First teaching semester for this course, MED9, is autumn 2017

3 weeks of introduction in Bergen. Preparations for practical training.

6 weeks of practical skills training. 3 weeks gynecology and obstetrics, 3 weeks Pediatrics.

8 weeks of lectures and practical skills Bergen

1 week of preparation and examination Bergen

Learning outcomes 9th Semester Medicine University of Bergen

On completion of 9th Semester the student should have the following learning outcomes defined in terms of knowledge, skills and general competence:

Knowledge

• The student can explain the process of normal delivery
• The student can diagnose (by combining symptoms and findings) the most important obstetric complications during pregnancy and labour
• The student can suggest which women/which problems in pregnancy that should be referred to specialist or to the obstetric ward
• The student can (by combining symptoms and findings) diagnose and explain the treatment of the most common acute gynecological conditions: infections, adnexal torsion/ruptured cyst, extra-uterine pregnancy, spontaneous abortion, acute vaginal bleeding
• The student can (by combining symptoms and findings) diagnose and explain the treatment of the most common non-acute gynecological conditions and be able to identify conditions that need to be referred to specialist care
• The student can explain indications for the main surgical procedures in gynecology (hysterectomy, genital prolapse surgery, urinary incontinence surgery)
• The student can explain the principles for prevention, identification of symptoms, diagnostics and treatment of gynecological cancer
• The student can explain the principles for initial imaging in main gynecologic diagnoses ¿ in general practice and what to refer for advanced imaging
• The student can explain the pharmacology of female reproduction, including drug properties, indications for use, adverse effects and potential interactions
• The student can explain normal growth and development in children and adolescents (including knowledge from the 6th semester). The student should know the most important milestones for gross and fine motor-, language-, cognitive- and social- development
• The student can explain age dependent differences in the presentation of signs and symptoms in disease in childhood, includingand of age related and psychosomatic disorders (including psychosomatic disorders)
• The student can (by combining symptoms and findings) recognize and diagnose acute/ severe diseases in children, and know how to institute treatment and how to act in acute situations
• The student can acknowledge signs of child abuse
• The students can explain the principles for follow-up of children with the major chronic diseases including heridity, milieu and lifestyle
• The students can explain the principles of nutrition, including breast feeding, in infants, children and adolescents. The students should be able to calculate basal nutritional needs of children and calculate fluid replacement in cases of dehydration.
• The student can explain principles for drug toxicity during pregnancy and,
• The student can explain principles for toxicity assessment of drugs in lactation and knows which medications that affect lactation as well as the main principles of pediatric pharmacology and intoxications.
• The student knows with the most common inherited human disorders and syndromes as well as approach concerning care of rare diseases
• The student understands the principles, use and cost-benefit aspects of laboratory diagnostics in medical genetics
• The student is familiar with legislation and ethical aspects in medical genetics, including prenatal diagnostics
• The student is familiar with general principles for pediatric imaging, eg. radiation doses (ALARA principle; as low as reasonable achievable), preparation, need for anesthesia etc.
• The student knows established imaging algorithms for the most common infections such as pneumonia and urinary tract infection
• The student knows the most common child specific fractures, including non-accidental injuries- and the established imaging protocols for these
• The student knows established imaging algorithms for acute abdomen in newborns and young children, increasing head circumference, developmental delay and epilepsy
• The student knows general principles of surgery in children

Skills

• The student can perform Symphysis Fundus -measurement in second and third trimester of pregnancy
• The student can perform Leopold¿s maneuvers to decide presentation of the fetus in second and third trimester of pregnancy
• The student can perform an outpatient examination in pregnancy in general practice
• The student can perform an outpatient Gynecologic examination in general practice including PAP-smear, IUD insertion and microbiological testing
• The student can perform a proper gynecologic medical record including menstrual, obstetric, gynecologic and sexual history and symptoms
• Drug use in pregnancy: tThe student can perform risk assessment of drug use in pregnancy and lactation based on principal considerations and knows the contraindicated drugs
• Drug use in lactation: the student can perform risk assessment based on principal considerationsThe student can use guidelines for adaption, calculation and use of drugs to children
• The student is able to communicate with children at different ages and developmental stages as well as nd with their parents/caretakers/relatives, including communication about severe or lethal diseases in children
• The student is able to perform clinical examination of children at different ages and developmental stages, including neonates.
• The student is able to perform rescucitationAHLR in children
• The students is able to measure height, weight, blood pressure, head circumference, oxygen saturation
• The student is able to use pediatric growth charts
• The student is able to evaluate state of puberty according to Tanner
• The student is able to evaluate developmental stage versus chronological age
• The student is able to estimate renal function and dehydration level instruct children and their parents in the use of inhaled drugs.
• The student is able to interpret basic lung function findings in children and adolescents
• The student is able to explain the value of physical activity and healthy food habits both as prophylactic as well as therapeutic measure
• The student is capable of drawing and interpreting pedigrees in medical genetics
• The student is capable of identifying suspected inherited disorders within a family, and calculating empirical risks
• The student is capable of producing a report for the referral of patients or families to diagnostic service and counselling in medical genetics in Norway
• The student can read a chest radiograph and abdominal plain films to diagnose pneumonia and obstruction of the gastrointestinal tract

General competence

• The student is able to reflect on their own practice as a physician: where the limits of their professional competence goes and seek advice from colleague when necessary, especially with regard to pediatric, gynecological and obstetric problems
• The student can interact with other health professions
• The student can recognize and reflect on the ethical and legal challenges in women and child the care of children, adolescents, pregnancy and gynecological diseases
• The student can reflect on common ethical issues related to women and child care
• The student acknowledges the differences between adult- and pediatric imaging, eg. choice of modality, protocol as well as the differences in findings
• The student can give an account of the legislation relevant for the rights and the autonomy of children below the age of 18
• The student can give an account of the role of the child welfare authorities when there is a worry for the care of a child
• The student knows general principles of guidance in changes for patients, family members and health personel

• First day of the semester, Introduction
• Preparatory courses and group lessons in the first two introductory weeks
• Student service cards
• 6 weeks of practical skills training, report from coordinator at cooperating hospitals
• TBL
• All clinical teaching with patient

6 hour digital written exam. You can answer the written exam in MED9 in Norwegian and/or English.

Compulsory assignements during the semester must be approved in order to take the semester exam.

• Dictionary (non-medical)
• Basic calculator without memory card and not capable of communicating online or via short range transmitters

See link to digital reading list under Resources

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