semmelweis university 2 0 1 2 / 2 0 1 3
semmelweis university 2 0 1 2 / 2 0 1 3 semmelweis university 2 0 1 2 / 2 0 1 3
INTERNAL MEDICINE – To be present for at least 6 hours per day (30 hours per week, including 1 week Infectology). – Activities should include the following subjects: general survey of hospital/department organization, examination of patients in the Medical Department, with special emphasis to case history taking and full physical examination. – The students should gain practice in patient documentation, problem-oriented medical record keeping, taking of pulse, blood pressure, temperature, measuring weight and height of patients. – Participate in the preparation of diagnostic and therapeutic plan for patients. – Be present at invasive and semi-invasive interventions (taps of abdominal and chest fluid, preparation of bone marrow smear etc.). – Learn how to take venous blood. – To spend time at the outpatient department. – To practice basic laboratory techniques needed in bedside diagnosis (urinalysis, stool examination, use of dip sticks etc.). – To be on night duty at least twice per month. – Consultations in gastroenterology, diabetes, hematology, endocrinology, cardiology, sonography, X-ray, ECG etc. – Watch endoscopy performed. – See the intensive coronary care unit. – Be present at postmortems. – Regular consultations with the doctor responsible for the student. – All these activities should be carefully supervised by members of the medical staff. – The students should also practice communication with patients and their relatives, while giving them relevant medical information on the disease but avoiding conflicts with medical confidentiality. – Students should take an active part in medical consultations concerning their patients, as well as in the medical conferences in the department. – The students should practice the prescription of commonly used drugs. SURGERY SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE – Acting as a HO or SHO under strict supervision, including administration and practical skills. – Admitting of patients with full physical examination, including breast and PR examinations. – Theoretical planning for examinations and treatments for the examined patients. – Continuous observation and registration of the patient’s condition with administration. – Writing of discharge reports. – Performing different injections (iv., im, sc), insertion of venflons, phlebotomies. To determine blood group, performing of transfusions under strict supervision. Completion of administration. – Insertion of NG tubes. – Catheterization (urethral and suprapubic). – Removal of clips and stitches. – Changing of dressings. – Assistance at abdominal and thoracic wash-outs or punctures. – Taking part in consultations with other specialists. – Theoretical decisions about operations. Consenting. – Taking part in operations, scrubbing in, stitching. – Being on duty for 24 hours once a week. – Examination and treating of emergency patients. – Taking part in anesthesiological preparation of patients. – Observation of premedications. – Assistance at several anesthesiological procedures, including spinal, peridural and GA. – Assistance at intubations. If possible, independent intubation. Faculty of Medicine 257
258 SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE – Measurement of CVP. – Assistance at jugular and subclavian venal punctures. – Suction of the throat and trachea. – Observation of ITU work. – HO house officer SHO senior house officer PR per rectum NG nasogastric GA general anesthetic CVP central venous pressure ITU intensive therapy unit – Observation of postoperative treatment. – Observation of resuscitation and reanimation. – Observation of autopsies of the ward. – Being present at every medical discussion of the ward. – Observation of outpatient work. – Assistance in outpatient work including assistance at day surgical operations. – Changing of dressings of outpatients. – Treatment of infected wounds. – Assistance at i.v. anesthesia. – Performing and assisting at local anesthesia. – Observation and assistance at ultrasound, endoscopies and X-ray examinations. – As interns, students take part in the daily rounds and report on the patients examined by them or treated in their section. Interns examine the patients under the supervision of the ward chief or ward surgeon. Interns are required to be personally involved in the examinations and the evaluation of the findings. Involvement in the preparation of the documentation of the patients. Involvement in the preoperative preparations as well as in the postoperative care and treatments. Take part in the operations as second assistants. Take part in on-call duty without numerical limitations. During on-call (night) duty, interns should-under the supervision of the ward chief or authorized surgeon – be involved in solving all problems caused by either acute or chronic diseases. Interns are required to take part in all consultations organized for them. Interns will be eligible for the final examination if the above conditions have all been met and their academic achievements during their internship proved.
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INTERNAL MEDICINE<br />
– To be present for at least 6 hours per day (30 hours per week, including 1 week Infectology).<br />
– Activities should include the following subjects: general survey of hospital/department organization,<br />
examination of patients in the Medical Department, with special emphasis to case history taking<br />
and full physical examination.<br />
– The students should gain practice in patient documentation, problem-oriented medical record<br />
keeping, taking of pulse, blood pressure, temperature, measuring weight and height of patients.<br />
– Participate in the preparation of diagnostic and therapeutic plan for patients.<br />
– Be present at invasive and semi-invasive interventions (taps of abdominal and chest fluid,<br />
preparation of bone marrow smear etc.).<br />
– Learn how to take venous blood.<br />
– To spend time at the outpatient department.<br />
– To practice basic laboratory techniques needed in bedside diagnosis (urinalysis, stool examination,<br />
use of dip sticks etc.).<br />
– To be on night duty at least twice per month.<br />
– Consultations in gastroenterology, diabetes, hematology, endocrinology, cardiology,<br />
sonography, X-ray, ECG etc.<br />
– Watch endoscopy performed.<br />
– See the intensive coronary care unit.<br />
– Be present at postmortems.<br />
– Regular consultations with the doctor responsible for the student.<br />
– All these activities should be carefully supervised by members of the medical staff.<br />
– The students should also practice communication with patients and their relatives, while giving<br />
them relevant medical information on the disease but avoiding conflicts with medical confidentiality.<br />
– Students should take an active part in medical consultations concerning their patients, as well as in<br />
the medical conferences in the department.<br />
– The students should practice the prescription of commonly used drugs.<br />
SURGERY<br />
SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE<br />
– Acting as a HO or SHO under strict supervision, including administration and practical skills.<br />
– Admitting of patients with full physical examination, including breast and PR examinations.<br />
– Theoretical planning for examinations and treatments for the examined patients.<br />
– Continuous observation and registration of the patient’s condition with administration.<br />
– Writing of discharge reports.<br />
– Performing different injections (iv., im, sc), insertion of venflons, phlebotomies. To determine blood<br />
group, performing of transfusions under strict supervision. Completion of administration.<br />
– Insertion of NG tubes.<br />
– Catheterization (urethral and suprapubic).<br />
– Removal of clips and stitches.<br />
– Changing of dressings.<br />
– Assistance at abdominal and thoracic wash-outs or punctures.<br />
– Taking part in consultations with other specialists.<br />
– Theoretical decisions about operations. Consenting.<br />
– Taking part in operations, scrubbing in, stitching.<br />
– Being on duty for 24 hours once a week.<br />
– Examination and treating of emergency patients.<br />
– Taking part in anesthesiological preparation of patients.<br />
– Observation of premedications.<br />
– Assistance at several anesthesiological procedures, including spinal, peridural and GA.<br />
– Assistance at intubations. If possible, independent intubation.<br />
Faculty of Medicine<br />
257