TIP411

School of Medicine \ Medicine

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7

Compulsory

Turkish

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Bachelor's and Master’s

Within the scope of this internship, students take anamnesis from healthy or sick adults and basic examination training and practice, file preparation, participation in theoretical courses and bedside education hours. They monitor internal medicine patients who are hospitalized in the ward or outpatients in the polyclinic under the supervision of faculty members.

Harrison's Principles of Internal Medicine, 21st ed. JL Jameson, AS Fauci, DL Kasper, SL Hauser, DL Longo, J Loscalzo. McGraw Hill, 2022.

The aim of the students who complete the Internal Medicine Internship is to train physicians who are competent and sufficient in the knowledge, skills and attitudes that will provide quality preventive and therapeutic services for adult patients and society, to ensure that they can apply preventive medicine, diagnosis, differential diagnosis, treatment and emergency approaches in healthy adults, to become physicians who can recognize and make differential diagnoses of the symptoms and findings related to the gastrointestinal, nephrological, metabolic, endocrinological, hematological, oncological and musculoskeletal systems within this scope of the physician who completes the Internal Medicine practice, to be physicians who can diagnose and treat relevant diseases when necessary, plan their follow-ups, direct them to appropriate clinics when necessary, and perform disease screenings according to age groups.

1. In general, approach the patient, take a history, perform a physical examination, fill out a file, request and evaluate the necessary laboratory and radiological tests, write an epicrisis,
2. Explain the symptoms and symptom packages and findings related to the gastrointestinal system,
3. Explain the pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods of gastrointestinal system diseases,
4. Define the symptoms and symptom packages and findings related to nephrology,
5. Explain the pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods of nephrological diseases,
6. Explain the symptoms and symptom packages and findings related to the endocrine system,
7. Explain the pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods of endocrine diseases,
8. Define the symptoms and symptom packages and findings related to the musculoskeletal system,
9. pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods,
10. Explain symptoms and symptom packages related to hematology and findings,
11. Explain pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods of hematological diseases,
12. Define symptoms and symptom packages related to metabolism and findings,
13. Explain the pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods of metabolic diseases,
14. Describe the general approach to oncological diseases,
15. Explain the pathophysiology, etiology, findings, diagnostic methods, and if necessary, treatment methods of oncological emergencies and paraneoplastic syndromes.

Week 1: Internal Medicine Internship Introduction History Taking in Endocrinology Patients - FM History Taking and FM in Rheumatology Patients History Taking and FM in Gastroenterology Patients Description of Skin Lesions History and FM in Chest DiseasesOutpatient Clinic-Visit Classification, Pathogenesis, Diagnosis and Clinic of Diabetes Mellitus
Treatment of Diabetes Mellitus Screening and Early Diagnosis in Cancer Physiology of Aging Outpatient Clinic-Visit Outpatient Clinic-Visit Acute Complications of Diabetes Mellitus
Chronic Complications of Diabetes Mellitus Spondyloarthritis Peptic Ulcer Disease, Treatment and Complications Paraneoplastic Syndromes Structured Case Discussion: Approach to Spondyloarthritis Acute Pancreatitis Chronic Pancreatitis Anamnesis and Physical Examination in Nephrology Diagnostic Methods in Nephrology Essential Hypertension Renal Parenchymal and Renovascular Hypertension Pregnancy and Kidney Tests Used in the Diagnosis of Diabetes Mellitus and Their Interpretations Tests Related to Hypothalamic-Pituitary and Adrenal Axis
Week 2: Secondary Glomerular Diseases and Amyloidosis. Irritable Bowel Syndrome and Functional Dyspepsia Treatments Gastro-Esophageal Reflux Disease and Treatment Esophageal Motility Disorders and Treatment Liver Function Test Abnormalities Chronic Liver Disease and Complications Signs and Symptoms in Hematology Patients Leukopenia and Thrombocytopenia Structured Case Discussion: Dysphagia Structured Case Discussion: Dysphagia Approach to Hemostasis Disorders Iron Deficiency Anemia Oncological Emergencies Venous Thromboembolism Structured Case Discussion: Clinical Approach to Patient Presenting with Liver Function Test Abnormalities and Jaundice Structured Case Discussion: Clinical Approach to Patient Presenting with Liver Function Test Abnormalities and Jaundice Primary Glomerular Diseases Nephrotic Syndrome Patient with Edema Acid-Base Balance Disorders and Treatment
Week 3: Adrenal Gland Hyperfunction Adrenal Cortex Insufficiency Peripheral Smear Pituitary Adenomas Goiter Hypothyroidism Chronic "Inflammatory Bowel Diseases" (Ulcerative Colitis and Crohn's) Medical Treatment Systemic Lupus Erythematosus Anti-Phospholipid SyndromeThyroiditis Thyrotoxicoses Metabolic Hepatitis (Hemochromatosis, Wilson's Disease and Alpha-1, Antitrypsin Deficiency) Gout Disease and Other Crystal Arthropathies Gastrointestinal System Polyps and Other Endoscopic Treatments Gluten Sensitive Enteropathy, Treatment and Complications Approach to Patients with Lymphadenopathy Approach to Patients with Splenomegaly Acid-Base Balance Disorders and Treatment Fluid-Electrolyte Balance Disorders and Treatment Acid-Base Balance Disorders and Treatment
Week 4: Structured Case Discussion: Rheumatological Diseases in the Differential Diagnosis of Fever of Unknown Origin Thyroid Cancer Structured Case Discussion: Approach to the Patient with Thyroid Dysfunction Comprehensive Geriatric Assessment Common Problems of Old Age Rheumatoid Arthritis Structured Case Discussion: Rheumatologic Diseases in the Differential Diagnosis of Fever of Unknown Origin Enteral and Parenteral Nutrition Gastrointestinal Tract Vascular Diseases (Mesenteric Arterial and Venous Ischemia) and Treatment Structured Case Discussion: Approach to the Patient with Abdominal Pain Chronic Cholestatic (Pbs and Sclerosing Cholangitis) Liver Diseases Hematopoietic Stem Cell Transplantation Outpatient Clinic-Visit Calcium Metabolism Disorders and Metabolic Bone Diseases Structured Case Discussion: Failure with Complications of Liver Cirrhosis
Case Discussion: Nephrology Diabetic Nephropathy Approach to thyroid dysfunction. Hypothalamic-pituitary-adrenal axesSecondary Glomerular Diseases and AmyloidosisTubulointerstitial Diseases
Week 5: Structured Case Discussion: Approach to the Patient with Arthritis Gallbladder and Choledochal Stone Disease - Endoscopic Treatment of Choledochal Pallation of Benign and Malignant Strictures of the Bile Ducts Structured Case Discussion: Clinical Approach to the Patient Presenting with Upper Gastrointestinal Bleeding Structured Case Discussion: Viral Hepatitis Structured Case Discussion: Viral Hepatitis Vasculitis Dyslipidemias Obesity and Metabolic Syndrome DI and Inappropriate Adh Syndrome Structured Case Discussion: Rheumatological Diseases in the Differential Diagnosis of Fever of Unknown Origin Disseminated Intravascular Coagulation Anticoagulant Therapy Hypertensive Patient
Acute Kidney Injury: Etiology-Patient Physiopathology Acute Kidney Injury: Diagnosis-Treatment Patient with High Serum Creatinine-1 Patient with Hypertension Week 6: Other Connective Tissue Diseases Structured Case Discussion: Chronic Diarrhea Structured Case Discussion: Chronic Diarrhea Behçet's Disease Structured Case Discussion: Differential Diagnosis of Patients with Recurrent Oral Aphthae/Uveitis and Erythema Nodosum Pregnancy and Hematological
Week 7: Organ Involvement in Rheumatological Diseases. Multiple Myeloma Blood Transfusion Differential Diagnosis of Patients with Recurrent Oral Aphthae/Uveitis and Erythema Nodosum Igg4-Associated Disease Approach to Non-Diabetic Endocrinological Emergencies Medications Used in Rheumatology Cases with Rheumatology Recurrence Cases with Rheumatology Recurrence Approach to Patients Presenting with Rectal Bleeding Approach to Non-Diabetic Endocrinological Emergencies Approach to Non-Diabetic Endocrinological Emergencies Cases with Diabetes Mellitus.
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Week 12: -

• Internship Report Card: 10 %
• Written Exam: 50 %
• Oral Exam: 40 %