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Criteria for assessing of learning activities of students in the study module 6 "Children's infection"
Criteria for evaluating the current training activities
Practical lessons in the study module "Pediatric infections" is structured and provide a comprehensive evaluation in points of all learning activities (learning objectives) that students complete during practice:
1) At the initial stage the control tests students’ knowledge. The results of test control are evaluated positively, if the student has given at least 70% correct answers. With fewer correct answers the student receives no points. In the overall assessment of current training activities, this stage is 25% of the assessment during the class, that is 1.3 points.
2) On the main stage of practice practical work of students is assessed at the bedside of a sick child to determine the clinical variations and complications of the most common childhood diseases, determination of tactics of the patient, a sick child test planning and interpretation of the results, a differential diagnosis and staging of the previous clinical diagnosis, of medical records for emergency assistance in major emergency conditions in hospital pediatric infectious diseases, as well as situational tasks, which include practical skills to evaluate the data of laboratory and instrumental investigations, first aid algorithms.
In the overall assessment of current training activities, this stage is 45% of the evaluation during a practical lesson. The maximum score - 5 points.
3) At the final stage of practice control is through solving complex situational problems, including problems with emergency conditions, to assess the extent to achieve educational goals. In the overall assessment of current training activities, this stage is 30%. The maximum score - 4 points.
Assessment of students' independent work in preparation for classroom workshops carried out during the current control subject at the appropriate audience session.
Final module control is carried out on completion of study of all the themes of the module on the last control session with the module.
Before final control students who complete all the types of work, provided by the curriculum, and in the study module achieved score points, no less than the minimum.
The form of the final module is a standardized control which includes control of theoretical (control test) and practical training (demonstration of student skills at the bedside of a sick child, solve structured situational problems).
Test control includes 20 test tasks. Maximum score - 20 (1 point for 1 correct answer).
Performance of students with practical skills at the bedside (evaluation of the general condition of a sick child, analysis of data history, physical examination and determination of clinical changes in the organs and systems, the rationale of the previous diagnosis, treatment assignment, the organization of preventive measures in foci of infection). Maximum score – 30.
Solving complex structured situational problems, including problems with emergency conditions, including interpretation of data of laboratory and instrumental investigations, study of clinical diagnosis, determination of therapeutic tactics, purpose of treatment or emergency assistance, the organization of preventive measures in foci of infection. Maximum score - 30.
The maximum number of points equal to the final module control is 80. Final module control is admitted if the student scored at least 50 points.

Evaluation of discipline:
Evaluation of Pediatrics is exposed only to students who enrolled all modules in the discipline.
Assessment of discipline is assigned as the average of all estimates for the modules that are structured in educational discipline.
Objectivity of assessment of students' learning activities should be audited by statistical methods (correlation coefficient between the current progress and results of the final module control).
Converting the number of points in the discipline assessment scale ECTS and 4-points (traditional) scale
Points are converted regardless of discipline both in the scale of ECTS in the deanery, and in 4-points scale at the department. Converting the number of points in the discipline assessment scale ECTS and four points (traditional) is as follows:

Scale ЕСТS

4-point scale

BSMU scale

А

5

180 to 200 points

В, С

4

150 to 179 points

D, E

3

149 to minimal score (as usual 120)

FX, F

2

Less than minimal score, which the student gave to get

Ranking of assigning ratings of "A", "B", "C», «D», «E" is held for students this year who study in one specialty, and have successfully completed the discipline. Estimates «FX, F» are given to students who are not enrolled at least one module in the discipline after studying it. Score «FX» is given to students who received the minimum number of points for current educational activities, but that does not count the final module control. This category of students has the right to pass once more final module control due to approved schedule during the holidays for two weeks after the school year. Re-assembling of the final module control allowed no more than two times. Score «F» is proposed to students who attended all the lecture classes from the module, but did not gain the minimum number of points for current educational activities and are not admitted to the final module control. This category of students has the right to repeat the module. By permission of the rector of student learning can improve evaluation of subjects by re-assembling final module control (no more than three times during the entire period of study). Students who enrolled in one specialty, taking into account the number of points collected in the discipline ranked on a scale of ECTS as follows (these points are converted as follows):



On a scale of ECTS



The national scale 

BSMU scale


Statistical index

A ( Excellent)

Excellent

180-200

Best 10% of students

B (very good)

Good

165-179

next 25% of students

C (good)

150-164

next 30% of students

D (satisfactory)

Satisfactory

135-149

next 25% of students

E (weakly)

130-134

The rest 10% of students

FX

unsatisfactorily with the possibility of re-drafting

70-129

-

F

unsatisfactorily with mandatory recycling rate 

1-69

-



^ DISTRIBUTION POINTS FOR EVALUATION OF STUDENT TRAINING

Module 5 Pediatrics

While mastering the theme on traditional system of points awarded to the student: "5" - 6 points, “4 "- 5 points," 3 "- 4 points, 2" - 0 points. For the performance of independent individual work of students awarded the maximum 6 points (“5”), minimum - 4 points (3). The maximum score for the current school student activities - 120. The student admitted to the final module control if the requirements of the curriculum and, if for current training activities he has taken at least 80 points during the workshops (19 x 4) and the implementation of independent individual work (4). The final module control student is counted, if he has at least 50 within 80 points.


Module 6 Children's infectious diseases 
While mastering the theme on traditional system, students are awarded points, "5" - 12 points, "4" - 10 points, "3" - 7 points, "2" - 0 points. For the performance of independent individual work of students awarded the maximum 12 points ("5"), 10 points ("4"), 7 points ("3"). Maximum score for current educational activities of students - 120. The student is allowed to control the final module, provided the requirements of the curriculum and in the case for current educational activities, he scored at least 70 points during the workshops and the performance of individual independent work (7 x 10). Final module control is credited to the student if he has at least 50 within 80 points. 



^ THE LIST OF QUESTIONS TO THE FINAL MODULE CONTROL


MODULE 5. Pediatrics.
1. Differential diagnosis of pneumonia in children.Tactics in different clinical variants of current pneumonia. Prevention of complications of pneumonia in children.
2. Differential diagnosis of complications of pneumonia (pleurisy, abscess, piotorax, pneumothorax) in children. Tactics in different clinical variants of complications of pneumonia in children.
3. Differential diagnosis of bronchiolitis and bronchitis in children. Tactics in different clinical variants of bronchitis in children. Prevention of bronchitis and bronchiolitis in children.
4. Emergency of acute respiratory failure depending on the causes and severity.
5. Differential diagnosis of bronchial asthma and bronchial obstruction syndrome due to acute respiratory diseases in children of all ages. Verifying of the diagnosis. Tactics in different clinical variants of bronchial obstructive syndrome and its complications in children.
6. Providing urgent care in asthmatic status.
7. Prevention of asthma and bronchial obstruction syndrome due to acute respiratory diseases in children of different ages.
8. Differential diagnosis of chronic, hereditary and congenital diseases of the bronchopulmonary system (CF, hemosiderosis, idiopathic pulmonary primary ciliary dyskinesia, syndrome of Williams-Campbell, bronhomaliacia, aplasia and hypoplasia of the lungs, α1-antitrypsin deficiency, bronchopulmonary dysplasia, pulmonary sequestration) in children. Tactics of hereditary, congenital and chronic bronchopulmonary diseases and their complications in children. Prevention of hereditary, congenital and chronic bronchopulmonary diseases in children.
9. Differential diagnosis of inflammatory diseases of the heart (myocarditis, endocarditis, pericarditis) in children. Tactics of child myocarditis, endocarditis, pericarditis.
10. Differential diagnosis of cardiomyopathies in children. Tactics in child cardiomyopathies.
11. Differential diagnosis of congenital and acquired heart defects in children. Tactic of children with congenital and acquired heart defects.
12. Providing emergency care of acute heart failure in children.
13. Secondary prevention of infectious endocarditis in children.
14. Differential diagnosis of extrasystole, paroxysmal tachycardia, atrial fibrillation and complete atrio-ventricle blockade. Tactics of extrasystole, paroxysmal tachycardia, atrial fibrillation, complete atrioventricular block in children. Prevention of disorders of the cardiac rhythm and conduction in children.
15. Emergency action in paroxysmal tachycardia, atrial fibrillation in children.
16. Differential diagnosis of systemic connective tissue diseases in children. Tactic of patients with systemic connective tissue diseases in children. Primary and secondary prevention of acute rheumatic fever in children.
17. Differential diagnosis of systemic vasculitis in children. Tactics in systemic vasculitis in children.
18. Differential diagnosis of arthritis in children.Tactic. Prevention of reactive arthritis in children.
19. Differential diagnosis of functional (cyclic vomiting syndrome, functional dyspepsia) and organic (chronic gastritis, chronic duodenitis, ulcer of stomach and duodenum) diseases of the upper digestive tract in children. Tactic of children with functional and organic diseases of the upper digestive tract in children. Prevention of ulcer and its complications. Emergency action in the complicated course of ulcer disease in children.
20. Differential diagnosis of functional (abdominal pain, irritable bowel syndrome, functional constipation) and organic (ulcerative colitis) intestinal diseases in children. Tactic of children with functional and organic bowel disease.
21. Differential diagnosis of primary (enzymes insufficiency, exudative enteropathy, celiakia, cystic fibrosis) and secondary (chronic enteritis, enterocolitis) violation of intestinal absorption in children. Tactic of children with primary and secondary syndrome of intestinal malabsorption.
22. Differential diagnosis of biliary dyskinesia, acute and chronic cholecystitis in children. Tactics of children with biliary dyskinesia, acute and chronic cholecystitis. Prevention of biliary dyskinezia, acute and chronic cholecystitis in children.
23. Differential diagnosis of acute and chronic pancreatitis in children. Tactics of children with acute and chronic pancreatitis. Prevention of acute and chronic pancreatitis in children.
24. Differential diagnosis of chronic hepatitis in children. Tactics in chronic hepatitis B in children. Prevention of chronic hepatitis and portal hypertension in children.
25. Providing emergency care in acute liver failure and complications of portal hypertension syndrome.
26. Differential diagnosis of the most common infectious and inflammatory diseases of the urinary system (urinary system infections, urethritis, cystitis, pyelonephritis). Tactics of the child with the most common infectious and inflammatory diseases of the urinary system and their complications. Prevention of urethritis, cystitis, pyelonephritis.
27. Differential diagnosis of hereditary tubulopathy (phosphate-diabetes, syndrome Debre-de Toni-Fanconi, renal diabetes insipidus, renal tubular acidosis) in children. Tactics of the child with inherited tubulopathy.
28. Differential diagnosis of dysmetabolic nephropathy in children. Tactics of the child with dysmetabolic nephropathy.
29. Principles of treatment of chronic renal failure in children.
30. Emergency in situation of delay of urine.
31. Differential diagnosis of acute and chronic glomerulonephritis, interstitial nephritis and inherited nephritis in children. Tactics of the child in acute and chronic glomerulonephritis.
32. Emergency action in acute renal failure in children.
33. The procedure for compulsory prophylactic examinations of the child under three years. Evaluation of physical and psycho-motor development of children up to three years.
34. Rational feeding and nutrition of the child under three years old. Principles of effective consultation.
35. Tactics of general practitioner in situation of disorders of physical and neuro-psychological development of children of the first three years of life.
36. Differential diagnosis and prevention of the most common deficient states (rickets, iron deficiency anemia) in young children.
37. Preventive vaccination of children under three years.
38. Differential diagnosis of jaundice in newborns. Tactic of newborns with symptoms of jaundice at the station.
39. Differential diagnosis of perinatal lesions of the central nervous system in babies. Tactic of children with perinatal CNS lesions in a clinic.
40. The strategy of Integrated Management of Child Illnesses and its purpose. Common symptoms of danger of the child.
41. Evaluation, classification, treatment, consultation and follow-up, coughing, breathing complications, diarrhea, problems with the ear, sore throat, fever, disorders of nutrition and anemia, the presence of HIV infection in children from 2 months to 5 years.
42. Evaluation, classification, treatment, consultation and follow-up in children aged 2 months with jaundice, diarrhea, feeding problems and low weight, extremely severe disease and local bacterial infection.
43. The procedure and terms for compulsory prophylactic medical examinations of adolescents.

44. Evaluation of physical development of adolescents. Preventing obesity in adolescents. Medical and psychologic counseling.

45. Clinical variants of visceral dysfunction in children. Tactics of general practitioner in neuroses and hypertension in children. Prevention of autonomic dysfunction and hypertension in children.

46. Differential diagnosis of primary and secondary hypertension in youth. Tactic of hypertensive patients at ambulance.
47. Emergency action in autonomic crises, hypertensive crises.

^ LIST OF PRACTICAL SKILLS AND ABILITIES TO THE FINAL MODULE CONTROL

Module 5 



Practical skills, professional skills 
The analysis of laboratory and instrumental investigations 
1. Heamatology 
2. Routine urine 
3. Urinalysis (Zymnytskyi) 
4. Urinalysis (Nechiporenko) 
5. Urinalysis (diastase) 
6. General analysis of feces 
7. Blood Protein and its fractions, acute phase indicators 
8. Blood Glucose 
9. Blood Electrolytes 
10. Lipid profile of blood 
11. Alkaline phosphatase blood 
12. Transaminase blood 
13. Creatinine, blood urea 
14. Total blood bilirubin and its fractions, analysis of curve of Polachek 
15. Coagulogramme 
16. Analysis of pleural fluid 
17. Analysis of synovial fluid 
18. General analysis of sputum 
19. The overall immunological profile of blood 
20. Serological reactions in autoimmune diseases 
21. Microbiological study of biological fluids and excretions 
22. Radiologic investigation of CNS, the chest and abdomen, urinary system. 
23. Investigation of respiratory function 
24. Electrocardiography 
25. Endoscopic study of bronchial tree
26. Endoscopic study of digestive tract 
27. Echocardiography 
28. Radiologic exam of bone and joint
29. Radiologic exam of CNS
30. Tuberculin test 
31. Fractional probing of gastric juice, bile and gastric pH-metry 
II. Medical manipulations 
1. Registration of ECG 
2. Injection of drugs 
3. Measure of blood pressure 
4. To carry out bladder catheterization by soft probe 
5. Perform pleural punction
6. Perform artificial respiration, indirect cardiac massage 
7. Determine blood group, Rh-factor 
III. Providing care for emergency conditions 
1. Asthmatic status 
2. Acute respiratory failure 
3. Acute heart failure 
4. Paroxysmal tachycardia attack 
5. Morgagni-Adams-Stokes Syndrome
6. Hypertensive crisis 
7. Collapse 
8. Acute liver failure 
9. Acute renal failure 
10. Gastro-intestinal bleeding 


Module 6
Practical skills, professional skills
I. Analysis of laboratory and instrumental investigations
1.General blood
2. Urinalysis
3. General analysis of CSF
4. Coprogramme
5. Serological tests for infectious diseases
6. Bacteriological study of biological fluids and secretions
7. Immunological markers of infectious diseases
8. Bilirubin blood and its fractions
9. Alkaline phosphatase, thymol test, transaminase levels
2. Providing care for urgent conditions:
1. Diphtheria croup
2. Apnea in whooping cough
3. Infectious and toxic shock in meningococcal infection
4. Edema-swelling of the brain in meningitis and encephalitis
5. Toxic-exicosis in acute intestinal infections
6. Neurotoxicosis in acute intestinal infections
7. Acute hepatic failure in viral hepatitis
8. Acute stenosing laryngotracheitis during ARI
9. Febrile syndrome in influenza
10. Febrile seizures in influenza
11. Anaphylactic shock during vaccination
12. First Aid for bronchiolitis.
13. First Aid in meningococcal infection
Medications to prescribe

Acetaminophen (paracetamol) (capsules)

Acetazolamide (diacarb) (capsules)

Acetylcysteine (solution for inhalation)

Acyclovir (Suspension)

Adrenalin (for injections)

Albuterol (spray)

Amikacin sulfate (for injections)

Aminophylline (tablets)

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