Of 9 May 2012 (Journal of Laws of 2012, item 631)



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Regulation of the Minister of Science and Higher Education on education standards for medical and dental fields, pharmacy, nursing and midwifery1)

of 9 May 2012 (Journal of Laws of 2012, item 631)


(Journal of Laws of 2016, item 1908, Journal of Laws of 2016, item 1332)
Based on Article 9b paragraph 1 Act of 27 July 2005 - Higher Education Law (Journal of Laws of 2012, item 572) is hereby amended as follows:
§1 Educational standards are defined for the following fields of study:
1) medical - annex 1 to the regulation;
2) medical and dental - annex 2 to the regulation;
3) pharmacy - annex 3 to the regulation;
4) nursing - annex 4 to the regulation;
5) midwifery - annex 5 to the regulation.
§2 This regulation shall come into force 14 days after the date of its publication.2)
Annex 1. Standards of education for the field of study: Medicine - uniform master’s studies.3)
I. GENERAL REQUIREMENTS

1. Uniform master’s studies in the field of medicine last for no less than 12 semesters.

2. The number of hours of classes and practice can not be less than 5700.

3. The number of ECTS points is not less than 360.

4. The studies have a general-academic profile.

5. The field of study is in the area of education related to medical sciences, health sciences and physical culture sciences.


II. GENERAL EDUCATIONAL EFFECTS

The doctor's degree is awarded to a graduate in the field of medicine who:

1) in terms of knowledge knows:

a) development, structure and functions of the human body in normal and pathological conditions,

b) symptoms and course of diseases,

c) diagnostic and therapeutic procedures specific to individual conditions,

d) ethical, social and legal conditions for exercising the profession of physician and principles of health promotion, and his/her knowledge is based on scientific evidence and standards;

2) in terms of skills can:

a) identify medical problems and prioritize medical treatment,

b) recognize life-threatening conditions requiring immediate medical attention,

c) plan the diagnostic procedure and interpret its results,

d) implement appropriate and safe therapeutic management and anticipate its effects;

3) in terms of social competence:

a) can establish and maintain a deep and respectful contact with the patient,

b) is guided by the good of the patient, putting it first,

c) observes doctor-patient privilege and patient rights,

d) is aware of own limitations and has an ability to constantly develop oneself.
III. DETAILED EFFECTS OF EDUCATION

A. MORPHOLOGICAL SCIENCES (e.g. anatomy, histology, embryology)

In the field of knowledge the graduate:

A.W1. knows the anatomical, histological and embryological nomenclature in Polish and English;

A.W2. knows the structure of the human body in a topographical (upper and lower limbs, thorax, abdomen, pelvis, back, neck, head) and functional approach (osseo-articular system, muscular system, cardiovascular system, respiratory system, digestive tract, urinary tract, reproductive system, nervous system and sensory organs, skin);

A.W3. describes topographical relationships between individual organs;

A.W4. knows basic cell structures and their functional specializations;

A.W5. knows the micro-architecture of tissues, extracellular matrix and organs;

A.W6. knows the stages of human embryo development, the structure and function of foetal membranes and placenta, and the stages of development of individual organs.

In terms of skills the graduate:

A.U1. uses optical microscope - also with immersion;

A.U2. recognizes in the optical or electron microscope histological structures corresponding to the organs, tissues, cells and cellular structures, describes and interprets their structure, and the relationship between structure and function;

A.U3. explains the anatomical basis of the physical examination;

A.U4. concludes on the relationships between anatomical structures based on live diagnostic tests, in particular radiological (plain X-rays, contrast, CT and nuclear magnetic resonance examination);

A.U5. uses anatomical, histological and embryological terms in speech and writing.
B. SCIENTIFIC BASIS OF MEDICINE (e.g. biophysics, molecular biology, biochemistry with elements of chemistry, physiology, cytophysiology, elements of pathophysiology, computer science and biostatistics)

In the field of knowledge the graduate:

B.W1. describes water-electrolyte management in biological systems;

B.W2. describes the acid-base balance and mechanism of action of buffers and their importance in homeostasis;

B.W3. knows and understands the concepts: solubility, osmotic pressure, isotonia, colloidal solutions and Gibbs-Donnan equilibrium;

B.W4. knows the basic reactions of inorganic and organic compounds in aqueous solutions; B.W5. knows the physical laws describing the flow of fluids and factors affecting blood vessel vascular resistance;

B.W6. knows natural and artificial sources of ionizing radiation and its interaction with matter;

B.W7. knows the physicochemical and molecular basis of action of sensory organs;

B.W8. knows the physical basis of non-invasive imaging methods;

B.W9. knows the physical basis of selected therapeutic techniques, including ultrasound and irradiation;

B.W10. knows the structure of simple organic compounds that are part of macromolecules present in cells, extracellular matrix and body fluids;

B.W11. describes the structure of lipids and polysaccharides and their functions in cell and extracellular structures;

B.W12. characterizes I-, II-, III- and IV structure of proteins; knows the post-translational and functional modifications of proteins and their significance;

B.W13. knows functions of the nucleotides in the cell, I- and II structure of DNA and RNA, and the chromatin structure;

B.W14. knows the functions of the genome, transcript and human proteome and the basic methods used in their study; describes the processes of DNA replication, repair and recombination, transcription, translation and degradation of DNA, RNA and proteins; knows the concepts of gene expression regulation;

B.W15. describes basic catabolic and anabolic pathways, ways of regulating them, and the influence of genetic and environmental factors.

B.W16. knows metabolic profiles of basic organs and systems;

B.W17. knows the concepts: oxidative potential of the body and oxidative stress;

B.W18. knows the enzymes involved in digestion, the mechanism of hydrochloric acid production in the stomach, the role of bile, the course of absorption of digestive products, and disorders associated with them;

B.W19. knows the consequences of inappropriate nutrition, including long-term starvation, excessive food intake and unbalanced diet;

B.W20. knows the consequences of deficiency of vitamins or minerals and their excess in the body;

B.W21. knows how to communicate between cells, between cell and extracellular matrix, and cell signalling pathways, and examples of disorders in these processes that lead to the development of cancer and other diseases;

B.W22. knows the processes, such as cell cycle, proliferation, cell differentiation and aging, apoptosis and necrosis and their importance for the functioning of the organism;

B.W23. knows the basic issues of stem cells and their applications in medicine;

B.W24. knows the basics of stimulation and conduction in the nervous system and higher neural activity, as well as the physiology of the striated and smooth muscles and the function of the blood;

B.W25. knows the action and mechanisms of regulation of all organs and systems of the human body, including the circulatory, respiratory, digestive, urinary and skin systems and understands the relationships existing between them;

B.W26. knows the mechanism of action of hormones and the consequences of hormonal regulation disorders;

B.W27. knows the course and regulation of reproductive function in women and men;

B.W28. knows the mechanisms of aging of the body;

B.W29. knows the basic quantitative parameters describing the performance of particular systems and organs, including: range of norms and demographic factors influencing the value of these parameters;

B.W30. knows the relationship between factors that impair the state of balance of biological processes and physiological and pathophysiological changes;

B.W31. knows the basic IT and biostatistics methods used in medicine, including medical databases, spreadsheets, and the basics of computer graphics;

B.W32. knows basic statistical analysis methods used in population and diagnostic research; B.W33. knows the capabilities of modern telemedicine as a tool to assist the doctor's work; B.W34. knows the principles of conducting research, observational and experimental studies and in vitro research for the development of medicine.

In the field of skills the graduate:

B.U1. uses knowledge of the laws of physics to explain the influence of external factors, such as temperature, acceleration, pressure, electromagnetic field and ionizing radiation on the body and its elements;

B.U2. evaluates the harmfulness of the dose of ionizing radiation and applies to the radiological protection;

B.U3. calculates molar concentrations and percentages of compounds and concentrations of substances in isosomotic, mono- and multi-component solutions;

B.U4. calculates the solubility of inorganic compounds, determines the chemical base of solubility of organic compounds or its absence, and the practical significance for diet and therapy;

B.U5. determines pH of the solution and the effect of pH changes on inorganic and organic compounds;

B.U6. predicts the direction of biochemical processes depending on the energy state of the cells;

B.U7. describes changes in the functioning of the body in the event of a homeostasis disorder, in particular its integrated response to physical exertion, exposure to high and low temperatures, blood or water loss, sudden verticalisation, transition from sleep to wakefulness; B.U8. performs simple functional tests assessing the human body as a stable regulation system (load and stress tests); interprets figures for basic physiological variables;

B.U9. uses basic laboratory techniques, such as qualitative analysis, titration, colorimetry, pehametry, chromatography, protein and nucleic acid electrophoresis,

B.U10. uses simple measuring instruments and evaluates the accuracy of measurements; B.U11. uses databases, including the Internet, and searches for the needed information using available tools;

B.U12. selects appropriate statistical tests, performs basic statistical analyzes and uses appropriate methods for presenting results; interprets results of meta-analysis and analyzes the probability of survival;

B.U13. explains the differences between prospective and retrospective, randomized and case-control studies, case reports and experimental studies and serializes them according to the reliability and quality of scientific evidence;

B.U14. plans and performs a simple scientific study and interprets its results and draws conclusions.

C. PRE-CLINICAL SCIENCES (e.g. genetics, microbiology, immunology, pathology, pharmacology with toxicology)

In the field of knowledge the graduate:

C.W1. knows the basic concepts of genetics;

C.W2. describes phenomena of conjugation and gene interaction;

C.W3. describes the correct human karyotype and various types of gender determination; C.W4. describes the construction of chromosomes and the molecular basis of mutagenesis; C.W5. knows the principles of inheritance of various number of features, inheritance of qualities, independent inheritance of traits and inheritance of extra-nuclear genetic information;

C.W6. knows the genetics of human blood groups and the serological conflict in the Rh system;

C.W7. describes the aberrations of autosomes and heterosomes that cause diseases, including oncogenic tumours;

C.W8. knows factors affecting the primary and secondary genetic balance of the population;

C.W9. knows the basics of diagnosing gene and chromosomal mutations responsible for hereditary and acquired diseases including cancer;

C.W10. defines the benefits and risks of the presence in the ecosystem of genetically modified organisms (GMOs);

C.W11. knows the genetic mechanisms of acquiring drug resistance by microorganisms and cancer cells;

C.W12. classifies microorganisms, including pathogenic and physiological flora;

C.W13. knows the epidemiology of infection with viruses, bacteria and fungal and parasitic infections, taking into account the geographical extent of their occurrence;

C.W14. knows the effects of abiotic and biotic (viruses, bacteria) environmental factors on the human body and the human population and the way they penetrate into the human body; describes the consequences of exposure of the human body to various chemical and biological agents and the principles of prevention;

C.W15. knows invasive human forms or developmental stages of selected parasitic fungi, protozoa, helmint and arthropods, taking into account the geographical extent of their occurrence;

C.W16. discusses the principle of functioning of the host parasite system and knows the basic symptoms of diseases caused by parasites;

C.W17. knows the symptoms of iatrogenic infections, the way they spread and the pathogens that cause changes in particular organs;

C.W18. knows and understands the basics of microbiological and parasitological diagnosis; C.W19. knows the basics of disinfection, sterilization and aseptic procedures;

C.W20. knows the basics of development and mechanisms of action of the immune system, including specific and non-specific mechanisms of humoral and cellular immunity;

C.W21. describes the main tissue compatibility system;

C.W22. knows types of hypersensitivity reactions, types of immune deficiencies and bases of immunomodulation;

C.W23. knows the issues of cancer immunology;

C.W24. defines the genetic basis for donor and recipient selection and the basics of transplant immunology;

C.W25. knows the pathomorphic nomenclature;

C.W26. knows basic mechanisms of damage to cells and tissues;

C.W27. determines the clinical course of specific and non-specific inflammations and describes the processes of tissue and organ regeneration;

C.W28. understands the definition and pathophysiology of shock, with particular emphasis on the differentiation of causes of shock and multi-organ failure;

C.W29. knows the aetiology of haemodynamic disorders, retrograde and progressive changes;

C.W30. knows the issues of detailed pathology of the organs, macroscopic and microscopic images and clinical course of pathological changes in particular organs;

C.W31. describes the consequences of developing pathological changes for neighbouring topographic organs;

C.W32. lists external and internal pathogens, modifiable and non-modifiable;

C.W33. lists the clinical forms of the most common diseases of particular systems and organs, metabolic diseases and disorders of water-electrolyte and acid-base management

C.W34. characterizes individual groups of therapeutics;

C.W35. knows the main mechanisms of action of drugs and their changes in the system depending on age;

C.W36. determines the influence of disease processes on metabolism and elimination of drugs;

C.W37. knows the basic principles of pharmacotherapy;

C.W38. knows the most important side effects of medicines, including those resulting from their interactions;

C.W39. understands the problem of drug resistance, including multifocal drug resistance; C.W40. knows the indications for genetic testing for the individualization of pharmacotherapy;

C.W41. knows the basic directions of therapy development, especially the possibilities of cell therapy and gene therapy and targeted therapy in specific diseases;

C.W42. knows the basic concepts of general toxicology;

C.W43. knows the groups of drugs the abuse of which can lead to poisoning;

C.W44. knows the symptoms of the most frequently occurring acute poisonings, including alcohol, drugs and other psychoactive substances, heavy metals and selected drug classes; C.W45. knows the basic principles of diagnostic procedures in poisoning.

In the field of skills the graduate:

C.U1. analyzes genetic crosses and pedigree of human traits and diseases, and assesses the risk of a child with chromosomal aberrations;

C.U2. identifies indications for prenatal testing;

C.U3. decides about the need for cytogenetic and molecular tests;

C.U4. performs morphometric measurements, analyzes the morphogram and records the disease karyotypes;

C.U5. estimates the risk of disease in the offspring based on family predispositions and the impact of environmental factors;

C.U6. evaluates environmental hazards and uses basic methods to detect the presence of harmful (biological and chemical) elements in the biosphere;

C.U7. recognizes the most common human parasites based on their construction, life cycles and disease symptoms;

C.U8. uses the antigen-antibody response in current modifications and techniques for the diagnosis of infectious, allergic, autoimmune, blood and cancer diseases;

C.U9. prepares the preparation and recognizes the pathogens under the microscope;

C.U10. interprets the results of microbiological tests;

C.U11. correlates images of tissue and organ damage with clinical symptoms, history and laboratory findings;

C.U12. analyzes reaction, defence and adaptive phenomena and regulatory disorders caused by etiological factors;

C.U13. performs simple pharmacokinetic calculations;

C.U14. selects drugs in appropriate doses to correct pathological events in the body and in particular organs;

C.U15. designs rational chemotherapy for infections, empirical and targeted;

C.U16. correctly prepares records of all forms of prescription medicinal substances;

C.U17. uses pharmaceutical informants and databases of medicinal products;

C.U18. estimates toxicological hazards in specific age groups and in hepatic and renal insufficiency, and prevents drug intoxication;

C.U19. interprets results of toxicological tests.


D. BEHAVIORAL AND SOCIAL SCIENCES WITH ELEMENTS OF PROFESSIONALISM (e.g. sociology of medicine, medical psychology, medical ethics, history of medicine, elements of professionalism, English language)

In the field of knowledge the graduate:

D.W1. knows the current state of knowledge about the social dimension of health and illness, the influence of the social environment (families, networks of social relations) and social inequalities on health and socio-cultural differences and the role of social stress in health and self-destructive behaviour;

D.W2. know forms of violence, models that explain violence in the family and in institutions, social determinants of various forms of violence and the role of the physician in recognizing them;

D.W3. understands the importance of health, illness, disability and old age in relation to social attitudes, social consequences of illness and disability and socio-cultural barriers, and familiarity with the current concept of quality of life as a condition of health;

D.W4. understands the importance of verbal and non-verbal communication in the process of communicating with patients and the concept of trust in patient interaction;

D.W5. understands the psychosocial consequences of hospitalization and chronic disease; D.W6. understands the functioning of medical institutions and the social role of the doctor;

D.W7. knows basic psychological mechanisms of human functioning in health and illness; D.W8. understands the family role in the treatment process;

D.W9. knows the problem of adapting to the disease as a difficult situation, the adaptation stages to threatening events and needs of the patient, the dying and the process of mourning in the family;

D.W10. knows the role of stress in etiopathogenesis and disease progression and recognizes the mechanisms of coping with stress;

D.W11. knows the mechanisms and goals and methods of treating addiction to psychoactive substances;

D.W12. knows the rules of motivating patients for healthy behaviours and informing about unsuccessful prognosis;

D.W13. knows and understands the heads concepts, theories, rules and ethical principles serving as a general framework for the proper interpretation and analysis of moral and medical issues;

D.W14. knows the principles of altruism and clinical responsibility and is aware of the principles of functioning of the therapeutic team;

D.W15. knows the rules of working in a group;

D.W16. understands the cultural, ethnic and national determinants of human behaviour;

D.W17. knows the history of the origins of medicine, the medicine of primitive peoples and the earliest civilizations, and the characteristic features of medieval medicine;

D.W18. knows the features of modern medicine and its most important discoveries;

D.W19. knows the process of shaping new medical disciplines and reaching the leading representatives of Polish and world medicine;

D.W20. knows the basics of evidence-based medicine.

As for the skills the graduate:

D.U1. takes into account in the course of the therapeutic process, the subjective needs and expectations of the patient resulting from socio-cultural determinants;

D.U2. notices signs of anti-health and self-destructive behaviours and reacts to it properly;

D.U3. selects treatment that minimizes social consequences for the patient;

D.U4. builds an atmosphere of trust throughout the treatment process;

D.U5. conducts interviews with an adult patient, child and family using active listening and empathy techniques and talks with the patient about his/her situation;

D.U6. informs the patient about the purpose, course and possible risk of the proposed diagnostic or therapeutic actions and acquires his/her informed consent;

D.U7. provides information to the patient and his/her family about the unfavourable prognosis;

D.U8. gives advice on compliance with therapeutic and pro-lifestyle guidelines;

D.U9. identifies the risk factors for violence, recognizes violence and responds appropriately; D.U10. uses primary psychological motivational and supportive interventions;

D.U11. communicates with team members by providing constructive feedback and support; D.U12. adheres to ethical standards in professional activities;

D.U13. has the ability to recognize the ethical dimensions of medical decisions and distinguish between factual and normative aspects;

D.U14. respects the rights of the patient, including: the right to protection of personal data, the right to intimacy, the right to respect for dignity, the right to health information, the right to confidentiality of patient information, the right to consent to treatment or to renounce it, the right to health services, the right to report undesirable effects of the medicinal product and the right to die in dignity;

D.U15. feels the responsibility to improve his/her skills and to transfer knowledge to others; D.U16. recognizes own limitations, self-assesses deficits and education needs, plans own educational activity;



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