CCS 402 | Course Introduction and Application Information - Medicine

Course Name

Cardiopulmonary Medicine and Infectious Diseases

Code	Semester	Theory (hour/week)	Application/Lab (hour/week)	Local Credits	ECTS
CCS 402	Fall/Spring	14	16	13	13

Prerequisites	None
Course Language	English
Course Type	Required
Course Level	First Cycle
Mode of Delivery	-
Teaching Methods and Techniques of the Course	Discussion Problem Solving Case Study Q&A Critical feedback Application: Experiment / Laboratory / Workshop Lecture / Presentation
National Occupation Classification	-
Course Coordinator	Doç. Dr. Cihan Altın
Course Lecturer(s)	Doç. Dr. Mustafa DOĞDUŞ Dr.Öğretim Üyesi Erkan ŞAHİN Dr.Öğretim Üyesi Sinan MERMER Dr.Öğretim Üyesi Uğur TAŞKIN Prof. Dr. Abdullah SAYINER Prof. Dr. Erdal İN Prof. Dr. Koray AYKUT Prof. Dr. Makbule İlgi ŞEMİN Prof. Dr. Mehmet Emre ÖZPELİT
Assistant(s)	-

Course Objectives	It is aimed that the students will acquire the ability to use the clinical reasoning approach in the diagnosis and treatment of the diseases within the scope of this clerkship (Cardiology, Cardiovascular Surgery, Pulmonology, Thorax Surgery, and Infectious Disease). Protection from these diseases will be addressed within the perspectives of lifestyle medicine at the individual level, socially oriented health (SOH) at the community level, and planetary health / public health at the health systems / policies level.
Learning Outcomes	The students who succeeded in this course; 1. Explain the basic principles and approaches in the epidemiology, clinics, diagnosis and management of diseases that are frequently encountered in primary care. 2. Access to reliable sources of information about clinical situations / problems, use evidence-based medical tools to evaluate the information accessed, and correlate the obtained information with the patient's condition. 3. Perform appropriate and guided history taking and physical examination from patients in accordance with appropriate communication principles. 4. Establish ranked differential diagnosis for patients presented with the symptoms assigned for this clerkship. 5. Evaluate the effectiveness, cost-effectiveness, potential early and late side effects of the diagnostic methods, and their suitability for differential diagnosis with an evidence-based manner 6. Differentiate emergent and non-urgent situations. 7. Demonstrate knowledge and skills to apply and interpret determined minor medical interventions and applications. 8. Determine pharmacological and non-pharmacological treatment options for the patients in clinical and emergency situations with an evidence-based medical approach. 9. Do risk assessment and take precautions. 10. Make management plans for the patients according to bioethical principles and legal responsibilities of physicians. 11. Identify the need for consultation and indications for referrals when necessary by distinguishing the diseases that require special expertise. 12. Explain health events at individual, social and ecosystem levels via social determinants of health perspective. 13. Define the target population, method and implementation strategies of control, screening and immunization programs for health protection and disease prevention. 14. Define the risk factors and social determinants of common diseases in the context of the patient, and create evidence-based prevention / solution recommendations for them. 15. Contribute to the work of the team as an effective member s/he take part in. 16. Establish an open, constructive and respectful communication with the people s/he work with. 17. Establish an open, constructive and respectful communication with patients and patients' relatives by using appropriate language. 18. Create accurate and reasonable patient records that has secured, verbally present the patient. 19. Use reflective approaches to identify and improve his/her professional performance.
Course Description	This course provides an in-depth exploration of the diagnosis, differential diagnosis, management, and prevention of prevalent diseases and acute emergencies across several medical disciplines. In the field of Cardiology and Cardiovascular Surgery, topics will include the evaluation and treatment of conditions such as palpitations, chest pain, syncope, dyspnea, blood pressure abnormalities, and edema, with a focus on both acute and chronic care strategies.\n\nThe course will also delve into critical areas of Pulmonology and Thoracic Surgery, examining respiratory disorders and surgical interventions, including the management of symptoms like chronic cough, sputum production, wheezing, and complications such as lymphadenopathy.\n\nMoreover, a significant portion of the curriculum will be dedicated to Infectious Diseases, covering the etiology, pathophysiology, and therapeutic approaches to conditions characterized by fever, diarrhea, dysuria, and systemic infections. Emphasis will be placed on integrating clinical knowledge with evidence-based practices to enhance patient outcomes across these diverse fields.
Related Sustainable Development Goals

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

Week	Subjects	Related Preparation
1	Introduction to Cardiology - Physical Examination of CVS Cardiac Anatomy Physiology of Heart Sudden Cardiac Death Heart Failure Valvular Heart Disease Evaluation of the Patient with Chest Pain Rational Use of Antihypertensive and Lipid Lowering Drugs Syncope Hypertension & Hypertensive Emergencies Coronary Artery Disease (SAP, USAP, STEMI, NSTEMI) Diseases of Pericardium
2	Cardiac Arrhytmias & Evaluation of the Patient with Palpitation Non-invasive Assessment: Chest X-Ray, CT, MRI Aortic and Peripheral Vascular Disease Cardiovascular Drug Use & Dietary Approaches in Cardiology Practice Acute Pulmonary Edema and Cardiogenic Shock Murmur Infective Endocarditis Pulmonary Hypertension - Pulmonary Embolism ECG Adult Congenital Heart Disease Dyslipidemia and Metabolic Syndrome Myocarditis and Cardiomyopathies
3	Non-invasive Assessment: Nuclear Cardiology Palpitation: Case Discussion Non-invasive Assessment: Echocardiography Clinical Pharmacology-Cardiology Clinical presentation Lymphedema-Deep Vein Thrombosis CABG Peripheral Artery Diseases Surgery Heart Valve Diseases Surgery Aortic Aneurysms-Dissection
4	Introduction to infectious diseases Diagnosis of infectious diseases CNS infections Adult Immunization Basic principles of antibiotic therapy Rabies & slow virus infections Urinary Tract Infections Lumbar Puncture URTI
5	HIV-AIDS Sepsis Approach to patient with lympadenopathy Hepatitis Clinical Specimen Processing (Sample management in clinical practice)GIS infections Approach to patient with fever
6	Pulmonary Anatomy Physiology of Respiratory Diseases History and Symptoms of Respiratory Diseases Chest Radiology Physical Examination of Respiratory System Pulmonary Function Tests Asthma Bronchiectasis Chronic Obstructive Pulmonary Disease Tuberculosis Pneumonia
7	Clinical Pharmacology- -Pulmonary medicine Obstructive Sleep Apnea Syndrome Pleural Disease Pulmonary thromboembolism Occupational and Environmental Disorders & Interstitial Lung Diseases İntersititial Lung Diseases Acute Respiratory & Respiratory Failure
8	Thoracic Traumas Suppurative Lung Diseases Mediastinal Diseases Minimally Invasive Diagnostic Methods Surgery and Staging in Lung Cancer Tracheobronchial Foreign Body Aspirations Hydatid Cyst
9	Final exam

Course Notes/Textbooks

M.Runge, C.Patterson. Netter's Cardiology, 2011
Mann, Zipes, Libby & Bonow. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 2014
Ary L. Goldberger. Clinical Electrocardiography: A Simplified Approach, 2012
Andreoli, Carpenter, Griggs, Benjamin 7th Ed Andreoli and Carpenter’s Cecil Essentials Of Medicine 2016
Jack L. Cronenwett. Rutherford's Vascular Surgery, 2014
Taal, Chertow, Marsden. Brenner and Rector's The Kidney, 2011
Jameson, Loscalzo. Harrison's Nephrology and Acid-Base Disorders, 2013
K.J.Lee. Essential Otolaryngology: Head and Neck Surgery, 2012
Tannock. The Basic Science Of Oncology, 2013
Kumar and Clark's Clinical Medicine, 2012
RH. Seller, AB. Symons, Differential Diagnosis of Common Complaints: 6th Edition 2011
Maxine Papadakis, Stephen J. McPhee, Michael W. Rabow. CURRENT Medical Diagnosis and Treatment 2016 (LANGE CURRENT Series) 55th Edition 2016
Chen, Harisinghani, Wittenberg. Primer of Diagnostic Imaging, 2011
Jerome P. Kassirer, John B. Wong, Richard I. Kopelman. Learning Clinical Reasoning Second Edition. 2010
Harold C. Sox, Michael C. Higgins, Douglas K. Owens. Medical Decision Making, 2nd Edition, 2013
Thomas Percival. Medical Ethics: or a Code of Institutes and Precepts, 2014
Peter Bennett - Morris Brown. Clinical Pharmacology, 2012
Matthew Stephenson, Joshua Shur, John Black. How to Perform Clinical Procedures: for Medical Students and Junior Doctors, includes 2 DVDs, 2013
Jonathan Gleadle. History and Clinical Examination at a Glance, 3rd Edition, 2012
Raphael Rubin, David S. Strayer. Rubin's Pathology: Clinicopathologic Foundations of Medicine, 2014
Clinical Biochemistry, An Illustrated Colour Text. Gaw, Murphy, Srivastava, 2013

Suggested Readings/Materials

Emery, Turnpenny, Ellard, Emery's Elements of Medical Genetics, 14e 2011
Gray's Anatomy for Students: With STUDENT CONSULT Online Access, 3e 3rd Edition. Richard L. Drake, A. Wayne Vogl, Adam W. M. Mitchell, 2015
Jawetz Melnick&Adelbergs Medical Microbiology 26/E. Geo. Brooks, 2013
Langman's Medical Embryology Thirteenth, North American Edition. Thomas W. Sadler, 2015
Harper’s Illustrated Biochemistry, 30th Ed, Lange. Rodwell VW, Bender DA, Botham RM, Kennelly PJ, Weil PA. 2015
Wheater's Functional Histology: A Text and Colour Atlas, 6e (FUNCTIONAL HISTOLOGY (WHEATER'S)) 6th Edition. Barbara Young, Geraldine O'Dowd, Phillip Woodford, 2014
The Developing Human: Clinically Oriented Embryology, 10th Edition. Keith L. Moore, T. V. N. Persaud, Mark G. Torchia, 2016
Molecular Biology of the Cell. Alberts, Johnson, Lewis, Raff., 2015

Semester Activities	Number	Weigthing
Participation
Laboratory / Application
Field Work
Quizzes / Studio Critiques
Portfolio	1	30
Homework / Assignments
Presentation / Jury
Project
Seminar / Workshop
Oral Exams	1	30
Midterm
Final Exam	1	40
Total

Weighting of Semester Activities on the Final Grade	1	30
Weighting of End-of-Semester Activities on the Final Grade	2	70
Total

Semester Activities	Number	Duration (Hours)	Workload
Theoretical Course Hours (Including exam week: 9 x total hours)	9	14	126
Laboratory / Application Hours (Including exam week: '.9.' x total hours)	9	16	144
Study Hours Out of Class	9	5	45
Field Work			0
Quizzes / Studio Critiques			0
Portfolio	1	30	30
Homework / Assignments			0
Presentation / Jury			0
Project			0
Seminar / Workshop			0
Oral Exam	1	20	20
Midterms			0
Final Exam	1	25	25
		Total	390

#	Program Competencies/Outcomes	* Contribution Level
#	Program Competencies/Outcomes	1	2	3	4	5
1	Knowledge of medical practices: Utilizes knowledge from basic and clinical medical sciences, epidemiology, biostatistics, biomedical informatics, and social and behavioral sciences to prevent, diagnose, treat, and manage medical problems.	-	-	-	-	X
2	Competence in professional skills: Competence in Professional Skills: Possesses the basic medical skills and attitude necessary for practicing the profession, understands personal limits, evaluates own performance, identifies areas needing improvement, and implements these improvements within a plan.	-	-	-	X	-
3	Patient Management: Provides patient-centered, holistic, safe, reliable, fair, and evidence-based healthcare services, prioritizing the protection and promotion of health, especially for the primary health issues in the community. Seeks support from other healthcare professionals and institutions when necessary, following the referral chain.	-	-	-	X	-
4	Patient and Employee Safety: Delivers healthcare services with consideration for the health and safety of both patients and healthcare workers throughout diagnosis, treatment, and rehabilitation processes.	-	-	-	X	-
5	Planetary Health and Healthy Lifestyles: Considers the impact of the planet's resources on individual and community health in professional practices. Takes it as a duty to inform the public, promote healthy lifestyles, and eliminate factors that negatively affect health.	-	-	-	-	X
6	Information Management and Research: Explains the role and importance of scientific research and evidence in delivering high-quality and safe healthcare services. Analyzes health issues in the community using scientific methods. Utilizes information generated through research and accessed from accurate, reliable sources, by appropriately using information technologies, in evidence-based patient management processes.	-	-	-	X	-
7	Adherence to Ethical Principles: Fulfills duties and responsibilities within the framework of ethical principles, rights, and legal obligations required by the profession, considering good medical practices and deontology principles. Recognizes ethical dilemmas and can analyze and make decisions accordingly.	-	-	-	X	-
8	Professional Virtues: Avoids behaviors that could undermine public trust in the medical profession. Approaches patients with compassion, care, and empathy without discrimination, prioritizing their well-being over personal interests. Ensures the confidentiality and privacy of patient information.	-	-	-	X	-
9	Health Policies and Advocacy: Assesses the impact of health policies on the health indicators of individuals and communities. Advocates for the development of healthcare services in line with social reliability and responsibilities.	-	-	X	-	-
10	Protecting and Promoting Health as a Social Responsibility: Accepts the protection and promotion of community health as a social responsibility, identifies priority health issues in the community served, develops solutions, and provides health education and counseling services.	-	-	X	-	-
11	Protecting and Promoting Health in Extraordinary Situations: Prioritizes the protection and promotion of individual and community health during extraordinary situations. Performs clinical and public health practices in a comprehensive and competent manner.	-	-	-	-	-
12	Healthy Physician - Healthy Community: Pays attention to personal health, hygiene, safety, and appearance. Explains and implements measures for maintaining health, strategies for coping with stress, and preventing burnout to maintain a healthy life. Sets an example for colleagues and the community through personal practices.	-	-	X	-	-
13	Change Management and Leadership: Systematically identifies issues and processes requiring change to provide high-quality, safe, and cost-effective healthcare services, along with the necessary resources. Acquires the skills to lead these changes effectively.	-	-	-	-	-
14	Teamwork: Establishes positive communication with healthcare professionals and other occupational groups. Demonstrates effective feedback practices, adopts a supportive approach, understands and fulfills personal rights, duties, and responsibilities in a timely and appropriate manner, and takes on different team roles as needed.	-	-	-	X	-
15	Communication Skills: Effectively uses written, verbal, and non-verbal communication.	-	-	-	-	X
16	Communication for Qualified and Safe Healthcare: Engages with patients, their families, healthcare professionals, other occupational groups, institutions, and organizations to minimize patient safety risks, enhance the quality of healthcare, in clear, understandable, and professionally appropriate communication while involving patients in decision-making processes, and considering potential differences and needs while providing necessary information.	-	-	-	X	-
17	Lifelong Learning: Uses self-assessment approaches to evaluate professional performance, identifies areas needing improvement, determines learning needs, and organizes personal learning processes to enhance professional knowledge and skills.	-	-	-	X	-