Medicine Broad Practice of Internal Medicine
Medicine Broad Practice of Internal Medicine
Broad Practice of Internal Medicine 02
Broad Practice of Internal Medicine 03

Broad Practice of Internal Medicine

Improve the quality of healthcare by preventing, detecting, and treating diseases in adults

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Description

Course type: Online; Self-Paced
Specialty: Internal Medicine
Language: English / Portuguese
Resources: Debriefing Videos
Level: Intermediate / Advanced
Target: Medical
Modules: 5
Durations: 2 months
Time Effort: Up to 110 minutes per module
Certificate: Yes

Course Description

Internal Medicine is a medical specialty that covers specialized medical care for the prevention, detection, and treatment of disease in adults. Internists apply scientific knowledge and clinical expertise to diagnose, treat, and care of adults. Physicians need to keep their knowledge up to date to improve the quality and effectiveness of healthcare.

The Broad Practice of Internal Medicine course is designed to provide Internal Medicine specialists, with a simulated practice of five clinical scenarios with virtual patients in the Emergency and Consultation environment.
The clinical cases represent some of the most common problems encountered in clinical practice including the management of a variety of medical issues seen in gastroenterology, infectious diseases, cardiology, emergency medicine, and nephrology.

Course Overview

  • 5 Modules
    • 5 virtual patient cases of an intermediate level of complexity
  • Average Time to practice (per module)
    • Clinical Scenario: 20 minutes per attempt (3 attempts: 60 minutes)
    • Final attempt (if applicable): 20 minutes
    • Multiple Choice Question: 5 minutes
    • Feedback Area: 10 minutes
    • Learning Objectives and Scientific References: 5 minutes
    • Debriefing Video: 10 minutes
  • Online, Self-paced
    • You have up to 2 months to complete the 10 modules at your own pace. The course can be accessed through Body Interact at any time.
  • Certificate of Completion
    • After completing the course, you will receive a Certificate of Completion that can be added to your CV or Resume.

Learning Objectives

• Use medical knowledge to solve health problems related to the clinical practice of internal medicine
• Manage follow-up patients in the outpatient setting
• Identify and treat hypoperfusion and shock
• Detect and refer clinical cases that merit the attention of other specialists

Clinical Competencies

Safety

• Promote patient safety
• Collect patients clinical information
• Establish drug dosing for common medications and write prescriptions (including controlled drug)

Airway and Breathing

• Basic airway management
• Oximetry interpretation
• O2 administration
• Ventilator management
• Lung examination (percuss, fremitus, auscult and qualities of air sound, lobar locations)
• Detect heaves, thrills and sternal lift

Circulation

• Assess and interpret pulse (rate, rhythm and volume) and blood pressure
• Identify pulsus paradoxus
• Detect heart murmurs
• Identify S1 (tricuspid, mitral) and S2 (pulmonary, aortic) heart sounds and detect S3, S4 gallops
• Interpret capillary refill time
• Catheter management

Disability

• Blood sugar measurement and interpretation
• Urinalysis interpretation
• Abdominal examination (inspect, auscult, percuss and palp)
• Pupillary examination
• Assess mental status (level of arousal, response to auditory stimuli, to visual stimuli, noxious stimuli)

Exposure

• Assess and interpret temperature
• Interpretation of imaging tests (Chest x-ray, Ultrasonography, Computed tomography and Magnetic resonance imaging, Electrocardiogram interpretation, Nuclear imaging techniques…)
• Interpretation of lab tests (Liver function, Renal function, Fluid/Electrolyte, Cardiac enzyme, Hematocrit, Arterial Blood Gas, coagulopathy rate interpretation,Lipid test, Blood culture interpretation…)
• Cath lab techniques interpretation
• Recognize emergent situations – Illness severity assessment
• Refer to healthcare/ medical specialties
• Consultation management
• Nutrition management
• Hospital discharge

Module 1 – Missed last week’s dialysis session

Context: Dialysis is a treatment that allows the regulation of the extracellular volume and the elimination of elements such as potassium and urea, that accumulate during renal failure. Hemodialysis prolongs and improves the quality of life of patients with chronic renal failure.
Virtual Scenario: Mr. Paranzino is a dialysis patient, who has missed dialysis for the past week. He arrives at the emergency department at 02.30 on Saturday with shortness of breath and leg swelling.

Module 2 – Abdominal pain

Context: Taking the medical history and performing a physical examination are fundamental to diagnosing a disease. Since there are several conditions that lead to abdominal pain, the specific cause of the pain will determine the course of treatment.
Virtual Scenario: During the past four days, Daphne felt abdominal pain accompanied by nausea and vomiting. She has no diarrhea but has a fever. Today she decided to go to the emergency department.

Module 3 – Bloodstream infection

Context: The presence of a bacterium in the bloodstream may bring severe complications to the patient. Including hemodynamic complications and fever that require a systematic approach. The clinical variability and complexity of infections support the need for appropriate clinical judment regarding patient management.
Virtual Scenario: Sophia was brought to the emergency unit by her sons after they found her fallen with slurred speech. She was having regular cardiology visits.

Module 4 – Outpatient follow-up

Context: Patients with a history of heart disease need to be evaluated in order to improve their general and cardiovascular health, including improvement of their physical condition, exercise tolerance, and control of symptoms associated with the disease. Reducing cardiovascular risk factors reduces the potential for disease progression or recurrence.
Virtual Scenario: About a month ago, Julia required emergency medical care due to unstable angina. Today she has her first appointment for long-term health care management.

Module 5 – First follow-up appointment

Context: The medical assessment allows determining the patient’s state of health after having been hospitalized. It is essential to establish an adapted therapeutic and follow-up plan, in a coordinated and integrated way, in order to facilitate the maintenance of the capacity function and decrease the risk of re-hospitalization.
Virtual Scenario: A month ago, Mr. Paranzino was admitted to the hospital for evaluation of worsening dyspnea on exertion and leg swelling. Today is his first visit with you for long-term health care management.

Authors and Speakers

With a multidisciplinary group of international clinical reviewers, Body Interact ensures a high standard of accuracy, diversity, and impact of its course.

Paulo Martins

MD, PhD
Expert in Intensive Care
Faculty of Medicine, University of Coimbra, Portugal

Scientific References

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