1. NAME OF COURSE  / MODULE MEDICINE II
2. COURSE CODE PAM601A
3. NAME(S) OF ACADEMIC STAFF
  • Dr Ahmad Najib Bin Azmi
  • Dr Hana Maizuliana Binti Solehan
  • Dr Ummi Affah Binti Mahamad
  • Dr Hilmi Bin Lockman
  • Dr Mohd Rahman Bin Omar
  • Dr Abdul Aziz Bin Marwan
  • Dr Siti Soraya Abdul Rahman
  • Ust Mohd Nazri Dewa
4. RATIONALE FOR THE INCLUSION OF THE COURSE/MODULE IN THE PROGRAMME  Compulsory Program Course
5. SEMESTER & YEAR OFFERED Year 6
6. TOTAL STUDENT LEARNING TIME (SLT) Face to face:

L T/S BST/

CP/C/OC

O
 8 50 250 5

L=Lecture; T=Tutorials; S=Seminars; BST=Bedside teaching;  CP=Case presentation;

C=Clinic; OC=On Call; O=Others (Exam)

Total Guided and Independent Learning:

 313+87=400
7. CREDIT VALUE 400/40= 10 credit hrs
8. PREREQUISITE (IF ANY)  Nil
9. OBJECTIVES 1.     Achieve competence in obtaining a medical history and performing basic

clinical examination.

2.  Ability to diagnose common medical conditions and diseases.

3.  Principles of management of common medical conditions and diseases.

4.  Develop the proper attitude and ethics in patient care.

5.  Ability to guide and advice concerning Rukhsah in ill patients.

6. Achieve integration of Naqli and Aqli in Medicine

10. LEARNING OUTCOMES At the end of the course, students are able to:

1.  Perform history taking and physical examination at the expected level of competency. (LO4, A5)

2.  Formulate provisional and differential diagnoses (C5, CTPS4)

3.  Suggest management plan and individualized treatment of patients  (LO7)

4.  Perform competently basic procedures and to have observed others. (LO2,P5)

5.  Behave in an ethical manner with consideration to Islamic values when dealing with patients, colleagues and other health care professionals.(LO6)

11. TRANSFERABLE SKILLS
  • Effective communication
  • Critical thinking and problem solving
  • Teamwork
  • Professional ethics
  • Lifelong learning
  • Leadership
12. TEACHING-LEARNING AND ASSESSMENT STRATEGY Teaching-learning strategy:

Discussion

Discovery learning

Problem-based learning

E-Learning

 Assessment Strategy

Continuous and summative assessment

Online Quiz

13. SYNOPSIS The art of medicine require not only skills in clinical acumen but also reasoning. Since this is the second direct exposure to the hospital medicine for the students, this module will continue the already established traditional approach on patient’s history taking, clinical examination and formulation on problem list. The focus of PAM601A extended more including investigative methods and planning towards a problem list and a holistic approach on acute and long-term management.

This course will highlight the relevant knowledge of common diseases in hospital medicine practice in order to facilitate work as housemen and to a certain extent, medical officers. The soft-skills of communication and professionalism, including presentation is refined. Competence skills, such as recognizing/ managing medical emergencies, diagnostic skills and breath of patient management is developed. Prescribing element has also been included as the knowledge and skills in this area is lacking in most house officers.

2 weeks is allocated for an introduction to Dermatology subspecialty. This encompass both in-patient and outpatient setting at Hospital Tengku Ampuan Rahimah, Klang. The emphasis of other medical subspecialty, namely cardiology, respiratory medicine, neurology, gastroenterology, nephrology, endocrinology, haematology, rheumatology, infectious diseases, emergency medicine, palliative and geriatric medicine, and radiology in medicine will be focused throughout the rest of the module.

Active participation of lecturers and students are required to facilitate the course objectives. The lecturers, as well as other resources in the hospital, act both as facilitator and mentor. Attendance and active participation are therefore, compulsory.

By completing this course, students should be better prepared to assume their role as house officers.

14. MODE OF DELIVERY Lecture, bedside teaching, seminar presentation, case discussion and online learning.
15. Assessment methods and types
Summative Assessment (100%)
Category Percentage Assessment method
Theory

·         Continuous Assessment

·         End of Clinical Posting

 

 

40%

60%

 

Logbook , Seminar, Case presentations

Theory (MCQ, PMP, Data Interpretation).

Case write up (will be contributing marks for the final professional examination)

Clinical Examination  

100%

 

  Short case, Long case
16. MAPPING OF THE COURSE/MODULE TO THE PROGRAMME AIMS Rujuk Lampiran A
17. MAPPING OF THE COURSE/MODULE TO THE PROGRAMME LEARNING OUTCOMES Rujuk Lampiran B
18. Content outline of the course/module and SLT per topic
Topics FACE TO FACE SELF-STUDY TOTAL SLT
Lecture Tutorial /Seminar SCL Assignment/SLP /SDL  Library search Self-study
INPUT 1: CARDIOVASCULAR DISEASES 4 4 8
INPUT 2:  RESPIRATORY DISEASES 4 4 8
INPUT 3: ALIMENTARY TRACT  DISEASES AND PANCREATIC DISEASE 4 4 8
INPUT 4: RENAL AND URINARY TRACT DISEASES 4 4 8
INPUT 5:  NEUROLOGICAL DISEASES 4 4 8
INPUT 6: ENDOCRINE DISEASES 4 4 8
INPUT 7: PALLIATIVE MEDICINE AND ONCOLOGY 2 4 6
INPUT 8: GERIATRIC MEDICINE 2 4 6
INPUT 9: DERMATOLOGY 4 8 12
INPUT 10:  RHEUMATOLOGY 4 4 8
INPUT 11:  HAEMATOLOGY 2 2 4
INPUT 12:  INFECTIOUS DISEASES 4 2 6
INPUT 13: MEDICAL PRESCRIBING 4 4
INPUT 14: ACUTELY ILL PATIENT MANAGEMENT 12 2 2 16
INPUT 15: NAQLI AND AQLI IN INTERNAL MEDICINE 2 2 2 6
Case presentation 32 32 64
Bedside teaching/ WR 48 0 24 72
Case write-up 12 0 2 14
Clinic / On Call 94  20  116
Assessment and preparation 5 15 20
Total 8 50 179 16 2 145 400
19 References Textbooks:

1. Dan L. Longo, Anthony S. Fauci, Dennis L. Kasper. Harrison’s Principles of

Internal Medicine, 18th Edition.
2. Parveen KumarMichael L Clark. Kumar and Clark’s Clinical Medicine, 8th Edition, Saunders Ltd.
3. Nicholas J. Talley, Simon O’Cornor. Clinical Examination: A Systematic Guide To Physical Diagnosis, 6th edition. Elsevier – Health Sciences Division

4. Graham Douglas, Fional Nicol, Colin Robertson. Macleod’s Clinical Examination 13th Edition. Churchill Livingstone International

5. Nicky R. Colledge, Brain R. Walker, Stuart H. Ralston. Davidson’s Principles and Practice of Medicine, 21st Edition. Churchill Livingstane International

6.    Harmy M Yusoff, Syamsul K Abdullah, Rosediani Muhamad, Wan NorAinon Wan Abdullah. Fikah Perubatan. 3rd Edition. PTS Millenia.

Quick references:

1. Murray Longmore, Ian Wilkinson, Edward Davidson, Ahmad Mafi. Oxford Handbook of Clinical Medicine (8th Edition). Oxford University Press.

2. Chew Nee Kong & Lim Kheng Seang. X’press Revision in Short Cases: Aids to Undergraduate Medicine. University of Malaya Press

3. Hua Huat Soo, Lee-Gong Lau, Peng Hong Chew. Sarawak Handbook of Medical Emergencies (3rd edition). C.E. Publishing

4. Chew Nee Kong. Making Neurological Diagnosis at the Bedside, A Clinical Guide for Medical Students. University of Malaya Press

5. John R. Hampton. The ECG Made Easy 6th Edition. Churchill Livingstone International

Online references:

1. http://goals.usim.edu.my/moodle/index.php    (enrolment key: PAM601A)

2. http://www.facebook.com/USIMInternalMedicine

3. http://www.acadmed.org.my/index.cfm?&menuid=67 (Malaysian Medical guidelines)

4. http://www.emedicine.medscape.com

5. http://www.uptodate.com

6. http://www.medicalstudent.com

7. http://www.goldcopd.org/Guidelines/guidelines-resources.html

8. http://www.ginasthma.org/

9. http://www.learningradiology.com/medstudents/medstudtoc.htm

 

Lampiran A

Matrix of Course Learning Outcomes (CLO) vs Programme Educational Objectives (PEO)

Faculty : Faculty of Medicine and Health Sciences

Programme: Bachelor of Medicine and Surgery (MBBS)

Course: Medicine II

Cource Code: PAM401A

Course Learning Outcomes  Compliance to PEO  Delivery Assessment

 

Key Performance Indicators/Index

PEO-1 PEO-2  PEO-3  PEO-4
1 Perform history taking and physical examination at the expected level of competency. (LO4, A5) / / / Lecture,

Bedside teaching,

Case presentation

Mini CEX

Clinical examination

1. All students should be able to perform history taking and physical examination

2. 80% passing clinical examination

2 Formulate provisional and differential diagnoses (C5, CTPS4) / / / Bedside teaching

Seminar

Case presentation

Mini CEX

Case write-up

Seminar

Clinical examination

80% passing clinical examination
3 Suggest management plan and individualized treatment of patients  (LO7 / / / Bedside

teaching Seminar

Case presentation

Mini CEX

Care write-up

Seminar

Theory examination

 

80% passing theory examination

4 Perform competently basic procedures and to have observed others. (LO2,

P5)

 

/

 

 

 

/

 

/

Ward work

On-call

Logbook 90% passing logbook
5 Behave in an ethical manner with consideration to Islamic values when dealing with patients, colleagues and other health care professionals. (LO6) / /  

Lecture

Bedside teaching

 

Case write-up

Theory and clinical Exam

 

90% pass continuous assessment

80% Theory and clinical examination

Total 5 2 2 5

 

Lampiran B

Matrix of Course Learning Outcomes (CLO) vs Programme Learning Outcomes (PLO)

Faculty : Faculty of Medicine and Health Sciences

Programme: Bachelor of Medicine and Surgery (MBBS)

Course: Medicine II

Course Code: PAM601A

Course Learning Outcomes  Compliance to PLO  Delivery Assessment  Key Performance Indicators/Index
LO-1 LO-2 LO-3 LO-4 LO-5 LO-6 LO-7 LO-8

 LO-9 

1 Perform history taking and physical examination.  

P

A5

Lecture,

Bedside teaching,

e-learning

Case presentation

Mini CEX

Clinical examination

80% passing clinical examination
2  

Formulate provisional and differential diagnoses

 

 

 

P

C5

CTPS4

Bedside teaching

Seminar

e-learning

Case presentation

Mini CEX

Case write-up

Seminar

Clinical examination

Clinico-Pathological Conferencde

 

 

80% passing clinical examination

3  

Suggest management plan and individualized treatment of patients

 

 

P Bedside

teaching Seminar

Case presentation

Mini CEX

Care write-up

Seminar

Theory examination

 

80% passing theory examination

4 Perform competently basic procedures and to have observed other procedures as well.  

P

P5

 

 

Ward work

On-call

Logbook 90% passing logbook
5 Behave in an ethical manner with consideration to Islamic values when dealing with patients, colleagues and other health care professionals. P  

 

Lecture

Bedside teaching

Case write-up

Theory and clinical Exam

90% pass continuous assessment

80% Theory and clinical examination

Total 1 2 1 1