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«С.Ж.

АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ


НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д.
АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinology, Syllabus Redaction: 1
nephrology, pulmonology
Page1from100

"_1__" __09________ 2022

SYLLABUS

Educational program Bachelor's degree


Specialty code and name В086 – «General medicine»
The cycle of discipline BDUC
Code of module B.22-OVB
Name of module Fundamentals of Internal Diseases
Code of discipline B.22-OVB.OVB-1 4311
B.22-OVB.OVB-2 4312
Name of the discipline Fundamentals of Internal Diseases-1
Fundamentals of Internal Diseases-2
Course 4 Semester 7-8
Credits ECTS 15
Total hours 450 Classroom 225
Independent 225
Chair / Course Department of internal diseases
Department of rheumatology
Department of pulmonology
Department of endocrinology
Department of nephrology
Language of teaching English

Form of final control Exam


Stage 1 MCQ Testing, Stage 2 Practical Exam (CbD)

Аlmaty, 2022
<<cJl(' ACOEHAI4flPOB ATbIHAAFbI ynrrbtK MEAX!IT4HA yHhBEpcltrETr>
KA3A(
to9'*t*t*"l KEA(
meAnqnncxnvt""tnrrrcnrET ]rMEH]rc.A. AcoEHAl4rpoBA)>
Departments of in
I{'o"on"uu[
ory, Redaction: l

Normative references:
The syllabus is compiled in accordance
with:
By order of the acting Minister of health and
social development of the Republic of Kazakhstan
No' 647 dated 3l'07 '2015' About the approval;i;;.
state obligatory standards and standard pro-
fessional training programs in meoicat
and pharmaceuticai- specialties
21.02.2020) lwith changes from
Educationa' in the specialty
Plttu-
of 02'10'2017'
58130100 "Gengral medicine,,, approved by
the order of the
(updated bv the decision of the ienate, protocol
itoli"oiriliarttt No. 6 of

Developed bv:
FULL NAME.
Atantaeva S.A.
Omarova Kh.S.
Symaiylova N. Zh.

Gulamova G.M.

Kabdyldaeva G.K.
Serikbaeva A.K,

Dauletbaeva N.T.
Discussed: Shametova A.N.
Head of the InternalDiseases
Head oIthe Rheumatol
Head of the Pulmono
Head of the Endocrino Esetova G.U.
Head of the Nephrology D.pu.t.*rrt olshakova S.V.
tov A.M.
Department meeting or tnffi
19 august 2020 v
Department rne
august 2020 v.
Depaft ment meeting or
august 2020 v. 'ut-@
Department meeting
august 2020 v
Departmenr meeting of N@
august 2020v.
Chairman of the Facultv of CpC
Technical .*p..tis. (methodologist NuftievaA.L
of TMj- of Gen- Kalieva M.N.
eral Medicine
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 1 from 35

Contact Information:

Information about the teachers of the department s of discipline “OVB-1”

No. Full name position Academic e-mail


degree
Department of internal diseases
1. Sugraliev Akhmetzhan candidate of Akhetzhan.sugraliyev@mail.ru
Begalievich Head medical sci-
ences
2. doctor of 87772605356
Tukesheva Bagira Sharipbaev
Professor medical tukesheva . b@kaznmu.kz
na
sciences
3. doctor of 87017568115
Zordinova Karamyat Akhmet
Professor medical zordinov a . k@kaznmu.kz
ovna
sciences
4. Assistant Master of (8701) 753-7855
Jiang Maxim Chzhunovich
Science
5. Gulamova Gulnaz Magameto Assistant - 87078822949
vna gulamov.g@kaznmu.kz
6. Omarova Khadisha Sabyrovn Assistant - 87053056011
a omarova. h @ kaznmu.kz
7. Assistant - 870143585020
Atantaeva Sapura Aueskhano
atantaeva . s @ kaznmu.kz
vna
8. Assistant, - 87786700526
Usipbekova Madina Izbasaro
head usipbekova.m@kaznmu.kz
vna
teacher
9. Botabekova Aygerim Zhu- Assistant - 87017774316
mabekovna Botabekova_ncvb@mail.ru
10. Kalieva Karlygash Bolatbeko Assistant - 87471812650 koishiman.k@kazn
vna mu.kz
11. Zheldybaeva Aliya Ersayyno Assistant - 87021309883
vna jeldibayeva.a@kaznmu.kz
12. Symayylova Nazym Assistant - (8775) 326-8962
Zhasylysyovna
13. Assistant - 87077205950
Ser ikbolzyzy Saltanat
Serikbolkyzy.s@kaznmu.kz
Department of Rheumatology
14. Acting cha candidate of 87017 107227 dilmanova . d @ k
Dilmanova Dina ir medical sci- aznmu . kz
Satybaldievna ences
15. Professor doctor of 8777 232 2290
Isaeva Bakytsholpan medical issayeva . b @ kaznmu.kz
Gabdulkhakimovna sciences
16. Saparbeva Mayra assistant - 87 0 7 4553176
Maksutovna saparbayev.m@kaznmu.kz
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 2 from 35

17. Amanzholova A.S. assistant - 87023372410


ainash_76@mail.ru
18. Bizhanova M.P. assistant - 8701 786 5535
maira.2008@mail.ru bizhanova.
m@kaznmu.kz
19. Kulshymanova M.M. assistant - 87023468062
moldir.kulshimanova@mail.ru k
ulshymanova.m@kaznmu.kz
20. Isaeva S.M. assistant - 87773597161
issayeva.s@kaznmu.kz

Information about the teachers of the departments of discipline “OVB 2”


No. FULL NAME. Position Academic Electronic
degree address
Department of Pulmonology
7. Esetova G.U. Head of the k.m.s lung.center@mail .ru
department
8. Mumynov Talgat Ashirovich prof d.m.s -

9. Eshmuratov Temur docent k.m.s. Temur67@mail.ru


Sherkhanovich
10. Salimova S.S docent k.m.s salimova.s@kaznmu.kz

11. Idrisova L.R. docent k.m.s Idrisova.l@kaznmu.kz

12. Kabdyldaeva assistant - k.pulmo2018@mail .ru


Gulnur Kuttybekovna
13. Serikbaeva assistant - k.pulmo2018@mail .ru
Aкsaule Kаbylbekovna
14. Zhamirova R.N. assistant - k.pulmo2018@mail .ru
15. Akimnyiazova.B.B assistant - Akimniyazova.b@kaznmu.kz

Department of Endocrinology
15. Zhangethan A. Professor MD s.bolshakova@inbox.ru
16. Bolshakova S.V. head of de- PHD s.bolshakova@inbox.ru
partment
17. Nurbekova A.A. Professor MD akma_nurbekova@mail.ru
19. Zhumanova B.M. Assistant MD zhumanova.bayan@yandex.ru
professor
20. Alipova A.T. Assistant PHD azizaalipova@mail.ru
professor
23. Myrzataeva A.S Assistant - Asi2892@mail.ru
24. Imangaly A.S Assistant - dosmami_93@mail.ru
25.
Department of Nephrology
31. Shepetov A. M. Head of de- Dms #1 UC
partment
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 3 from 35

33. Kabulbayev K. A Professor Dms Scientific Research Institute of


Cardiology and Internal Diseases
34. Chingayeva G. N Professor Dms №1 City Clinical Hospital
35. Mustapayeva N. M Docent Cms #2 Children's City Clinical Hospi-
tal
36. Abiyeva Zh. S Assistant Scientific Research Institute of
Cardiology and Internal Diseases
39. Amreeva Z. K Assistant Scientific Research Institute of
Cardiology and Internal Diseases
40. Аlimzhanova E.B Assistant УК №1 +77078911470
ГП №36 Alimzhanova.e@kaznmu.kz

Discipline Policy:
The student must:
- know the data of physical research methods (interrogation, examination, palpation, percussion,
auscultation ) of diseases of internal organs in normal and pathological conditions ;
- know the main symptoms and syndromes of the most common diseases of the internal rye;
- know the basic research methods ( laboratory and instrumental ) and be able to
interpret their results ;
- be able to most fully justify the preliminary and clinical diagnosis of diseases of internal organs on the
basis of anamnestic, objective and laboratory-instrumental data;
- principles of treatment of diseases of internal organs;

The student has the right:


 attend lectures, workshops in accordance with the schedule, without delay;
 actively participate in the educational process: preparation and theoretical material, participated in
the analysis of thematic patients , analysis of clinical cases and the decision of situational problems ,
test tasks .
 observe the set break time.
 openly discuss and solve problems in a conflicted situations in the group, with the participation of
the director of studies or head of the department ;
 timely work out missed classes (with written permission from the dean's office);

Dress Code Requirements


The student is required
 adhere to a business style of clothing;
 have a neat hairstyle, short-cropped nails;
 have a clean, ironed medical gown (for clinical departments - a surgical suit, cap / hat, mask, re-
placeable shoes) ;
 The student must:
 strictly observe the Internal Rules and the Code of Honor of University;
 comply with the Rules of academic honesty at all stages of the educational process;
 systematically prepare for practical classes / seminars;
 to hand over border control and tasks on controlled topics of ISW within the timeframes de-
fined in syllabus for the relevant discipline ;
 attend the exam in accordance with the schedule, with a record book.
 have a health book with current admission (for students in clinical departments);
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 4 from 35

 take care of the teaching and educational literature of the department, the library fund of the Uni-
versity, the property of the department / clinical / production base: teaching aids, furniture, equip-
ment , instruments, tools , etc.
 comply with the subordination and basic principles of medical ethics and deontology in relation to
all participants in the educational process (faculty, teaching support staff of departments, medical
personnel of clinical bases, patients and students).

Penalties
 In a single violation of discipline policy, the student receives a verbal warning from the teacher.
 In case of repeated violations of discipline policy, the student provides an explanatory note ad-
dressed to the head of the department.
 With a systematic violation of discipline policy, the head of the department submits the corre-
sponding report to the dean's office.
 For each missed practical lesson , 1 point is deducted from the rating of the midterm control in the
corresponding section.
 After 3 missed classes will be write a report to the dean's office and missed classes practiced with
the permission.
 For each outstanding task / absence in the lesson, the student receives "0" points.
 For being late for a practical lesson (from 10 to 30 minutes), 1 to 5 points are deducted from the
rating of the current control in the corresponding section.
 If you are late for a practical lesson for 1 academic hour without a good reason, the student is not
allowed to attend the lesson and receives “0” points.

The purpose of the discipline : to form ideas about the etiopathogenesis, clinic, to teach the diagnosis
of diseases of internal organs , the principles of treatment and prevention of diseases according to the
clinical protocols of diagnosis and treatment of the Ministry of Health of the Republic of Kazakhstan and
from the perspective of evidence-based medicine .
Brief description of the discipline : The discipline "Fundamentals of Internal Medicine" is a
fundamental discipline of medicine and occupies one of the main values in the 4th year of General
Medicine. The study of internal diseases is important to preparing a bachelor of medicine that
meets qualification requirements, which gives reason to be competent in the diagnosis , treatment
and prevention of the most common diseases of internal organs and improving the health of
the population of the Republic of Kazakhstan . The student receives knowledge on the most common
diseases of the blood, respiratory system, endocrine system, cardiovascular system, gastrointestinal tract,
nutrition, urinary system, joint system.
Learning outcomes
Upon completion of this course you will :
1. Effectively, professionally and qualifiedly oversee the patient in accordance with his needs;
- be able to collect an anamnesis, conduct a physical examination, make a diagnosis and plan an
examination of patients with underlying pathology of the internal organs;
- Recognize and evaluate acute medical situations (ACS, hypertensive crisis, acute respiratory failure,
acute renal failure, hypoglycemic coma, etc.) and provide first aid medical attention;
-to be able to interpret the results of basic laboratory and instrumental studies
- prescribe adequate treatment for pathology of internal organs;
-to be able to carry out differentiated diet therapy, using methods of clinical nutrition of various internal
diseases;
- apply the skills of making dietary diets for various pathologies;
2. Possess professional features:
- act honestly and comply with ethical obligations;
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 5 from 35

- be empathic, think critically and self-critically, be creative, be proactive.


3. Apply the principles of medical practice, methods and knowledge of the biomedical sciences, including
anatomy, histology, genetics, immunology, microbiology, pathology, physiology, etc.
4. Clearly and effectively communicate with patients, relatives of patients, people with disabilities and
colleagues.
5. Apply the principles, skills and knowledge of evidence-based medicine:
- apply evidence-based evidence, determine and conduct an appropriate literature search, and critically
evaluate published medical literature.
6. Effectively use information technology in the field of medicine.

The study of this discipline is based on the knowledge of the following topics disciplines :

Thematic plan
No. Topic Contact hours * Hours of independent
p/p work
Pract. Exam ISWT ISW
(consultation)
Fundamentals of internal diseases – 1
Gastroenterology
1 Pathology of the esophagus and stomach 6 2 3
GERD . Gastritis. Peptic ulcer.
2 Pathology of the biliary tract, 6 2 3
pancreas. Pancreatitis Cholecystitis.
3 Liver pathology. Non alcoholic fatty liver disease 6 2 3
4 Pathology of the liver. Cirrhosis of the liver and 6 2 3
complications.
5 Inflammatory bowel disease. Crohn's 4 2 3
disease. Nonspecific ulcerative colitis. 2
Total hours 30 10 15
Hematology
1 Anemia: iron deficiency, vitamin B 12 deficiency , 8 2 5
aplastic.
2 Hemoblastosis (acute and chronic). 7 3 5
Border control
Total hours 15 5 10
Cardiology
1 Arterial hypertension 5.5 2 3
2 Ischemic heart disease. Exertional angina 5.5 2 3
3 Ischemic heart disease . Acute coronary syndrome. 5.5 2 3
Myocardial infarction.
4 ECG diagnosis of Myocardial Infarction. Local 5,5 2 4
diagnosis of myocardial infarction. Complications of
myocardial infarction (cardiogenic shock, ventricular
fibrillation).
5 5.5 2 3
Normal electrocardiogram
6 Cardiac arrhythmias: Sinus and paroxysmal tachycar-
dia, sinus bradycardia, atrioventricular block, extra-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 6 from 35

systoles, atrial fibrillation, AV block.

7 5.5
Non-rheumatic myocarditis and pericarditis
8 Chronic heart failure. 5.5 2 4
Mid-term control

Total hours 45 15 25
Rheumatology
1 Acute rheumatic fever (ARF). Chronic rheumatic 6 - 2 3
heart disease (CRHD).
2 Rheumatoid arthritis. Osteoarthrosis 6 - 2 3
3 Gout. Ankylosing Spondylitis 6 - 2 3
4 Systemic lupus erythematosus. Systemic scleroderma. 6 - 2 3
Dermatomyositis 4 - 2 3
5 Border control 2
Total hours 30 10 15
Total hours for discipline 105 15 35 55
Fundamentals of internal diseases – 2
Nephrology
1. The main syndromes and symptoms in nephrology. 6 2 3
Modern diagnostic methods in nephrology: clinical;
laboratory; morphological; instrumental.
2. Infection of the urinary tract. Complicated and un- 6 2 3
complicated infection of the urinary tract. Acute pye-
lonephritis. Clinic. Diagnosis. Treatment. Prevention.
3. Glomerular diseases. Clinical syndromes. Morpholog- 6 2 3
ical variants. Indications and contraindications for bi-
opsy. Clinic. Diagnostics. Treatment.
4. Acute kidney injury. Classification. The principles of 6 2 3
therapy. Indications for dialysis.
5. Chronic kidney disease (CKD). Stages of CKD. Hy- 6 2 3
perfiltration theory. Nephroprotective therapy. Renal
replacement therapy.
MID TERM
Total 30 5 10 15
Endocrinology
1 Hypothalamic-pituitary system
Itsenko-Cushing's Disease
Acromegaly 6 - 2 3
Diabetes insipidus
Prolactinoma
2 Thyroid disease
Diffuse toxic goiter
6 - 2 3
Hypothyroidism
Chronic autoimmune thyroiditis
3 Adrenal disease 6 - 2 3
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 7 from 35

Chronic and acute adrenal insufficiency.


Itsenko-Cushing's Syndrome
Pheochromocytoma.
Cohn's Syndrome
4 Diabetes mellitus.
Etiology, pathogenesis, classification, clinical picture. 6 - 2 3
Principles of diagnosis and treatment
5 Acute and chronic complications of diabetes
6 - 2 3
Milestone control
Total 30 10 15
Pulmonology
1. Bronchitis: acute and chronic 5 - 2 3
2. Pneumonia. Pleurisy 6 - 3 4
3. Bronchial asthma. Asthmatic status. 6 - 2 3
4. Chronic obstructive pulmonary disease 6 - 2 3
5. Bronchiectatic pulmonary disease 5 - 2 4
6. Idiopathic pulmonary fibrosis 6 - 2 4
7. Respiratory failure. Chronic pulmonary heart. 6 - 2 4
Boundary control.
Total 41/4 5 15 25
Total hours for discipline 120 15 40 65

EVALUATION POLICY
Your final assessment by discipline (FA) will consist of two parts of the current (AR - admission rating,
60%) and final control assessment (FCA, 40%).
The rating of the admission rating (AR) is set based on the total value of the grades of current control
obtained in seven practical classes (40%), and mid-range control obtained in the end of 5 class (60%).
You are admitted to the final exam if you have scored a total of at least 50% of the AR.
The final grade (FA) is set based on the total value of the AR(60%) and the Final Control Assess-
ment,(FCA 40%) - exam.
If you do not agree with the exam result, you have the right to appeal the review of the assessment.
The procedure takes place in accordance with the adopted Regulation on the appeal.
Type of Specific Learning
control Gravity Outcome Assessment Framework F rma carrying

Current(CC) 40% of AR Oral \ written survey on topics - Testing (input con-


50% trol). Work in small groups,
Assessment of the ability to discussion . Clinical cases,
demonstrate a practical and / case studies, as PBL .
or communicative skill and / or The development of practical
make a presentation (according to skills ( work at the bedside
check lists) - 50%. For one of patient , collection of
practical lesson is average mark complaints, medical history,
from the current grades physical examination), put-
(assessment of knowledge + ting the diagnosis,
assessment of practical / interpretation of tests,
communication skills) analysis of treatment
principles, perhaps role-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 8 from 35

playing
games) , demonstration of
communication skills. Final
control (solving and
discussing situational
problems on the topic).
Border 60% of AR Assessment of students knowledge 1. Testing . The student is
control(BC) obtained during the provided with 20 test
study unit discipline assignments for the passed
( cardiology, gastroenterology and discipline ( MCQs- test
hematology, rheumatology ). Held questions with one
3 border controls at the end of answer). Each test item is
each section of the discipline (5th rated at 5 points. Max. Total
day of classes) : score-100
1. Cardiology ( Testing.Department
of internal diseases puts marks ) Protection of the medical
2. Gastroenterology + history (for
hematology ( Testing. Department rheumatology according to
of internal diseases puts marks ) the checklist )
3. Rheumatology ( protection of
medical history. Department of
rheumatology puts marks )
A student is admitted to border
control by attending practical
classes and completing all tasks
in practical classes .
If student missed practical classes
of 30% or more or do not complet-
ed the tasks in practical classes in
the discipline section, the student
is not allowed to cross control.
The sheet of the AR is formed by
the last department, where students
undergo classes
Access AR 1 (2) = Acess rating (AR) is set based on
Rating (AR) (CC * 0.4) + summative value count monitoring
(BC * 0.6) received in class from 4 blocks of
3 statements of discipline (rheumatology,
the AR are hematology, gastroenterology,
formed: for cardiology - 40%),
OVB-1, OVB- and estimates border control,
2, total obtained in the
Calculation of latter their employment from 3
the module’s disciplines blocks (rheumatology,
AR hematology + gastroenterology,
AR m = cardiology - 60%) . If the total
(AR1x7 + mark is less than 50%, the student
AR2x8) / 15 is not allowed to stage I -
an examination of practical skills.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 9 from 35

The sheet of the AR is formed by


the last department, where students
undergo classes
Assessment FCA1 = Stage 1 - Practical Skills Exam . It Stage 1 - Practical
of the final assessment of is held the next day after the Skills Exam ( CbD ) .
control 1st stage* 0.5 + completion of the discipline Stage 2 –Testing during the
(FCA, exam) assessment of "Fundamentals of Internal Diseases period of intermediate
2d stage*0.5 -1" in the training centre according certification .
to the schedule. Student passes 3
FCAm = stations: "Practical skills in
(FCA1x7 + cardiology", " Practical skills
FCA2x 8) / 15 in gastroenterology and
hematology." "Practical skills in
rheumatology." The student select
clinical case CbD. Demonstration
time for each skill is 10 min.
Responsibility for grading for the
exam and the formation of
the FCA sheet for the last
department, where students have
classes.
2-step Testing in the period of in-
termediate attestation .
FAC - the total mark from 2 stages
of the exam in two disciplines
(OVB-1 + OVB-2)
Final FA = ARm*0.6 The final assesment(FA) is set
assessment + FCAm*0.4 based on the total value of the AR
(FA) 3 exam sheets (60%) and the Final Control
are Assessment (FCA, 40%) - exam.
printed. Sheets
for two
disciplines
OVB-1, OVB-2
and one
common for
module.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
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The matrix of assessment of learning outcomes by discipline

Learninl outcomes by discipline


Theme № of les- knowledge(different Practical skill Communicative ISWT ISW Border
son cognitive level) skill control
Hematology
1 Assessment of the ini- Practical skill No.
tial level of knowledge 1. Questioning and
(MCQ testing); case examination of pa-
study on the topic. The tients with blood
solution and discussion disease. 1a-. In-
of situational problems spection of the skin
(final control). and mucous mem-
branes, assessment
of color, humidity,
temperature) the
presence of jaun-
Anemia dice and subictrici-
ty of sclera, the
presence of cyano-
sis, edema. As-
sessment of the
condition of nails
and hair. 1b-
Assessment of neu-
rological status:
gait unsteadiness,
uncoordinated
movements
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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2 Assessment of the ini- Communication Rent on the


tial level of knowledge skills with the pa- 2nd day of
(MCQ testing); case tient interpersonal classes in the
study on the topic. The communication form of an
Hemablastosis
solution and discussion skills and patient Essay
of situational problems counseling, accord-
(final control). ing to score sheet
No. 2
Gastroenterology
Esophagus and stom- 1 Assessment of the ini- Practical skill No. 2 - - -
ach patology tial level of knowledge Interrogation and
(MCQ testing); case examination of pa-
study on the topic. The tients with gastro-
solution and discussion intestinal patholo-
of situational problems gy. 2a-Inspection
(final control). and description of
the tongue
2b - Palpation of
the abdomen
2c-Determination
of the lower
boundaries of the
stomach.
2d-Interpretation
of laboratory and
instrumental re-
search methods in
the pathology of
the digestive sys-
tem.
Pathology of the bili- 2 Assessment of the - Demonstration of - - -
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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ary tract and initial level of communication


pancreas knowledge (MCQ test- skills when work-
(Cholecystitis. ing); case study on the ing with patients,
Pancreatitis). topic. The solution and relatives according
discussion of to the evaluation
situational problems sheet.
(final control).
3 Assessment of the ini- Practical skill - - - -
tial level of knowledge number 3. Palpa-
(MCQ testing); case tion and percussion
study on the topic. The of the liver. Bor-
solution and discussion ders of the liver
of situational problems according to Kur-
(final control). lov.
Pathology of the liver "Bubble" symp-
(Chronic hepatitis) toms (Kera, Mur-
phy, Mussi-
Gregorovsky, Ort-
ner). Practical skill
No. 5 Preparation
of medical docu-
mentation (medical
history)
Cirrhosis and 4 Assessment of the ini- - Demonstration of - -
complications. tial level of knowledge communication
(MCQ testing); case skills when work-
study on the topic. The ing with patients,
solution and discussion relatives according
of situational problems to the evaluation
(final control).History sheet. Informing
protection skill.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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5 Assessment of the ini- Practical skill - - Rent on the


tial level of knowledge number 4. Interro- 5th day of
Inflammatory bowel (MCQ testing); case gation and exami- classes in the testing
disease (Crohn's dis- study on the topic. The nation of patients form of an
ease. UC) solution and discussion with intestinal pa- Essay
Border control of situational problems thology. Palpation
(final control). and percussion of
the intestine.
Cardiology
1 Assessment of the ini- Interrogation and - - -
tial level of knowledge examination of pa-
(MCQ testing); case tients with hyper-
study on the topic. The tension.
solution and discussion Practical skill No. 6
of situational problems Technique for
Arterial hypertion (final control). measuring blood
pressure, heart rate.
Auscultation of the
heart.
No. 5 Work with
medical records
(medical history)
2 Assessment of the ini- Skills of effective
tial level of knowledge communication
(MCQ testing); case with a cardiological
Ischemic heart dis- study on the topic. The patient
ease. Stable angina solution and discussion (interpersonal
pectoris of situational problems communication
(final control). skills and
counseling of
patients according
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
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to the evaluation
sheet
3 Assessment of the ini- Interrogation and
tial level of knowledge examination of a
(MCQ testing); case patient with sus-
study on the topic. The pected ACS.
solution and discussion Measurement of
of situational problems blood pressure,
(final control). For do: heart rate, ausculta-
download an essay on tion of the heart.
these topics in English EGC decryption.
or Kazakh. above
Moodle platform. ECG
diagnosis of myocardial
infarction. Local diag-
. Myocardial infarc- nosis of myocardial in-
tion farction . Complica-
tions of myocardial in-
farction (cardiogenic
shock, ventricular fi-
brillation).
Discussion of the topic
of the lesson ECG di-
agnostics of myocardial
infarction. Local diag-
nosis of myocardial in-
farction. Complications
of myocardial infarc-
tion (cardiogenic shock,
ventricular fibrillation)
Normal 4 3 MCQ testing. Discus- - ECG analysis. Skills of effective - Interpretation -
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
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electrocardiogram sion of the topic of a When analyzing an communication of ECG


normal electrocardio- ECG, the following with a cardiological (Oct., Rus-
gram. parameters are de- patient sian. lan-
Normal ECG analysis– termined: - deter- (interpersonal guage)
- determining the driv- mining the rhythm communication Ko: down-
ing rhythm(the rhythm of the driver(the skills and load the nor-
is sine or not sine); rhythm is sinus or counseling of mal ECG
- determination of the not sinus ); patients according analysis algo-
correct heart rhythm * determination of to the evaluation rithm to the
and conduction of an the correct heart sheet Moodle plat-
electrical pulse; rhythm and deter- form.
- determination of the mination of the
frequency and sequence conductivity of an
of heart contractions; electrical pulse;
-analysis of the dura- * determining the
tion and amplitude of frequency and se-
the auricle P; quence of heart
- Analysis of the dura- contractions;
tion of the p-Q interval; • analysis of the
- Analysis of the dura- duration and ampli-
tion and amplitude of tude of the auricle
QRS ventricular com- P;
plex teeth; •Analysis of the
- R (S) – analysis of duration of the P –
parameters of the T Q interval;
segment and T tooth; * Analysis of the
- Analysis of parame- duration and ampli-
ters of the Q – T inter- tude of QRS ven-
val; tricular complex
teeth;
Ecgbo training. •R (S) – analysis of
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
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Do: topic analysis in parameters of the T


online video confer- segment and T
ences on the Zoom, tooth;
CicsoWebex, Microsoft • Analysis of pa-
Teams platforms. Off- rameters of the Q –
line: test execution and T interval
ECG analysis on Moo-
dle, Microsoft Teams
platforms.
dis.kaznmu.kz (Moo-
dle) using internal ser-
vice relationships, chat,
and forums.
5 Assessment of the ini- No. 5. Registration Rent on the testing
tial level of knowledge of medical docu- 5th day of
(MCQ testing); case mentation. Protec- classes in the
Chronic heart failure
study on the topic. The tion of medical his- form of an
Border control
solution and discussion tory. Essay
of situational problems
(final control).
MCQ testing # 1revmatic myo- Effective commu- Writing a frag-
Discussion of the les- carditis and peri- nication skills with ment of a medi- .
son topic. carditis the pa- cal history for a
Non-rheumatic myo- collection of com- tient(communicatio patient with
Non-rheumatic myo- carditis and pericarditis. plaints and Anam- n skills between non-rheumatic
carditis and pericardi- Analysis of thematic nesis from existing people and consult- myocarditis and
tis patients. patients. (in Ka- ing with the pa- pericarditis
Discussion and solution zakh, Russian, and tient) in the Co: (in Kazakh,
of situational problems English).# 2 show role-playing game Russian, Eng-
for non-rheumatic my- the main symptoms "doctor-patient" on lish)
ocarditis and pericardi- during the exami- the online Zoom In KO: down-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
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tis. nation of patients platform load the algo-


with non-rheumatic rithm for the
In the do: analysis of myocarditis and diagnosis and
the topic in online vid- pericarditis. treatment of
eo conferences on the #3. Performing myocarditis and
platforms Zoom, Cic- heart auscultation pericarditis to
soWebex, Microsoft #4 interpretation of the Moodle plat-
Teams. Off-line: pro- laboratory indica- form.
duction of tests and sit- tors. Writing an essay
uational reports on the ECG №5 on a given topic.
Moodle,Microsoft - Changes in In the co: addi-
Teams platforms. echocg myocarditis tional topics in-
dis.kaznmu.kz (Moo- and pericarditis clude: differen-
dle) using internal ser- In the department: tial diagnosis of
vice relationships, chat, performing practi- myocarditis and
and forums. cal skills of exami- pericardi-
nation of the pa- tis.Essay Moo-
tient, palpation of dle on the topic
the heart, percus- autoimmune
sion and ausculta- myocarditis
tion, recording a download to the
video and upload- platform.
ing it to the Moodle
platform.
Rheumatology
1 Assessment of the initial Interrogation and - - - -
level of knowledge examination of pa-
Acute rheumatic fe-
(MCQ testing); case tients with CVD.
ver. Chronic rheumat-
study on the topic. The No. 6 Auscultation
ic heart disease
solution and discussion of the heart, inter-
of situational problems pretation of the
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
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(final control). ECG


2 Assessment of the Work by the - - - -
initial level of patient’s bedside
knowledge (MCQ test- Practical skill No. 7
ing); case study on the palpation and
Rheumatoid arthritis.
topic. The solution and percussion of a
Osteoarthrosis
discussion of situation- pathological joint,
al problems (final con- interpretation of
trol). analysis results,
radiological images
3 Assessment of the ini- Work at the - - - -
tial level of knowledge patient’s bedside,
(MCQ testing); case palpation and
Gout. Ankylosing study on the topic. The percussion of the
Spondylitis solution and discussion pathological joint,
of situational problems interpretation of the
(final control). analysis results,
radiological images
4 A Asessment of the initial Work at the - - - -
level of knowledge patient’s bedside,
(MCQ testing); case examination and
study on the topic. The examination of
solution and discussion internal organs,
Systemic lupus ery- of situational problems joints, No. 8
thematosus. Systemic (final control). interpretation of
scleroderma. analysis results,
immunological
tests, ECG,
ECHOCG, chest x-
ray, radiological
images
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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5 Assessment of the ini- - Skills of effective - - History


tial level of knowledge communication protection
(MCQ testing); case with a
study on the topic. The rheumatological
solution and discussion patient
Dermatomyositis. of situational problems (interpersonal
Border control (final control). communication
skills and
counseling of
patients according
to the evaluation
sheet)

Endocrinology
Hypothalamic- 1 Assessment of the ini- _ The solution of Making _
pituitary system tial level of knowledge _ situational presentations
Itsenko-Cushing's (MCQ testing); case tasks on the on the biologi-
Disease study on the topic. The topic: Acro- cal effects of
Acromegaly solution and discussion megaly, Pro- hormones
Diabetes insipidus of situational problems lactinoma,
Prolactinoma (final control) Itsenko-
Cushing's dis-
ease, Diabetes
insipidus
Thyroid disease 2 Assessment of the ini- Practical skill _ Algorithm for Essays on the _
Diffuse toxic goiter tial level of knowledge number 1. examining a topic of the
Hypothyroidism (MCQ testing); case Palpation of the patient with lesson (indi-
Chronic autoimmune study on the topic. thyroid gland. hyperthyroid- vidually)
thyroiditis Solution and discussion Interpretation. ism and hypo-
of situational problems Assessment of the thyroidism
(final control) degree of thyroid
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
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enlargement
Adrenal disease 3 Assessment of the ini- - Skills of effective The solution of Preparation of +
Chronic and acute tial level of knowledge communication test tasks for situational
adrenal insufficiency. (MCQ testing); discus- with a patient with adrenal gland tasks on the
Itsenko-Cushing's sion of the topic of the an endocrinological diseases theme of PHA,
Syndrome lesson (work in small profile (interper- Itsenko-
Pheochromocytoma. groups, discussion). sonal communica- Cushing's syn-
Cohn's Syndrome Final control - tion skills and drome, Chron-
discussion of the counseling of pa- ic adrenal in-
clinical case. tients according to sufficiency
the evaluation
sheet)
Diabetes mellitus. 4 Assessment of the ini- Practical skill - Patient cura- Supervision of
Etiology, pathogene- tial level of knowledge number 2. Capil- tion, writing a patients, regis-
sis, classification, (testing); discussion of lary blood glucose diary tration of the
clinical picture. Prin- the topic of the lesson measurement with The solution of medical histo-
ciples of diagnosis (work in small groups, a glucometer. situational ry (diary)
and treatment discussion). Final con- Interpretation of problems.
trol - discussion of the the results. Laboratory
clinical case. Interpretation
Acute and chronic 5 Assessment of the ini- Practical skill - Patient cura- Presentation Test
complications of dia- tial level of knowledge number 3. tion, writing a on the topic Questions
betes (MCQ testing); case Inspection of the diary “Diabetic (MCQs)
study on the topic. lower extremities. The solution of foot”
Milestone control Solution and discussion Palpation of arter- situational
of situational problems ies and determina- problems.
tion of sensitivity Laboratory
on the lower ex- Interpretation
tremities
Pulmonology
Bronchitis: acute and 2 MCQ 20 questions us- - Communication Technique for Collection of -
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 21 from 35

chronic ing the three-language skills with the inhalation therapy. complaints,
(50% in the first lan- patient interper- Work with clinical medical his-
guage, 20% in the sec- sonal communi- protocols of the tory and ex-
ond and 30% in Eng- cation skills and Ministry of Health amination of
lish. Discussion of patient counsel- of the Republic of the patient in
the topic of the lesson ing, according to Kazakhstan (using a second lan-
(work in small groups, the evaluation trilingualism). guage. For
discussion); thematic sheet For distance learn- distance
patients , or role- For distance ing: Control of a learning: up-
playing games born learning: As- given algorithm on load an essay
in addressing situational sessment of the platforms Moo- on specified
problems . - online communication dle, Classroom, topics (op-
(30%): skills using role- Microsoft Teams. tionally in
In distance learning, playing games Kazakh or
discussion of the topic (doctor-patient) English).
of online videoconfer- on online plat-
encing on platforms forms Zoom,
Zoom, CicsoWebex, Scype, Cisco
Scype, Microsoft Webex.
Teams.
Оff-line: solving tests
and situational tasks on
platforms Moo-
dle,Microsoft Teams.
Using dis.kaznmu.kz
(Moodle) of internal
communication ser-
vices, chats and forums.
-offline (70%):
Pneumonia. Pleurisy. 2 Testing. Discussion of Per- - Laboratory diagno- Diagnostic -
the topic of the lesson form auskul tatsiyu sis for pneumonia procedure for
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 22 from 35

(work in small groups, lungs and explain and pleurisy. Deci- treatment
discussion); Analysis of the differences be- pher and define the of protocol
thematic patients, de- tween the basic and scale CURB -65 MH RK us-
velopment of practical additional For distance learn- ing the three-
skills (role-playing noise. Mastering ing: Control of a language
games) - online (30%): the methods of given algorithm on (50% in the
In distance learning, auscultation of the the platforms Moo- first lan-
discussion of the topic lungs and form the dle, Classroom, guage, 20%
of online videoconfer- skill of interpreting Microsoft Teams. in the second
encing on platforms the data. Final Con- and 30% in
Zoom, CicsoWebex, trol (solu- English.. For
Scype, Microsoft tion of situational distance
Teams. problems relating) learning: up-
Оff-line: solving tests For distance learn- load an essay
and situational tasks on ing: to shoot a vid- on specified
platforms Moo- eo of the practical topics (op-
dle,Microsoft Teams. skill of examining tionally in
Using dis.kaznmu.kz a patient, palpation, Kazakh or
(Moodle) of internal percussion and English).
communication ser- auscultation of the
vices, chats and forums. lungs.
-offline (70%):
2 Testing. Discussion of Per- - Breathing exercises The algo- -
the topic of the lesson form auskul tatsiyu with asthma. Peak rithm of first
(work in small groups, lungs and explain flowme- aid for an at-
Bronchial discussion. Analysis of the differences be- try . GINA classific tack of bron-
asthma. Asthmatic thematic patients, or the tween the basic and ation . Work with chial asthma
status. use of role-playing additional clinical protocols and asthmatic
games. - online (30%): noise. Mastering of the Ministry of status. For
In distance learning, the methods of Health of the Re- distance
discussion of the topic auscultation of the public of Kazakh- learning: up-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 23 from 35

of online videoconfer- lungs and form the stan (using the load an essay
encing on platforms skill of interpreting three-language on specified
Zoom, CicsoWebex, the data. Final Con- (50% in the first topics (op-
Scype, Microsoft trol ( solu- language, 20% in tionally in
Teams. tion of situational the second and Kazakh or
Оff-line: solving tests problems relating) 30% in English.). English).
and situational tasks on For distance learn- For distance learn-
platforms Moo- ing: to shoot a vid- ing: Control of a
dle,Microsoft Teams. eo of the practical given algorithm on
Using dis.kaznmu.kz skill of examining the platforms Moo-
(Moodle) of internal a patient, palpation, dle, Classroom,
communication ser- percussion and Microsoft Teams.
vices, chats and forums. auscultation of the
-offline (70%): lungs.
Chronic obstructive 2 assessment of the initial Per- - GOLD classificatio Diagnostic -
pulmonary disease level of knowledge form auskultation n . Spirometry. Que algorithm for
(testing); discussion of of lungs and ex- stionnaires SAT, the treatment
the topic of the lesson plain the differ- MPC. Determinatio of chronic ob
(work in small groups, ences between the n of the smoker's structive
discussion); analysis of basic and addition- index. Work with pulmo-
thematic patients, de- al noise. Mastering clinical protocols nary disease
velopment of practical the methods of of the Ministry of For distance
skills (role-playing auscultation of the Health of the Re- learning: up-
games) - online (30%): lungs and form public of Kazakh- load an essay
In distance learning, the skill of inter- stan (using the on specified
discussion of the topic preting the da- three-language topics (op-
of online videoconfer- ta. Final Control (50% in the first tionally in
encing on platforms ( solu- language, 20% in Kazakh or
Zoom, CicsoWebex, tion of situational the second and English).
Scype, Microsoft problems relating) 30% in English.).
Teams. For distance learn- При ДО:
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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Оff-line: solving tests ing: to shoot a vid- Контроль


and situational tasks on eo of the practical заданного
platforms Moo- skill of examining алгоритма на
dle,Microsoft Teams. a patient, palpation, платформах
Using dis.kaznmu.kz percussion and Moodle,
(Moodle) of internal auscultation of the Classroom, Mi-
communication ser- lungs. crosoft Teams.
vices, chats and forums.
-offline (70%):
2 assessment of the initial - Communica- Analysis of x-ray Watch educa-
level of knowledge tion and patient images on the topic tional films
(testing); discussion of skills interper- of the lesson. Work about the
the topic of the lesson sonal communi- with clinical proto- topic. For
(work in small groups, cation and pa- cols of the Ministry distance
discussion); analysis of tient counseling of Health of the learning: up-
thematic patients, de- skills , accord- Republic of Ka- load an essay
velopment of practical ing to zakhstan (using on specified
skills (role-playing the score sheet trilingualism). topics (op-
games) - online (30%): For distance For distance learn- tionally in
Bronchiectatic pul- In distance learning, learning: As- ing: Control of a Kazakh or
monary disease discussion of the topic sessment of given algorithm on English).
of online videoconfer- communication the platforms Moo-
encing on platforms skills using role- dle, Classroom,
Zoom, CicsoWebex, playing games Microsoft Teams.
Scype, Microsoft (doctor-patient)
Teams. on online plat-
Оff-line: solving tests forms Zoom,
and situational tasks on Scype, Cisco
platforms Moo- Webex.
dle,Microsoft Teams.
Using dis.kaznmu.kz
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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(Moodle) of internal
communication ser-
vices, chats and forums.
-offline (70%):
2 assessment of the initial Per- - Computed tomog- Treatment
level of knowledge form auskultation raphy with Diagnostic
(testing); discussion of of lungs and ex- ILF. Diffusion Algorithm
the topic of the lesson plain the differ- test. KShchS. Work For distance
(work in small groups, ences between the with clinical proto- learning: up-
discussion); analysis of basic and addition- cols of the Ministry load an essay
thematic patients, de- al noise. Mastering of Health of the on specified
velopment of practical the methods of Republic of Ka- topics (op-
skills (role-playing auscultation of the zakhstan (using tionally in
games) - online (30%): lungs and form the trilingualism). For Kazakh or
In distance learning, skill of interpreting distance learning: English).
discussion of the topic the data. Final Con- Control of a given
Idiopathic pulmonary of online videoconfer- trol ( solu- algorithm on the
fibrosis encing on platforms tion of situational platforms Moodle,
Zoom, CicsoWebex, problems relating) Classroom, Mi-
Scype, Microsoft For distance learn- crosoft Teams
Teams. ing: to shoot a vid-
Оff-line: solving tests eo of the practical
and situational tasks on skill of examining
platforms Moo- a patient, palpation,
dle,Microsoft Teams. percussion and
Using dis.kaznmu.kz auscultation of the
(Moodle) of internal lungs.
communication ser-
vices, chats and forums.
-offline (70%):
Respiratory fail- 2 assessment of the initial - - The gas composi- Treatment Testing 3
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ure. Chronic pulmo- level of knowledge tion of the Diagnostic options for
nary heart. (testing); discussion of blood in oxoximetr Algorithm MCQ 20
Boundary control. the topic of the lesson y . ECG. Echocardi For distance questions
(work in small groups, ography . learning: up- using the
discussion); analysis of For distance learn- load an essay three-
thematic patients, de- ing: Control of a on specified language
velopment of practical given algorithm on topics (op- (50% in
skills (role-playing the platforms Moo- tionally in the first
games) - online (30%): dle, Classroom, Kazakh or language,
In distance learning, Microsoft Teams English). 20% in the
discussion of the topic second
of online videoconfer- and 30%
encing on platforms in English.
Zoom, CicsoWebex, Moodle.
Scype, Microsoft
Teams.
Оff-line: solving tests
and situational tasks on
platforms Moo-
dle,Microsoft Teams.
Using dis.kaznmu.kz
(Moodle) of internal
communication ser-
vices, chats and forums.
-offline (70%):
NEPHROLOGY
The main syndromes 3 assessment of the initial Collection of com- Communication Analyze a clinical
and symptoms in level of knowledge plaints and anam- skills with the case and formulate
nephrology. Modern (testing); discussion of nesis in patients patient skills of a preliminary diag-
diagnostic methods in the topic of the lesson with kidney pa- interpersonal nosis based on clin-
nephrology: clinical; (work in small groups, thology. Examina- communication ical, anamnesic and
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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laboratory; morpho- discussion); analysis of tion of patients and counseling objective data.
logical; instrumental. case patients, mastering with edema, gross of patients, ac- Make a plan for
practical skills (role- hematuria, hyper- cording to the examining the pa-
playing games). tension and identify assessment sheet tient.
For DO: discussion of a the main syn- No. 2. Interpret the results
topic online on Zoom, dromes. Technique For DO: As- of the provided la-
Scype, Cisco Webex for determining sessment of boratory tests, ECG
platforms, solving sit- edema and measur- communication Justify and formu-
uational problems on ing blood pressure skills using role- late the final diag-
the Moodle platform in the arms and playing games nosis, taking into
legs. (doctor-patient) account the results
Interpretation of on online plat- of the examination.
research results. forms Zoom, With DO: Control
When before: to Scype, Cisco of a
shoot a video of the Webex. given algorithm on
practical skill of the platforms Moo-
examining the pa- dle, Classroom,
tient, palpation, Microsoft Teams.
determination of
edema.

Urinary tract infec- 2 discussion of the topic Interpretation of Analyze a clini- Asymptomatic bac- Urinary tract
tion. Complicated and of the lesson (work in research results. cal case and teriuria (principles infection.
uncomplicated UTI. small groups, discus- Identify the main formulate a pre- of treatment). Complicated
Acute pyelonephritis. sion); analysis of case signs of urinary liminary diagno- With DO: Control and uncom-
Clinic. Diagnostics. patients, mastering tract infection. sis based on of a given algo- plicated UTI.
Treatment. practical skills (role- For DO: Interpret clinical, anam- rithm on the plat- Acute pyelo-
Prevention. playing games) discus- the results of the nesic and objec- forms Moodle, nephritis.
sion of the topic of the provided laboratory tive data. Classroom, Mi- Clinic. Diag-
lesson (work in small tests and substanti- Make a plan for crosoft Teams. nostics.
groups, discussion); ate and formulate examining the Treatment.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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analysis of case pa- the final diagnosis patient. Prevention.


tients, mastering practi- and upload to the Interpret the re-
cal skills (role-playing Moodle platform. sults of the pro-
games). vided laboratory
For DO: discussion of a tests, ECG
topic online on Zoom, Justify and for-
Scype, Cisco Webex mulate the final
platforms, solving sit- diagnosis, taking
uational problems on into account the
the Moodle platform results of the
examination.
With DO: Con-
trol of a given
algorithm
on the platforms
Moodle, Class-
room, Microsoft
Teams.
Glomerular diseases. 3 discussion of the topic To identify the Principles of
Clinical syndromes. of the lesson (work in main syndromes of immunosup-
Morphological vari- small groups, discus- glomerular diseas- pressive ther-
ants. Indications and sion); analysis of case es. Examination of apy for HC.
contraindications for patients, mastering patients with ede- When before:
biopsy. Clinic. practical skills (role- ma, gross hematu- download on
Diagnostics. playing games). ria, hypertension. the specified
Treatment. For DO: discussion of a Justify and formu- topics (op-
topic online on Zoom, late the final diag- tionally in
Scype, Cisco Webex nosis, taking into Kazakh or
platforms, solving sit- account the results English). on
uational problems on of the examination. the Moodle
the Moodle platform For DO: Interpret platform
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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the results of the


provided laboratory
tests and justify
and formulate the
final diagnosis and
upload to the Moo-
dle platform
Acute kidney injury. 4 discussion of the topic Examination of pa-
Classification. The of the lesson (work in tients with edema,
principles of therapy. small groups, discus- oligoanuria, hyper-
Indications for dialy- sion); analysis of tension.
sis case patients, mastering Justify and formu-
practical skills (role- late the final diag-
playing games). nosis, taking into
For DO: discussion of a account the results
topic online on Zoom, of the examination.
Scype, Cisco Webex When before: to
platforms, solving sit- shoot a video of the
uational problems on practical skill of
the Moodle platform examining the pa-
tient, palpation,
determination of
edema.
Chronic kidney dis- 5 discussion of the topic Interpret the results Analyze a clinical Emergency Testing 3
ease (CKD). Stages of of the lesson (work in of the provided la- case and formulate care for hy- options on
CKD. Hyperfiltration small groups, discus- boratory tests, a preliminary diag- perkalemia, MCQ 20
theory. Nephroprotec- sion); analysis of case ECG. Justify and nosis based on clin- acidosis. Hy- questions.
tive therapy. Renal patients, mastering formulate the final ical, anamnesic and perfiltration in any tri-
replacement therapy. practical skills (role- diagnosis, taking objective data. theory. lingual
Mid-term control playing games) into account the Make a plan for the When before: language.
Knowledge level as- results of the exam- examination of the download on With DO,
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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sessment (testing); ination. patient. the specified answers to


For DO: discussion of a
For DO: Interpret With DO: Control topics (op- tests in the
topic online on Zoom,
the results of the of a given algo- tionally in Moodle
Scype, Cisco Webex provided laboratory rithm on the plat- Kazakh or platform
platforms, solving sit-
tests and justify forms Moodle, English). on
uational problems onand formulate the Classroom, Mi- the Moodle
the Moodle platform final diagnosis and crosoft Teams. platform
upload to the Moo-
dle platform
ISWT - daily after practical classes ISW - may not be discussed in the lesson, but the student must prepare a given top-
ic and pass a written assignment or essay in the last lesson of each block.
Border control - at the end of each block of the discipline, last 2 hours.
Exam - by the schedule at the end of the discipline.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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The list of tasks to achieve the learning outcomes


discipline "Fundamentals of internal diseases - 1" :
HEMATOLOGY
Lesson number 1 . Anemia .
At the end of the lesson, the student will be able to:
- to collect an anamnesis,
- conduct a physical examination,
- substantiate a preliminary diagnosis (indicating syndromes),
- make an examination plan for a patient with anemia;
- interpret the results of basic laboratory and instrumental studies
- substantiate the final diagnosis (indicating syndromes),
- prescribe adequate treatment with various forms of anemia (drug, group, mechanism of action), justify
the effectiveness of treatment;
- describe the prevention of anemia.
- show effective communication with the hematological patient
Literature, including electronic resources :
1. Internal diseases: textbook :. / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd ed., Rev. and
add. - M.: GEOTAR-Media, 2015.- T. 1 . p.400-425
2. Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional:
1. Anemia. A quick guide for practitioners . B ibliography [Electronic resource] / Rukavitsyn O.A. - M.:
GEOTAR Media,
2018. - http://www.rosmedlib.ru/book/ISBN9785970444757.html
Questions for preparing for the lesson:
1) Definition, etiology and pathogenesis of iron deficiency anemia, 12-deficiency anemia, aplastic anemia
2) classification, clinic, course, complications and prognosis of 12-deficiency anemia, iron deficiency
anemia, aplastic anemia .
3) modern methods of clinical, laboratory and instrumental studies in 12-deficient anemia, iron deficiency
anemia, aplastic anemia
4) modern principles of treatment of 12-deficiency anemia, iron deficiency anemia, aplastic anemia .
The format of the lesson: About the assessment of the initial level of knowledge ( MCQ testing );
case study (clinical case of CbD ) ; analysis of thematic patients, the development of practical skills
(working with patients or role-playing games). Final control (solving and discussing situational problems
on the topic).
To control classes : Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT : Prepare an algorithm for the diagnosis of hematological patients (main x ,
additional x ). Work with clinical protocols of the Ministry of Health of the Republic of Kazakhstan.
Control for ISWT: In a feedback consultation with tutor
Tasks for the ISW : Acquired hemolytic anemia. Diagnostic Algorithm. The principles of treatment.
Control for ISW: Work with literature and Internet resources. Prepare an essay for the end of the second
lesson.

Lesson number 2. Hemoblastosis (acute and chronic).


At the end of the lesson, the student will be able to:
- - collect an anamnesis,
- conduct a physical examination,
- substantiate a preliminary diagnosis (indicating syndromes),
- make an examination plan for a patient with leukemia;
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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- interpret the results of basic laboratory and instrumental studies;


- substantiate the final diagnosis (indicating syndromes),
- prescribe adequate treatment with various forms of hemoblastosis (drug, group, mechanism of action),
justify the effectiveness of treatment;
- show effective communication with the hematological patient
Literature, including electronic resources :
Primary:
1. Internal diseases: a textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd
ed., Rev. and add. - M.: GEOTAR-Media, 2015.- T. 1 . p. 433-467
2 . Harrison ' s Principl e ' s of internal medicine , 19th edition , 2016.
Additional :
Lewis S., Bane B., Bates I. Practical hematology: a guide for doctors / trans. with eng. under the
editorship of A.G.Rumyantseva.- M., 2014. S.
Questions for preparing for the lesson:
1) etiology and pathogenesis of acute and chronic hemoblastoses. classification, clinic, course,
complications and prognosis of hemoblastosis ;
2) modern methods of clinical, laboratory and instrumental studies of hemoblastoses
3) modern principles of treatment of hemoblastoses .
The format of the lesson: assessment of the initial level of knowledge ( MCQ testing ); discussion
of theoretical material (discussion); Working with the patients - demonstration of
communicative skills . Final control (solving and discussing situational problems on the topic).
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT :
1. To analyze the clinical case / situational task on the topic of the lesson and formulate a prelimi-
nary diagnosis based on clinical and medical history, and objective data.
2. Make a plan for examining the patient.
3. Interpret the results of laboratory tests that provided
4. To justify and formulate the final diagnosis, taking into account the results of the examination.
Control for ISWT: In the form of feedback during the consultation period
Tasks for the ISW : Hemorrhagic diathesis. Hemophilia. The clinical picture (the main
syndromes) , algorithm of diagnostics and , principles of treatment.
Control of the ISW : Work with literature and Internet resources. Essay witing at the end of the second
lesson
GASTROENTEROLOGY
Lesson number 1 Pathology of the esophagus and stomach.
GERD, Barrett's esophagus. H . pylory- associated pathology - gastritis and peptic ulcer of the stomach
and duodenum . Atrophic and chemical gastritis. Morthological criteria for the diagnosis of
gastritis. Methods of detecting Helicobacter pylori . Modern methods of diagnosis and treatment,
differential diagnosis. Consensus of Maastrich V on the treatment of Helicobacter -associated
gastrointestinal diseases.
At the end of the lesson, the student will be able to:
- to collect anamnesis, perform physical examination, identify the main clinical syndromes in diseases of
the digestive system, preliminary diagnosis, plan of the examination of the patient with suspected
diseases of the esophagus and stomach
- be able to interpret the results of basic laboratory and instrumental studies ;
- be able to determine the basic principles of treatment
- show an effective communication with the patient from gastrointestinal profile.
Literature, including electronic resources :
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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Primary:
Internal diseases: textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd ed.,
Rev. and add. - M .: GEOTAR Media, Volume 1 2015.- C . 11-22, p. 30-57
2. Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
1 . Boone N., College N., Walker B. Gastroenterology and Hepatology according to Davidson: study
guide / translation from English. under the editorship of V.T. Ivashkina.-M., 2013.
2. Clinical protocol "Gastroesophageal disease", MH RK, 201 5.
3. Clinical protocol “Peptic ulcer of the stomach and duodenum”, MH RK 201 5
Questions for preparing for the lesson:
1. E tiologiya and pathogenesis of GERD, chronic gastritis ,stomach and duodenal ulcer;
2. Modern classification, clinical picture , complications and prognosis of gastroesophage-
al reflux disease, chronic gastritis, peptic ulcer and duodenal ulcer
3. Methods of diagnosis, laboratory , instrumental study for esophagus and stomach diseas-
es .
4. Treatment guidelines for GERD, chronic gastritis ,stomach and duodenal ulcer;
T The format of the lesson: About the assessment of the initial level of knowledge
( MCQ testing ); Case study CbD , TBL ; thematic patients disscution , the development of practical
skills , Curation of the patients. Final control (solving and discussing situational problems on the topic).
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT : Prepare a diagnostic algorithm for gastroenterological patients. Eradication therapy
according to Maastrix 5. Work with clinical protocols of the Ministry of Health of the Republic of
Kazakhstan.
ISWT control: In the form of feedback during the consultation period
Assignments for the ISW : Performing assignments on the topic by student's choice.
Option 1. Create an algorithm for the diagnosis of gastritis .
Option 2: The composition of the clinical situation GERD. Reflux esophagitis 3 degree of severity. "
Option 3 . the clinical situation "duodenal ulcer, complicated by gastrointestinal bleeding."
Control of the ISW: Work with literature and Internet resources. Written assignment. Presentation .

Lesson number 2 . Pathology of the biliary tract system and pancreas.


Pancreatic function. Features of the ductal system of the pancreas. The main symptoms. Differential
diagnosis and treatment of diseases of the biliary tract and of the pancreas: cholelithiasis, chronic
cholecystitis, various clinical variants of chronic pancreatitis .
At the end of the lesson, the student will be able to:
- to collect anamnesis, perform physical examination, preliminary diagnosis, to plan the examination of
the patient with suspected disease of the pancreas and biliary system.
- be able to interpret the results of basic laboratory and instrumental studies ;
- be able to determine the basic principles of treatment
- show an effective communication with the patient from gastrointestinal profile.
Literature, including electronic resources :
Primary:
1. Internal diseases: a textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd
ed., Rev. and add. - M .: GEOTAR-Media, 2015.- T. 1 S. 161-179, S. 179-182
2 . Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy, өңdelgen ә
zhne tolytyrylғan.- M .: GEOTAR - Media , 2014.-976 b .
3 . Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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1 . Boone N., College N., Walker B. Gastroenterology and Hepatology according to Davidson: study
guide / translation from English. under the editorship of V.T. Ivashkina.-M., 2013.
2. Clinical protocol " Chronic pancreatitis in adults ", RCH RC MH RK, 2017 .
3. Clinical protocol " Chronic cholecystitis ", RCH RC MH RK 201 3
4. Clinical protocol " Chronic calculous cholecystitis ", RCH RC MH RK 201 8
Questions for preparing for the lesson:
- Functions of the pancreas. Features of duct systems of pancreas
- Current concepts of etiology and pathogenesis of pathology of biliary tract and chronic
pancreatitis.
- The clinical picture and the main symptoms of chronic cholecystitis and
chronic m pancreatitis. Classification .
- Principles for the diagnosis of chronic cholecystitis and chronic pancreatitis. Biochemic markers of
chronic pancreatitis. Coprogram
- The rational principles of diet therapy of diseases of the pancreas and gall bladder . The main groups of
drugs.
- Modern principles of etiotropic, pathogenetic treatment .
- Outcomes and complications in diseases of the biliary tract and pancreas.
The format of the lesson: assessment of the initial level of knowledge (testing); discussion of the topic of
the lesson (work in small groups); analysis of thematic patients, demonstration of
communication skills at work with the patients . Final control (solving and discussing situational
problems on the topic).
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems (output
control). Assessment of communication skills.
Tasks for ISWT: To develop criteria for pancreatic disease using diagnostic criteria. Work with clinical
protocols for diagnosis and treatment of the Ministry of Health of the Republic of Kazakhstan.
ISWT control: In the form of feedback during the consultation period
Tasks for the ISW: Performing tasks on the topic of the lesson.
Option 1 . Create an algorithm for the diagnosis of chronic cholecystitis.
Option 2 . Create a diagnostic algorithm for chronic pa n creatitis
Option 3 .Compose a clinical situation in chronic pancreatitis with exocrine insufficiency.
Option 4: Make up the clinical situation of chronic pa n creatitis with intracretory insufficiency
Control of the ISW: Work with literature and Internet resources. Paperwork. Presentation.

Lesson number 3. Pathology of the liver (chronic hepatitis).


Definition of risk factors. Etiology. Pathogenesis. Classification of viral hepatitis (Los Angeles
1994). Biochemical markers of liver damage. ELISA, PCR diagnosis of viral hepatitis. Clinical
manifestations of viral hepatitis. The main syndromes: cholestasis, cytolytic, hepatic cell failure, ascites,
diffuse change. Systemic manifestations of viral hepatitis. Morphological diagnosis ( Knodell index ,
assessment of the level of fibrosis - Metavir ). Outcomes. Primary prevention. The principles of modern
therapy.

At the end of the lesson, the student will be able to:


- collect anamnesis, perform physical examination, preliminary diagnosis, with plan of
examination of patient with suspected diffuse liver disease ;
- be able to interpret the results of basic laboratory and instrumental studies ;
- be able to determine the basic principles of treatment
- show an effective communication with the patient from gastrointestinal profile.
Literature, including electronic resources :
Primary:
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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1. Internal diseases: textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A.
Mukhina.- 3rd ed., Rev. and add. - M .: GEOTAR-Media, 2015.- T. 1 S. 11-22, p. 30-57
2. Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy,
өңdelgen ә zhne tolytyrylғan.- M .: GEOTAR - Media , 2014.-976 p .
3. Harrison's Princ iple’s of internal medicine, 19-edition, 2016.
Additional :
1. Boone N., College N., Walker B. Gastroenterology and Hepatology according to Da-
vidson: study guide / translation from English. under the editorship of V.T. Ivashkina.-M., 2013.
2. Clinical protocols for diagnosis and treatment
3. - “Chronic viral hepatitis C in adults”, Ministry of Health of the Republic of Kazakhstan,
2017
4. - "Chronic viral hepatitis B in adults", MH RK, 2018
Questions for preparing for the lesson:
1. Classification of viral hepatitis (Los Angeles 1994).
2. Biochemical markers of liver damage. ELISA, PCR diagnosis of viral hepatitis.
3. Clinical manifestations of viral hepatitis. The main clinical and biochemical syndromes.
4. Assessment of the functional state of the liver.
5. Systemic manifestations of viral hepatitis.
6. Morphological diagnosis (Knodell index, assessment of the level of fibrosis - Metavir).
7. Outcomes of chronic viral hepatitis .
8. Primary prevention of viral hepatitis
9. Principles of treatment of chronic viral hepatitis (diet, pathogenetic and etiotropic therapy) .
The format of the lesson: assessment of the initial level of knowledge (testing); clinical
case discussion ; analysis of thematic patients, the development of practical skills ( working with
patients or role games) . Final control (solving and discussing situational problems on the topic).
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems (output
control). Assessment of communication skills.
Assignments for ISWT : Interpretive the results of laboratory (CBC, BCA, ELISA / PCR) and
instrumental investigations (ultrasound, elastometry) for liver diseases. Additional diagnostic methods.
ISWT control: In the form of feedback during the consultation period
Tasks for the ISW : Non-alcoholic fatty liver disease. Wilson-Konovalov’s disease. Hereditary
hemochromatosis. Algorithm for diagnosis and treatment.
Control of the ISW: Work with literature and Internet resources. Write essay on the selected topic.

Lesson number 4. Cirrhosis of the liver and complications.


Definition of Risk factors. Etiology. Pathogenesis. Child-Pugh classification of liver cirrhosis. Process
activity criteria. Complications of cirrhosis: varicose veins of the esophagus, ascites, hepatic
encephalopathy. Clinic . Diagnostics. The principles of treatment.
At the end of the lesson, the student will be able to:
- to collect anamnesis, perform physical examination, preliminary diagnosis, to plan the examination of
the patient with suspected liver cirrhosis
- be able to interpret the results of basic laboratory and instrumental studies ;
- be able to determine the basic principles of treatment
- show an effective communication with the patient from gastrointestinal profile and his relatives .
Literature, including electronic resources :
Primary:
1. Internal diseases: a textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd
ed., Rev. and add. - M.: GEOTAR-Media, 2015.- T. 1 p. 152-155.
2 . Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy, өңdelgen ә
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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zhne tolytyrylғan.- M .: GEOTAR - Media , 2014.-976 p .


3 . Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
1. Boone N., College N., Walker B. Gastroenterology and Hepatology according to Davidson: study
guide / translation from English. under the editorship of V.T. Ivashkina.-M., 2013.
2. Chronic viral hepatitis B, C and D: a guide for doctors / Enaleeva D.Sh., Fazylov V.Kh., Sozinov
A.S. GEOTAR-Media, 2015, 192 pp.
3. Krasnova SA - “Complications of cirrhosis of the liver”: study guide, Almaty, 2013, 68 pp. +
DVD
4. Clinical protocols for the diagnosis and treatment of “ Cirrhosis of the liver in
adults ”, RCHR MH RK, 2015
Questions for preparing for the lesson:
1. E tiologiya and pathogenesis of liver cirrhosis, risk factors for progression and complica-
tions of cirrhosis.
2. Child-Pugh classification of liver cirrhosis. The concept of morphological classification by
Metavir, the Knodell .
3. The main criteria for the disease. Early diagnosis. Process activity criteria.
4. Management of patients with cirrhosis. Definition of the prognosis of the
disease. Monitoring of complications’s development.
5. Portal hypertension, hepatic encephalopathy: the risk of clinical manifestations, diagnostic
techniques, treatment, patient monitoring, prevention.
6. Modern methods for the diagnosis of cirrhosis
7. Modern principles for the treatment of cirrhosis. The main groups of drugs.
The format of the lesson: About the assessment of the initial level of knowledge (testing); case
study ; analysis of thematic patients, the development of communication skills by working with
patients. Protection of case histories.
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT :
1. To analyze the clinical case on the topic of the lesson and formulate a preliminary diagno-
sis based on clinical, medical history, and objective data.
2. Make a plan for examining the patient.
3. Interpret the results of laboratory tests
4. To justify and formulate a clinical diagnosis based on the results of the examination. Make
a treatment plan, taking into account the complications.
ISWR control: In the form of feedback during the consultation period
Tasks for the ISW : Primary biliary cirrhosis. Hepatic cell failure. Tumors of the liver.
ISW control: . Work with literature and online resources. Write essay on the selected topic to the last
lesson.

Lesson №5 Inflammatory bowel diseases


Ulcerative colitis and Crohn's disease. Diagnosis, treatment principles.
At the end of the lesson, the student will be able to:
- to collect anamnesis, perform physical examination, preliminary diagnosis, to plan the examination of
the patient with suspected inflammatory bowel disease.
- be able to interpret the results of basic laboratory and instrumental studies ;
- be able to determine the basic principles of treatment
- show an effective communication with the patients
Literature, including electronic resources :
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
Page 37 from 35

Primary:
1. Internal diseases: a textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd
ed., Rev. and add. - M.: GEOTAR-Media, 2015.- T. 1 S. 91-99 , p. 99-106
2 . Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy, өңdelgen ә
zhne tolytyrylғan.- M .: GEOTAR - Media , 2014.-976 p .
3 . Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
1 . Boone N., College N., Walker B. Gastroenterology and Hepatology according to Davidson: study
guide / translation from English. under the editorship of V.T. Ivashkina.-M., 2013.
2. Clinical protocol " Chronic pancreatitis in adults ", RCH RC MH RK, 201 7
3. Clinical protocol " Chronic cholecystitis ", RCH RC MH RK 201 3
4. Clinical protocol " Chronic calculous cholecystitis ", RCH RC MH RK 201 8
Questions for preparing for the lesson:
1. Anatomy, physiology and bowel function.
2. Modern ideas about the etiology and pathogenesis of IBD
3. The clinical picture and the main symptoms of ulcerative colitis, Crohn's disease.
Classification of ulcerative colitis, Crohn's disease
4. Laboratory and endoscopic diagnosis of IBD
5. The principles of treatment of IBD. The main groups of drugs.
6. Outcomes and complications of ulcerative colitis, Crohn's disease.

The format of the lesson: About the assessment of the initial level of knowledge (testing); case
study ; analysis of thematic patients, the development of communication skills by working with
patients. Protection of case histories.
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT : To develop the diagnostic criteria for inflammatory bowel disease. Markers of intesti-
nal inflammation ( calprotectin, lactoferrin, ELAST and over). Endoscopic signs of ulcerative colitis,
Crohn's disease.
ISWT control: In the form of feedback during the consultation period
Tasks for the ISW : Irritable bowel syndrome. Colon cancer. Criteria for diagnosis and treatment.
Control of the ISW: Work with literature and Internet resources . Writing essay.
CARDIOLOGY
Lesson №1 Hypertension (essential arterial hypertension)
At the end of the lesson, the student will be able to:
- to collect an anamnesis, conduct a physical examination , make a preliminary diagnosis and assign an
examination plan for a patient with cardiovascular pathology ;
-Able to measure blood pressure (following the measurement technique)
- be able to interpret the results of basic laboratory and instrumental studies , ECG signs (LV
hypertrophy);
- be able to determine the basic principles of treatment
Literature, including electronic resources :
Primary:
1. Internal diseases: textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A.
Mukhina.- 3rd ed., Rev. and add. - M .: GEOTAR -Media, 2015.- T. Page 1 41-193 .
2. Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-Basylyms,
өңDelgenәnetolaқtyrylғan.- M .: GEOTAR-Media, 2014.-976 p.
Additional :
1. Clinical protocols for the diagnosis and treatment of hypertension. MH.RK. 2016.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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2. Andreev A.N., Belokrinitsky. Hypertonic crises // Moscow.-201 1.- 59 p.


Questions for preparing for the lesson:
1. Etiology and pathogenesis of essential hypertension;
2. Classification , clinics, complications and prognosis of essential hypertension;
3. Modern methods of clinical, laboratory and instrumental studies ( ECG diagnostics ) ;
4. Modern principles of treatment of essential arterial hypertension.
The format of the lesson: assessment of the initial level of knowledge ( MCQ testing ); discussion
of thematic material ; analysis of thematic patients, the development of practical skills ( working with
patients or role games) . Final control (solving and discussing situational problems on the topic).
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT :
To disassemble a clinical case and formulate a preliminary diagnosis on the basis of clinical, medical
history, and objective data.
Make a plan for examining the patient.
Interpret the results of laboratory tests, ECG
To justify and formulate the final diagnosis, taking into account the results of the examination.
ISWT control: In the form of feedback during the consultation period
Assignments for the ISW : secondary hypertension (nephrogenic, endocrine, hemodynamic) .
ISW control: Write essay . Work with literature and online resources .
Lesson number 2 ischemic heart disease. Stable angina pectoris .
At the end of the lesson, the student will be able to:
- to collect an anamnesis, conduct a physical examination , make a preliminary diagnosis and assign an
examination plan for a patient with cardiovascular pathology ;
-to be able to interpret the results of basic laboratory and instrumental studies
ECG , EchoCG;
- be able to determine the basic principles of treatment
- show an effective communication with a cardiological patient.
Literature, including electronic resources :
Primary:
1. Internal diseases: a textbook in 2 t. / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina .-- 3rd ed.,
Rev. and additional.- M .: GEOTA R-Media, 2015.- T.2. pg . 55 -71 .
2. Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy, өңdelgen ә
zhene tolytyrylғan.- M .: GEOTAR-Media, 2014.-976 p.
3 . Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
1. G.E. Roytberg, Strutinsky A.V. "Internal illnesses. Cardiovascular system "Moscow, 2013
2. Guide to cardiology. Research methods of the cardiovascular system. Edited by G.I. Storozhekova,
A.A. Gorbachenko, Yu.M. Pozdnyakova - Medicine RSMU 2012
3. Clinical protocols for the diagnosis and treatment of coronary heart disease. MH RK. 2017 year
Questions for preparing for the lesson:
1. Ethiology and pathogenesis of atherosclerosis, IHD
2. Classification, clinic, course, complications and prognosis of atherosclerosis, IHD: angina
pectoris;
3. Clinical and laboratory methods;
4. ECG diagnostics
5. Modern principles of treatment of atherosclerosis, IHD.
The format of the lesson: assessment of the initial level of knowledge (testing); discussion of the topic
of the lesson (work in small groups); analysis of thematic patients, development of communication skills
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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( work with patients ) . Final control (solving and discussing situational problems on the topic).
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT: Develop an algorithm for the diagnosis of coronary heart disease
SRSP control: In the form of feedback during the consultation period
Tasks for the ISW : coronary heart disease. Unstable angina (Prinzmetall angina, progressive angina) .
ISW control Write essay. Work with literature and online resources.
Lesson number 3 Acute coronary syndrome. Myocardial infarction.
At the end of the lesson, the student will be able to:
- to collect an anamnesis, conduct a physical examination , make a preliminary diagnosis and assign an
examination plan for a patient with cardiovascular pathology ;
- interpret the data, laboratory and instrumental studies(ECG EhoCG) ;
- know the principles of treatment of patients with myocardial infarction and the algorithm for managing
a patient with ACS
- The indications for surgical treatment;
- Communication with the patient of cardiological profile.
Literature, including electronic resources :
Primary:
1. Internal diseases: a textbook: in 2 volumes / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina.- 3rd
ed., Rev. and add. - M .: GEOTAR- Media, 2015.- T. 1. p.86 -115
2. Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy, өңdelgen ә
zhene tolytyrylғan.- M .: GEOTAR-Media, 2014.-976 p.
3 . Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
1.G.E. Roitberg, Strutinsky A.V. "Internal illnesses. Cardiovascular system "Moscow, 2013
2. Guide to cardiology. Research methods of the cardiovascular system. Edited by G.I. Storozhekova,
A.A. Gorbachenko, Yu.M. Pozdnyakova - Medicine RSMU 2012
3. Clinical protocols for the diagnosis and treatment of ACS, MI. MH.RK. 2017 y.
Questions for preparing for the lesson:
1. Etiology and pathogenesis of myocardial infarction ;
2. Classification, clinical course, complications and prognosis of ACS and myocardial infarction ;
3. Modern methods of clinical, laboratory and instrumental studies (ECG) ;
4. Modern principles of treatment of ACS and myocardial infarction .
The lesson format: MCQ testing ; watching the educational film "Myocardial infarction" ; analysis of
thematic patients, the development of practical skills ( working with patients or role games and elevation
of ACS . Addressing and discussion of case studies on the topic.
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT : To disassemble ECG-drawings of cardiovascular diseases.
ISWT control: In the form of feedback during the consultation period
Tasks for the ISW : Early and late complications of myocardial infarction (Cardiogenic shock, Dressler's
syndrome) .
Control of the ISW: Work with literature and Internet resources . Write an essay .

Lesson # 4 Normal electrocardiogram

At the end of the lesson, the student:


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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Normal ECG analysis.

- determination of heart rate.

- determination of the frequency and sequence of heart contractions;

- determination of the duration and amplitude of the atrial P tooth and the QRS ventricular
complex

- Determining the duration of the p-Q interval, parameters of the Q-T interval;

R (S) – the T segment and the T tooth.

Literature, O. I. electronic resources:

The main:

1. Internal Medicine: textbook in 2 Vol. / under Ed. V. S. Moiseeva, A. I. Martynova, N. A.


Mukhina.- 3-e nodded., ISPR. and the ball. Moscow: GEOTAR-media, 2015. Vol. 2. STR.55-71.

2. Internal Medicine: textbook. /V. I. Makolkin, S. I. Ovcharenko, V. A. Sulimov.- 6th edition,


edited and completed. Moscow: GEOTAR-media, 2014. -976 P.

3. Harrison’s Principle’s of internal medicine, 19-edition, 2016.

Additional:

3. clinical protocols of diagnosis and treatment with arrhythmias. MZ RK. Two thousand seventeen

Questions of preparation for the lesson:

- determining the driving rhythm(the rhythm is sine or not sine);

* determination of the correct heart rhythm and conduction of an electrical pulse;

* determining the frequency and sequence of heart contractions;

• analysis of the duration and amplitude of the auricle P;

•Analysis of the duration of the P – Q interval;

* Analysis of the duration and amplitude of QRS ventricular complex teeth;

•R (S) – analysis of parameters of the T segment and T tooth;

• Analysis of parameters of the Q – T interval;


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
Page 41 from 35

Format of the lesson: MSQ testing with the use of three language tests (60% in the first language,
20% in the second and English.language).

Analysis of the normal electrocardiogram algorithm.

Training from a normal electrocardiogram

Lesson control: assessment-summary.Testing (input control), ECG analysis (output


control).Communication skills

Ko: topic analysis in online video conferences on the Zoom, CicsoWebex, Microsoft Teams
platforms. Off-line: test execution and ECG analysis on Moodle, Microsoft Teams platforms.

dis.kaznmu.kz (Moodle) using internal service relationships, chat, and forums.

Tasks for CSR: interpretation of ECG (on Rus., Russian language)

- analysis of parameters of the interval Q-T

ECG analysis: - determining the frequency and sequence of sinus rhythm detection;

- determination of the correct heart rhythm and conduction of an electrical pulse;

- determination of the frequency and sequence of heart contractions;

- analysis of the duration and amplitude of the auricle P;

- Analysis of the duration of the p-Q interval;

- Analysis of the duration and amplitude of QRS ventricular complex teeth;

- R (S) – analysis of parameters of the T segment and T tooth;

- Analysis of parameters of the Q – T interval

CSR control: in the form of feedback at the consultation stage.

In the do: pts, download the algorithm for the diagnosis and treatment of myocardial infarction to
the Moodle platform.

PRI ko: download the normal ECG analysis algorithm to the Moodle platform.

Task for SRS : Outlimmune myocarditis.

SRS control: writing an essay on a given topic . Working with literature and internet sources
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
Page 42 from 35

Ko: download an essay on additional topics: the appearance of the auricle "P"..

Appearance of the ventricular complex" QRS".

Appearance of the"T" tooth (ventricular repolarization) download to the Moodle platform.Lesson


number 5 Chronic heart failure.
Border control
At the end of the lesson, the student will be able to:
- to collect an anamnesis, conduct a physical examination , make a preliminary diagnosis and assign an
examination plan for a patient with cardiovascular pathology;
- be able to interpret the results of basic laboratory and instrumental studies ;
- be able to determine the basic principles of treatment
- show an effective communication with the patient of cardiac profile.
Literature, including electronic resources :
Primary:
1. Internal diseases: a textbook in 2 t. / Ed. V.S. Moiseeva, A.I. Martynova, N.A. Mukhina .-- 3rd ed.,
Rev. and additional.- M.: GEOTAR- Media, 2015.- T.2. pg. 347 -429
2. Ishkі aurular: oқulyқ. /IN AND. Makolkin, S.I. Ovcharenko, V.A. Sulimov.-6-basylymy, өңdelgen ә
zhene tolytyrylғan.- M .: GEOTAR-Media, 2014.-976 p.
3 . Harrison's Principle's of internal medicine, 19-edition, 2016.
Additional :
1 . Mareev V.Yu., Ageev F.T. et al. National guidelines for the diagnosis and treatment of heart
failure. (second revision), 2017.
2 . Sidorenko B.A. Modern approaches to the treatment of chronic heart failure // Selected lectures
for medical practitioners.-Moscow.-2012.-p.26-36.
3. Belenkov Yu.N. Chronic heart failure. // Selected lectures on cardiology ._- GEOTAR-Media.-
2016 .-. 432 p ..
4. Clinical protocols for the diagnosis and treatment of rhythm disturbances. MH.RK. 2017 y.

Questions for preparing for the lesson:


1. The etiology and pathogenesis of acute (AHF) and chronic heart failure (CHF);
2. Classification according to functional classes, clinical manifestations of acute and
chronic heart failure;
3. Modern methods of clinical laboratory and instrumental research;
4. Modern principles of treatment of acute and chronic heart failure.
The format of the lesson: assessment of the initial level of knowledge (testing); discussion of a clinical
case of heart failure ); analysis of thematic patients, development of practical skills ( work with
patients ) . The solution and discussion of situational tasks on the topic. Border control
Lesson control: Assessment is a total. Testing (input control), the solution of situational problems
(output control). Assessment of communication skills.
Tasks for ISWT:
1. To analyze the clinical case on the topic of the lesson and formulate a preliminary diagno-
sis based on clinical, medical history, and objective data.
2. Make a plan for examining the patient.
3. Interpret the results of laboratory tests, ECG
4. To justify and formulate the final diagnosis, taking into account the results of the examina-
tion.
ISWT control: In the form of feedback during the consultation period
Tasks for ISW : Pericarditis (Dry pericarditis. Exudative pericarditis. Constrictive pericarditis)
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ISW control: Writing an essay. Work with literature and online resources.

Lesson # 7 non-rheumatic myocarditis and pericarditis.

At the end of the lesson, the student:

- collecting Anamnesis.

- physical examination of the patient.

- identification of clinical signs of myocarditis and pericarditis

- justification in the prognosis diagnosis

- appointment of an examination plan for patients with cardiovascular pathology (myocarditis,


pericarditis)

-ability to interpret the results of basic laboratory and instrumental research.

- basic principles of ECG interpretation in myocarditis and pericarditis

- Interpretation of echocg (LF)

- justification of the clinical diagnosis

- appointment of adequate treatment (drug, group, mechanism, justification of the effect of treatment)

- demonstration of effective communication in patients with myocarditis and pericarditis

Literature, O. I. electronic resources:

The main:

1. internal problems: textbook in 2 Vol. / under Ed. V. S. Moiseeva, A. I. Martynova, N. A. Mukhina.- 3-e
nodded., ISPR. and the ball. Moscow: GEOTAR-media, 2015. Vol. 2. STR.247-329

2. Internal Medicine: textbook. /V. I. Makolkin, S. I. Ovcharenko, V. A. Sulimov.- 6th edition, edited and
supplemented. Moscow: GEOTAR-media, 2014. -476 P.

Additional:

1. clinical protocols of diagnosis and treatment. MZ.RK. Two thousand thirteen

2.differential diagnosis of the sore heart / Ed. A. L. Syrkina. - Moscow: Mia, 2017.

Questions of preparation for the lesson:


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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1) Etiology and pathogenesis ;

2) Classification according to classes. Clinical manifestations of myocarditis and pericarditis;

(Classification, clinical manifestations of myocarditis and pericarditis).

3) modern methods of Clinical-Laboratory and instrumental research;

(Modern methods of clinical and laboratory and instrumental research;)

4) principles of modern treatment of myocarditis and pericarditis.

Format of the lesson:MCQ testing using test tasks in three languages (60% first, 20% second and English
) ;analysis of the topic and clinical situation of myocarditis and pericarditis; analysis of thematic patients.
discussion, solving situational problems on the topic.

In Co: analysis of the topic in online video conferences on the platforms Zoom, CicsoWebex, Microsoft
Teams. Off-line: production of tests and situational reports on the Moodle,Microsoft Teams platforms.

dis.kaznmu.kz (Moodle) maintain internal service relationships, chat and forum

Task for CSR: registration of medical documentation (medical history).

Control of SRP: in the form of feedback at the consultation stage

In KO: download the algorithm for the diagnosis and treatment of myocarditis and pericarditis to the
Moodle platform.

Task for SRS: autoimmune myocarditis.

Differential diagnosis of myocarditis and CHD.

Control of SRS: work with literature and internet resources. Submit an essay on the block.

In Co: additional topic: autoimmune myocarditis.

Differential diagnosis for differential diagnosis of myocarditis and pericarditis

(Oct., Russian., in english) download the essay on the Moodle platform.


RHEUMATOLOGY
Lesson number 1
At the end of the lesson, the student will be able to:
1. The definition of “ARF. CRHD ".
2. The main risk factors for ARF, CRHD
3. Classification of ARF, CRHD
4. Clinic and diagnosis of ARF,CRHD
5. Data from laboratory and instrumental research methods.
6 . Principles of therapy , measures of primary and secondary prevention.
7. Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for diagnosis and treatment
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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of ARF, CRHD
Literature, incl . electronic resources :
Primary:
Internal diseases: textbook: in 2 volumes / Ed. V.S. Moses, AI Martynov, NA Muhina.- 3rd
ed., Corr . and add. - M .: GEOTAR-Media, 2015.- T. 1 p. 184-196
1. Rheumatology [Text]: a textbook / Under born in units . prof. N.A.Shostak .- M.: GEOTAR-MEDIA,
2012.- 448p.
Questions for preparing for the lesson:
1. Give the definition of ARF,CRHD .
2. List the main etiological factors of ARF,CRHD
3. What risk factors for developing ARF do you know?
4. What are the main clinical manifestations of ARF,CRHD ?
5. What are the main diagnostic criteria for the disease?
6. What principles of pneumonia treatment do you know?
The format of the lesson: assessment of the initial level of knowledge (testing); discussion of the topic
of the lesson (work in small groups, discussion); analysis of thematic patients, development of practical
skills (role-playing games); Perform auscultation of the heart and explain the differences between the
noises. Mastering the methods of auscultation of the heart and form the skill of interpreting the data. Final
control (solving situational problems on the topic).
Lesson control : Assessment - formative (in the form of feedback)
Tasks for the ISWT : Laboratory and ECG, echocardiography for ORL .X RBS.
Control of ISWT: in the form of feedback during consultations in the training room in the form of
handouts UAC, blood serology, ECG film, echocardiography
Tasks for ISW: Diagnosis algorithm for treatment according to the protocol of the Ministry of Health of
the Republic of Kazakhstan in the state language and Russian languages .
ISW control : Presentation

Lesson number 2.
At the end of the lesson, the student will be able to know:
- Definition, etiology and pathogenesis of rheumatoid arthritis (RA), osteoarthrosis (OA).
- classification, clinic, course, complications and prognosis of RA, OA.
- Modern methods of clinical, laboratory and instrumental studies of RA, OA ;
- Modern principles of treatment of RA, OA.
- Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for the diagnosis and
treatment of RA and OA.
Literature, incl . electronic resources :
Primary:
Internal diseases: textbook: in 2 volumes / Ed. V.S. Moses, AI Martynov, NA Muhina.- 3rd
ed., Corr . and add. - M.: GEOTAR-Media, 2015.- T. 1 S. 196-203, S. 367-377
Rheumatology. Russian clinical recommendations [Text] / Under born in units . E.L. Nasonova.- M.:
GEOTAR-MEDIA, 2017.- 464s.
Questions for preparing for the lesson:
1) Definition of RA, OA.
2) Ethio - pathogenesis of RA, OA, classification, clinic, course, complications and prognosis of RA, OA.
3) Principles of treatment of RA, OA.
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems) . Occupation Control:
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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Lesson control : Assessment - formative (in the form of feedback)


Tasks for ISWT : Analysis of X-ray images on the topic of the lesson.
ISWT control: - in the form of feedback in the training room with a view of the radiological images of
the joints and give a description.
Tasks for ISW: Collecting complaints, medical history and examination of the patient in a second
language.
ISW control : In the form of a presentation.

Lesson number 3
At the end of the lesson, the student will be able to:
1. Definition of gout, ankylosing spondylitis
2. Classification
3. Etiopathogenesis , clinical picture and diagnosis.
4 . Data from laboratory and instrumental research methods.
5. The principles of treatment of gout, ankylosing spondylitis
6 . Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for diagnosis and treatment
Literature, incl . electronic resources :
Primary:
Internal diseases: textbook: in 2 volumes / Ed. V.S. Moses, AI Martynov, NA Muhina.- 3rd
ed., Corr . and add. - M.: GEOTAR-Media, 2015.- T. 1 S.377-390, S.338-354
1 Rheumatology. Russian clinical recommendations [Text] / Under born in units . E.L. Nasonova.- M.:
GEOTAR-MEDIA, 2017.- 464s.
Questions for preparing for the lesson:
1. Definition of gout, ankylosing spondylitis .
2. Classification
3 . Data from laboratory and instrumental methods of research
4. What are the principles of treatment of gout, ankylosing spondylitis according to the clinical protocol
of the Ministry of Health of the Republic of Kazakhstan for diagnosis and treatment
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems).
Lesson control : Assessment - formative (in the form of feedback; can be improved)
Tasks for the ISWT : Therapeutic exercises for ankylosing spondylitis. Therapeutic nutrition for gout.
ISWT control: in the form of feedback during the consultation period. Conduct the most commonly used
method of therapeutic exercises for ankylosing spondylitis, clinical nutrition for gout in practice (work in
small groups).
Tasks for ISW: Algorithm for the relief of an acute attack of gout.
ISW control : In the form of a presentation.

Lesson number 4
At the end of the lesson, the student will be able to:
1. the definition of systemic lupus erythematosus (SLE), systemic scleroderma (SS) .
2. P atogenesis , the main clinical symptoms of SLE, SS
3 . Data from laboratory and instrumental research methods.
4. How is the treatment of patients with SLE, SS ?
5 . Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for diagnosis and treatment.
Literature, incl . electronic resources :
Primary:
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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Internal diseases: textbook: in 2 volumes / Ed. V.S. Moses, AI Martynov, NA Muhina.- 3rd
ed., Corr . and add. - M.: GEOTAR-Media, 2015.- T. 1 S.238-260

Rheumatology. Russian clinical recommendations [Text] / Under born in units . E.L. Nasonova.- M.:
GEOTAR-MEDIA, 2017.- 464s.
Questions for preparing for the lesson:
1. Give the definition of SLE, SS .
2. What is the pathogenesis of SLE, SS ?
3. What are the classification criteria of hard currency.
4. What is the basis for the diagnosis of SLE, SS ?
5. Which item of laboratory and instrumental research methods.
6 . How is the treatment of patients with SLE, SS ?
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems)
Lesson control: Assessment - formative (in the form of feedback
Tasks for ISWT : Classification criteria of hard currency (2012). Immunological tests for SLE, SJS.
Control of the ISWT: in the form of feedback during the consultation period, familiarize yourself with
the principles
interpretation of immunological analyzes.
Tasks for ISW: Diagnostic algorithm for treatment of SLE, SS
ISW control : In the form of a presentation.

The list of tasks to achieve the learning outcomes


discipline "Fundamentals of internal diseases - 2":
ENDOCRINOLOGY
Lesson number 1
At the end of the lesson, the student will be able to:
- be able to collect anamnesis, conduct a physical examination, make a diagnosis, plan an examination of
patients with the main pathologies of the hypothalamic-pituitary system;
- be able to interpret the results of basic laboratory and instrumental studies and prescribe adequate
treatment of the main pathologies of HHS;
- show effective communication with the patient

Literature, including electronic resources:


1. Endocrinology (textbook) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2012, pp. 29-
69.
2. Endocrinology (oқulyқ) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2013, bet. 28-
65.
3. HARRISON’S Endocrinology, 2nd edition, by J. Larry Jameson, MD, PhD, 2015.
Questions for preparing for the lesson:
1) Anatomy and physiology of the hypothalamic-pituitary system.
2) Regulation of the system, feedback principle
3) Etiology, pathogenesis, clinical features, diagnosis of GHS disease
4) The principles of treatment and a group of drugs used to treat HCV diseases.
The format of the lesson: assessment of the initial level of knowledge (MCQ testing); case study on the
topic. The solution and discussion of situational problems (final control).
Control: formative assessment, assessment of the initial level of knowledge (testing); discussion of the
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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topic of the lesson (work in small groups, discussion); analysis of thematic patients. Final control (solving
situational problems on the topic).
Tasks for SRSP: Compilation of situational tasks on the topic: Acromegaly, Prolactinoma, Itsenko-
Cushing's disease, diabetes insipidus. Role-playing games .
SRSP control: in the form of feedback during the consultation period
Tasks for the CDS: Presentations on the topic of the lesson. Hormones produced by the GHS. The bio-
logical effect of hormones.
CPC control: control in the form of feedback for the next lesson, when assessing the initial level of
knowledge
Lesson number 2.
At the end of the lesson, the student will be able to:
- be able to collect anamnesis, conduct a physical examination, palpation of the thyroid gland, make a di-
agnosis, plan an examination of patients with endocrine diseases of the thyroid gland;
- be able to interpret the results of basic laboratory and instrumental studies and prescribe the treatment of
major endocrine diseases of the thyroid gland;
- show effective communication with the patient
Literature, including electronic resources:
1. Endocrinology (textbook) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media,
2012, pp. 74-128, 150-153.
2. Эндокринология (оқулық) И.И.Дедов, Г.А.Мельниченко, В.В. Фадеев, ГЭОТАР-
Медиа,2013 г, бет. 69-154.
3. HARRISON’S Endocrinology, 2nd edition, by J. Larry Jameson, MD, PhD, 2015.
4. Видео практического навыка https://studopedia.org/11-72420.html
Questions for preparing for the lesson:
1) Anatomy and physiology of the thyroid gland
2) Hormones produced by the thyroid gland, their biological effect
3) Diffuse toxic goiter, hyperthyroidism syndrome, etiology, pathogenesis, classification, clinical picture.
4) Hypothyroidism, etiology, pathogenesis, clinical picture ..
5) Autoimmune thyroiditis, etiology, pathogenesis, clinical picture.
6) Diagnosis of thyroid disease
7) The principles of treatment of thyroid disease
8) Examination and palpation of the thyroid gland
The format of the lesson: Analysis of theoretical material. Work in small groups. Mastering a practical
skill: examination and palpation of the thyroid gland
Practical skill No. 1 (palpation of the thyroid gland)
Control: assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work
in small groups, discussion); analysis of thematic patients, mastering the skill. Final control (solving situ-
ational problems on the topic).
Tasks for SRSP: to compose an algorithm for examining a patient with hyperthyroidism, hypothyroidism
SRSP control: in the form of feedback during the consultation period
Tasks for the CDS: an essay on the topic of the lesson (individually for each bachelor
CPC control: control in the form of feedback for the next lesson, when assessing the initial level of
knowledge
Lesson number 3
At the end of the lesson, the student will be able to:
- be able to collect anamnesis, conduct a physical examination, make a diagnosis, plan an examination of
patients with endocrine diseases of the adrenal glands;
- be able to interpret the results of basic laboratory and instrumental studies and prescribe adequate
treatment for the main endocrine diseases of the adrenal glands;
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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- show effective communication with the patient


Literature, including electronic resources:
1. Endocrinology (textbook) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2012, p.176 -
203, 209 - 219.
2. Endocrinology (oқulyқ) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2013, bet. 160-
200.
3. HARRISON’S Endocrinology, 2nd edition, by J. Larry Jameson, MD, PhD, 2015.
Questions for preparing for the lesson:
1) Anatomy and physiology of the adrenal glands
2) Hormones produced by the adrenal glands. Their biological effect
3) Itsenko-Cushing's syndrome, etiology, pathogenesis, clinical picture. Classification
4) Feochromocytoma, etiology, pathogenesis, clinical presentation. Classification
5) Cohn's disease etiology, pathogenesis, clinical picture. Classification
6) Chronic adrenal insufficiency, etiology, pathogenesis, clinical picture. Classification
7)Principles for the diagnosis of adrenal disea
8)Adrenal Disease Treatment Principles
The format of the lesson: Discussion of the topic, determination of the initial level of knowledge, super-
vision of patients with endocrine pathology, analysis of clinical histories, assessment of communication
skills.
Control: assessment - formative, assessment of the initial level of knowledge (testing); discussion of the
topic of the lesson (work in small groups, discussion). Final control - discussion of the clinical case.
Tasks for SRSP: The solution of test tasks for adrenal gland diseases.
SRSP control: in the form of feedback during the consultation period.
Tasks for the CDS: Preparation of situational tasks on the theme of PHA, Itsenko-Cushing's syndrome,
Chronic adrenal insufficiency
Lesson number 4
At the end of the lesson, the student will be able to:
- be able to collect anamnesis, conduct a physical examination, make a diagnosis, plan an examination of
patients with diabetes;
- be able to interpret the results of basic laboratory and instrumental studies and draw up a treatment plan
for patients with diabetes;
- measure glucose using a glucometer;
- show effective communication with the patient
Literature, including electronic resources:
1. Endocrinology (textbook) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2012, pp.
263-289, 318-335.
2. Endocrinology (oқulyқ) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2013, bet. 241-
265.
3.HARRISON’S Endocrinology, 2nd edition, by J. Larry Jameson, MD, PhD, 2015.
4. View video materials on practical skills.
http://diabet-expert.ru/glyukometryi/obshhaya/kak-pravilno-izmerit-sahar-v-krovi-glyukometrom-
osobennosti-protsedury.htmlhttps://studfiles.net ›preview› page: 10
Questions for preparing for the lesson:
1) Anatomy and physiology of the pancreas
2) Hormones produced by the pancreas. Their biological effect
3) Diabetes mellitus. Classification
4) Etiology, pathogenesis and clinical presentation of diabetes mellitus type 1 and 2
5) Principles for the diagnosis of diabetes
6) Principles of diabetes treatment
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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7) The algorithm for measuring glycemia in capillary blood using a glucometer.


The format of the lesson: Assessment of the initial level (testing), discussion of situational tasks, super-
vision of patients with a teacher.

Practical skill No. 2 (determination of capillary blood glucose using a glucometer)


Control: assessment - formative, assessment of the initial level of knowledge (testing); discussion of the
topic of the lesson (work in small groups, discussion). Final control - discussion of a clinical case, glucose
measurement with a glucometer (according to a checklist).
Tasks for SRSP: Patient supervision, writing a diary
Laboratory Interpretation
Drawing up situational tasks on the subject of “diabetes mellitus”
SRSP control: in the form of feedback during the consultation period
Tasks for the CDS: supervision of patients, registration of the medical history (diary).
CDS control: Evaluated at the end of the lesson.
Lesson number 5
At the end of the lesson, the student will be able to:
- be able to collect an anamnesis, conduct a physical examination, determine the pulsation of the arteries
of the lower extremities, make a diagnosis, plan an examination of patients with diabetes;
- Recognize and evaluate acute medical situations (hypoglycemic coma, ketoacidotic coma) and provide
first aid medical attention;
- be able to interpret the results of basic laboratory and instrumental studies, draw up a treatment plan for
patients with diabetes
- show effective communication with the patient
Literature, including electronic resources:
1. Endocrinology (textbook) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2012, 432
pp.
2. Endocrinology (oқulyқ) I.I. Dedov, G.A. Melnichenko, V.V. Fadeev, GEOTAR-Media, 2013, bet. 276-
312.
3. HARRISON’S Endocrinology, 2nd edition, by J. Larry Jameson, MD, PhD, 2015.
Questions for preparing for the lesson:
1) Hypoglycemia, hypoglycemic coma, diagnosis, first aid first aid.
2) Status of ketoacidosis, coma, diagnosis and treatment
3) The main complications of diabetes, pathogenesis of development
4) Diagnosis of complications of diabetes
5) Principles for treating diabetes complications
6) Determination of pulsation in the peripheral arteries of the lower extremities.
The format of the lesson: Discussion of cases, situational tasks, etc.
Practical skill No. 3 (palpation of vessels of the lower extremities)
Control: Assessment - formative, set based on the level of knowledge and understanding, solving situa-
tional problems, discussions in small groups. Evaluated practical skill number 3 on the checklist.
Tasks for SRSP: patient supervision, writing a diary
Interpretation of laboratory research. The solution of situational problems in acute and chronic complica-
tions of diabetes.
SRSP control: in the form of feedback during the consultation period
Tasks for the CDS: presentation on the topic “Diabetic foot”
CDS monitoring: group presentation discussion.
Milestone control: Test tasks 3 options for MCQ 20 questions.

The list of tasks to achieve the learning outcomes


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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discipline "Fundamentals of internal diseases - 2":


PULMONOLOGY
Lesson number 1
At the end of the lesson, the student will be able to know:
- Definition, etiology and pathogenesis of bronchitis.
- classification, clinic, course, complications and prognosis of chronic bronchitis.
- modern methods of clinical, laboratory and instrumental studies of bronchitis ;
- Modern principles of treatment of acute and chronic bronchitis.
- Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for the diagnosis and
treatment of acute and chronic bronchitis.
Literature, incl . electronic resources : Basic (textbook from the library)
1. Tynys alu zhүyesі " modulі = module" Respiratory system
": Integratsiyalanғan oқulyқ : Kazakh zhәne orys tilderinde / SK Zhauғasheva , S.B. Zhutikova ,
M.M. Түсіпбекова жә не б . - M.: Litterra , 2014 .-- 272 b .: ill.
Questions for preparing for the lesson:
1) Definition of bronchitis.
2) E thio - the pathogenesis of bronchitis, classification, clinic, course, complications and prognosis
of bronchitis.
3) Principles of treatment of acute and chronic bronchitis.
Class format:
assessment of the initial level of knowledge (MCQ 20 questions using the three-language (50% in the first
language, 20% in the second and 30% in English.); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems) . Occupation Control:
Occupation control : Assessment - total . (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
bex, Scype, Microsoft Teams. Оff-line: solving tests and situational tasks on platforms Moodle,Microsoft
Teams. For distance learning: Assessment of communication skills using role-playing games (doctor-
patient) on online platforms Zoom, Scype, Cisco Webex.
Using dis.kaznmu.kz (Moodle) of internal communication services, chats and forums. -offline (70%):
Tasks for the ISWT : Technique for inhalation therapy.
Control of ISWT: - in the form of feedback during consultations in the office of functional diagnostics,
familiarity with the technique of inhalation therapy, give a description
of bronchodilating drugs. Bronchodilator therapy using a nebulizer .
Tasks for ISW: Collecting complaints, medical history and examination of the patient in a second lan-
guage.
ISW control : In the form of a presentation.

Lesson number 2.
At the end of the lesson, the student will be able to:
1. The definition of "Pneumonia"
2. The main risk factors for pneumonia.
3. Classification of pneumonia.
4. Clinic and diagnosis of pneumonia.
5. Data from laboratory and instrumental research methods.
6 . Principles of therapy , preventive measures.
7. Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for diagnosis and treatment
of pneumonia.
Literature, incl . electronic resources : Basic (textbook from the library)
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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1. Community-acquired pneumonia: a guide for practitioners / V.A. Kazantsev. - M .: GEOTAR Me-


dia, 2016. - 112 c.
Questions for preparing for the lesson:
1. Give the definition of pneumonia.
2. List the main etiological factors of pneumonia
3. What risk factors for pneumonia do you know?
4. What are the main clinical manifestations of pneumonia?
5. What are the main diagnostic criteria for the disease?
6. What principles of pneumonia treatment do you know?
The format of the lesson: assessment of the initial level of knowledge (testing); discussion of the topic
of the lesson (work in small groups, discussion); analysis of thematic patients, development of practical
skills (role-playing games); Perform auscultation of the lungs and explain the differences between prima-
ry and secondary noise. Mastering the methods of auscultation of the lungs and form the skill of interpret-
ing the data. Final control (solving situational problems on the topic).
Occupation control : Assessment - total (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
bex, Scype, Microsoft Teams. For distance learning: to shoot a video of the practical skill of examining a
patient, palpation, percussion and auscultation of the lungs. Оnn-line: solving tests and situational tasks
on platforms Moodle,Microsoft Teams.
Using dis.kaznmu.kz (Moodle) of internal communication services, chats and forums. -offline (70%):
Tasks for ISWT : Laboratory diagnosis for pneumonia and pleurisy.
Control of ISWT: in the form of feedback during consultations in the training room in the form of
handouts of the UAC, a general analysis of sputum, pleural fluid .
Tasks for ISW: Diagnostic algorithm for treatment according to the protocol of the Ministry of Health of
the Republic of Kazakhstan in the state language and Russian languages .
ISW control : Presentation

Lesson number 3
At the end of the lesson, the student will be able to:
1. Definition of bronchial asthma .
2. Classification th GINA
3. Etiopathogenesis , clinical picture and diagnosis.
4 . Data from laboratory and instrumental research methods.
5. Principles of treatment of bronchial asthma
6 . Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for the diagnosis and treat-
ment of bronchial asthma
Literature, incl . electronic resources :
Basic (textbook from the library)
1. Baur K., Preisser A.; trans . with him. under the editorship of I.V. Leshchenko Bronchial asthma and
chronic obstructive pulmonary disease: a guide / K. Baur , A. Preisser ; trans. with him. under the edi-
torship of I.V. Leshchenko. 2010.10 pp. - 192 p.
Questions for preparing for the lesson:
1. Definition of bronchial asthma .
2. Classification by the GINA
3 . Data from laboratory and instrumental methods of research
4. What are the principles of treatment of bronchial asthma according to the clinical protocol of the Min-
istry of Health of the Republic of Kazakhstan for the diagnosis and treatment of bronchial asthma?
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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groups, discussion); analysis of thematic patients, development of practical skills (role-playing


games); final control (solving situational problems).
Occupation control : Assessment - total . (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
bex, Scype, Microsoft Teams. Оff-line: solving tests and situational tasks on platforms Moodle,Microsoft
Teams. Using dis.kaznmu.kz (Moodle) For distance learning: to shoot a video of the practical skill of ex-
amining a patient, palpation, percussion and auscultation of the lungs. of internal communication services,
chats and forums. -offline (70%):
Tasks for ISWT : Breathing exercises with bronchial asthma. Peak flowmetry . GINA classification .
Supervision of the ISWT: in the form of feedback during the consultation period. Conduct the most
commonly used method of breathing exercises in practice (work in small groups). Learn breathing exer-
cises. Self-control in peak flow measurements .
Tasks for ISW: The algorithm of first aid for an attack of asthma and asthmatic status.
ISW control : In the form of a presentation.

Lesson number 4
At the end of the lesson, the student will be able to:
1. The definition of chronic obstructive pulmonary disease.
2. P atogenesis , the main clinical symptoms of COPD.
3 . How are patients with COPD treated?
4 . Methods for primary and secondary prevention of COPD.
5. Clinical protocol of the Ministry of Health of the Republic of Kazakhstan for diagnosis and treatment.

Literature, incl . electronic resources : Basic (textbook from the library)


1. Ovcharenko S.I., Leshchenko I.V. and others; under the editorship
of A.G. Chuchalina Chronic obstructive pulmonary disease: a guide for practitioners / S.I. Ovcharenko,
I.V. Leshchenko [et al.]; under the editorship of A.G. Chuchalina . - M.: GEOTAR-Media, 2016. 50—
92 c tr . - (Series "Library of a specialist doctor").

Questions for preparing for the lesson:


1. Define chronic obstructive pulmonary disease.
2. What is the pathogenesis of COPD?
3. What are the main clinical symptoms of COPD.
4. What is the basis for the diagnosis of COPD?
5. How are patients with COPD treated?
6. What are the methods of primary and secondary prevention of COPD.
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems)
Occupation control : Assessment - total . (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
bex, Scype, Microsoft Teams. Оff-line: solving tests and situational tasks on platforms Moodle,Microsoft
Teams. For distance learning: to shoot a video of the practical skill of examining a patient, palpation, per-
cussion and auscultation of the lungs.
Using dis.kaznmu.kz (Moodle) of internal communication services, chats and forums. -offline (70%):
Tasks for the ISWT : Classification by GOLD . Spirometry. Questionnaires SAT, MPC. Determination
of the smoker's index.
Control of ISWT: in the form of feedback during the consultation period, familiarize yourself with the
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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principle of spirometry. Demonstrate skills in conducting and determining indications and contraindica-
tions for spirometry.
Tasks for ISW: Diagnosis algorithm for the treatment of chronic obstructive pulmonary disease
ISW control : In the form of a presentation.

Lesson number 5
At the end of the lesson, the student will be able to:
1. The definition of " bronchiectatic disease ."
2. The main risk factors and classifikation .
4. Clinic and diagnosis of bronchiectasis .
5. Data from laboratory and instrumental research methods.
6 . Principles of therapy , preventive measures.
Literature, incl . electronic resources : Basic (textbook from the library)
1. Darby M .; trans. from English under the editorship of V.N. Troyan. Clinical interpretation of a radio-
graph of the lungs: a guide. 60 pages / M. Darby [et al.]; trans. from English under the editorship
of V.N. Troyana .M .: GEOTAR-Media, 2017. 216 c.: Ill.
Questions for preparing for the lesson:
1. Give a definition of bronchiectatic pulmonary disease .
2. What is the pathogenesis of bronchiectasis ?
3. What are the main clinical symptoms of bronchiectasis ?
4. How is the diagnosis and treatment of patients with bronchiectasis carried out ?
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems)
Occupation control : Assessment - total . (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
bex, Scype, Microsoft Teams. Оff-line: solving tests and situational tasks on platforms Moodle,Microsoft
Teams. Using dis.kaznmu.kz (Moodle) of internal communication services, chats and forums. -offline
(70%): For distance learning: Assessment of communication skills using role-playing games (doctor-
patient) on online platforms Zoom, Scype, Cisco Webex.
Tasks for ISWT : Analysis of X-ray images on the topic of the lesson.
ISWT control: - in the form of feedback in the training room with a view of the radiological images of
the chest organs and give a description.
Tasks for ISW: Viewing a training film in English . n about the topic.
ISW control : In the form of a presentation.

Lesson number 6
At the end of the lesson, the student will be able to:
1. Definition of idiopathic pulmonary fibrosis .
2. Classification , etiopathogenesis , clinical picture and diagnosis.
4 . Data from laboratory and instrumental research methods.
5. Principles of treatment of idiopathic pulmonary fibrosis according to the clinical protocol for the diag-
nosis and treatment of MH RK.

Literature, incl . electronic resources :


Basic (textbook from the library)
1. Ed. M.M. Ilkovich Interstitial and orphan diseases of the lungs / ed. M.M. Ilkovich . - M .: GEOTAR-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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Media, 2016.100str-150str. 560 c.: Ill. - (Series "Library of a specialist doctor").


Questions for preparing for the lesson:
1. What about the distribution of idiopathic pulmonary fibrosis?
2. Classification , etiopathogenesis
4 . Which item of laboratory and instrumental method s research you know?
5. Tell the principles of treatment of idiopathic pulmonary fibrosis according to the clinical protocol for
the diagnosis and treatment of MH RK.
Class format:
assessment of the initial level of knowledge (testing); discussion of the topic of the lesson (work in small
groups, discussion); analysis of thematic patients, development of practical skills (role-playing
games); final control (solving situational problems)
Occupation control : Assessment - total . (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
bex, Scype, Microsoft Teams. Оff-line: solving tests and situational tasks on platforms Moodle,Microsoft
Teams. Using dis.kaznmu.kz (Moodle) of internal communication services, chats and forums. -offline
(70%):
Tasks for ISWT : Computed tomography with ILF. Diffusion test. KShchS.
ISWT control: in the form of feedback in the training room with viewing images of computed tomogra-
phy of the chest with ILF and give a description.
Tasks for ISW: Treatment Diagnostics Algorithm
ISW control : Presentation

Lesson number 7
At the end of the lesson, the student will be able to:
1. Definition of the concept of chronic pulmonary heart, respiratory failure.
2. The main risk factors for the classification of chronic pulmonary heart disease, respiratory failure.
4. Clinic and diagnosis of chronic pulmonary heart disease, respiratory failure .
5. Data from laboratory and instrumental research methods.
6 . The principles of therapy for chronic pulmonary heart disease, respiratory failure .
Literature, incl . electronic resources :
Basic (textbook from the library)
1. Ed. A.G. Chuchalina Pulmonology. National leadership. Quick Edition / under ed. A.G. Chuchalina . -
M .: GEOTAR-Media, 67-85str. 2016. - 800 c.
Questions for preparing for the lesson:
1. Give a definition of respiratory failure.
2. Etiopathogenesis , classification of respiratory failure, chronic pulmonary heart
3. The main clinical manifestations of chronic pulmonary heart
4. Laboratory and instrumental research methods
5. Changes in peripheral blood, biochemical parameters in diseases accompanied by syndrome of respira-
tory failure and pulmonary heart
6. Change in the function of external respiration in respiratory failure.
7. Electrocardiographic and radiological signs of chronic pulmonary heart.
8. Tactics of treatment of patients with respiratory failure and chronic pulmonary heart.
9. The course, complications and prognosis of pulmonary heart syndrome
The format of the lesson: assessment of the initial level of knowledge (testing); discussion of the topic
of the lesson (work in small groups, discussion); analysis of thematic patients, development of practical
skills (role-playing games); final control (solving situational problems)
Occupation control : Assessment - total . (in the form of feedback; can be improved) online (30%):
In distance learning, discussion of the topic of online videoconferencing on platforms Zoom, CicsoWe-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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bex, Scype, Microsoft Teams. Оff-line: solving tests and situational tasks on platforms Moodle,Microsoft
Teams. Using dis.kaznmu.kz (Moodle) of internal communication services, chats and forums. -offline
(70%):
Tasks for the ISWT: The gas composition of the blood. n oxoximetry . ECG. Echocardiography .
ISWT control: in the form of feedback during the consultation in the training room in the form
handout.
Tasks for ISW: To compose an algorithm for the diagnosis of treatment on the topic of the lesson.
ISW control : In the form of a presentation.
Boundary control. Testing 3 options on MCQ 20 questions.

NEPHROLOGY
Lesson number 1. The main syndromes and symptoms in pediatric nephrology. Modern diagnostic
methods in nephrology: clinical; laboratory; morphological; instrumental.
At the end of the lesson, the student will be able to:
- collect anamnesis, conduct a physical examination, make a preliminary diagnosis and prescribe a plan
for examining a patient with renal pathology;
-be able to determine edema and measure blood pressure (observing the measurement technique)
-be able to interpret the results of basic laboratory and instrumental studies (OAM, biochemical blood
test, indicators of nitrogenous toxins);
-be able to calculate GFR using the formulas
Literature, incl. electronic resources:
Main:
1. Нефрология. Оқулық. /Қанатбаева А.Б, Қабулбаев К.А ред – М: Литтера, 2016. 213-230 стр, 77-
117 стр.
2. Нефрология. Клинические рекомендации/под. Ред.Шилова Е.М., Смирнова А.В., Козловская
Н.Л./ ГЭОТАР-Медиа, 2016, общ. 816 стр, с 45-67 стр.

Additional:
1. Томилина Н.А.и др. Хроническая болезнь почек. Избранные главы нефрологии/ГЭОТАР-
Медиа, 2017, общ. 512 стр., с 78-108 стр.
2. Практические клинические рекомендации KDIGO по лечению гломерулонефритов, 2012. Пер. с
англ. под редакцией Захаровой Е.В. /Нефрология и диализ, Москва, Т 16, №2, 2014. Приложение
239 стр.

Questions to prepare for the lesson:


1. Основные симптомы и синдромы в современной нефрологии;
2. Қазіргі нефрологиядағы негізгі белгілер мен синдромдар;
3. The main symptoms and syndromes in modern nephrology do you know;
4. Pathogenesis of edema and hypertension in nephrotic and nephritic syndromes;
5. Modern methods of clinical, laboratory and instrumental studies in renal pathologies;

Lesson format: assessment of the initial level of knowledge (MCQ testing); discussion of thematic mate-
rial; analysis of case patients, mastering practical skills (work with patients or role play). Final control
(solution and discussion of situational tasks on the topic).
Lesson control: Assessment - summative. (in the form of feedback)
Tasks for IWST:
To analyze a clinical case and formulate a preliminary diagnosis based on clinical, anamnestic and objec-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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tive data.
Make a plan for examining the patient.
Interpret the results of provided laboratory tests
For DE: discussion of a clinical case online on Zoom, Scype, Cisco Webex platforms, solving situational
problems on the Moodle platform. Evaluation of analysis interpretation on online platforms Zoom, Scype,
Cisco Webex.
IWST control: In the form of feedback during the consultation period. With DE: Control of a given algo-
rithm on the platforms Moodle, Classroom, Microsoft Teams.
Tasks for the IWS: Draw up a plan of examination with renal pathology. When before: download the
plan for the given topics (optionally in Kazakh or English). on the Moodle platform
IWS control: Write an essay. Work with literature and Internet resources. When before: download an
essay on the specified topics (optionally in Kazakh or English). on the Moodle platform

Lesson number 2. Urinary tract infection. Complicated and uncomplicated UTI. Acute pyelonephritis.
Clinic. Diagnostics. Treatment. Prevention.
At the end of the lesson, the student will be able to:
- collect anamnesis, conduct a physical examination, make a preliminary diagnosis and prescribe a plan
for examining a patient with renal pathology;
-be able to interpret the results of basic laboratory and instrumental studies (OAM, biochemical blood
test, indicators of nitrogenous toxins);
-be able to calculate GFR using the formulas
- be able to define the basic principles of UTI treatment
Literature, incl. electronic resources:
Main:
3. Нефрология. Оқулық. /Қанатбаева А.Б, Қабулбаев К.А ред – М: Литтера, 2016. 213-230 стр, 77-
117 стр.
4. Нефрология. Клинические рекомендации/под. Ред.Шилова Е.М., Смирнова А.В., Козловская
Н.Л./ ГЭОТАР-Медиа, 2016, общ. 816 стр, с 45-67 стр.

Additional:
6. Томилина Н.А.и др. Хроническая болезнь почек. Избранные главы нефрологии/ГЭОТАР-
Медиа, 2017, общ. 512 стр., с 78-108 стр.
3. Практические клинические рекомендации KDIGO по лечению гломерулонефритов, 2012. Пер. с
англ. под редакцией Захаровой Е.В. /Нефрология и диализ, Москва, Т 16, №2, 2014. Приложение
239 стр.

Questions to prepare for the lesson:


1. Этиология и патогенез ИМВП;
2. ЗШЖИ этиологиясы және патогенезі
3. Etiology and pathogenesis of UTI
4. Modern methods of clinical, laboratory and instrumental research in UTI;
5. Modern principles of treatment of UTI.

Lesson format: assessment of the initial level of knowledge (MCQ testing); discussion of thematic mate-
rial; analysis of case patients, mastering practical skills (work with patients or role play). Final control
(solution and discussion of situational tasks on the topic).
Lesson control: Assessment - summative. (in the form of feedback)
Tasks for IWST:
To analyze a clinical case and formulate a preliminary diagnosis based on clinical, anamnestic and objec-
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
Page 58 from 35

tive data.
Make a plan for examining the patient.
Interpret the results of provided laboratory tests
Justify and formulate the final diagnosis, taking into account the results of the examination.
For DE: discussion of a clinical case online on Zoom, Scype, Cisco Webex platforms, solving situational
problems on the Moodle platform. Evaluation of analysis interpretation on online platforms Zoom, Scype,
Cisco Webex.
IWST control: In the form of feedback during the consultation period
Tasks for IWS: Asymptomatic bacteriuria (principles of treatment). When before: download an essay on
the specified topics (optionally in Kazakh or English). on the Moodle platform
IWS control: Write an essay. Working with literature and Internet resources.
For DE: download an essay on the specified topics (optionally in Kazakh or English). on the Moodle plat-
form
Lesson control: Assessment-summative (oral questioning 30% + performance of test tasks in the Moodle
system -10%, performance of the task on the IWSP in the Moodle system-60%) .
ISW ontrol: Write an essay. Work with literature and Internet t- resources
Lesson number 3. Glomerular diseases. Clinical syndromes. Morphological variants. Indications and
contraindications for biopsy. Clinic. Diagnostics. Treatment.
At the end of the lesson, the student will be able to:
- collect anamnesis, conduct a physical examination, make a preliminary diagnosis and prescribe a plan
for examining a patient with renal pathology;
-be able to determine edema and measure blood pressure (observing the measurement technique)
-be able to interpret the results of basic laboratory and instrumental studies (OAM, biochemical blood
test, indicators of nitrogenous toxins);
-be able to calculate GFR using the formulas
- be able to determine the basic principles of treatment of HZ
-Know the indications and contraindications for nephrobiopsy and its complications.
Literature, incl. electronic resources:
Main:
5. Нефрология. Оқулық. /Қанатбаева А.Б, Қабулбаев К.А ред – М: Литтера, 2016. 213-230 стр, 77-
117 стр.
6. Нефрология. Клинические рекомендации/под. Ред.Шилова Е.М., Смирнова А.В., Козловская
Н.Л./ ГЭОТАР-Медиа, 2016, общ. 816 стр, с 45-67 стр.

Additional:
6. Томилина Н.А.и др. Хроническая болезнь почек. Избранные главы нефрологии/ГЭОТАР-
Медиа, 2017, общ. 512 стр., с 78-108 стр.
4. Практические клинические рекомендации KDIGO по лечению гломерулонефритов, 2012. Пер. с
англ. под редакцией Захаровой Е.В. /Нефрология и диализ, Москва, Т 16, №2, 2014. Приложение
239 стр.

Questions to prepare for the lesson:


1. 1. Etiology and pathogenesis of HZ;
2. Патогенез отеков и АГ при нефротическом и нефритическом синдромах;
3. Нефротикалық және нефритті синдромдардағы ісіну мен гипертензияның патогенезі
4. Pathogenesis of edema and hypertension in nephrotic and nephritic syndromes
5. Modern methods of clinical, laboratory and instrumental research in renal pathologies;
6. Modern principles of treatment of Glomerular diseases.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
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Lesson format: assessment of the initial level of knowledge (MCQ testing); discussion of thematic mate-
rial; analysis of case patients, mastering practical skills (work with patients or role play). Final control
(solution and discussion of situational tasks on the topic).
Lesson control: The assessment is summative. (in the form of feedback)
Tasks for IWST:
To analyze a clinical case and formulate a preliminary diagnosis based on clinical, anamnestic and objec-
tive data.
Make a plan for examining the patient.
Interpret the results of provided laboratory tests
Justify and formulate the final diagnosis, taking into account the results of the examination.
For DO: discussion of a clinical case online on Zoom, Scype, Cisco Webex platforms, solving situational
problems on the Moodle platform. Evaluation of analysis interpretation on online platforms Zoom, Scype,
Cisco Webex.
IWST control: In the form of feedback during the consultation period
Tasks for IWST: Principles of immunosuppressive therapy for HC. When before: download a report on
the given topics (optionally in Kazakh or English). on the Moodle platform
IWS control: Write an essay. Working with literature and Internet resources.
For DE: download an essay on the specified topics (optionally in Kazakh or English). on the Moodle plat-
form.
Lesson control: Assessment-summative (oral questioning 30% + performance of test tasks in the Moodle
system -10%, performance of the task on the IWSP in the Moodle system-60%).
Lesson number 4. Acute kidney injury. Classification. Conservative therapy. Indications for dialysis.
At the end of the lesson, the student will be able to:
- collect anamnesis, conduct a physical examination, make a preliminary diagnosis and prescribe a plan
for examining a patient with renal pathology;
-be able to assess the stage of AKI by classification
-be able to interpret the results of basic laboratory and instrumental studies (OAM, biochemical blood
test, indicators of nitrogenous slags, blood electrolytes);
-be able to calculate GFR using the formulas
- be able to define the basic principles of AKI treatment
Literature, incl. electronic resources:
Main:
1. Нефрология. Оқулық. /Қанатбаева А.Б, Қабулбаев К.А ред – М: Литтера, 2016, 264-292 стр., 292-
309 стр.
2. Нефрология. Клинические рекомендации/под. Ред.Шилова Е.М., Смирнова А.В., Козловская
Н.Л./ ГЭОТАР-Медиа, 2016, 816с., 400-439стр.

Additional:
2. Острое почечное повреждение. Клинические практические рекомендации KDIGO, 2012. Пер. с
англ. под редакцией Захаровой Е.В./ Нефрология и диализ, Москва, Т 14, №2, 2012. С 86-94.
3. Трансплантация почки. Национальные клинические рекомендации. Москва, 2013. 50с.

Questions to prepare for the lesson:


1. Классификация ОПП
2. Современные методы клинико-лабораторных и инструментальных исследований при ОПП;
3. Показания к проведению ЗПТ.
4. Бүйректі алмастыратын терапияға көрсеткіштер
5. Indications for Renal Replacement Therapy
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Departments of internal diseases, rheumatology, endocrinol- Syllabus Redaction: 1
ogy, nephrology, pulmonology and nutrition
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Lesson format: assessment of the initial level of knowledge (MCQ testing); discussion of thematic mate-
rial; analysis of case patients, mastering practical skills (work with patients or role play). Final control
(solution and discussion of situational tasks on the topic).
Lesson control: Assessment - summative. (in the form of feedback)
Tasks for IWST:
To analyze a clinical case and formulate a preliminary diagnosis based on clinical, anamnestic and objec-
tive data.
Make a plan for examining the patient.
Interpret the results of the laboratory tests provided.
Justify and formulate the final diagnosis, taking into account the results of the examination.
For DE: discussion of a clinical case online on Zoom, Scype, Cisco Webex platforms, solving situational
problems on the Moodle platform. Evaluation of analysis interpretation on online platforms Zoom, Scype,
Cisco Webex.
IWST control: In the form of feedback during the consultation period
Tasks for IWS: Emergency care for hyperkalemia, acidosis. When before: download a report on the giv-
en topics (optionally in Kazakh or English). on the Moodle platform
IWS control: Write an essay. Work with literature and Internet resources. FOR DE: download an essay
on the specified topics (optionally in Kazakh or English). on the Moodle platform
Lesson control: Assessment-summative (oral questioning 30% + performance of test tasks in the Moodle
system -10%, performance of the task on the IWSP in the Moodle system-60%)
Lesson number 5. Chronic kidney disease. Stages of CKD. Hyperfiltration theory. Nephroprotective
therapy
At the end of the lesson, the student will be able to:
- collect anamnesis, conduct a physical examination, make a preliminary diagnosis and prescribe a plan
for examining a patient with renal pathology;
-be able to interpret the results of basic laboratory and instrumental studies (OAM, biochemical blood
test, indicators of nitrogenous slags, blood electrolytes);
-be able to calculate GFR using the formulas
-Know the main mechanism of CKD progression
- basic principles of nephroprotection
Literature, incl. electronic resources:
Main:
3. Нефрология. Оқулық. /Қанатбаева А.Б, Қабулбаев К.А ред – М: Литтера, 2016, 264-292 стр., 292-
309 стр.
4. Нефрология. Клинические рекомендации/под. Ред.Шилова Е.М., Смирнова А.В., Козловская
Н.Л./ ГЭОТАР-Медиа, 2016, 816с., 400-439стр.

Additional:
4. Острое почечное повреждение. Клинические практические рекомендации KDIGO, 2012. Пер. с
англ. под редакцией Захаровой Е.В./ Нефрология и диализ, Москва, Т 14, №2, 2012. С 86-94.
5. Трансплантация почки. Национальные клинические рекомендации. Москва, 2013. 50с.

Questions to prepare for the lesson:


1. Stages of CKD
2. Etiopathogenesis of CKD
3. Универсальный механизм прогрессирования нефросклероза
4. Нефросклероздың дамуының әмбебап механизмі
5. Universal mechanism of nephrosclerosis progression
6. 6. Nephroprotective therapy for CKD.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
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Lesson format: assessment of the initial level of knowledge (MCQ testing); discussion of thematic mate-
rial; analysis of case patients, mastering practical skills (work with patients or role play). Final control
(solution and discussion of situational tasks on the topic).
Lesson control: Assessment - summative. (in the form of feedback)
Tasks for IWST:
To analyze a clinical case and formulate a preliminary diagnosis based on clinical, anamnestic and objec-
tive data.
Make a plan for examining the patient.
Interpret the results of provided laboratory tests
Justify and formulate the final diagnosis, taking into account the results of the examination.
For DE: discussion of a clinical case online on Zoom, Scype, Cisco Webex platforms, solving situational
problems on the Moodle platform. Evaluation of analysis interpretation on online platforms Zoom, Scype,
Cisco Webex.
IWST control: In the form of feedback during the consultation period
Tasks for IWS: Emergency care for hyperkalemia, acidosis. Hyperfiltration theory. For DE: upload an
essay on the specified topics (optionally in Kazakh or English). on the Moodle platform
IWS control: Write an essay. Work with literature and Internet resources. For DE: upload an essay on the
specified topics (optionally in Kazakh or English). on the Moodle platform
Lesson control: Assessment-summative (oral questioning 30% + performance of test tasks in the Moodle
system -10%, performance of the task on the IWSP in the Moodle system-60%).

Practical Skills
No. 1. Collection of complaints and anamnesis
No. 2. Physical examination for a disease of the blood system.
No 3. Physical examination for diseases of the gastrointestinal tract.
No 4. Physical examination for diseases of the cardiovascular system .
No 5. Interpretation of the results of ECG diagnostics.
No 6. Physical examination for diseases of the osteoarticular system with the interpretation of
radiological images.
No 7. Physical examination for diseases of the respiratory system.
No 8. Interpretion of immunological results , laboratory and instrumental data ( ECG , EchoCG, chest X-
ray, X-ray images ).
No. 9. The abandonment of dietary diets for various diseases.
No. 10. Development of a one-day menu for concomitant pathologies.
No. 11. Calculation of BMI, determination of the degree of obesity.
No. 12. Calculation of requirements for nutrients and the development of a diet with
concomitant pathologies . Defining Daily th set and food at the recommended therapeutic diets
No 13. Definition and assessment of edema, ascites
No. 14. Palpation, percussion, auscultation of the lungs
No. 15. Perform spirometry, pulse oximetry , nebulizer therapy, peak flowmetry .
No. 16. Palpation of the thyroid gland
No. 17. Determination of glucose of capillary blood with a glucometer
No. 18. Determination of pulsation of the peripheral arteries of the lower extremities.
No 19. Calculation of GFR according to the formulas
No 20. Interpretation of laboratory and instrumental research methods in pathology
kidneys

Types of assessed communication skills:


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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1) Presentation.
2) manner of behavior
3) Clarity in the formulation of questions
4) The pace and sequence of the conversation
5) Using professional vocabulary
6) Mindfulness and care
7) Skill of informing and consulting
And also: the implementation of effective professional, personal and corporate communications,
showing respect for colleagues, patients and their families;
compliance with deontological norms and principles;
 demonstration of careful, respectful behavior when communicating with medical staff, patients and their
relatives;  Demonstration of positive work habits, including punctuality and professional appearance.

Literature
Mandatory:
1. Internal diseases: a textbook: in 2 volumes / Ed. V.S. Moses, AI Martynov, NA Muhina.- 3rd
ed., Corr . and add. - M.: GEOTAR-Media, 2015.- T. 1.- 960 p .: ill.
2. The basics of semiotics of diseases of internal organs: textbook . n persons . / A.V. Strutinsky ,
A.P. Baranov, G.E. Roytberg , Yu.P. Gaponenkov .- 8th ed .- M.: MEDpress-inform , 2013.- 304 pp.,
Ill. + 1 DVD>.
3. Ishkі aurular : oқulyқ . /IN AND. Makolkin , S.I. Ovcharenko, V.A. Sulimov.-6-
shy basylymy , өңdelgen zhane tolyқtyrylғan .- M :. GEOTAR - Media , 2014. 976- B .
4 . Harrison's Principle’s of internal medicine, 19-edition, 2016.
5. Rheumatology. Russian clinical recommendations [Text] / Under born in units . E.L. Nasonova.- M.:
GEOTAR-MEDIA, 2017.- 464s.
6 . Community-acquired pneumonia: a guide for practitioners / V.A. Kazantsev. - M .: GEOTAR
Media, 2016. - 112 c.
7 . Under the
editorship. A.G. Chuchalina Pulmonology. National leadership. Quick Edition / under ed. A.G. Chuchalina
. - M .: GEOTAR Media, 2016. - 800 c.
1. Endocrinology (textbook) I.I.Dedov , G.A. Melnichenko , V.V. Fadeev, GEOTAR-
Media, 2012, 432 pp.
2. Endocrinology ( oқulyқ ) I.I. Dedov , G.A. Melnichenko , V.V. Fadeev, GEOTAR-Media,
201 3 g, bet. 400.
3. HARRISON'S Endocrinology , 2 nd edition, by J. Larry Jameson, MD, PhD, 2015 .
10 . Leadership. Dietetology. / Ed. Baranovsky A.Yu. - St. Petersburg, 2012. -800 p.
11. Terekhin S.P .. Emdik tamantanu . Oқ y әdіstemelіk құral . Karagandy , 2006 .-- 276 b.

Additional:
1. Lewis S., Bane B., Bates I. Practical hematology: a guide for doctors / trans. with eng . under the
editorship of A.G. Rumyantseva .- M., 2014.
2. Anemia. A quick guide for practitioners . Ibliography [Electronic resource] / Rukavitsyn O.A. - M.:
GEOTAR-Media,
2018 .-- http://www.rosmedlib.ru/book/ISBN9785970444757.html
3. D. Green, K.A. Ladlem . Hemorrhagic diseases and syndromes . / p translation from English . Edited
by O. Somonova . _ M, 2014._ 131 p.
4. Acute coronary syndrome / ed. I. S. Yavelova , S. M. Khokhlunova , D.V. Duplyakova GEOTAR-
Media, 2017, 384 pp.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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5. Chronic viral hepatitis B, C and D : a guide for doctors / Enaleeva D.Sh., Fazylov V.Kh., Sozinov A.S.
GEOTAR-Media, 2015, 192 pp.
6. Rheumatology [Text]: a textbook / Under born in units . prof. N.A.Shostak .- M.: GEOTAR-MEDIA,
2012.- 448s.
7. Rheumatology + CD [Text]: national leadership / under . p units E.L. Nasonova , V.A. Nasonova .- M.:
GEOTAR-MEDIA, 2010.- 720s.
8. Sharmanov T.Sh. On the role, deficiency and prevention of the most
important micronutrients. Publisher: Rarity. 2009. -368 p.
9. Therapeutic nutrition. / Smolyansky B.L., Liflandsky V.G. - M .: Eksmo , 2010 .-- 688 p.
10. The chemical composition of Russian food products (edited by I.M.Skurikhin and V.A. Tutelyan ). -
M. - 2012 .-- 251 p.
1 1 . Іshkі aurular "Pulmonology" modulі : oқulyқ Kazakh zhәne orys t i line = Internal Medicine:
Module "Pulmonology": a textbook in the Kazakh and Russian languages /A.M. Zhusupova , A.A. Kim,
A.R. 2014 f.
1 2. Ovcharenko S.I., Leshchenko I.V. and others; under the editorship
of A.G. Chuchalina Chronic obstructive pulmonary disease: a guide for practitioners / S.I. Ovcharenko,
I.V. Leshchenko [et al.]; under the editorship of A.G. Chuchalina . - M.: GEOTAR-Media, 2016 .-- 192
p. - (Series "Library of a specialist doctor").
1 3 . Nutrition and health in Europe: a new framework for action. WHO Regional Publications, 2007.
European Series, No. 96. Under the editorship :. Aileen Robertson, Cristina Tirado, by
Tim Lobstein , translated from English . A. Reshetova. 525 s.
1 4 . Endocrinology (textbook for students of medical universities) Ametov A.S., Shustov
S.B., Halimov Yu.S. GEOTAR-Media, 2016, 352 pp.

Electronic resources:
Link to download electronic books in English . language
http : // vnutrennie - bolezni 1. blogspot . com / p / for - english . html
Electronic resources:
1 . Pub Med http://www4.ncbi.nlm.nih.gov/PubMed/ Medline Database.
2 . Yandex (http: // www. Yandex.ru/)
3 . Yahoo (http://www.yahoo.ru/) 10. http://www.medscape.com Global Search Medical System.
4 . National Library of Medicine http://www.nlm.nih.gov/ US National Library of Medicine
5 . Hardin MD http://www.lib.uiowa.edu/hardin/md/index.html Global Medical Search Engine .
Link for downloading the protocols of diagnosis and treatment of the Ministry of Health of the
Republic of Kazakhstan http://vnutrennie-bolezni1.blogspot.com/p/blog-page_77.html
Internet resources:
1) vnutrennie - bolezni 1. blogspot . com
2) Medscape.com
3) Clinical.corroption.com
4) Oxfordmedicine.com
5) Uptodate.com
6) research.nhgri.nih.gov
7) ncbi.nlm.nih.gov/PubMed/
8) medline.com
9) medlit.com
10) Clinical Learning.com

The design template for the medical history of the disease, the curation diary link
http://vnutrennie-bolezni1.blogspot.com/p/blog-page_22.html
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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Appendix

ASSESSMENT SHEETS
1. Test Score
2. Oral survey score sheet
3. Practical Skill Scorecard
3. Communication skills scorecard
4. Evaluation sheet for ECG decoding
4. Evaluation sheet for medical documentation
5. Evaluation sheet discussing the clinical case, the clinical situation
6. Evaluation sheet essays
7. Scorecard presentation in multimedia format

CHECK LIST
Assessment of test results (current, midterm control)
Date of lesson "____" ______________ 20___ g
Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup ________________
Faculty _____________________________________________________

Number of tasks in 1 point Number of Amount of points scored


test form for correct ny response (100: number correct (point for 1 correct answer X
(not less than 30) of questions) answers number of correct answers)

Total points

Total points ________________________________


Teacher Signature ___________________

Practical Skill Performance Scorecard (respiratory System Examination)


Date of lesson "____" ______________ 20___ g
Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup _______

Criteria Does not


№ Not fully owned Owns well
own
1 Correctness of the chest examination 2 4 6 8 10 12 14 16 18 20
2 Correctness of lung palpation 2 4 6 8 10 12 14 16 18 20
The correctness of lung percussion 20
3 2 4 6 8 10 12 14 16 18
4 Correctness of lung auscultation 2 4 6 8 10 12 14 16 18 20
The correctness of the definition of 20
5 2 4 6 8 10 12 14 16 18
sounds in diseases of the lung
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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Total points: 1 2
30 40 50 60 70 80 90 100
0 0
FULL NAME. clinical mentor signature
FULL NAME. learner's signature

Clinical practical skills PERFORMANCE ASSESSMENT LIST

" Рalpation of the thyroid gland"

Per-
№ Criteria for clinical practical and Performed Didn’t per-
formed
communication skills completely form
partly
1 Greeting and self-presentation (greetings, intro- 0 5 10
duced himself and his position) He conducted a
general and physical examination and the con-
clusion of the survey results: tachycardia, mois-
ture of the skin, eyelid and hand tremor.
2 Interpreted and explained the results of the ex- 0 5 10
amination of the patient in a language under-
standable to the patient.
Identified important clinical criteria of hyperthy-
roidism : tachycardia, skin moisture, eyelid and
hand tremor; enlarged thyroid gland.

3 Asked for permission to conduct palpation of the 0 5 10


thyroid gland and explained the technique of
holding it.
4 Thumbs were placed on the thyroid gland - from 0 5 10
the middle of the thyroid cartilage down, and
with a sliding movement felt the front surface of
the neck to the jugular notch in search of an
isthmus
5 Asked the patient to tilt his head slightly so that 0 5 10
the neck muscles are relaxed.
6 Produced palpation of the isthmus of the thyroid 0 5 10
gland by sliding the thumb along the midline of
the neck, directed up and down.
7 Gave characteristics about: does isthmus deter- 0 5 10
mined or not (if determined: consistency, sur-
face, soreness, mobility)
8 Then began to study the lobe of the thyroid 0 5 10
gland. For palpation of the left thyroid lobe, he
palpated the left thyroid lobe with the thumb of
the right hand
9 For palpation of the right lobe of the thyroid 0 5 10
gland, he palpated the right lobe of the thyroid
gland with the thumb of the left hand
10 Gave characteristic: do the lobes determined or 0 5 10
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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not (if determined: consistency, surface, pain,


mobility). Determined the degree of increase in
the size of the thyroid gland
Total points: 0 50 100

Allocated time per skill - 10 min.

Clinical practical skills PERFORMANCE ASSESSMENT LIST

«Objective examination of the lower extremities and determination of the types of sensitivity in di-
abetes mellitus»

Volume of estimated skill Score in points

Per-
Per- Did
forme
forme n’t
d
d per
com-
par- for
pletel
tly m
y
1 Greetings and self-presentation. (greeting, introduced 10 5 0
himself and his position). Asked the patient for permis-
sion to examine the lower extremities;

2 In a language available to the patient, explained the 10 5 0


purpose, significance, necessity and safety of the pro-
cedure

3 Examined the patient's legs, noticed the color and integri- 10 5 0


ty of the skin, the shape of the foot, interdigital spaces

4. Determined the pulsation using the index and middle fin- 10 5 0


gers of the leading hand on the projection of the dorsum
of the foot on both legs(a.dorsalisetpedis)

5 Interpreted the nature of the pulsation on both legs (satis- 10 5 0


factory, deacresedor absent)

6 Determined the temperature sensitivity on the both legs 10 5 0


using the tip term apparatus in normal and pathological
conditions (the temperature sensitivity is preserved - with
recognition from cold to warm)

7 Determined pain sensitivity with a needle by lighttingling 10 5 0


the lower extremities at various points of the lower leg
and foot.
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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8 Asked the patient to close his eyes, determined the tactile 10 5 0


sensitivity on the legs using monofilament. At the same
time, he asked the patient if he felt a touch at the studied
points.

9 Named the possible deviation of sensitivity disorders in 10 5 0


Diabetes Mellitus
1) Absence or attenuation of pulsation in the lower ex-
tremities
2) Decrease in pain, tactile types of sensitivity (hypo, hy-
pertension)
3) Temperature: patients with DM donot distinguish be-
tween contact with a warm or cool surface by tipterm ap-
paratus
10 Called the distant complications in diabetes (distal poly- 10 5 0
neuropathy)

TOTAL 100 50 0
Available time per skill - 10 мин.

Clinical practical skills PERFORMANCE ASSESSMENT LIST

"Determination of glucose in capillary blood"


№ Criteria for evaluation

Step Evaluation Criteria Fully Partly Absence of


Knowledgeab knowledgeabl knowledge
le e

1 Greeted the patient, introduced himself 10 5 0


and asked to sit down

2 Sat down himself to the right of the pa- 10 5 0


tient and put patient’s hand on the table

3 He put on rubber gloves 10 5 0


Correctly treated the patient's III and IV 10 5 0
4 fingers with an alcohol solution and
wiped with dry cotton

5 Correctly inserted the test strip into the 10 5 0


glucometer

Correctly threaded the needle into the 10 5 0


6 scarifier and pierced a finger on the side
held between two fingers
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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7 Rubbed the first drop of blood from a fin- 10 5 0


ger
Correctly applied a drop of blood to the 10 5 0
8 test strip after the image of the drop ap-
pears on the screen of the glucometer

Waite for the analysis result to appear on 10 5 0


9 the screen, after which pulled the test strip
out of the glucometer

10 Properly disposed of used cotton wool, 10 5 0


test strip, needle and informed the patient
about the result

Total points: 100 50 0

Allocated time per skill - 10 min.

Practical Skill Scorecard


(examination of the cardiovascular system)

Date of lesson "____" ______________ 20___ g


Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup _______

No. Criteria Does not own Not fully owned Owns well
The correctness of the examination of the 10
1 1 2 3 4 5 6 7 8 9
heart
2 The correct palpation of the apical impulse 1 2 3 4 5 6 7 8 9 10
Correctness of relative percussion of the 1 4 10
3 2 3 5 6 7 8 9
heart
Correctness of absolute percussion of the 1 4 10
4 2 3 5 6 7 8 9
heart
Correctness of determination of auscultation 1 4 10
5 2 3 5 6 7 8 9
points of the heart
6 The correctness of auscultation of the heart 1 2 3 4 5 6 7 8 9 10
The correctness of the study of the pulse, its 1 4 10
7 2 3 5 6 7 8 9
characteristic
8 Correct measurement of blood pressure 1 2 3 4 5 6 7 8 9 10
9 Determined the presence of edema 1 2 3 4 5 6 7 8 9 10
Held percussion of the liver (Kurlov dimen- 1 4 10
10 2 3 5 6 7 8 9
sions)
Total points: 100
FULL NAME. clinical mentor signature
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ogy, nephrology, pulmonology and nutrition
Page 69 from 35

FULL NAME. learner's signature

Practical Skill Performance Scorecard (Digestive System Examination)


Date of lesson "____" ______________ 20___ g
Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup _______

No. Criteria Does not own Not fully owned Owns well
The correctness of the abdominal examina- 10
1 1 2 3 4 5 6 7 8 9
tion
The correctness of superficial palpation of 10
2 1 2 3 4 5 6 7 8 9
the abdomen
The correctness of palpation of the sigmoid 10
3 1 2 3 4 5 6 7 8 9
colon
4 Correct palpation of the cecum 1 2 3 4 5 6 7 8 9 10
5 Correct palpation of the transverse colon 1 2 3 4 5 6 7 8 9 10
The correctness of determining the size of 10
6 1 2 3 4 5 6 7 8 9
the liver according to Kurlov
7 The correctness of palpation of the liver 1 2 3 4 5 6 7 8 9 10
8 The correctness of percussion of the spleen 1 2 3 4 5 6 7 8 9 10
9 The correctness of palpation of the spleen 1 2 3 4 5 6 7 8 9 10
The correctness of the percussion of the ab- 10
10 1 2 3 4 5 6 7 8 9
domen
Total points: 100
FULL NAME. clinical mentor signature
FULL NAME. learner's signature

Practical Skill Performance Scorecard (respiratory system examination)


Date of lesson "____" ______________ 20___ g
Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup _______

Criteria Does not


№ Not fully owned Owns well
own
1 Correctness of the chest examination 2 4 6 8 10 12 14 16 18 20
2 Correctness of lung palpation 2 4 6 8 10 12 14 16 18 20
3 Correctness of lung percussion 2 4 6 8 10 12 14 16 18 20
4 Correctness of lung auscultation 2 4 6 8 10 12 14 16 18 20
The correctness of the definition of 20
5 2 4 6 8 10 12 14 16 18
sounds for lung diseases
Total points: 1 2
30 40 50 60 70 80 90 100
0 0

Оценочный лист выполнения практического навыка


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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пальпация щитовидной железы


№ Критерии Оценка в баллах

неполно,с
Выполни

Выполни

выполни
л полно

тью
Не
л

л
1 Приветствие и самопрезентация. (приветствие,
представил себя и свою должность). Провел общего
осмотра, физикального обследования и заключение
результатов опроса:
выделил важные клинические критерии: тахикардия,
влажность кожных покровов, тремор век и рук;
2 На доступном пациенту языке интерпретировал и
объяснил результаты осмотра пациента:
выявлены симптомы гипертиреоза – тахикардия,
влажность кожных покровов, тремор век и рук;
увеличение щитовидной железы
3 Попросил разрешение на проведение пальпации
щитовидной железы и объяснил технику проведения.
4. Большие пальцы рук уложил на область щитовидной
железы — от середины щитовидного хряща вниз, и
скользящим движением ощупывал переднюю
поверхность шеи до яремной вырезки в поисках
перешейка
5 Попросил пациента слегка наклонить голову, чтобы
мышцы шеи были расслаблены
6 Произвел пальпацию перешейка щитовидной железы
скользящим движением большого пальца по средней
линии шеи, направленным вверх-вниз
7 Дал характеристику: определяется или не определяется
перешеек (если определяется: консистенция,
поверхность, болезненность, подвижность)
8 Далее приступил к исследованию долей щитовидной
железы. Для пальпации левой доли щитовидной
железы большим пальцем правой руки
пропальпировал левую долю щитовидной железы
9 Для пальпации правой доли щитовидной железы
большим пальцем левой руки пропальпировал правую
долю щитовидной железы
10 Дал характеристику: определяются или не
определяются доли (если определяются: консистенция,
поверхность, болезненность, подвижность). Определил
степень увеличения размеров щитовидной железы
ИТОГО

Оценочный лист выполнения практического навыка


«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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«Объективный осмотр нижних конечностей и определение виды чувствительности при


сахарном диабете»
Критерии Оценка в баллах

неполно,ст
Выполнил

Выполнил

выполнил
полно

ью

Не
1 Приветствие и самопрезентация. (приветствие,
представил себя и свою должность). Попросил
разрешения у пациента для проведения осмотра
нижних конечностей;
2 На доступном пациенту языке объяснил цель,
значение, необходимость и безопасность данной
процедуры
3 Осмотрел ноги пациента, обратил внимание на цвет и
целостность кожных покровов, форму стопы,
межпальцевые промежутки
4. Определил пульсацию при помощи указательного и
среднего пальца ведущей руки на проекции тыльной
поверхности стопы на обеих ногах (a.dorsalis et pedis)
5 Интерпретировал характер пульсации на обеих ногах
(удовлетворительная, сниженная или отсутствует)
6 Определил температурную чувствительность на ногах,
используя аппарат tipterm. В норме сохранена
температурная чувствительность, с распознаванием
холодного от теплого.
7 Определил болевую чувствительность с помощью
иглы путем легкого покалывания нижних конечностей
в различных точках голени и стопы
8 Попросил пациента закрыть глаза, определил
тактильную чувствительность на ногах с помощью
monofilament. При этом спрашивал у пациента,
чувствует ли он прикосновение в исследованных
точках.
9 Назвал возможные отклоненения нарушений
чувствительности при сахарном диабете
1) Отсутствие или ослабление пульсации в
нижних конечностях
2) Снижение болевой, тактильной видов
чувствительности (гипо, гиперестезия)
3) Температурная чувствительность при СД
нарушается, не различает соприкосновение
теплой или прохладной поверхности аппарата
tipterm.
10 Называет возможные отдаленные осложнения СД
(ангио/полинейропатия)
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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ИТОГО

Отведенное время за навык - 10 мин.

ОЦЕНОЧНЫЙ ЛИСТ ПРАКТИЧЕСКОГО НАВЫКА №2


«Определение глюкозы в капиллярной крови»
№ Критерии оценки
п/ Владеет в полной Владеет Не владеет
п Критерии оценки шагов мере частично
10 5 0
1 Поздоровался с пациентом,
представил себя и попросил сесть
2 Сел справа от пациента и его руку
положил на стол
3 На руки одел резиновые перчатки
Правильно обработал III и IV пальцы
4 пациента спиртовым раствором и
протер сухой ватой
5 Правильно вставил тест полоску в
глюкометр
Правильно заправил иглу в
6 старификатор и проколол палец по
боковой стороне зажав между двумя
пальцами
7 Протер первую каплю крови из пальца
Правильно нанес каплю крови на тест
8 полоску после появления на экране
глюкометра изображения капли
Дождался появления на экране
9 результата анализа, после чего
вытащил тест полоску из глюкометра
10 Правильно утилизировал
использованные ваты, тест полоску,
иглу и информировал пациента о
полученном результате
Итого: 100
Отведенное время за навык - 10 мин.

Practical Skill Scorecard (ECG)


Date of lesson "____" ______________ 20___ g
Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup _______

No. Criteria Does not own Not fully owned Owns fully
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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0 1 2 3 4 5 6 7 8 9 10
Estimated heart rhythm (sinus, replace-
1 ment, arrhythmia), rhythm frequency, 0 1 2 3 4 5 6 7 8 9 10
arrhythmias
2 Rated the electrical axis of the heart 0 1 2 3 4 5 6 7 8 9 10
Estimated P wave (shape, height, width),
3 0 1 2 3 4 5 6 7 8 9 10
interval duration P - Q ( R )
He evaluated the QRS complex in all
leads ( Q wave , QRS complex shape ,
width, dis- or concordance , R wave dy-
4 0 1 2 3 4 5 6 7 8 9 10
namics in the chest
leads, R and S widths in the left and
right chest leads).
5 Estimated interval Q T, Q T corr. 0 1 2 3 4 5 6 7 8 9 10
Estimated the sum of the R and S teeth in
6 0 1 2 3 4 5 6 7 8 9 10
the left and right chest leads.
Estimated segment S T in all leads rela-
7 tive to the isoline, revealed reciprocal 0 1 2 3 4 5 6 7 8 9 10
changes in their presence.
Estimated T wave (shape, height, width)
8 0 1 2 3 4 5 6 7 8 9 10
in all leads.
He determined the localization of acute
9 ischemia, damage and necrosis or cicatri- 0 1 2 3 4 5 6 7 8 9 10
cial changes in the myocardium, if any
He made a general conclusion and de-
10 0 1 2 3 4 5 6 7 8 9 10
termined the treatment tactics.
Total points: 100
FULL NAME. clinical mentor
signature
FULL NAME. learner signature

Oral Questionnaire
Date of lesson "____" ______________ 20___ y
Theme of the lesson ___________________________________________________
FULL NAME. student _______________________________________________
Course _____________ Group _____________ Subgroup ________________

Level
No. Criteria for Excellent Acceptable Requires Unacceptably
evaluation correction
1. Level of understanding of 15 11. 25 7.5 0
topic
2. The ability to think logi- 15 11.25 7.5 0
cally
3. Match of presentation 20 15 10 0
and direct material
questions
4. The presence in the 10 7.5 5,0 0
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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response of all the


necessary theoretical facts
5. Illustration of answer 10 7.5 5,0 0
with correct examples
6. A culture of speech 10 7.5 5,0 0
7. Possession of professional 10 7.5 5,0 0
terminology
8. The ability to make 10 7.5 5,0 0
conclusions
Total points 100 75 50 0

The maximum score is 100.


Total Points ____________
Teacher Signature ________________

CHECK LIST
Criteria for assessing communication skills
Scoring
No. Criteria 0 points 5 points 8 points 10 points
1 Acquaintance Does not seem It seems Does 2 or 3 of the He seems to be
(performance) following: Pre- calling the patient
sent, name the by name and
patient by name, shaking hands at
or shake hands (if ( if possible).
possible).
0 points 5 points 8 points 10 points
2 Tonality Demonstrates in- Neutral behavior is It shows interest, Shows sincere
(demeanor). difference or irrita- either at times respect for the interest, Tone
tion or behaves clumsy or insecure. patient. chooses in ac-
frivolously, or cordance with the
looks disinterested. mood of the pa-
tient.
0 points 9 points 18 points 20 points
3 Clarity in the Often formulates Sometimes he asks Formulates and Formulates and
formulation of and asks fuzzy fuzzy questions asks quite clear asks extremely
questions. questions (the pa- (the patient once or and clear ques- clear questions.
tient finds it diffi- twice found it dif- tions.
cult to understand ficult to understand
what the neg is what he was asked
asked). about).
0 points 9 points 12 points 14 points
4 The pace and Questions follow in The acceptable
Normal rate of Ensures under-
sequence of the form of a “ma- pace of the conver- conversation, se- standing or sum-
the conversa- chine gun queue” sation, but jumps quential transi- marizes
tion or the student skips from topic to topic. tions from one briefly. Uses
from topic to topic. topic to another. transition phrases.
0 points 5 points 8 points 10 points
5 Using profes- Often uses profes- Sometimes he uses Avoids the use of Avoids the use of
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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sional vocabu- sional vocabulary professional vo- professional vo- professional vo-
lary as you without further ex- cabulary without cabulary or clari- cabulary or de-
speak with the planation. further explana- fies the meaning tails the meaning
patient tion. of professional of professional
terms terms
0 points 5 points 8 points 10 points
6 Attentiveness Does not look real- Attention is shifted Looks attentive Looks atten-
and caring ly attentive or lis- from time to time, and caring. tive. Quickly re-
tening, interrupts asks questions to sponds to verbal
without apology which I previously and non-verbal
and explanation. received an answer signals.
(I do not apolo-
gize).
0 points 8 points 10 points 15 points
Counsconsultation
7 Completely ignores Provides short rec- Counseling if Advises tactfully
the opportunity and ommendations if necessary and clearly.
need for counsel- necessary, either
ing. with a tongue
twister or fuzzy.
Total* 0 points 46 points 72 points 89 points

Evaluation sheet for medical documentation - (AA)


Criteria 10 points 8 points 6 points 4 points 2 points
N (estimated by
above the requires
o the point fine acceptable unacceptably
average correction
system)
Patient Fully and Accurate basic Incomplete or Misses the
complaints: systematized, with and information inaccurate, important
1
major and an understanding of complete missing some
minor important details details
Medical
2
history
Anamnesis of
3
life
Reflection of Effective, organized Consistent Revealing Incomplete or Inconsistent data
objective and focused. and correct Master not quite
status at the Data right, not
4
time of attentive to
inspection patient
convenience
Isolation of A complete There are Incorrect Incorrect Invented
leading understanding of omissions interpretati allocation of Syndromes
syndromes and the leading in the on the leading
pathognomoni syndrome and its interpretati Illogical syndrome,
5
c symptoms competent on of the and which leads
interpretation correctly inconsisten to other errors
identified t diagnostic
leading plan
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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syndrome
Justification of The most complete The correct
the justification and main
The
preliminary wording diagnosis,
wording is
diagnosis He understands the errors in
generally Incomplete or Wrong
6 problem in a the stage,
correct, not quite right
complex, connects degree,
omitted
with the complicatio
pathology
characteristics of ns,
the patient pathology
Survey plan The plan is
correct, but
The differential The plan is
The plan is there is no
diagnosis algorithm correct for
correct, but understandi
is reflected routine Wrong
7 not ng of the
Aims to exclude or examinations,
entirely reliability
confirm competing does not
consistent. of the
diagnoses know the key
survey
data.
Treatment pla Compliance with Correct Primary Often Wrong
n for a specific clinical and diagnosis misplaced clin judgment, action
patient, taking protocols. Understa reasonable ical problems s can be
into account nding not only the in terms of Ordinary dangerous for
8
the main and main pathology, but the approach the patient
concomitant also the underlying
pathology characteristics of pathology
this patient
Presentation of A lot of Incomplete
Short, concise and There are
9 a medical background and unacceptably
consistent omissions
history information inaccurate
Theoretical He knows Knows the
knowledge in Demonstrates the basic basic, does
1 Incomplete
this case knowledge beyond understand not Does not know
0 knowledge
basic literature ing of the highlight
important the main

Case Study Discussion Score ( CbD )


14 , 3 points 12 points 10 points 7 points 4 points
Criteria
No. (estimated by above the requires
fine acceptable unacceptably
the point average correction
system)
1 Basic Full He showed Assimilation Mastering Fundamental
theoretical assimilation standard of material Key Points errors
knowledge of of program thinking with Understanding Constantly
fundamental material. He with unprincipled his mistakes confused in
disciplines showed complete inaccuracies and the answers,
2 Knowledge of original assimilation in the willingness to did not work
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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etiology, thinking. He of program answers. fix them with the basic


pathogenesis independently material. literature
3 Knowledge of used
clinical additional
manifestations literature.
4 Interpretation
of survey data
5 Differential
diagnosis,
choice of
examination
tactics with an
understanding
of the
information
content and
reliability of
the tests
6 The choice of
treatment
tactics with an
understanding
of the
mechanism of
action of drugs
7 Patient
management
tactics:
complications,
prognosis,
outcomes

Clinical Assessment Sheet


No. Criteria Level
p/p Grades Excellent Acceptable Requires Unacceptably
correction
1. Having become acquainted 10 7.5 5 0
with the clinical situation, he
identified the leading
symptoms of the disease.
2. Appreciated the results of an 10 7.5 5 0
objective study.
3. Defined a circle of similar 10 7.5 5 0
diseases.
4. He substantiated the choice of 10 7.5 5 0
additional research methods.
5. Interpreted received (expected) 10 7.5 5 0
or available
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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results of additional research


methods.
6. Logically conducted a 10 7.5 5 0
differential diagnosis with
similar diseases and
reasonably excluded them.
7. Justified the diagnosis 10 7.5 5 0
8. He argued the choice of the 10 7.5 5 0
plan (scheme, tactics) of
treatment (management) of the
patient
9. Demonstrated a culture of 10 7.5 5 0
speech, knowledge of
professional terminology
10. Formulated recommendations 10 7.5 5 0
necessary for the patient.
Total 100 75 50 0
The maximum score is 100.

Essay Score Sheet


10 points 8 points 6 points 4 points
1 Focus on Organized Organized, Unfocused Inaccurate,
the problem focused, selects focused, selects Distraction to misses the point,
all related to the all related to the questions not inappropriate
main problem main problem related to the data.
identified issues identified issues, main identified
with but there is no problem
understanding understanding of
the specific the specific
Clinically c Coy Clinically c Coy
situation situation
2 Information All necessary Reported all the All necessary Not reflected
content, information on necessary information on important
presentation the topic was information in a the topic is information on
efficiency fully logical manner, presented the topic, gross
communicated in but with minor chaotically, with errors
a free, consistent, inaccuracies gross errors
logical manner
Adequately
selected product
form
3 Credibility The material is Some Insufficient Conclusions and
selected on the conclusions and understanding conclusions are
basis of reliably conclusions are of the problem, not substantiated
established formulated on some or incorrect
facts. the basis of conclusions and
Awareness of the assumptions or conclusions are
level or quality incorrect based on
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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of evidence facts. There is no incomplete and


full not proven data
understanding of - dubious
the level or resources were
quality of used
evidence
4 Consistency The presentation It has an internal There is no Skips from one
and is logical and unity, the consistency and to another, it’s
consistency consistent, has provisions of the consistency in hard to grasp the
internal unity, product follow the presentation, main idea
the provisions in from one but it is possible
the product another, but there to trace the main
follow one from are inaccuracies idea
the other and are
logically
interconnected
5 Literature Literary data are Literature data Literary data are Inconsistency
analysis presented in a demonstrate the not always in and randomness
logical study of basic place, do not in the
relationship, literature support the presentation of
demonstrate a consistency and data,
deep study of the evidence of the inconsistency
main and statements No basic
additional textbook
information knowledge
resources
6 Practical High Significant Not enough Unacceptably
significance
7 Patient High Oriented Not enough Unacceptably
orientation
8 Applicability High Applicable Not enough Unacceptably
in future
practice
9 Presentation Correctly, all the Overloaded or Visual materials Does not own
visibility, possibilities of underutilized are not material, does
report quality Power Point or visual materials, informative not know how to
(speaker other e-gadgets incomplete expose it
rating) are used to the possession of
place, fluency in material
the material,
confident manner
of presentation
bonus English The product is The product is In the
language fully delivered in prepared in preparation of
English (checked English, the product,
by the head of delivered to sintering
the department) Russian / Kazakh sources were
+ 10-20 points + 5-10 points used.
depending on depending on + 2-5 points
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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quality quality depending on


quality
bonus Time Product Product Postponement Delivered late
management* delivered delivered on time of delivery that Minus 10 points
prematurely - no points added does not affect
10 points are quality
added Minus 2 points
Bonus Rating** Extra points (up Outstanding work, for example:
Be sure to to 10 points) Best group work
explain why Creativity
this bonus is An innovative approach to completing a task
awarded At the suggestion of the group
* Duration - determined by the teacher, as a rule - the day of midterm control
** Thus, as much as possible you can get 90 points to get above 90 - you need to show a
result higher than expected

Multimedia presentation evaluation sheet


FULL NAME of student _____________________
Group _____________ Subgroup ________________
Theme __________________________________________________________________________
Date of delivery "____" ______________ 20___ y
No. Level, score
Criterion Excellent Acceptable Requires Unacceptably
correction
1. The presence of a title slide with a title, 10 7.5 5 0
presentation plan, a sufficient number of
slides, a list of references
and Internet sources .
2. Compliance of the content of the 10 7.5 5 0
presentation with the theme and
objectives.
3. The location of the slides in a logical 10 7.5 5 0
sequence.
4. Style of presentation of the material 10 7.5 5 0
(conciseness, clear wording,
structuredness).
5. The use of modern sources of 10 7.5 5 0
information in sufficient quantities.
6. Ability to generalize the material and 10 7.5 5 0
clear conclusions.
7. The level of focus in the presentation 10 7.5 5 0
material.
8. Ability to report clearly, competently, 10 7.5 5 0
consistently.
9. The ability to defend position and the 10 7.5 5 0
ability to respond constructively to
criticism.
10. The quality of the design of the slides 10 7.5 5 0
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
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(colorfulness, visibility, etc.).


Total maximum score is 100.
The maximum score is 100.

Form 3

List of changes made to the syllabus

Additions and/or changes to the program

B.22-OVB OVB-1 4311 Fundamentals of Internal Medicine1

B.22-OVB OVB-2 4312 Fundamentals of Internal Medicine2

Code and name of EP

For 2022/2023 academic year

The following additions and/or changes are made to the syllabus:

1. The number of days for the "Cardiology" block has been changed from 8 days to 6.

Rationale:

1. In connection with the shortening of the days of discipline

Additions and / or changes are considered at the meeting of the department:

From August 31, 2022 No. 1

Chairman of the COP: Sagatbayeva N.A.

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