The Healthy Human 2, 30 credits

12 HE credits from semester 1 on the Study Programme in Medicine.

A student failing due to shortcoming in knowledge skills or attitudes, thus jeopardizing patient security and/or trust in medical care, could be assigned for a new clinical rotation only after having completed the individual plan.

The aims relate to the general learning outcomes of the whole Study Programme in Medicine. Aims concerning knowledge and understanding are structured according to the SOLO taxonomy: S1) simple (e.g. know, identify), S2) compound (e.g. account for, describe), S3) related (e.g. analyze, relate to), and S4) extended (e.g. theorize, analyze). Practical skills outcomes are tiered according to Miller's pyramid: M1) know, M2) know how to carry out, M3) be able to show, and M4) be able to carry out professionally.

The specific aims of the in the course included parts:

Part 1: Hematopoiesis, the immune system, skin, circulation, body temperature regulation and respiration

Knowledge and understanding
Man in balance:
The student should be able to
• account for the blood circulation, the temperature regulation, the respiration, the hematopoiesis, the skin and the immune system regarding structure and function from cell- to organ system level (S2).
• be familiar with individual differences and differences related to sex and age in the structure and function of these systems (S1).
• account and analyse how the different systems interact in the control of the internal environment of the body (S3)
• be familiar with different ways to study morphology and function (S1). Man in imbalance:
The student should be able to predict, understand and account for how changed structure and function in these systems can lead to disease (S2-3).

Skills
The student should
• know to how one carries out ECG registration, orthostatic test, static and dynamic spirometry and blood gas analysis (M1).
• be able to measure and register pulse and blood pressure (M3).
• be able to identify respiratory sounds and heartbeats (M3).
• be able to demonstrate anatomical structures in dissected organs, in plastic models and in radiological images, and be able to identify tissues in histological preparations (M2).

Attitude
The student should
• know how knowledge of current body and function systems has been received and be able to separate scientifically based knowledge from best practice (S2).
• be able to sum up detailed knowledge concerning hematopoiesis, immune system, circulation and respiration to an overall picture (S3).

Part 2: The urinary organs, the body fluids, the endocrine system and reproduction

Knowledge and understanding
Man in balance:
The student should be able to
• account for the urinary organs, endocrine the structure and function of the bodies and the reproductive organs from cell- to organ system level (S2)
• account for how the urinary organs and endocrine system in collaboration with other factors participate in urine production, fluid balance and acid/base balance (S2-3).
• account for individual-, sex- and age related differences in structure and function concerning the urinary organs (S1-2) and be able to account for equivalent respect endocrine the system and the reproductive organs (S2).
• describe the above systems interact in the control of the internal environment of the body (S3).
• be familiar with different ways to study the morphology and function of the different systems (S1) . Man in imbalance:
The student should be able to predict, understand and explain how changed structure and function can lead to disease (S2-3).

Skills
The student should
• know how one carries out renal clearance measurements and dehydration tests (M1).
• be familiar with basic principles of different methods to decide hormone level, as well as of some function tests of hormonal systems (M1).
• be familiar with basic methods in fertility investigations (M1).
• know principles for the interpretation of acid/base status (M2).
• be able to demonstrate anatomical structures in dissected organs, in plastic models and in radiological images, and be able to identify tissues in histological preparations (M2).

Attitude
The student should
• know to how knowledge of current body and function systems has been received (S1) and be able to separate scientifically based knowledge from best practice (S2).
• be able to sum up detailed knowledge of the structure and function to an overall picture of the urinary organs, the reproductive organs and the endocrine system (S3) .

Part 3: Human in motion

Knowledge and understanding
Man in balance:
The student should be able to
• account for the structure and function of the musculoskeletal system from cellular level to organ system level (S2)
• analyse the relationship between the anatomic preconditions of the musculoskeletal system and functional capacity (S3).
• account for how the musculoskeletal system changes during growth as well as aging, and be able to explain the beneficial effect of physical activity and training (S2).
• be familiar with individual and gender specific differences in the structure and function (S1) of the musculoskeletal system. Man in imbalance:
The student should be able to predict, how changed structure and function in the musculoskeletal system can lead to disease and be able to give examples of both common hereditary variations and common abnormalities (S2-3).

Skills
The student should
• be able to show the musculoskeletal system anatomic structures on dissected bodies on plastic models and in radiological images and be able to identify current tissues in histological preparations (M3).
• be able to make a basic physical examination including being able to carry out function tests of joints and musculature (M3).
• know how to carry out work tests and electromyography (M2).

Attitude
The student should be able to
• add up detailed knowledge about the anatomy of the musculoskeletal system and function to an overall picture (S3).
• combine scientific source material and survey papers of the musculoskeletal system to be able to analyse the relationships between structure and function (S3).
• describe how the cooperation between the musculoskeletal system and other organ systems affect the individual's movements and physical capacity (S3).

Overall aims of scientific development (VetU)

Knowledge and understanding
The student should
• be able to account for basic scholarly concepts (S2) and be familiar with methods within medical basic research (S1).
• know various types of scholarly argumentation with relevance for both hypothesis generation and arguments in support of the reliability of results (S1).
• know The Helsinki Declaration and the historical account around the emergence of different research-ethical guidelines, also such that concern definitions of fraud in the research process (S1).

Skills
The student should
• be able to reflect on what scholarship is and be oriented how a scholarly environment functions (M2).
• be able to identify and characterise different scientific theoretical positions (M2).

Attitude
The student should be able to
• reflect over the importance of a scholarly and ethical attitude (S2).

Overall aims of professional development (PD).

Knowledge and understanding
The student should be able to
• define essential ethical concepts (S2).
• define basic concepts within medical psychology (S2).
• account for professional ethical rules and for different ethical systems that have relevance for medical ethics (S3)

Skills
The student should be able to
• distinguish ethical problems and also be able to analyse and argue rational around them (M3).
• distinguish psychological issues (M2).
• be able to bring a talk with patients in a patient-centered way (M2).

Attitude
The student should be able to
• counter both patients and close and colleagues and other concerned in a respectful way and be able to reflect on different interests that can stand on games (S3, M3).

The course is organised in four main parts and a completing fifth part. The fifth part consists of a written final examination that can be preceded by integrating and summarising elements. Primary care, professional development and scholarly development are integrated in the first three  parts of the course, but implementing and achieving of aim for these activities are documented in the fourth part of the course.

Part 1: Hematopoiesis, skin, the immune system, circulation and respiration
Hematopoiesis. skin and the immune system is presented in lectures, project work in groups about hematopoiesis, microscopy of blood, skin and lymphoid tissue and seminar in groups about the immune system. Exercise questions and self-assessment quiz are available for this section.
Learning regarding circulation, temperature regulation and respiration are facilitated by lectures, microscopy of heart muscle, blood vessel, upper and lower airways and self-study in anatomy and demonstration of the anatomy of the chest. Furthermore, laboratory sessions about ECG, blood pressure measurement, auscultation of the heart sounds, ortostatic test, static and dynamic spirometry, re-breathing of carbon dioxide are available. Diagnostic tests on the heart & cardiovascular system, temperature regulation and respiration. The tests are performed individually as well as in groups.
Compulsory parts: presentation project work "blood", presentation seminar the immune system, individual diagnostic tests regarding circulation, temperature regulation and respiration, account of exercise and seminar problems about circulation & temperaure regulation, respectively respiration

Part 2: The urinary organs, the body fluids, the endocrine system and reproduction
Achievement of learning goals regarding the urinary organs and body fluids are facilitated by lectures, microscopy of urinary organ, group assignment about haemolysis, osmosis and tonicity, group assignment and seminars about acid-base balance, laboratory sessions about haemolysis, osmosis and tonicity and acid-base balance (computer-based). Applications problems involve acid-base balance and integrative problems involving all aspects of this subsection.The subsection is completed with an integrated seminar with application of knowledge in basic science in pathophysiological situations
The endocrine system and reproduction are illustrated by lectures and patient demonstrations, microscopy of endocrine and genital organs, demonstration of the anatomy the pelvic organs and a seminar in endocrinology. The subsection is completed with a diagnostic test in the form of oral examination with individual feedback. Part 2 is completed by a preparation exam with identification of anatomic and histological preparations concerning hematopoiesis skin, the immune system, circulation, respiration, urinary organs, endocrine the system and reproductive organs
Compulsory parts: presentation of study questions "buffer systems of the blood", individual written diagnostic test concerning urinary organs and body fluids , account of exercise and seminar problems on integrative aspects on urinary organs and body fluids with pathophysiological examples, an oral test on the endocrine system and reproduction, preparation exam in anatomy and histology
Part 3: Human in motion
The locomotion system, musculature and exercise physiology is illustrated by lectures, seminars, microscopy of cartilage, leg, skeletal musculature, dissection of the musculoskeletal system and demonstration and practical exercises of examination technique for back, legs and arm. Laboratory session in electromyography (EMG) and ergometry (exercise test on bicycle ergometer), demonstration of basic muscle functions on skeletal muscle fibres.Problem solving ability is exercised in a seminar about muscle function. The part is completed with a preparation test on the anatomy of the arm, the leg and the back, a web-based quiz about the histology of cartilage, bone and skeletal muscle,  and a presentation of a patient from the primary care with reduced locomotion or physical capacity.
Compulsory parts: Seminar muscle, preparation exam arm, legs and back, quiz histology, presentation patient with reduced ability to move or reduced physical performance
Part 4: Scientific and professional development
The aims of the scholarly development are clarified in lectures and group work and literature studies and individual reflections. Furthermore, group discussions of provided cases are carried out. The aims of the professional development are clarified with lectures and group work in medical ethics, lectures in medical psychology, lectures and group work around genders and diversity, and a workshop with a focus on the patient-physician relationship. In the school located teaching of the primary care, individual supervision in consultation of patient is given and one of theses occasions should be video-recorded. Basic training in routine physical examination, training in auscultation of heart and lungs and blood pressure measurement and palpation of peripheral pulses, lymph nodes and thyroid gland. Sit in with physician and overview of replies from laboratory investigations. Medical history and physical examination of patient with movement restriction or reduced physical work  capacity and compilation of made observations.
Compulsory parts: Lectures and group work in medical ethics, lectures and group work about gender, and workshop patient-physician relationship, four days at health care centres(primary care), video recording of patient communication and medical history and physical examination of patient with movement restriction or reduced physical capacity and compilation of made observations

Part 5: Integration and exam
The aims of the course are integrated mainly through self-study. Arisen questions from the course participants are answered and commented via the course web. The course is completed with a written examination where the expected learning outcomes of the basic scientific core in Part 1-3 are tested.

On occasions during the course, communication may be in English. As far as possible, the course participants are informed in advance when this takes place.

Part 1 the ”Haematopoesis, the immune system, the skin, circulation, temperature regulation and respiration” are examined in the form of  seminar, or other forms of group assignments (blood, immune system, circulation, temperature regulation and respiration) and individual diagnostic tests concerning circulation, temperature regulation and respiration. The skill outcomes concerning auscultation of heart and lungs and blood pressure measurement are examined in the outpatient clinical teaching (primary care).

Part 2 the ”Urinary organs, the body fluids, endocrine system and reproduction” are examined in the form of exercise &seminar assignments (acid-base balance, integration of urinary organs and body fluids), by individual diagnostic tests (urinary organs and body fluids) and one oral test (endocrine system and reproduction).

A joint examination for the first two parts with anatomical and histological preparations.

Part 3 the ”Human body in movement” is examined by a seminar (muscle), preparation test on the anatomy of the musculoskeletal system of the arm, the leg and the back, a web-base quiz on the histology of bone, cartilage and skeletal muscle, and in seminars presentation of patient case with movement restriction or in a different way reduced physical capacity.
For compulsory presentations of projects, group assignments and seminars and preparation tests and oral exams during part 1-3 there is one conditional pass occasion during the course. Make-up opportunities may have a form that differs from the regular session, e.g. a written examination or written assignment.

Part 4: Scientific and professional development
”Scientific progression” is examined through active participation in group discussions of theory of knowledge and research ethics

”Professional development” is examined through reflecting portfolio sheet. At insufficient portfolio sheets, the student must supplement according to instructions from examiner or responsible teacher for professional development. Which parts of the teaching of professional development that is compulsory be stated under working methods. In case of absence, a complementary written assignment is given.

The clinical teaching taking place within the primary care, attendance is required for passing the course. In case of absence, supplementary activities are assigned by the supervisor at the primary care centre.  During the education in the primary care, certain learning and skill outcomes are examined as part of the professional development and Part 1.

Part 5 Integration and exam
For participation in the written exam it is required to have passed compulsory teaching parts under Part 1-3. Examination covers expected learning outcomes from the simple to the more complex where be given possibility to relate, compare, analyse and discuss different phenomena

Student who do not pass the regular examination are entitled to re-sit the examination at five more occasions. If the student has carried out six failed examinations/tests be given not any additional examination. For parts with clinical rotation applies as a rule that they can only be repeated once.
 

If a course has been closed down or undergone major changes, at least two additional examinations (excluding regular examinations) in the previous contents are provided during a period of a year from the date of the change.

Evaluation will take place in accordance with the instructions of the Board of Higher Education. Furthermore, evaluation will take place continuously during the course, with web-based questionnaires. Continuous dialogue with the course participants also takes place via a course council, established at the beginning of the course.

The course director assesses if, and in that case, how absence from compulsory education elements can be taken again. Before the student has participated in the compulsory education elements or recovered absence in accordance with the instructions of course coordinator can not the learning outcomes final report slide. Absence from a compulsory education element can imply that the student can not recover the occasion until next time the course be given.

The examiner may with immediate effect interrupt a student's clinical rotation (VFU), or the equivalent, if the student demonstrates such serious deficiencies in knowledge, skills or attitudes that patient safety or patient confidence in healthcare is at risk. When clinical rotation is interrupted according to this, it implies that the student fails in the current part, and that one clinical rotation opportunity is used up.

In such cases, an individual action plan should be set up for required activities and examinations, before the student is given a possibility for a new clinical rotation in the course.