learned and case number requirement: at least 20 cases.
Basic skill requirements: Rules and procedures of disinfection and isolation; master the principle, results interpretation and clinical significance of common etiological examinations for infectious diseases. Further requirements Diseases to be learned
Clinical knowledge and skill requirements: Liver biopsy, artificial liver. Oncology 1 month (including oncologic clinic 1 week) Aim of rotation To master: Anatomy and physiology of digestive system; electrolytes analysis; chest and abdominal x-ray and CT scan; master the etiology, mechanism, classification, clinical presentation, pathology, differential diagnosis, treatment and prognosis of diseases; indications and contraindications of pleural and peritoneal lavage therapy; common clinical diagnosis and treatment methods. To understand:Diagnosis and treatment of pleural and peritoneal mesothelioma;diagnosis and treatment of Ewing's Sarcoma;chest and abdominal CT interpretation;other diagnostic and treatment technologies. Basic requirements Diseases to be learned and case number requirement: at least 40 cases.
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