Internal Medicine Essentials

Practice through virtual patients with multiple organs and system dysfunction

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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

Internists are physicians who devote their attention to the whole person and are known to be the experts in the global clinical approach to each patient. As a result, the internist is particularly adept at dealing with complex patients with multiple diseases affecting multiple organs or systems, with rare diseases, or with difficult clinical pictures that have not yet been diagnosed. The spectrum of knowledge in Internal Medicine is so broad that it is necessary to treat a large and diverse population with different pathologies.

The Internal Medicine Essentials course provides a ground-breaking learning experience that allows you to practice with 5 virtual patient cases in a highly realistic simulation environment. It aims to develop clinical reasoning and decision-making in the areas of gastroenterology, nephrology, infectious diseases, and cardiology.

Course Overview

  • 5 Modules
    • The course consists of 5 modules, of a intermediate/advanced level of complexity, with each containing a Clinical Scenario. You can attempt each case up to 3 times.
  • 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 5 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

• Identify the focus of an infection;
• Identify the risk for hyperkalemia and perform the necessary tests and procedures to correctly manage patients to a successful outcome;
• Assess the context of infection with respiratory and hemodynamic effects;
• Characterize abdominal pain in an infectious context (clinical and interview);
• Confirm the diagnosis of cholecystitis through complementary exams;
• Treat coronary disease and manage multiple cardiovascular risk factors;
• Manage chronic hyperkalemia in an outpatient setting

Clinical Competencies


• 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


• 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


• 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)


• 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 Fall caused by breathlessness and slurred speech

Context: The presence of a bacterium in the bloodstream may bring severe complications to the patient such as hemodynamic complications and fever that require a systematic approach. The clinical variability and complexity of infections support the need for the appropriate clinical decision 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 2 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 3 Female patient with abdominal pain

Context: Taking the medical history and performing a physical examination are fundamental to diagnosing a disease. Since there are similar 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 4 Missed last week’s dialysis session

Context: Dialysis is a treatment that allows the regulation of the extracellular volume and the elimination of elements that accumulate in renal failures, such as potassium and urea. It is also important to stress that hemodialysis prolongs and confers a quality of life to 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 5 First visit to long-term care unit

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.

Intensive Care Expert Doctor Paulo Martins photo

Paulo Martins

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

Scientific References

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  4. Ash SR, Singh B, Lavin PT, et al. A phase 2 study on the treatment of hyperkalemia in patients with chronic kidney disease suggests that the selective potassium trap, ZS-9, is safe and efficient. Kidney Int. 2015;88(2):404-411.
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Body Interact This course is based on the ERAS Program and has a Body Interact Certificate of Completion, that can be added to your CV.


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