CBM 301 | Course Introduction and Application Information

Course Name
Clinical Basis of Medicine V
Code
Semester
Theory
(hour/week)
Application/Lab
(hour/week)
Local Credits
ECTS
CBM 301
Fall
2
4
4
6

Prerequisites
None
Course Language
English
Course Type
Required
Course Level
First Cycle
Mode of Delivery -
Teaching Methods and Techniques of the Course Discussion
Group Work
Problem Solving
Case Study
Q&A
Lecture / Presentation
Course Coordinator
Course Lecturer(s)
Assistant(s) -
Course Objectives This course aims to introduce basic principles of clinical reasoning, teaching and practicing critical thinking and clinical reasoning skills over structured clinical scenarios.
Learning Outcomes The students who succeeded in this course;
  • 1. Identify the key concepts and terminology pertaining to clinical reasoning, including metacognition, dual process theory, illness scripts, and cognitive biases
  • 2. Demonstrate appropriate clinical skills for focused history taking.
  • 3. Apply clinical reasoning skills over structured clinical scenarios, including data organization, development of summary statements, problem representation, and prioritized differential diagnosis.
  • 4. Generate evidence-based diagnostic and therapeutic algorithms for selected system disorders, using critical thinking and clinical reasoning principles.
  • 5. Propose lifestyle interventions for prevention and treatment of lifestyle-related disorders.
  • 6. Recognize common cognitive biases encountered in clinical practice through the practice of metacognition.
  • 7. Contribute to the efficient and effective work of the teams it takes part.
  • 8. Create development strategies by evaluating the performance of the team and her/himself
  • 9. Demonstrate ability to prepare and present a patient medical report.
Course Description Clinical Basis of Medicine 301 includes clinical skills related to evaluation and management of Hematopoietic, Respiratory, Cardiovascular, Urinary and Endocrine & Metabolic disorders.

 



Course Category

Core Courses
Major Area Courses
X
Supportive Courses
Media and Management Skills Courses
Transferable Skill Courses

 

WEEKLY SUBJECTS AND RELATED PREPARATION STUDIES

Week Subjects Related Preparation
1 Introduction to clinical reasoning Patient with a problem. Part 1.In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/content.aspx?bookid=2715§ionid=249057621
2 Symptoms and signs of respiratory system diseases Approach to cough Approach to fever 1. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx? 2. Cough. Part 10. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#2282388793.3. Patient with a problem. Part 1.In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/content.aspx?bookid=2715§ionid=249057621
3 Focused history taking Patient with a problem. Part 1.In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/content.aspx?bookid=2715§ionid=249057621
4 Clinical reasoning case study
5 Symptoms and signs of hearth diseases Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx?
6 Approach to cough 1. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx? 2. Cough. Part 10. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228238879
7 Approach to angina pectoris Approach to fatigue Approach to dyspnea 1. Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment New York, NY: McGraw-Hill; 2019. http://accessmedicine.mhmedical.com/content.aspx? 2. Chest Pain. Part 9.In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228238746
8 Clinical reasoning case study
9 Symptoms and signs of hematopoietic system disorder 1. Damon LE, Babis Andreadis C. Blood Disorders. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx? 2. Anemia.Part 6. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 43e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228238350
10 Approach to lymphadenopathy Zaroukian MH, Chacon GR, Efeovbokhan N. Chapter 11. Lymphadenopathy. In: Henderson MC, Tierney LM, Jr., Smetana GW. eds. The Patient History: An Evidence-Based Approach to Differential Diagnosis New York, NY: McGraw-Hill; 2012. http://accessmedicine.mhmedical.com/content.aspx?
11 Approach to paleness Anemia.Part 6. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 43e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228238350
12 Approach to bleeding disorders Bleeding Disorders.Part 8. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228238638
13 Symptoms and signs of urinary system disorders Nadler PL, Gonzales R. Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx?
14 Approach to hypertension Approach to dysuria Approach to hematuria Approach to edema 1. Hypertension. Part 23. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228247489 2. Dysuria. Part 16. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228239788 3. Hematuria. Part 21. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228246910 4. Edema. Part 17. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228239876
15 Approach to acid base abnormalities Approach to fluid electrolyte abnormalities Approach to hypotension Clinical reasoning for urinary system 1. Acid-Base Abnormalities. Part 4. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228237960 2. Fluid electrolyte disorders. Part 24. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228247781 3. Hypotension. Part 25. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228248535
16 Approach to hyperglycemia Approach to hypoglycemia 1. Desai S, Seidler M. Metabolic & Endocrine Emergencies. In: Stone C, Humphries RL. eds. CURRENT Diagnosis & Treatment: Emergency Medicine, 8e New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx? 2. Diabetes.Part 12. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228239119
17 Approach to hypercalcemia Hypercalcemia. Par 22. In: Stern SC, Cifu AS, Altkorn D. eds. Symptom to Diagnosis: An Evidence-Based Guide, 4e New York, NY: McGraw-Hill; 2020. https://accessmedicine.mhmedical.com/book.aspx?bookID=2715#228247268
18 Clinical reasoning

 

Course Notes/Textbooks
  1. Nadler PL, Gonzales R. Nadler P.L., Gonzales R Nadler, Paul L., and Ralph Gonzales.Common Symptoms. In: Papadakis MA, McPhee SJ, Rabow MW. Papadakis M.A., McPhee S.J., Rabow M.W. Eds. Maxine A. Papadakis, et al.eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com/content.aspx?
  2. Stern SC, Cifu AS, Altkorn D. Stern S.C., Cifu A.S., Altkorn D Eds. Scott D.C. Stern, et al.eds. Symptom to Diagnosis: An Evidence-Based Guide, 3e New York, NY: McGraw-Hill; 2014. http://accessmedicine.mhmedical.com/content.aspx?
  3. Andrew T. Raftery & Eric Kian Saik Lim & Andrew J K Ostor, Churchill's Pocketbook of Differential Diagnosis, Fourth Edition, Elsevier, 2014. ISBN: 9780702054020 https://www.clinicalkey.com/#!/browse/book/3-s2.0-C20120035399
Suggested Readings/Materials
  1. Manish Suneja, Joseph F. Szot, Richard F. LeBlond, Donald D. Brown, DeGowin’s Diagnostic Examination, 11e, McGraw Hill, 2020. ISBN 978-1-260-13487-2
  2. Navin Kumar, Anica Law, Niteesh K. Choudhry, Teaching Rounds: A Visual Aid to Teaching Internal Medicine Pearls on the Wards, McGraw-Hill Education, 2016. ISBN 978-0-07-182162-9 https://accessmedicine.mhmedical.com/book.aspx?bookid=1856
  3. Raftery, Andrew T., BSc MB ChB(Hons) MD FRCS(Eng) FRCS(Ed) Churchill's Pocketbook of Differential Diagnosis, Fourth Edition, 2014 Elsevier. ISBN 978-0-7020-5402-0 https://www.clinicalkey.com/student/content/toc/3-s2.0-C20120035399
  4. Japp, Alan G, Robertson, Colin, Macleod's Clinical Diagnosis, Second Edition, Elsevier 2018. ISBN 9780702069611 https://www.clinicalkey.com/student/content/toc/3-s2.0-C20150041545
  5. Shin HS. Reasoning processes in clinical reasoning: from the perspective of cognitive psychology. Korean J Med Educ. 2019 Dec;31(4):299-308. doi: 10.3946/kjme.2019.140. https://pubmed.ncbi.nlm.nih.gov/31813196/
  6. Lateef F. Clinical Reasoning: The Core of Medical Education and Practice. Int J Intern Emerg Med. 2018; 1(2): 1015. http://www.remedypublications.com/open-access/pclinical-reasoning-the-core-of-medical-education-and-practicep-1938.pdf
  7. Yazdani S, Hosseinzadeh M, Hosseini F. Models of clinical reasoning with a focus on general practice: a critical review. J Adv Med Educ Prof. 2017;5(4):177-184 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611427/

 

EVALUATION SYSTEM

Semester Activities Number Weigthing
Participation
Laboratory / Application
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
1
20
Presentation / Jury
1
40
Project
Seminar / Workshop
Oral Exams
Midterm
Final Exam
1
40
Total

Weighting of Semester Activities on the Final Grade
2
60
Weighting of End-of-Semester Activities on the Final Grade
1
40
Total

ECTS / WORKLOAD TABLE

Semester Activities Number Duration (Hours) Workload
Theoretical Course Hours
(Including exam week: 18 x total hours)
18
2
36
Laboratory / Application Hours
(Including exam week: '.18.' x total hours)
18
4
72
Study Hours Out of Class
14
1
14
Field Work
0
Quizzes / Studio Critiques
0
Portfolio
0
Homework / Assignments
5
2
10
Presentation / Jury
1
3
3
Project
0
Seminar / Workshop
0
Oral Exam
0
Midterms
0
Final Exam
1
16
16
    Total
151

 

COURSE LEARNING OUTCOMES AND PROGRAM QUALIFICATIONS RELATIONSHIP

#
Program Competencies/Outcomes
* Contribution Level
1
2
3
4
5
1

Knowledge for Practice: Uses knowledge in biomedical, clinical, epidemiological, biostatistics, biomedical informatics, social and behavioral sciences for the prevention, diagnosis, treatment and management of medical problems.

X
2

Information Management and Research: Uses the information generated through research and accessed from different sources in evidence-based patient management processes

X
3

Patient management: Provides patient-centered, holistic, safe, reliable and evidence-based health care for common health problems in the community, prioritizing health protection and improvement*.

X
4

Patient and employee safety: Provides health services by considering the health and safety of patients and employees.

X
5

Protection and promotion of health: Prioritizes protecting and improving the health of individuals and society in the provision of health services under usual/unusual situations. Performs clinical and public health practices in a holistic and competent manner

X
6

Adherence to ethical principles: Fulfills the duties and obligations within the framework of ethical principles and, rights and legal responsibilities required by the profession.

7

Professional competence: Provides a high-quality healthcare service that prioritizes patient safety. While applying the profession, he/she knows his/her limits, evaluates his/her own performance, determines the aspects that need to be developed and improves them within a plan

8

Professional virtues: Avoid behaviors that will undermine the public's trust in medicine. S/he approaches her/his patients with compassion and care without discrimination, and puts their welfare ahead of her/his own interests

9

A healthy physician- a healthy society: Gives importance to his/her personal health, safety and appearance, sets an example for his/her colleagues and society by taking the necessary precautions.

10

Planetary health and healthy lifestyles: Considering the effects of the resources offered by our planet on individual and public health, he/she accepts promoting healthy lifestyles and eliminating the factors that negatively affect health his/her duty.

X
11

Protecting and improving health as a social responsibility: Accepts protection and improvement of public health as a social responsibility, identifies the primary health problems of the society served and produces solutions.

12

Health policies: Evaluates the impact of health policies on the health indicators of individuals and society, and advocates increasing the quality of health services.

13

Change management: Systematically identifies and manages the issues/processes and the necessary resources that require change in order to provide quality, safe and cost-effective health care.

14

Personal qualifications: Provides evidence exerting that he/she is equipped enough to lead changes to make healthcare more qualified, safe and cost-effective

15

Communication skills: Uses verbal and non-verbal communication effectively. Communicates with patients in a way that makes them feel understood, with active listening behaviors (eye contact, affirmation, summarizing, etc.)

16

Communication with patients and their relatives: Establishes supportive relationships with patients and their families that contribute positively to the treatment process

17

Communication for qualified and safe health care: Communicates with patients, their relatives, health workers, other professional groups, institutions and organizations in a clear, understandable and professional manner that will minimize patient safety risks and increase the quality of health care. Considers and protects patient privacy and data security in all communications.

X
18

Explains the place and importance of scientific research and evidence in providing qualified and safe health care. Analyzes the health problems in the society s/he serves with scientific methods. Reaches information to access evidence. Uses the information analyzed and the evidence accessed from the literature to provide more qualified and safer health care

19

Reflection: Using reflective approaches, he/she questions his/her professional performance, identifies areas that require improvement, and develops his/her professional knowledge and skills by identifying learning needs.

20

Stress management: Explains and applies strategies for coping with stress and preventing burnout

*1 Lowest, 2 Low, 3 Average, 4 High, 5 Highest

 


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