MF/AK/M-V18. Eye, ENT and maxillo-facial dideases. degree) Exam Number of ECTS credits allocated. Student's workload. Independent work hours

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1 Course unit title Code Eye, ENT and maxillo-facial dideases MF/AK/M-V18 Cycle of course unit Integrated (Master Study programme Medicine Level of course unit Not applicable degree) Course 6 Department Eye, ENT and Type of course unit Module maxillo-facial surgery clinic Course unit duration 3 weeks Mode of delivery Traditional Part of programme Study area Assessment strategy Exam Number of ECTS credits allocated Student's workload Contact work hours Study requirements To fulfill the requirements of 5 year training programme Annotation Analysing this module, students will learn to evaluate etiology, diagnosis and principles of treatment in cases of sudden and chronic visual loss, caused by different eye diseases and pathologies. Dealing with the problems of this study course students will get acquainted with the essentials and clinical aspects of otorhinolaryngology, methods of examination of the patient and technique of the common performed operations. They get aquainted with the basic knowledges of otorhinonalaryngology and learn to use them in diagnosis and management of disorders of the ear, nose, sinuses, pharynx and larynx. Students have to be able to evaluate and interpret typical morphological and functional changes through additional audiological, endoscopical and radiological investigation, provide emergency assistances. The goal of this program is to provide the highest level of training in the full scope of oral and maxillofacial surgery, and to insure development of basic skills in diagnosis and treatment of oral & head and neck cancer, trauma, inflammations of oral and maxillofacial region. Analysing this modulus, students will have to learn to evaluate etiology, diagnosis and principles of treatment in cases of sudden and chronic visual loss, caused by different eye diseases and pathologies. Dealing with the problems of this study course students get acquainted with the essentials and clinical aspects of otorhinolaryngology, duties of the otorhinolaryngologist in the hospital and outpatient clinic, methods of examination of the patient and technique of the common performed operations. They get aquainted with the basic knowledges of otorhinonalaryngology and learn to use them in diagnosis and management of disorders of the ear, nose, sinuses, pharynx and larynx. After finishing the course students must to know the essentials of the most common adult and pediatric otorhinolaringological diseases, diagnostic tests, principles of treatment; peculiarities of emergency aid. Students have to be able to evaluate and interpret typical morphological and functional changes through additional audiological, endoscopical and radiological investigation, provide emergency assistances. The goal of this program is to provide the highest level of training in the full scope of oral and maxillofacial surgery, and to insure development of basic skills in diagnosis and treatment of oral & head and neck cancer, trauma, inflammations of oral and maxillofacial region. Purpose of the course unit: programme competences to be developed 347

2 To conclude this modulus, students must define, analyse, explain and relate information that was given during this modulus. To achieve the goal students have to acquire knowledge in structure, function, disorders and the mechanisms: To repeat clinical anatomy and physiology of eye, ear, nose, face, maxilla, sinuses, pharynx, larynx and analyse their changes in different pathological processes. To get acquainted with etiology, pathogenesis, diagnosis, treatment and prophylaxis of the congenital and acquired acute and chronic, adult and pediatric, organic and functional otorhinolaringological diseases To learn basic otorhinolaryngological examination and interpretation of clinical signs To know indications of additional examination methods of ear, nose and throat diseases as well as interpretation of changes. To know the most common otorhinolaryngological diseases, principles of treatment, indications for surgical treatment To know the emergency aid in cases of acute hearing loss, bleeding, trauma, burns, and choking, laryngeal stenosis. To learn principles of preoperative preparation and postoperative surveillance in otorhinolaryngology Find out etiology, pathophysiology, diagnosis, treatment and prophylaxis in tumors and traumas of the maxillofacial region Learn to provide emergency assistance in trauma of the maxillofacial region Know diagnostic methods, adapt them on maxillofacial diseases, interpret pathological changes during long term course Know the most common treatments of inflammation in the maxillofacial region, indication for surgical treatment Know basic information and provide emergency assistance in bleeding, trauma and burn injuries Master basic information about preoperative and post operative care of the maxillofacial patients Learning outcomes of the programme Professional attributes: act fairly, think critically and self-critically, be emphatic, creative, take the initiative, follow to ethical obligations Learning outcomes of the course unit Be able to act fairly and according to ethical obligations. Apply good medical practice principles at work, ensure quality Be able to think critically and selfcritically Be emphatic and creative Take the initiative, be able to seek an objective Be able to communicate interpersonally Be able to act fairly and according to ethical obligations. Apply good medical practice principles at work, ensure quality Course unit methods Assessment strategy Professional behaviour: organise and plan activities, work autonomously or together with specialists engaged in other fields and in a multidisciplinary team; solve problems and make decisions, act in new situations and to adapt to them, assess the limits of one s competence and, if necessary, ask for help Be able to to deal with uncertainty and adapt to to new situations Be able to work autonomously Be able to solve problems Be able to make decisions Be able to work in a multidisciplinary team Be able to communicate with experts of other sciences 348

3 Dissemination of professional experience: learn, including independent and lifelong learning, apply knowledge in practice and to teach others Be able to organise and plan Be able to analyse and synthesize Be able to learn, including independent life-long learning Be able to apply knowledge in practice Be able to teach others Be able to carry out scientific research Consultation with a patient: carry out a consultation with a patient according to his needs Be able to: Take a history Carry out physical examination Make clinical judgements and decisions Provide explanation and advice to a patient Provide reassurance and support to a patient Assess the patient s mental state Assessing of clinical presentations, ordering investigations, making differential diagnoses and a management plan: recognise, assess and describe symptoms, nature and course of the clinical presentations, order appropriate investigations and interpret the results; make differential diagnoses; negotiate an appropriate management plan with patients and carers Be able to: treat acute medical emergencies; provide basic First Aid; provide basic life support and cardio-pulmonary resuscitation according to current European guidelines; provide advanced life support according to current European guidelines; be able to trauma care according to current European guidelines; carry out some clinical procedures safety and accurately Achievements of biomedical sciences: Apply to medical practice scientific principles, methods and knowledge of biomedical sciences (anatomy, histology, genetics, immunology, microbiology, pathology, physiology, biochemistry, pharmacology, etc.) Be able to: apply to medical practice scientific principles, methods and knowledge of biomedical sciences: anatomy, histology, genetics, imunology, microbiology, pathology, physiology and etc. Communicate effectively in a medical context: communicate clearly, sensitively and effectively with patients, relatives of patients, disabled people and colleagues Be able to communicate with patients, colleagues, relatives of patients, and with disabled people 349

4 Ability to apply scientific principles, methods and knowledge to medical practice and scientific research: to apply scientific principles, methods and knowledge to medical practice and scientific research Ability to apply scientific principles, methods and knowledge to medical practice and scientific research Assessment methods Problem based assignment, Task completion, Task solving Weighting percentage No Period or date of assessment Assesment after each discipline Assessment criteria Average of 5 different evaluations (5 questions) Theoretical exam ( in written form) 100% After finishig the module and receiving the final evaluation Evaluation of theoretical knowledge: exam is in written form, open type of questions, 2questions from ophthalmology, 2 ENT and 1 maxillo-facial surgery. The final result is an averege of five evaluations Cumulative grade formula No 350

5 Lectures Consultations Seminars Training exercises Labaratory work Internship Tutorials Assessment All contact work hours Course content Topics Contact work hours and planned learning activities and tasks Tasks Sudden visual loss Chronic visual loss Hearing loss and vertigo Upper respiratory tract deseases Maxillofacial diseases Overall: Required reading Lecture material of opthalmology A. Kišonas, K. Povilaitis, V. Kinduris, V. Uloza, Ausų, nosies, gerklės ligos. Vilnius, 1994 Cummings CW. Otolaryngology: Head and Neck Surgery 4th edition H.J. F. Robertson et al. Cerebrospinal Fluid Leak Imaging. V.Kinduris, R.Sereika. Otoskopijos atlasas Peterson L. J. et al. Oral and Maxillofacial Surgery. 4th ed. Mosby, Recommended reading Basic and Clinical Science Course. American Academy of Ophthalmology Kanski JJ. Clinical Ophthalmology. A systematic approach. Sixth edition. Elsevier. Probst R, Grevers G, Iro H. Basic Otorhinolaryngology. Stuttgart: Thieme; Byron J. Head and Neck Surgery - Otolaryngology 3rd edition. Lippincott Williams & Wilkins; 2001 Bezrukov V. M., Robustova T. G. Chirurginės stomatologijos veido ir žandikaulių chirurgijos vadovas. 1 tomas. Moskva, J. Olekas. Veido, žandikaulių ir burnos chirurgija. Vilnius, Coordinating Lecturer Lect. Edita Puodžiuvienė address Valid from 2011 Valid until edita.puodziuviene@gmail.com 351