Educational and research students’ work (ersw)

ERSW provides the following purposes:

1. To receive skills of independent work with scientific literature.

2. To get experience of analysis and generalization of scientific data.

3. Learning to make out the received material as summary papers.

Stages of work at a summary paper:

1. Choosing a theme.

2. Work at the selection of corresponding literature in a bibliographic department of a library.

3. Work with the literature.

4. Data analysis.

5. Making conclusions, it is desirable to indicate their theoretical importance and practical application.

6. Registration of a summary paper.

Plan of the summary paper:

1. The chosen problem actuality.

2. The content of the theme according to the literature.

3. Methods and forms of the noted problem studying.

4. Conclusion or findings.

5. The list of the literature used (bibliography).

Carrying out ERSW students should write a summary paper in up-to-date questions of the internal pathology. Thus modern data from the periodic medical journals, pornographies, medical manuals of the latest year editions are used.

ERSW can also possess only the practical character. For example, it is possible to analyze features of clinical course and results of the patients’ treatment at a therapeutic department for the last year or to give analysis of the differences in clinical and pathoanatomical diagnosis.

Here are some provisional ERSW themes: 1. Non-ulcer dyspepsia.

2. Gastroesophageal reflus.

3. Modern methods of stomach ulcer treatment.

4. Urgent therapy of acute pneumonias.

5. Modern opportunities of antithrombotic therapy.

6. Painless myocardial ischemia.

7. Tool diagnostic of myocardial infarction.

8. Modern treatment of essential hypertension.

Sanitary-educational work

During the practical training the students conduct 2 discussions with the patients on the prevention of diseases, thus getting the skills of sanitary-educational work. It is recommended to give talks on the healthy way of living, dietary culture, smoking and alcohol harmful influence on an organism.

It is necessary to put down all the information of the talks into a diary. The student must indicate themes of talks, number of the patients present, the questions asked and the answers on them.

Here are provisional themes for discussions with the patients:

1. Health risk factors.

2. Methods and ways of the health improvement.

3. HIV-infection prevention.

4. Personal and industrial hygiene as the basis of health.

5. Cardiovascular disease prevention.

The report documentation on the practical training

The students present the following report documentation to the department of practice of the Academy:

1. A dairy of the student’s work during the training.

Diary is the basic report document. It should contain the exhaustive information about the student’s work during the training. In the dairy the student describes the work performed daily at a polyclinic (4 days) and at an in-patient department (8days) in brief. Hence there should be 12 such records in the dairy. It is necessary to record what the student was fulfilling, what he saw during his practical training, and what kind of actions he took part in, what kind of work he carried out independently. The dairy is singed by the student and his supervising doctor every day. If the signatures are absent, the teacher of the Academy who checks the dairy has the right to return it to the student without any estimation to be correctly registered.

The dairy is written down into a writing-book. The title page is made out according to the Appendix 1. the schedule of the student’s training is given on the second page of the diary (See Appendix 2). Then the clinical base description is given, including a brief characteristic of the therapeutic department, number of beds at the department, its location and auxiliary services accommodation, medical staff and their qualification, the scope of the therapeutic aid rendered, fatal outcome quantity according to the main nosologic units. On the subsequent pages which are the basic of the dairy, medical work carried out by the student at the hospital, at the polyclinic and also the work in the functional and diagnostic sub-units of the medical establishment is described.

The form of keeping a dairy and examples of the records you can find in Appendix 3.

At the polyclinic the student receives out-patients under the doctor’s control. In this part of the diary it is necessary to indicate the following:

1. The total number of the patients received.

2. The amount of the patients received with the different nosologic forms of diseases.

3. The number of the patients directed to the hospital and their diseases (detailed diagnosis should be given).

It is desirable to write down 2-3 cases with difficult diagnostics with their description as follows:

1. Surname, name, patronymic, age and sex of the patient.

2. A detailed clinical diagnosis (the basic, complications of the basic disease, accompanying disease).

3. Examination plan.

4. Medical tactics.

5. Treatment. Examination of the temporary invalidity.

2. A curator sheet.

The student writes a curator sheet, where he describes one of 4-6 patients supervised (registration of the title page See Appendix 4). The patient is desirable to have a frequent pathology (various clinical ischemic heart disease forms, hypertension, stomach ulcer, heart disease etc.) and some clinical, etiopathogenetic features with possible complications and accompanying diseases.

While writing a curator sheet one should necessarily fill in the following parts:

1. Passport data.

Surname, name patronymic _______ sex ______age.

Causes of hospitalization: planned, according to emergency indications (to underline).

Date of admission ________ and discharge ________

Diagnosis at admission: _____________

2. Complaints.

3. Case history.

4. Past history.

5. Objective data.

6. Laboratory findings and their estimation.

7. Final diagnosis: basic, complications of the basic disease, accompanying diseases. It is made considering the available modern classifications.

While formulating the diagnosis it is necessary to observe principles of its construction: etiological, pathogenetic, anatomical, functional, nosological.

8. Treatment. Regime and further treatment recommendations on discharge from the hospital. The names of medicines should be written in Latin transcription, it is necessary to indicate dose and medicine intake frequency.

9. A dairy. In a curator sheet starting with the second day of training the student writes a diary where he cites data of the daily dynamic observations of the clinical course, additional information about a supervised patient examination, changes in treatment and possible changes and more precise definition in diagnosis. The following information in dynamic must be reflected in each dairy record:

a) Complaints.

b) Objective data, firstly in basic pathology, hemodynamic parameters, physiological functions.

c) Additional information about the patient’s examination. Interpretation of the analysis received in dynamic. Correction of treatment.

This sequence of statements should be observed while supervising the patient.

1. Turning-point epicrisis.

3. A summary paper in ERSW (design of the title page is given in

Appendix 5).