4.Year Clinic 1st Year

General knowledge on development, health and diseases of children. Prevention, diagnosis and treatment methods in pediatrics. Nutrition (breast feeding, weaning), growth monitoring, vaccination and screening programs in infancy.  Genetic, structural and metabolic diseases of children. Taking history, physical examination, laboratory examination and modern treatment methods of childhood diseases. Infectious, hemato-oncologic, respiratory, cardiac, gastrointestinal, renal, neurologic and endocrine system diseases in pediatric age group

Women’s health, reproductive endocrinology and infertility, assisted reproduction, pregnancy, labor and delivery, normal and abnormal pregnancies, diseases of the genital organs, sexually transmitted diseases, gynecologic oncology, diagnosis and treatment of gynecologic diseases.

Understanding basic pathophysiology of surgical problems, basic information on fluid and electrolyte management, shock and hemostasis. Detailed description of clinical signs symptoms, diagnostic methods and surgical/medical treatment of  organ systems such as gastrointestinal, hepatobiliary, endocrine will be discussed. Lectures, case presentations, conferences and practical sessions in laboratories, radiology and imaging departments, clinics, emergency room, and operating rooms will be organized to supplement theoretical teaching with clinical experience.

Establishing healthy and accurate communication with patients and their relatives, essential history taking and physical examination practices, requesting goal-directed laboratory tests and interpretation of all patient-related information accurately in the fields of  medicine, cardiology, pulmonary system diseases and infectious diseases.  Common and important medical diseases, signs and symptoms of diseases, laboratory methods and imaging modalities. Acute, chronic diseases and their management.

This clerkship intends to develop medical students’ prescription writing skills by building a personal drug formulary named P-drug list. Rational pharmacotherapy principles lie at the core of the course. Students select the drugs for a given indication using a multi-attribute utility table based on four criteria: efficacy, safety, suitability, and cost. The utility of the list is then discussed in different situations. Students are encouraged to build their P-drug lists for common indications upon graduation. The clerkship consists of role-playing activities and case discussions and is organized as problem-based lecture (PBL) sessions. Students are encouraged to use internet and print resources and be ready to complete tasks during and after the sessions. At the end of the course, student progression is assessed with an OSCE.
By the end of this clerkship, students are able to:
1) Identify the components of the P-drug list concept
2) Actively experience, step-by-step, choosing a P-drug for a given indication.
3) Compare effective drug groups for an indication according to the criteria.
4) Start the treatment by writing a prescription.
5) Monitor the treatment
6) Assess the outcome

Since the academic year of 2021-2022, our department has been collaborating with the British Pharmacology Society to implement the “Prescription Safety Assessment (PSA)” into the clerkship program. PSA aims to assess prescribers’ competencies about the safe and effective use of medicines. Integrating the BPS-PSA into the curriculum supports the students in developing their prescribing skills and allows benchmarking in an international setting. For more information about BPS-PSA, visit the website:  https://www.bpsassessment.com

The program is a one full week for to discuss ethical dilemmas on a case base discussions and students presentations ; After watching a documentary film, students make a reflective writing following a discussion on the case. Rest of the week, every student has to choose a case which has (an) ethical dilemma(s). Prepare the case as he / she is the responsible physican of the patient. Present and defend / discuss his / her own decission(s) for the case with his / her colliques.