Training program for clinical master of Internal Medicine 2 Training program for clinical master of Surgery 26
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- Skill Case no. (≥)
- Neurology and Psychiatry 1 month (including 1 week in neurologic clinic, psychiatric clinic and EEG room). Neurology
- Disease Case No. (≥) Disease
- Skill Skill
- Disease Case No.(≥)
- Medical Emergency Department
- Disease Case No. (≥)
- Department of Medical Imaging
- Disease Case No.(≥) Disease
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Basic skill requirements: at least 20 cases.
Further requirements Diseases to be learned
Clinical knowledge and skill requirements: Central venous catheterization. Neurology and Psychiatry 1 month (including 1 week in neurologic clinic, psychiatric clinic and EEG room). Neurology Aim of rotation Master: The cardinal symptoms and signs of nervous system damage; principles of localized and qualitative diagnosis of nervous system diseases; Applied anatomy of the 12 pairs of cranial nerves; classification, localization and qualitative diagnosis of sensory and motor disorders; clinical presentation, diagnosis, differential diagnosis, and treatment principle of acute inflammatory demyelinating polyneuropathy; common causes, clinical presentation, diagnosis, differential diagnosis and therapeutic principle of cerebral thrombosis, cerebral embolism, cerebral hemorrhage and subarachnoid hemorrhage; pathology and clinical presentation of Parkinson’s disease; clinical manifestation, diagnosis of epilepsy and rescue of status epilepticus; pathogenesis and clinical presentation of myasthenia gravis; indications, contraindications and complications of lumbar puncture. 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. Basic requirements Diseases to be learned and case number requirements
Basic skill requirements: lumbar puncture 3 cases. Further requirements Diseases to be learned: Acute myelitis, polyneuritis, periodic paralysis, Parkinson's syndrome and Parkinsonism-Plussyndrome. Clinical knowledge and skill requirements
Psychiatry Aim of rotation Master: Psychiatric interview skills; clinical manifestations, diagnosis, differential diagnosis and management of common diseases; classification, clinical characteristics and application of commonly used antipsychotics, antidepressants, anti-anxiety drugs, and management of their side effects; concepts and common types of psychosomatic diseases. 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 disease (such as electroconvulsive therapy and psychotherapy). Basic requirements Diseases to be learned and case number requirements:
Basic skill requirements:
Further requirements Diseases to be learned:
Clinical knowledge and skill requirements: ECT therapy; cognitive behaviorpsychotherapy; family psychotherapy; psychodynamic (psychoanalytic) psychotherapy; biofeedback; music and recreation therapy; application of intelligent, personality and neuro-psychological measurements. Medical Emergency Department Aim of rotation Master: Life support therapy for emergent, dangerous and seriously patient; the basic theories and new developments of cardiopulmonary resuscitation (CPR), including basic life support (BLS), advanced cardiac life support (ACLS), basic trauma life support (BTLS) and advanced trauma life support (ATLS); etiology, clinical presentation and standardized management of common emergency; indications for selection of common examinations for emergency, clinical significance and results interpretation; indications, effect, side effect and application method of common emergency medications (Cardio-pulmonary resuscitation and vasoactive drugs, cardiotonics and diuretic, antispasmodic and anti-asthmatic drugs, analgesics, hemostatic, antiarrhythmic drugs, etc.). 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 crisis (hypertensive crisis, hyperthyroidism crisis), severe disorders of water-electrolyte and acid-base balance. Basic requirements Diseases to be learned and case number requirement: At least 50 cases.
Basic skill requirements: At least 20 cases.
Further requirements Diseases to be learned and case requirement: Multiple organ dysfunction syndrome 3 cases. Clinical knowledge and skill requirements: Commonly used mechanical ventilation modes. Intensive Care Unit 1 month. Aim of rotation Master: Diagnosis and urgent management of common diseases; indications, side effect and clinical application of common emergency medications (Cardio-pulmonary resuscitation and vasoactive drugs, antihypertensive, antiarrhythmic drugs, antispasmodic and anti-asthmatic drugs, antiepileptic drugs); clinical application of antibacterial drugs; indications of blood transfusion; indication and clinical application of nutritional support; arterial blood gas analysis. Understand: Theories and advancement of SIRS and multiple organ dysfunction syndrome (MODS). Basic requirements Diseases to be learned and case number requirement: At least 30 cases.
Basic skill requirements
Further requirements Techniques to be learned: Postoperative monitoring, respiratory monitoring, cerebral monitoring. Clinical knowledge and skill requirements:
Department of Medical Imaging 2 months (including ultrasound and nuclear medicine) Aim of rotation Master: 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. Normal anatomy of ultrasound imaging; basic principle of color Doppler; Ultrasonic diagnosis of common digestive, cardiovascular and urologic diseases. 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. Understand: Fundamentals of CT and MRI and application of “M spot”; indication of angiography in gastrointestinal bleeding and common diseases; The manifestations of ERCP and MRCP in common pathologic lesions; application of cerebral vascular DSA; Fundamentals of diagnostic ultrasonography; 2D sonography, M-mode echocardiography, color Doppler flow imaging (CDFI), interventional sonography, endoluminal ultrasound, etc.; the principles and applications of gastrointestinal bleeding imaging, cerebral perfusion imaging, testicular blood pool imaging and salivary gland imaging. Basic requirements Diseases to be learned and case number requirements:
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