Course
Study programs
Medical Studies in EnglishYear of study
4ISVU ID
213821ECTS
5
The course “Psychiatry” is the required fourth-year course of the Integrated Undergraduate and Graduate University Study of Medicine in English. It consists of 96 hours of class: lectures (18 hours), seminars (40 hours), practicals (38 hours) (ECTS 5).
Psychiatry is a clinical discipline that helps students to achieve knowledge about psychiatric disorders that are common in general practice. Students need to understand and master their skills in communication with the psychiatric patient, with accent on biopsychosocial understanding of mental illnesses. During the course, students will learn how to recognize and treat different acute and chronic mental disorders common in general practice. Also, they will learn to distinguish what mental disorders could be cured within the primary health care setting and which should be referred to the specialist in psychiatry. During the course, students will get to know the method of interviewing and approaching the patients with mental disorders. Also, they should familiarize themselves to symptoms, syndromes, and entities in psychiatric psychopathology. Students will learn about main groups of psychiatric disorders, including basic therapy principles. It is necessary that students understand prodromal psychiatric symptoms and identify and diagnose mental illnesses, as well as learn how to provide treatment or referral to a specialist. They will hear about the principles of classification of psychiatric disorders. Because of the increase in the incidence and prevalence of substance abuse disorders, these critical issues will be addressed. Patients with mental disorders are often experiencing problems with reintegration, therefore we educate students about options in resocialisation in terms of community-oriented psychiatry. We should also accustom students to the ethical issues and stigmatisation in psychiatry.
| Upon completing the course, students will be able to: |
- demonstrate the knowledge of the mental health from the perspective of biopsychosocial concept
- recognise different clinical pictures and differentiate among the mental health diagnoses
- develop a treatment plan for disorders that can be cured within the primary health care setting
- identify the organisational model of mental health care
Black DW, Andreasen NC. INTRODUCTORY TEXTBOOK OF PSYCHIATRY; Seventh Edition. American Psychiatric Association; VA, US 2020 ( e-book)
Sadock BJ, Sadock VA, Ruiz P.: Kaplan & Sadock’s SYNOPSIS OF PSYCHIATRY, Eleventh Edition, Wolters Kluwer, 2015
Regular attendance at all classes of the Psychiatry Course, and preparation for seminars according to the program.
Student grading will be conducted according to the Ordinance on Student Grading at the Faculty of Medicine in Rijeka. The student’s work is evaluated during the course and the final exam. Students may achieve up to 50% of the grade during the course and 50% at the final exam. 50% of the grade is obtained during the course by taking two midterm exams.
1. The first midterm exam is performed during the last practical in the form of a case report. Maximum credits = 30; Sufficient = 15 credits. 2. The second midterm exam is a written test with multiple responses, and it will be held at the last seminar. Maximum credits = 20; Sufficient =10 credits.
Students can retake the midterm exam only if they have not achieved the minimum score, or if they did not approach the exam. The retake of the exam is determined in the schedule.
Only the students who have gained 25 or more credits at the midterm exams can take the final exam. Students who have gained less than 25 credits or were absent for more than 30% of teaching classes (i.e. 30% of lectures, 30% of the seminars, 30% of practicals) - can not take the final exam.
The final exam is an oral exam - maximum credits = 50 ; sufficient = 25 credits. The final exam consists of five questions related to the course topics, and answers are rated 0 to 10 credits. The final grade is done according to the number of credits collected through the midterm and final exams: 90-100 points .... excellent (5) A; 90-100% 75-89 points ...... very good (4) B; 75 to 89% 60-74 points ..... good (3) C; 60-74% 50-59 points ......sufficient (2) D; 50-59% |
0-49 points.........insufficient (1) F; 0-49 %
The scheduled order of practicals may be changed due to patients currently admitted and in treatment (hospital or outpatient setting).
Learning outcomes
The aim is to present the basics and the purposes of diagnosis in psychiatry and to explain the classification systems in psychiatry. The student is expected to comprehend the general principles of established psychiatric classifications and to master marking psychiatric diagnostic entities.
Learning outcomes
The purpose of this lecture is to provide the students with knowledge about different neurocognitive disorders. Students should get acquainted with clinical manifestation, etiology, diagnosis, and treatment options in patients who develop delirium or dementia.
Learning outcomes
This lecture aims to get the students introduced to the etiology and clinical manifestations of substance-related and addictive disorders, together with the somatic, psychological, and societal consequences of the disorders. Students should get to know the clinical course of the disorders above and familiarise themselves with aspects of intoxication, tolerance, withdrawal, and different therapeutic approaches, too.
Learning outcomes
The aim is to define psychoticism and describe the main features of psychotic disorders. Aetiological theories, clinical findings, and treatment options will be presented. Students should distinguish signs and symptoms of psychotic disorders, as well as current therapeutic algorithms and approaches.
Learning outcomes
The aim is to present etiology, clinical findings, and treatment options, according to current algorithms, for patients with mood disorders. Students should learn the basics about diagnosis and treating mood disorders.
Learning outcomes
The lecture aims to describe the clinical features of anxiety, dissociative and somatoform disorders. The student is going to be introduced to the diagnosis, clinical findings, and clinical management of the disorders mentioned above.
Learning outcomes
The purpose of this lecture is to present distinct mental disorders that are trauma and stressor-related. A student should understand the underlying pathophysiology of PTSD, as well as clinical manifestations and clinical management of the disorder.
Learning outcomes
Sleep-wake disorders and feeding and eating disorders are going to be presented, together with the classification of the disorders. Students should distinguish among the clinical findings and entities of the fore-mentioned disorders. Students would be acquainted with recent algorithms of treatment.
Learning outcomes
The purpose of this lecture is to present, differentiate and classify personality disorders. Students should understand the issues of comorbidity and often the need for long-term therapy
Learning outcomes
The aim is to get the students introduced to the specific diagnosis, clinical features, and treatment of child and adolescents psychiatric disorders.
Learning outcomes
The final lecture should include Course evaluation and feedback gathering. Students’ reflections on mental health issues and eventual changes in attitudes toward mental health and psychiatry are promoted and discussed.
Learning outcomes
Performing and practicing psychiatric interviewing and psychiatric history taking. Students should be able to complete a comprehensive evaluation of the patient’s mental status.
Learning outcomes
The aim is to discuss the methods of promoting and protecting mental health. Legal issues of involuntary treatment and hospitalization, as well as restraining measures, are discussed.
Learning outcomes
The aim is to explain psychiatric emergencies, especially violent behaviors, suicide, and suicidal behavior. Students should learn how to assess and manage psychiatric emergencies.
Learning outcomes
The aim is to explain the principles of psychiatric intensive care – discussing acutely psychotic patients, agitated patients, patients in crisis, etc. Students should know and recognize psychiatric conditions that require intensive psychiatric treatment.
Learning outcomes
Psychiatric interview, mental status examination & Discussion.
Midterm Exam I-Case Report
Learning outcomes
A practical leader agrees to the time of the practical hours with the students. It can be carried out during regular working hours, afternoon working hours, or on the duty of the practical leader, considering that it does not conflict with other student obligations. The practicals aim to acquaint the student with the organization of work at the Department of Psychiatry, which includes emergency psychiatric admission, treatment in divisions, treatment in day hospital facilities, and treatment at the Polyclinic of the Department of Psychiatry
Learning outcomes
The aim is to learn psychiatric interviewing techniques and mental status examination concerning possible communication obstacles. The student is expected to comprehend the importance of psychiatric interviewing for a patient’s diagnosis and generating a treatment plan. Also, to define psychiatric signs and symptoms and methods for eliciting them. Students should be able to determine a mental status examination.
Learning outcomes
General therapy principles in psychiatry consist of biological, psychotherapeutic, and socio-therapeutic ways of treatment. Students would be familiarized with the combined and complementary methods of treatment. Students should conceptualize the biopsychosocial model of approaching mental health disorders.
Learning outcomes
The aim is to present different but often overlapping symptoms of neurocognitive disorders, and treatment procedures, too. The learning outcome is to recognize reversible and irreversible clinical features due to brain damage.
Learning outcomes
The aim is to describe the clinical features of substance-related and addictive disorders. The student is expected to understand addiction; it’s etiology and treatment options.
Learning outcomes
Schizophrenia represents maybe the most devastating psychiatric illness, still with insufficiently defined etiology. The learning outcome is to describe and define the range of signs and symptoms that arise from the underlying cognitive and emotional impairments. Students should understand pharmacological and psychosocial treatment options.
Learning outcomes
Depression is one of the most widespread mental disorders. The aim is to describe distinct clinical features of depression and to present algorithms for treatment. Students should become confident in establishing or diagnosing the severity of depression and in deciding which patients could be treated in the primary care setting and which should be referred to the psychiatrist.
Learning outcomes
The aim is to understand the psychodynamics and neurobiology of symptom formation in anxiety, conversion, dissociative and somatoform disorders. The student is expected to learn clinical features and clinical management of the fore-mentioned disorders that are among the most prevalent psychiatric disorders in the world.
Learning outcomes
This seminar aims to describe the main clinical features of distinct stress and trauma-related disorders and to define a traumatic event. The learning outcome is to understand the pathophysiology of reactions to stress and trauma, the features of traumatic memory, and the treatment standards.
Learning outcomes
Personality disorders still bear some controversies regarding their diagnosis and classification. The purpose is to describe clinical features and clusters of personality disorders and to know therapy principles.
Learning outcomes
The aim is to present the main groups and representatives of sleep-wake disorders and to understand their etiology and treatment options. The next aim is to define and explain feeding and eating disorders, their phenomenology, and their pathophysiology. The learning outcome is to get to know treatment options for patients.
Learning outcomes
The aim of the seminar is to present neurodevelopmental disorders that are most frequently seen in general practice settings (intellectual disability, communication disorders, autism spectrum disorder, ADHD, specific learning disorders, and motor disorders ( including tic); also, we shall review adult psychiatric disorders that are often seen in children, too ( depression, schizophrenia, etc.). Students should understand special aspects of the assessment and treatment of children.
Learning outcomes
The aim of this seminar is to explain the importance of community psychiatry as a way of provision of a coordinated program of mental health care to the community. It includes working with patients, their families, and different agencies in the community. Activities of the consultation-liaison psychiatry are focused on the psychiatric and psychosocial aspects of medical care. Students should understand the basic principles of those two branches of psychiatry.
Learning outcomes
The aim is to present civil issues pertinent to psychiatric practice including confidentiality, informed consent, and involuntary treatment. Forensic psychiatry is dealing with criminal legal issues. Stigmatization and self-stigmatization are addressed, too.
Learning outcomes
Midterm Exam II - test is related to the topics of the lectures and seminars.
| Academic year | |
|---|---|
| 2023/2024 | [Download] |