5th Clinical Semester


ECTS Course Code
Compulsory subjects
Hours/ Semester
ECTS Credits
9-M-O-P-1
Praktikum Allgemeinmedizin
Practical General Medicine

Content: hospitation in the practice of a General Practitioner
49
7
9-M-O-P-2
9-M-V-L-9












9-M-V-L-9
Neurologie
Neurology (incl. neurosurgery)

- Bedside Teaching and
- Lecture

Content: Headache, cerebrovascular diseases, disorders of the peripheral and cranial nerves, muscle disorders, infections of the central nervous system, epilepsy, sleep disorders, vertigo, movement disorders, ataxias, inflammatory disorders of the central and peripheral nervous system.

Assessment: written examination together with Neurosurgery (multiple choice and open questions)

Knowledge and skills achieved:
The student will learn to perfom a detailed neurological examination: Upon completion he/she will understand the anatomy, pathophysiology, and the principles of the treatment of neurological disorders.


- Lecture Neurosurgery

Content: Spontaneous intracerebral haemorrhage; aneurysmal subarachnoid haemorrhage; cerebral arteriovenous malformations; head injury and intracranial pressure; degenerative, tumorous, infectious, and traumatic disorders of the spine; benign and malignant tumours of the brain; hydrocephalus; epilepsy surgery; paediatric neurosurgery; pain and peripheral nerve surgery

Assessment: Oral examination

Knowledge and skills achieved: Diagnosis and treatment of cerebrovascular disease and spontaneous intracranial haemorrhage; Glasgow coma scale and classification of head injury; description of significant pathological findings on CT (i.e. epidural hematoma, or impression fracture); clinical and radiological findings in degenerative and traumatic disorders of the spine and their treatment; management of neurosurgical emergencies; classification and treatment of brain tumours; types and treatment of hydrocephalus; indications for resective epilepsy surgery
30,8
28












14
5
9-M-O-P-3

9-M-V-L-10
Psychiatrie und Psychotherapie
Psychiatry and psychotherapy

- Group seminars organized according to principles of Problem Based Learning (PBL) with several teaching modules offering actual patient exposure
- Introductory concept lecture

Content: Systematic assessment of psychopathological phenomena and classification into psychiatric disorders, diagnostic methods, prognosis, therapeutic strategies, primary and secondary prevention and rehabilitation

Assessment: written examination with MC questions, oral re-examination in case of failure

Knowledge and skills achieved: Basic knowledge about pathophysiology, diagnosis, course and treatment of common psychiatric disorders (depression, schiziphrenia, anxiety, dementia and addiction). Basic level skill in psychiatric interviewing techniques.
15,4

14
3
9-M-O-P-4
9-M-V-L-7
Psychosomatik und Psychotherapie
Psychosomatics and psychotherapy

- Practical and
- Lecture

Content: Covered topics are the biopsychosocial model, diagnostic classification systems, diagnostic criteria for specific mental/psychosomatic disorders, psychotherapy and integrative psychosomatic treatment strategies. The practical training focuses on diagnostic and interview skills.

Assessment: oral examination

Knowledge and skills achieved: Recognising symptoms of psychosomatic disorders, conducting a clinical interview under a psychodynamic perspective, formulating a descriptive diagnosis in terms of ICD 10 / DSM IV
28
28
4
9-M-O-S-5
Klinische Pharmakologie/Pharmakotherapie
Clinical Pharmacology/Pharmacotherapy

- Seminar

Content:
  • Clinical Pharmacology:

  • 1. Pharmaceutical development/clinical examination/acquisition and evaluation of published pharmaceutical data: Preclinical examination, clinical examination (Ethics Committee, legal aspects), admission procedures, biometry, reliable sources of information, search strategies, evaluation of studies, practical examples.
    2. Pharmacokinetics: Repetition of basic pharmacokinetic terms, summary of pharmacokinetics in risk populations, therapeutic drug monitoring, evaluation, dose calculation, practising dose calculation with clinical examples.
    3. Pharmacogenetics: Polymorphisms (CYP450, transferases, G6PDH), clinical impact (dose relevance, efficacy, safety), diagnostics, dose individualization, clinical examples.
    4. Adverse pharmaceutical effects I: Frequency, classification, epidemiological and economic relevance, evaluation of causal interrelation, post marketing surveillance, clinical examples.
    5. Adverse pharmaceutical effects II: Decision finding in suspected adverse events, evaluation incl. single-case-randomized-trial-design, registration, successive procedures, local pharmaceutical committies, clinical examples.
    6. Drug interactions and incompatibilities: Frequency, classification, epidemiological and economic relevance, mechanisms (induction, inhibition, complexing, antagonism), avoidance and considerations before prescription, clinical examples.
    7. Intoxication and withdrawal syndromes: Typical substance classes, detection, symptoms, emergency measures, prevention, clinical examples.
    8. Pharmaceutical therapy in risk populations I: Restricted kidney function and kidney compensation therapies (diagnostics, evaluation, procedures, practical exercises in case studies).
    9. Pharmaceutical therapy in risk populations II: Kidney disorders (diagnostics, evaluation, procedures, practical exercises in case studies).
    10. Pharmaceutical therapy in risk populations III: Geriatric patients and children (special features, evaluation, procedures, practical exercises in case studies).
    11. Pharmaceutical therapy in risk populations IV: Pregnancy and breastfeeding (special features, evaluation, procedures, practical exercises in case studies).
    12. Prescription of drugs: Patient education and instruction, placebo effect, prescription, opioids, basic legal principals, off-label-use, practical exercises.
    13. Difficulties in cases of non-efficiency: Detection, monitoring, non-compliance, non-response, economic relevance, clinical examples.
    14. Pharmaco-Economy: Pharmaco-economical problems (cost pool, cash flow, pharmaceutical market, pharmaceutical industry, political institutions and instruments), methodology of pharmaco-economical studies (design, outcome parameters, data origin, cost-effectiveness, cost-minimization, cost-utility, cost-benefit, decision models), discussion of chosen subjects (rheumatoid arthritis, HIV, malaria, vaccination/prevention, “lifestyle drugs).
  • Pharmaco-Therapy with case presentation:

  • 1. Pharmaco-therapy of arterial hypertension.
    2. Pharmaco-therapy of cardiac insufficiency.
    3. Pharmaco-therapy of coronary heart disease/myocardial infarct and therapy with coagulation and aggregation inhibiting substances.
    4. Pharmaco-therapy of the respiratory tract diseases (asthma, COPD).
    5. Pharmaco-therapy of gastrointestinal diseases.
    6. Pharmaco-therapy of Diabetes mellitus, dyslipidemia and other metabolic disorders.
    7. Pharmaco-therapy of thyroid diseases, osteoporosis and therapy with sexual hormones.
    8. Pharmaco-therapy of bacterial infections.
    9. Pharmaco-therapy of viral, mycotic and parasitic infections.
    10. Pharmaco-therapy of psychiatric emergency situations and depressions, M. Parkinson, seizures, sleep disorders and migraine.
    11. Pharmacotherapy of acute and chronic pain.
    12. Pharmaco-therapy of rheumatic diseases / immunsuppression.
    13. Pharmaco-therapy of neoplasia (including supportive measures) and disorders of the water and electrolyte metabolism.
    14. Pharmaco-therapy with controversial drugs or drugs with restricted prescription recommendations (e.g. anabolic steroids, antidysmenorrhoics, carminativa, intestinal flora drugs, enzymes, immunstimulants, menopause drugs, therapeutica of the mouth and throat, venous drugs, vitamins, etc.), wound healing drugs and phyto-pharmaca.


Assessment: written examination
28
5
9-M-O-S-6
Medizin des Alterns und des alten Menschen (Geriatrie)
Geriatric medicine

- Seminar

Content:

Assessment:

Knowledge and skills achieved:
14
9-M-O-S-7
Rehabilitation, Physikalische Medizin und Naturheilverfahren
Rehabilitation, physical therapy and naturopathic treatment

- Seminar

Content:

Assessment:

Knowledge and skills achieved:
21
9-M-O-S-8
9-M-V-L-11
Rechtsmedizin
Forensic Medicine (incl. clinical ethics)

- Seminar and
- Lecture

Content: Forensic thanatology, psychopathology, pathology, traumatology, toxicology, criminology, medical jurisprudence

Assessment: MCQ examination, seminar paper

Knowledge and skills achieved: external examination, certification of the cause of death, description and certification of body harm and sexual environment
21
14
2