General provisions

The course is included in the directly license-based Medicine Programme (360 credits).

The education follows a set course of studies, which entails that the courses should be taken in an established order.

Entry requirements

Passinggrade on the courses Pharmacology, Physiology, Clinical Anatomy with embryology, Medical cell biology, Medical Microbiology, Metabolism and endocrinology, the building and function of the Human body, Neurobiology, Pathology and immunology, PD 1-2 and PD 3-4, and on component PD 5 (preparatory education) from the course Clinical medicine 1 as well as the compulsory components in PD 7 (Conversations and Leadership) from the course Clinical medicine 2.

Furthermore, entry to the course assumes that the region provides a spot for the person concerned as part of clinical practice (Internship placement).

Learning outcomes

The extensive subject areas of gynaecology, obstetrics, pediatrics, ophthalmology, otorhinolaryngology, geriatrics, palliative care, global health and scientificalness:

A. Knowledge and understanding

Upon completing the course, the student should be able to:

1. Identify symptoms and findings that relate to diseases and conditions in above-mentioned medical subject areas give an account of investigation of these diseases and conditions and describe relevant differential diagnoses from a primary as well as an in-patient care perspective.
2. Give an account of occurrence, aetiology, pathophysiology, clinical manifestations, diagnostics, differential diagnosis, investigation, treatment possibilities, follow up and prognosis with respect to diseases and conditions in the above-mentioned medical subject areas with special focus on what is common and dangerous.
3. Give an account of initial treatment and treatment of acute conditions in the above-mentioned medical subject areas.
4. Give an account of diagnostics, physiology, pharmacology and treatment of pain with common and dangerous diseases and conditions in the above-mentioned medical subject areas.
5. Relate basic scientific knowledge to pathophysiology, clinical manifestations, treatment and prognosis of diseases and conditions in above-mentioned medical subject areas.
6. Identify high-risk individuals and risk factors for diseases in the above-mentioned medical subject areas and give an account of general preventive methods
7. From a public health perspective, present the most common diseases and the conditions in the above-mentioned medical subject areas.
8. Give an account of the normal growth and breeding of children and identify deviations in growth and development and describe the most common underlying causes and initial investigation.
9. Give an account of the importance of pre- and perinatal environmental factors for the development of diseases in adult age (DOHaD - developmental origins of health and disease).
10. Give an account of the activities and assignment of paediatric healthcare, including the general vaccination programme.
11. Give an account of contraception, abortion and assisted fertilisation and of the laws that regulate abortion and assisted fertilisation.
12. Give an account of the activities and assignments of maternal healthcare and normal pregnancy development and the most common prenatal diagnostics that is offered.
13. Give an account of the normal labour process.
14. Describe basic physiological age changes, atypical presentations of common age diseases and efforts that promote aging with well preserved functions.
15. Describe and discuss application of the cornerstones in palliative care and give an account of alleviative treatment in the final stage of life.
16. Give an account of symptoms and findings in otorhinolaryngology, eye sight and face that should raise suspicion about external violence as the cause and of adequate handling of these cases.
17. Give an account of important symptoms and findings from teeth and the oral cavity and connection to systemic diseases, and account for when a dentist/dental hygienist should be consulted.
18. Describe the main global health threats; Explain changes in disease panorama and demography and the importance of the changes for global health challenges and healthcare in different situations.
19. Give an account of Agenda 2030 and the concept of sustainable development, and understand the relationship between economic, social and ecological sustainability.
20. Give an account of the concept of social injustice and underlying causes, how social injustice influences health and how efforts on different societal arenas and in welfare systems can promote health and counteract consequences of illness.
21. Give an account of various definitions of health systems and analyse the consequences of these in terms of how the healthcare system is organised.
22. Describe the clinical research process and analyse and evaluate the possibilities and limitations of various study design and methods and their evidence value for clinical healthcare and explain how evidence-based medicine can be applied in clinical day-to day practice and how it differs compared to practising medicine with alternative approaches.
23. Give an account of research-ethical principles in the research process and the regulatory framework of the research.

B. Competence and skills  

Upon completing the course, the student should be able to:

1. Take medical history and status, carry out adequate studies/procedures, evaluate findings, suggest further investigation and working diagnosis and relevant differential diagnoses when there is suspected diseases and conditions in the above-mentioned medical subject areas with special focus on the common and dangerous.
2. Decide on, and in applicable cases, carry out treatment/therapeutic intervention and suggest appropriate follow-up in the event of common and dangerous diseases and conditions in the above-mentioned medical subject areas.
3. Decide on the appropriate care level and priority based on medical history and status and available resources and write adequate referrals in the above-mentioned medical subject areas.
4. Demonstrate an ability to diagnose and introduce treatment of acute critical conditions in the above-mentioned medical subject areas.
5. Summarise verbally and in writing in a structured way, medical records, clinical findings, investigation result and assessments in the above-mentioned medical subject areas.
6. Communicate and explain the knowledge that has been absorbed in the above-mentioned medical subject areas for the interested public.
7. Respond to and communicate with children and family members and carry out medical examinations including, when necessary, a pain assessment of ill and healthy children of different ages.
8. Demonstrate good skills in conversation and examination techniques with special regard to failing cognition and other disabilities in older patients.
9. Identify and obtain relevant information about complex cases of comorbidity and disabilities and discuss these with a focus on the patient's own goals.
10. Carry out a drug overview with regard to indications, interaction risk and preparations that are inappropriate for older persons.
11. Demonstrate familiarity with the roles of various professional categories and cooperate and communicate with other professions within the healthcare sector in the above-mentioned medical subject areas.
12. Observing factors at a micro, meso and macro level.
13. Based on a clinical issue, formulate a strategy for, and carry out collection of adequate medical information, extract result using established models from scientific studies, and independently evaluate result, conclusions and clinical relevance, both from a source criticism perspective as well as a health promotion perspective.
14. Apply biostatistical methods to calculate the quality of a diagnostic method.

C. Evaluation ability and approach

Upon completing the course, students should be able to:

1. Respond to patients, family members, fellow students, physicians and healthcare staff in an empathetic, respectful and professional way in connection with teaching/placement in the above-mentioned medical subjects and evaluate the implications of their own socio-economic position in relation to future practice.
2. Give and receive feedback in an objective and constructive way to and from fellow students, supervisors, teachers and other healthcare staff in connection with teaching in the above-mentioned medical subject areas.
3. Demonstrate a scientific approach and distinguish between and reflect on evidence-based knowledge, collected experience or well-founded or unfounded opinions in terms of diagnostics and treatment in the above-mentioned medical subject areas.
4. Compare, analyse and evaluate different research approaches, design and methods from an ethical perspective.
5. Compare and critically evaluate different perspectives on scientific theory in medicine, evaluate the position of medical knowledge in society and evaluate the importance of various views and attitudes to medical knowledge, disease and health.

Content

The course includes the subject areas global health, science, paediatrics, gynaecology, obstetrics, the diseases of the eye disorders, otorhinolaryngology, geriatrics and palliative care. Basic scientific knowledge is continuously integrated in these substances. In supplement to the subject oriented studies, teaching of medical law, ethics and professional attitude is conducted, and in evidence-based medicine, biostatistics, research ethics and medical humanities from a scientific perspective.

Instruction

The teaching includes literature studies, lectures, demonstrations, proficiency training and practical exercises in simulated and real clinical settings, group training, case discussions and seminars. The emphasis in the clinically integrated training lies on participation in student clinics, surveys, ward work and on surgery/procedures. The clinical training consists of structured patient-centered tasks in outpatient care and inpatient care as well as other care. Participation in 24-hour duty is included. In the components global health and science, and for the first half of the course in pediatrics, gynaecology and obstetrics the teaching will be held in English. The teaching will primarily take place at Uppsala University Hospital, but the clinical training may also be held at other hospitals, preferably in the Uppsala-Örebro healthcare region.

Assessment

The course is completed with a written examination and with a practical test. In addition, continuous practical examinations in the form of assessed components at seminars, case discussions, auscultations with supervising physicians and visiting rounds and clinical duty at a student clinic or the equivalent are carried out. In the course, portfolio examination is used, which entails that the students should document and save completed components, assignments, tests and assessments of "Entrusted Professional Activities" (EPA), the ability to make assessments, science and professional attitude in an electronic portfolio. At the end of a course, the total collected material constitutes a basis for the decision to award the student with a passing or failing grade.

For rules on absences from compulsory modules and rules for participation in the examination, see the programme syllabus in the students' guide

If there are special reasons for doing so, an examiner may decide to make an exception from the method of assessment indicated and allow a student to be assessed through another method. An example of special reasons might be a certificate regarding special pedagogical support from the University's disability coordinator.

Students who have failed the examination have a right to make an additional four (4) examination attempts (= in total five (5) examinations). After five (5) failed examinations, the student may be expelled from the programme. If special circumstances apply, the programme committee can admit additional examination attempts. Each time the student participates in an examination it is regarded as an examination attempt. Submission of so-called blank exam is also regarded an examination the student has the right to request a change of examiner after two (2) failed examinations Students who have failed a practical examination have the right to complete further tests two (2) times, when necessary, supplementary clinical duty may be required. A student who does not pass clinical practice has the right to one re-exam.

An examiner can, effective immediately, fail and terminate a student's placement (clinical practice) if the student shows such deficiencies in knowledge, skills and/or attitudes that there isa substantial risk that the student, if clinical practice is continued, may injure themselves or another person, valuable property and/or the patient's trust in the healthcare system. In such cases, a plan should be established for the student and be informed to him or her in writing. In this plan, which shall be determined by the programme committee (PK), it should should be stated which deficiencies in knowledge, skills and/or attitudes that exist, what support the student can obtain from the department to remedy these deficiencies and how and when the inspection of this can take place as well as how this should be done A student is entitled to a maximum of two assessments, however no more than once a year. The student may not participate in any clinical practice until PK has checked and approved that the student has the knowledge, skills and attitudes that are required for continued duty Decisions on the individual study plan may be delegated by the programme committee to a student welfare committee or equivalent with student representation.

Other directives

For a detailed description of aim, contents, teaching and examination, see the study guide and the virtual learning environment.

Transitional provisions

Anyone who prior to 1 July 2021 had been admitted to a programme that leads to a Degree of Master of Science in Medicine according to the older regulations (330 credits) but has been given a deferral to to starting the programmeshould be considered admitted to a Degree of Master of Science in Medicine programme according to the new regulations (360 credits).

Anyone who prior to 1 July 2021 has been admitted to a programme that leads to a Degree of Master of Science in Medicine according to the older regulations have possibility to apply to this programme (LP6) in accordance with the regulatory framework for admission to the latter part. to this programme (LP6) in accordance with the regulatory framework for admission to the latter part. A student who has been admitted to and started but not completed a Degree of Master of Science in Medicine programme according to the older regulations (330 credits) is qualified to apply to a Degree of Master of Science in Medicine programme according to the new regulations (360 credits). In connection with this application there is a procedure of credit transfer to decide which semester/course the student in question is able to start. In order to start the licensure-based programme, a place in the programme must be available to the applicant.