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Clinical teaching and relations to Hospitals

In the academic year 2001-2002 the First Faculty of Medicine started pre-graduate education at some other training bases outside the premises of the General University Hospital. The aim is – among others – to reduce the number of students per one teacher during clinical placements. These are the following workplaces: at the Thomayer Hospital in Krč – Department of Surgery and Department of Paediatrics; at the Hospital Na Bulovce – Department of Orthopaedics, Department of Gynaecology and Obstetrics, Department of Surgery, 3rd Department of Infectious and Tropical Diseases, Department of Plastic Surgery, Department of Orthopaedics, Department of Radiodiagnostics and Institute of Radiation Oncology.
Authors from the 3rd Medical Department won the award of the Czech Society of Internal Medicine (1st place) for the best book of the year in 2001: Propedeutics of clinical medicine by Marek, Kalvach, Sucharda et al. (Triton 2001).
At the same workplace, tuition for the following subjects for other faculties is provided as well: Geriatrics (2nd Faculty of Medicine), Gerontology for special paedagogics (Faculty of Education), Geriatrics (Faculty of Physical Education and Sport), Clinical diagnostics and therapy a Clinical informatics (Faculty of Electrical Engineering, Czech Institute of Science and Technology) – Doctor degree studies.
The Institute of Pharmacology of the First Faculty of Medicine merged with the respective workplace of the General University Hospital and its Head became the president of the Pharmacologic Association of the Czech J. E. Purkinje Medical Society. The textbook Basic and applied pharmacology was published for use at all medical faculties in the country (the editors and most authors being members of the Faculty staff). The Head of the Department of Neurosurgery Professor Vladimír Beneš jun. is a member of the Training Commitee of EANS (European Association of Neurosurgical Societies). Again after a short time, the Department of Neurosurgery was the host of the (EANS Training Course), held from 25th to 29th August 2002 with 210 participants and 40 lecturers. At the premises of the Institute of Immunology and Microbiology, the Faculty infectious animal containment is to be built, which has been approved, and virological laboratories were built for the following: non-infectious tissue cultures, infectious tissue cultures, molecular biology, and a laboratory research of prions. Institute of General Medicine co-operated with the section of further medical education of the First Faculty of Medicine in Prague. In 2002, 93 courses were held, in which 4,656 physicians attended the lectures. The Institute of General Medicine organizes a cycle of facultative lectures „Lessons in Emergency Medicine“ for students of all three medical faculties in Prague. The staff of 2nd Surgical Department -Department of Cardiovascular Surgery – sent off a textbook Cardiovascular surgeryto press, which is intended for students’ preparation for the final state exams and clinical placements at the department. The operation of the Department was completely affected by moving to cramped makeshift premises, while possibilities to operate on patients and to teach students were limited due to extensive reconstruction work. At the new premises of the Department of Ophthalmology, new rebuilt out-patient facilities, operating theatres, eye tissue banks, laboratories and wards were opened.
The textbook Psychiatry by authors from the Department of Psychiatry (Raboch, Zvolský) won the University Rector’s award and the prize of the presidium of the Czech Medical Society. At this Department, the repaired Vondráček Lecture Hall was opened, the laboratory for transcranial magnetic stimulation refurnished with new equipment, and the restless females’ ward re-constructed. By the Psychiatric Association of the Czech J. E. Purkinje Medical Society, whose president is Professor Jiří Raboch, the Department was put in charge of organization of the 2008 World Psychiatric Conference in Prague. As a result of the Fund of Development of Universities grant „Biological psychiatry for foreign students on the Internet“, web pages https://www.lf1.cuni.cz/~zfisar/bpen/default.htm  were created with teaching material of the field in English. The Head of the Department of Urology Professor Jan Dvořáček is the Chairman of the Scientific Council of the Ministry of Health of the Czech Republic, and his deputy Ass. Professor Tomáš Hanuš the Chairman of the Czech Urological Association of the Czech J. E. Purkinje Medical Society and a member of the Committee of European School (ESU). At the Department, 9 courses of the Institute for Further Medical Education took place, with the total attendance of more than 400 participants, and 27 urologists from the whole Czech Republic and 3 from abroad participated at pre-certification fellowships. The Department of Infectious and Tropical Diseases of the First Faculty of Medicine and Hospital Na Bulovce is a common workplace for all three medical faculties in Prague. The senior registrars hold special clinics (HIV/AIDS out-patient service, hepatic HIV/AIDS clinic, and consultation clinics for herpes infections, neuroinfections, chronic fatigue syndrome, patients with lymphadenopaties and sonographic investigation of infectious patients) and play a vital role in the activity of the AIDS centre (main methodologic workplace for treatment of HIV infection in the Czech Republic). In the laboratory for flow cytometry, cell immunity of the Infectious Department and AIDS centre patients is investigated and research projects solved. The laboratory for diagnostics of tropical parasitic infections, which is a common workplace of the First Faculty of Medicine and the Hospital Na Bulovce and also serves as the National Reference Laboratory for Diagnostics of Tropical Parasitoses, has also – for three years already, and besides its usual reference activities – been involved in methodological supervision of field laboratories through preparation of a round of peer evaluation of laboratory work quality (co-ordinator: accreditation workplace of the State Health Institute). At the 4th Medical Department, at the endoscopic workplace of the Teaching Hospital Policlinic at 32 Charles Square the development of image documentation was completed, which enables to transmit endoscopic images on-line to the seminary room. This significantly improved the conditions for both pre-graduate and post-graduate education. The team of the Department of Otorhinolaryngology and Head and Neck Surgery won the 2002 Award of the Minister of Health of the Czech Republic for remarkable success in in solving the research project „Evoked potentials of the brain stem (EABR) and auditory nerve (EAP, CAP) on electrical stimulation of the middle ear“. The emerite Head of the 2nd Medical Department Professor Karel Horký was the presidentem of the Society for Hypertension world congress, which was held in Prague in 2002. The Institute of Clinical Biochemistry was re-named as „Institute of Clinical Biochemistry and Laboratory Medicine“, for the consolidation of the workplace advanced so much that the original name did not any more reflect the wide scope of methods performed in the Institute. The Centre of tumour cytogenetics of the General University Hospital and First Faculty of Medicine, which has been incorporated in the Institute since 1 January2002, has set up a joint workplace with the Cytogenetic laboratory of the Institute of Haematology and Blood Transfusion, which will be located in Building N - ÚKBLD. This means establishment of the largest workplace for tumour cytogenetics in the Czech Republic, providing cytogenetic and molecular cytogenetic investigations for the whole area of Prague, Central Bohemia and North Bohemia, and supercouncilliary activities for the whole Czech Republic. Moving the serologic laboratory to refurbished and retrofitted premises in Building N in March 2002 enabled to optimize the consolidated workplace further. The monograph Laboratory diagnostics was published, with a crucial contribution of the Institute of Clinical Biochemistry and Laboratory Medicine staff. At the Department of Geriatrics the nursing in-patient facilities in Klimentská Street had to be evacuated and closed during the Flood. In autumn, these beds were transferred to the vacant rooms of the stomatologic ward in the Dean’s Office building, where now tuition of students takes place as well. The field of gerontology has been accredited in post-graduate Doctor degree studies. The first students will be enrolled for the academic year of 2003-2004.
Once again, on enrollment (or before graduation) the students participated in their evaluation of quality of teaching of all subjects in all years for the period of the 2001-2002 academic year. This was about evaluation by the students in Master degree programmes of General Medicine (both Czech and English-taught classes) and Stomatology.
 
 
 

Evaluation of tuition in the academic year of 2001/2002

Year

Medicine

Stomatology

total number of  students

took part in evaluation

total number of  students

took part in evaluation

1st

722

182

86

19

2nd

286

139

50

24

3rd

282

177

35

19

4th

226

147

51

21

5th

279

175

34

19

6th

297

121

34

21

Total

2,092

941

290

123


 

 


The structure of the questionnaire, compared to the last year, has not changed:

 


 

 


 

 


1. Were quality textbooks for study of the subject available?

 


 

 


2. Were the topics of the subject matter relevant and useful?

 


 

 


3. Were the lectures prepared by the teachers in an intelligible way?

 


(Evaluate the contact with the teacher, level of visual aids and documentation, overall level of the teacher’s performance.)

 


 

 


4. Were the lectures useful for preparation to the exam?

 


 

 

5. Were the practicals / clinical placements well-organized (subject matter, optimizing the use of time, practical training, contact with the patient, question/debate time, demand on home study)?


 

 


6. Was evaluation of the knowledge at the exam / credits correct (objective)?

 


 

 


7. How did you generally find the tuition in the subject?

 


 

 


8. What was the percentage of seminars in the tuition in the subject?

 


 

 


9. Give the rate of students per one teacher in practicals (or clinical placements).

 


 

 

Marking: 1 – excellent


2 – very good

 


3 – good

 


4 – sufficient

 


5 – insufficient

 


 

 


The data obtained will be arranged by the Students’ Affairs Department staff in an Excel table and the average scores for the respective data will be obtained at the computer centre of the First Faculty of Medicine. All principal subject teachers will be given the results of the evaluation in form of tables with the average score (or „marks“) of the workplace. Furthermore, the results are analysed by the Dean’s Board, presented at the Heads’ meeting, at the session of the Academic Senate of the First Faculty of Medicine and at the Scientific Council of the Faculty, and displayed at http://www.lf1.cuni.cz; they are part of this Annual Report as well. With regard to contents, the main problem in the evaluation of teaching can be seen in the fact that the evaluation of „big“ clinical subjects is done summarily while actual teaching takes place at different institutions. This is solved by particular, continuous (or „permanent“) evaluation at the respective workplaces, which – however – is not co-ordinated by the Faculty. Some workplaces do let the Faculty management know about the results of their „internal“ evaluations. With regard to organization the main problem is that it is not compulsory for the students to take part at the evaluation! Further, it was the large number of subjects evaluated and manual transcription of the data by the Department of Students’ Affairs staff. This will be eliminated by the new software to be used on evaluation in September 2003. The number of subjects evaluated in each year of the studies will be reduced as well.

 


 

 


doc. MUDr. Tomáš Hanuš, CSc.

 


Vice-Dean for Clinical Pedagogics and Relation to the Teaching Hospitals

 


 

 

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