CCS 404 | Course Introduction and Application Information - Medicine

Course Name

Genitourinary Medicine

Code	Semester	Theory (hour/week)	Application/Lab (hour/week)	Local Credits	ECTS
CCS 404	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 Simulation Application: Experiment / Laboratory / Workshop Lecture / Presentation
National Occupation Classification	-
Course Coordinator	Dr. Öğr. Üyesi Gülin OKAY Dr.Öğretim Üyesi Meriç BALIKOĞLU
Course Lecturer(s)	Doç. Dr. Mehmet GÖKÇÜ Dr. Öğr. Üyesi Elif BARIŞ Dr. Öğr. Üyesi Taha ÇETİN Prof. Dr. Emre DİVARCI Prof. Dr. Erem Kaan BAŞOK Prof. Dr. Gökhan KOÇ Prof. Dr. Hakan ÖZTÜRK Prof. Dr. İncim BEZİRCİOĞLU
Assistant(s)	-

Course Objectives	It is aimed to gain the skills of taking comprehensive history and performing systematic physical examination related to female, male and child genitourinary, female and male reproductive systems, pregnancy and birth, planning rational diagnostic examinations appropriate for preliminary diagnosis/diagnoses, taking samples for selected diagnostic procedures, creating a holistic treatment plan, planning and implementing patient-centered treatment principles for cases that can be managed in primary care, defining preventive medicine principles with a holistic approach. It is expected to approach the patient with biopsychosocial integrity, make decisions in accordance with the principles of critical thinking and clinical reasoning while applying clinical decision-making processes, and be aware of ethical and legal responsibilities.
Learning Outcomes	The students who succeeded in this course; Explain the basic principles and approaches in the epidemiology, clinics, diagnosis and management of diseases that are frequently encountered in primary care. 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. Perform appropriate and focused history taking and physical examination from patients in accordance with appropriate communication principles. Establish ranked differential diagnosis for patients presented with the symptoms assigned for this clerkship. 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. Differentiate emergent and non-urgent situations. Demonstrate knowledge and skills to apply and interpret determined minor medical interventions and applications. Determine pharmacological and non-pharmacological treatment options for the patients in clinical and emergency situations with an evidence-based medical approach. Do risk assessment and take precautions. Make management plans for the patients according to bioethical principles and legal responsibilities of physicians. Identify the need for consultation and indications for referrals when necessary by distinguishing the diseases that require special expertise. Explain health events at individual, social and ecosystem levelsia social determinants of health perspective, and shows exemplary v behaviors appropriate to this point of view in her/his personal life. Define the target population, method and implementation strategies of control, screening and immunization programs for health protection and disease prevention. 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. Establish an open, constructive and respectful communication with the people s/he work with. Establish an open, constructive and respectful communication with patients, patients' relatives and teammates and use appropriate language. Create accurate and reasonable patient records that has secured, verbally present the patient, and hand over patients safely and effectively. Use reflective approaches to identify and improve his/her professional performance.
Course Description	In this course, common diseases and emergencies of the female, male and child urinary, female and male reproductive system, pregnancy and birth will be covered.
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	Obstetric history taking and examination Anatomy and physiology of female reproductive system Preconceptual evaluation and consultancy Obstetric ultrasonography Normal labor Puerperium Hypertensive diseases of pregnancy Complications of early pregnancy Fetal Monitorization Systemic Diseases in Pregnancy Gynecological examination and ultrasonography	Section 9. F. Gary Cunningham, Kenneth J. Leveno, Jodi S. Dashe, Barbara L. Hoffman, Catherine Y. Spong, Brian M. Casey. Williams Obstetrics, 25e, McGraw-Hill Education 2018. ISBN 978-1-259-64432-0 Section 10, 11, 12. F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom, Jodi S. Dashe, Barbara L. Hoffman, Brian M. Casey, Catherine Y. Spong. Williams Obstetrics, 25e, McGraw-Hill Education 2018. ISBN 978-1-259-64432-0
2	Premature birth and PROM Placenta and amniotic fluid abnormalities Dystocia and operative labor Abnormal uterine bleeding Benign diseases of cervix and uterus Benign diseases of tuba and ovary Diabetes and pregnancy	Section 2(chapter 3),Gupta S, Roman AS. Imaging in Obstetrics. In: DeCherney AH, Nathan L, Laufer N, Roman AS. eds. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e. McGraw Hill; 2019. ISBN 978-0-07-183390-5
3	IUGR and macrosomia Multiple pregnancy Hydrops fetalis ve Rh incompatibility Maternal and perinatal infections Amenorrhea Vaginal discharge STIs and PID Endometriosis and Adenomyosis	Section 3. Mehta SH, Sokol RJ. Assessment of At-Risk Pregnancy. In: DeCherney AH, Nathan L, Laufer N, Roman AS. eds. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e. McGraw Hill; 2019. ISBN 978-0-07-183390-5
4	Diseases of vulva and vagina Preinvasive-invasive disease of cervix Appropriate drug use and prescription in gynecology and obstetrics Prescription PCOS, hirsutism and hyperandrogenism Postpartum bleeding Third trimester bleeding Malign disease of uterus	Section 2,3 4. Barbara L. Hoffman, John O. Schorge, Lisa M. Halvorson, Cherine A. Hamid, Marlene M. Corton, Joseph I. Schaffer. Williams Gynecology, 4e, McGraw-Hill Education 2020. ISBN 978-1-260-45686-8 Section 4,6,7. F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom, Jodi S. Dashe, Barbara L. Hoffman, Brian M. Casey, Catherine Y. Spong. Williams Obstetrics, 25e, McGraw-Hill Education 2018. ISBN 978-1-259-64432-0
5	Sexuality and reproductive health Female Sexual Cycle/Sexual Dysfunction Pelvic floor disease Urinary incontinence Asphyxia at birth Child and newborn examination Contraception and family planning Evaluation of Infertile Couple Pediatric adolescence gynecology Puberty and abnormal pubertal development Epithelial tumors of ovary Germ cell, stromal and metastatic tumors of tuba and ovary	Section 4.Alan H. DeCherney, Lauren Nathan, Neri Laufer, Ashley S. Roman. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e, McGraw-Hill Education 2019. ISBN 978-0-07-183390-5 Section 5,6,7. Alan H. DeCherney, Lauren Nathan, Neri Laufer, Ashley S. Roman. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e, McGraw-Hill Education 2019. ISBN 978-0-07-183390-5
6	Trophoblastic diseases Menopause Gynecologic emergencies	Chapter 10,18. Magowan, Brian A., Owen, Philip, Thomson, Andrew, Clinical Obstetrics and Gynaecology fourth ed.Elsevier 2019. ISBN: 978-0-7020-7404-2
7	Introduction to urological medicine Urological approach to prevent care for healthy life Urogenital system examination Urological infections Sexually transmitted diseases Benign prostate hyperplasia Urological trauma Congenital genitourinary anomalies Pediatric urology Voiding Dysfunction in childhood	Chapter 2,4,8,12,14,15,16,17,18. Jack W. McAninch, Tom F. Lue. Smith & Tanagho's General Urology, 19e, McGraw-Hill Education 2020. ISBN 978-1-259-83433-2
8	Voiding Dysfunction in adulthood Renal tumors Bladder cancer Endourology Urological Trauma Prostate cancer Urinary obstructions/ Urolithiasis Male infertility Urological emergencies Diseases of scrotum Testicular cancer Sexual dysfunction	Chapter 19,2,21,22,39,44. Jack W. McAninch, Tom F. Lue. Smith & Tanagho's General Urology, 19e, McGraw-Hill Education 2020. ISBN 978-1-259-83433-2
9	Self directed learning Portfolio preparation Exams

Course Notes/Textbooks

McAninch, Tom F. Lue. Smith & Tanagho's General Urology, 19e, McGraw-Hill Education 2020. ISBN 978-1-259-83433-2
Barbara L. Hoffman, John O. Schorge, Lisa M. Halvorson, Cherine A. Hamid, Marlene M. Corton, Joseph I. Schaffer. Williams Gynecology, 4e, McGraw-Hill Education 2020. ISBN 978-1-260-45686-8
Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom, Jodi S. Dashe, Barbara L. Hoffman, Brian M. Casey, Catherine Y. Spong. Williams Obstetrics, 25e, McGraw-Hill Education 2018. ISBN 978-1-259-64432-0
Alan H. DeCherney, Lauren Nathan, Neri Laufer, Ashley S. Roman. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e, McGraw-Hill Education 2019. ISBN 978-0-07-183390-5
Magowan, Brian A., Owen, Philip, Thomson, Andrew, Clinical Obstetrics and Gynaecology fourth ed.Elsevier 2019. ISBN: 978-0-7020-7404-2

Suggested Readings/Materials

Kay, SE, Sandhu, CJ, Crash Course Obstetrics and Gynaecology, fourth ed.Elsevier 2019. ISBN: 978-0-7020-7347-2
Oats, Jeremy, Abraham, Suzanne, Llewellyn-Jones Fundamentals of Obstetrics and Gynaecology, Tenth edition, Elsevier 2017. ISBN: 978-0-7020-6065-6
CLINICAL OVERVIEW, Gestational diabetes, Elsevier Point of Care, Updated May 31, 2019. Copyright Elsevier BV. https://www.clinicalkey.com/#!/content/clinical_overview/67-s2.0-69605029-039f-4eb8-bb27-774065bdac36
Hacker, Neville F., Gambone, Joseph C., Hobel, Calvin J., Hacker & Moore's Essentials of Obstetrics and Gynecology, Sixth ed. Elsevier 2016. ISBN 978-0-323-34053-3
Jonathan S.Berek. Berek & Novak’s Gynecology 16th Edition, Wolters Kluwer, 2019. ISBN/ISSN 9781496380333
Florman, Larry D. The Portable Medical Mentor Training Success, Springer, 2015. ISBN 978-3-319-09852-4
European Association of Urology Pocket Guidelines 2021. European Association of Urology ISBN978-9079754748
The Portable Medical Mentor: Training Success by Larry D.Florman 2014.ISBN 9783319098517
This is going to hurt: secret Diaries of a Junior Doctor by Adam Kay 2018.ISBN: 1509858636
Bad science: Quacks,Hacks and Big Pharma Flacks .Ben Goldacre 2010.ISBN: 978-0865479180
Do No Harm by Henry Marsh. Stories of Life, Death, and Brain Surgery
ISBN 978-1250090133
12. The Intern Blues: The Timeless Classic About the Making of a Doctor by Robert Mari. ISBN 978-0060937096

Semester Activities	Number	Weigthing
Participation
Laboratory / Application	1	10
Field Work
Quizzes / Studio Critiques
Portfolio	1	30
Homework / Assignments
Presentation / Jury
Project
Seminar / Workshop
Oral Exams	1	20
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	3	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	-