Basic Subjects For A Medical Student (Part 7a/7)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic discussed during my 7th Semester in Medical School:

A. CORE SUBJECTS:

1. Medicine (Infection-Tropical):

a. Tropical Medicine:
- Bacterial infection: Typhoid, tetanus, bacterial sepsis

- Viral infection: Dengue, chikungunya, rabies, HIV and AIDS, influenza

- Parasitic infection: Malaria, Filariasis

- Zoonotic infection: Leptospirosis

- Counselling technique in HIV/ AIDS cases (skills laboratory topic)

- Fluid resuscitation in dengue shock syndrome (skills laboratory topic)

b. Elective (Tropical Infectious Disease):
- Epidemiology of HIV

- Diagnosis of opportunistic infection

- Treatment of opportunistic infection in HIV patient

2. Paediatrics:

a. Tropical Medicine:
- Bacterial infection: Typhoid, tetanus, pertussis, diphtheria, bacterial sepsis

- Viral infection: Dengue, rabies, HIV and AIDS

- Prevention of dengue fever

- Fever with rash: Measles, roseola infantum, varicella, variola, mumps

- Parasitic infection: Malaria

- TORCH infection: Toxoplasmosis, Rubella, Cytomegalovirus, Herpes

- Zoonotic infection: Influenza A (H1N1 - swine flu), anthrax

- Fitting management of tetanus in children (skills laboratory topic)

- History taking of febrile disease in children (skills laboratory topic)

b. Family Medicine:
- Integrated management of sick toddler: General warning sign, cough and difficulty of breathing, diarrhoea, fever, ear problem, nutritional status and anaemia, administration technique of medication in toddler, counselling, follow-up service

- Integrated management of sick infant: Seizure, respiratory problem, hypothermia, bacterial infection, icteric, diarrhoea, digestive disorder, low born body weight, management and medication, counselling
c. Elective (Viral-Oncogene):

- Cancer and epidemiology

- Viruses and cancer

- Burkitt lymphoma and leukemia: Relationship between Human T-lymphotropic virus -1 (HTLV-1) infection and leukemia, Relationship between Epstein Barr Virus (EBV) infection and nasopharyngeal carcinoma-Burkitt's lymphoma

3. Pathology (Clinical):

a. Tropical Medicine:
- Laboratory investigation in diagnosis of typhoid fever

- Laboratory investigation in diagnosis of dengue fever

- Laboratory investigation in diagnosis of HIV and AIDS

- Laboratory investigation in diagnosis of TORCH infection (Toxoplasmosis, Rubella, Cytomegalovirus, Herpes)

- Rapid diagnostic tests (laboratory topic)

- Thick blood smear preparation (skills laboratory topic)

b. Family Medicine:
- Management of laboratory investigation: Management of laboratory referral, factors that affecting laboratory investigation result, improvement in laboratory internal quality
c. Elective (Viral-Oncogene):

- Laboratory test in oncology

4. Microbiology:

a. Tropical Medicine:
- Bacterial zoonotic disease: Leptospirosis, bucellosis, tularemia, plaque, yersiniosis, bacterial cellulitis, cat bite, dog bite, anthrax, psittacosis, ornitosis, non-typhoidal salmonella, lyme disease, melioidosis, cat scratch, bartonelosis, spotted fever, Q fever, erlichiosis, aeromanas infection, erysepeloid, listeriosis, mycobacterial infection (M. bovis, M. avium), campylobacter jejuni

- Viral zoonotic disease: Rabies, hantavirus, pulmonary syndrome (pneumonia), yellow fever, dengue, encephalitis
b. Elective (Tropical Infectious Disease):

- Determinant of tuberculosis case definition 

- Detection, classification and type of tuberculosis cases

- Management of non-compliance to anti-tuberculosis medication cases

- Management of tuberculosis in specific health condition

- Recording and reporting in National tuberculosis management program

- Indicator in tuberculosis program and method of indicator analysis: Case detection rate, success rate

c. Basic Biomedical Science in Elective:
- Sampling technique and sending technique of the microbiological specimen

- Antimicrobial sensitivity test and antimicrobial resistancy

- Nosocomial infection

- Body immunity to bacteria, virus and fungus

- Sampling technique of acid-fast bacteria (Ziehl Neelsen method) with International Union Against Tuberculosis and Lung Disease (IUATLD) scale (laboratory topic)

5. Dermatology:

a. Tropical Medicine:
- HIV and AIDS

6. Parasitology:

a. Tropical Medicine:
- Malaria: Plasmodium species

- Filaria: Filaria species (lymphatic and non-lymphatic)

- Role of arthropods in tropical infectious disease: Role and control of mosquitoes

- Role and control of acarina in tropical infectious disease

- Parasitology in Travel medicine: Typanosomia species and Leishmania species (vector of typanosomiasis and leishmaniasis: Glossina fly, Phlebotomous fly, Triatomine bug)

- Filaria and blood trematodes (wet laboratory topic)

- Blood protozoan (laboratory topic)
b. Family Medicine:

- Basic in Family Medicine: Arthropodes bite (scorpionidae, araneids, hymenoptera - bee and ant, Coleoptera - beetle, chilopods) 

c. Elective (Tropical Infectious Disease):
- Intestinal parasites: Ascariasis, trichuriasis, anchylostomiasis, taeniasis, amoebiasis, giardiasis

- Lymphatic parasites: Filariasis

- Malaria

d. Basic Biomedical Science in Elective:
- General characteristics and profiles of parasites, hosts and vectors

- General pathogenesis of various important parasitic infections in human, a wrap up

- Sampling technique of malaria (thick blood smear)

7. Ophthalmology:

a. Tropical Medicine:
- Tropical infection involving eye

8. Psychiatry:

a. Tropical Medicine:
- Tropical infection in psychiatric disease: mental disorder, delirium, dementia, amnestic disorder, mood disorder, psychotic disorder, anxiety disorder, catatonic disorder, personality change disorder

9. Anesthesiology:

a. Tropical Medicine:
- Role of anesthetic in tropical disease: Tetanus, severe malaria, dengue shock syndrome

10. Pharmacology:

a. Tropical Medicine:
- Medication used in tropical infection and disease: Chemotherapy drugs, antibiotics (betalactam, chloramphenicole, tetracycline, aminoglycoside, macrolides, quinolone, sulphate derivative), antivirus, antifungal, antelminthic, antiprotozoan, antimalaria

b. Family Medicine:
- Pharmacoeconomics: Pharmacoeconomics consider: cost-benefit, cost-utility, cost-effectiveness, Rational in prescription, cascade in prescription 

- National drugs policy, registration of national essential drugs, legislation of over the counter (OTC) medication 

- Determination of popular drug (P-drug), ambulatory drug therapy 

- Recommendation for prescription in children: special considerations, adverse drug reactions, therapeutic drug monitoring 

- Recommendation for prescription in geriatric: special considerations, adverse drug reactions, therapeutic drug monitoring 

- Traditional medicine: Definition, classification of traditional medicine in Indonesia, pharmacological aspect of traditional medicine, development of traditional medicine, special attention to traditional medicine

- Benefit of number need to treat (NNT) and number need to harm (NNH) in prescription of medication
c. Elective (Tropical Infectious Disease):

- Pharmacological aspect of anti malaria

- Pharmacological aspect of anti-retro viral drugs
d. Elective (Viral-Oncogene):
- Pharmacology of anticancer drugs

e. Basic Biomedical Science in Elective:
- Dosage-response relationship

- Route of drugs administration

- Non therapeutic effect

- Pharmacokinetic interaction

- Pharmacodynamic interaction

- Pharmacology of sympathetic autonomic nervous system and relation to clinical signs and symptoms

- Pharmacology of parasympathetic autonomic nervous system and relation to clinical signs and symptoms

- Factor that affecting pharmacology of drug

- Drugs and therapeutic classes of drugs (laboratory topic)

- Calculation of dosage in pediatric drug (laboratory topic)

- Popular drug (P-drug) simulation from cases in hospital ward (laboratory topic)

- Prescription technique of ready-made drug and concoction drug (laboratory topic)

11. Pulmonology:

a. Family Medicine:
- Basic in Family Medicine: Family's role in management of lungs tuberculosis (DOTS - Direct observe treatment short course, ISTC - International standard TB care) 

12. Dentistry:

a. Family Medicine:
- Role of family in dental health management 

- Systemic disease that affecting dental health

- Bacterial-viral-fungal infection that affecting dental health

- Manifestation of hormonal disorder in oral cavity

13. Geriatric:

a. Family Medicine:
- Infectious disease in geriatric

- Cardiovascular disease in geriatric

- Musculoskeletal disease in geriatric

14. Nutrition:

a. Family Medicine:
- Nutritional management in geriatric
b. Elective (Viral-Oncogene):

- Medical nutrition therapy for cancer

15. Physiology:

a. Family Medicine:
- Sport Medicine: Physical performance based on physical tests (Physical fitness, physical fitness test, cardiopulmonary function test during exercise, maximal aerobic power test, sub maximal test), evaluation of physical tests (VO2 max, anaerobic power, muscular strength)

- Sport Medicine: Maximal aerobic power and anaerobic power, physical performance, physical activity for health and fitness
b. Basic Biomedical Science in Elective:

- Physiology of nervous system: Movement regulation, autonomic nervous system, physiology of cranial nerve, physiology of pain

- Physiology of cardiovascular system: Cardiodynamic and hemodynamic, basics electrical events of heart and electrocardiograph (ECG)

- Physiology of respiratory system: Physiology and pathophysiology of respiratory system

- Physiology of digestive system: Physiology and pathophysiology of digestive system

- Physiology of kidney: Physiology of urine formation, pathophysiology of kidney

16. Biochemistry:

a. Family Medicine:
- Prenatal care: Genetic counselling (Pedigree analysis, genetic assessment, history taking-physical examination-diagnostic in genetic counselling

- Closed bloodline marriage and genetic counselling aspect 
b. Elective (Viral-Oncogene):

- Oncogenes and tumor suppressor genes: Pro-oncogene,tumor suppressor gene, oncogene, type of mutation in oncogene, virus role in mutation, oncogene product

- Cellular signalling: Intracellular signalling pathway to oncogene

- Polymerase Chain Reaction (PCR) (laboratory topic)

17. Obstetric and Gynaecology:

a. Family Medicine:
- Lactation (breast feeding) counselling  (skills laboratory topic)

- Family planning counselling (skills laboratory topic)

- Insertion and removal of contraceptive implant (skills laboratory topic)

- Insertion and removal of contraceptive intrauterine device (IUD) (skills laboratory topic)
b. Elective (Viral-Oncogene):

- Cervical carcinoma: Tumor and cancer in uterine cervix due to HPV (Human Papilloma Virus) infection

18. Anatomy:

a. Basic Biomedical Science in Elective:
- Introduction of anatomy

- Skull

- Head and neck

- Extremities

- Thorax

- Abdomen and Pelvis

- Central nervous system and peripheral nervous system

- Skull (laboratory topic)

- Head and neck (laboratory topic)

- Extremities (laboratory topic)

- Thorax (laboratory topic)

- Abdomen and Pelvis (laboratory topic)

- Central nervous system and peripheral nervous system (laboratory topic)

19. Histology:

a. Basic Biomedical Science in Elective:
- Basics of histology

- Cell junction and cell communication

- Cell cycle

- DNA replication

- Proliferation and differentiation of cell

- Apoptosis

20. Oncology (Surgical):

a. Elective (Viral-Oncogene):
- Introduction of cancer biology: Perspective oncology and the future of oncology

- Solid tumor: Surgical role in solid tumor

21. Pathology (Anatomical):

a. Elective (Viral-Oncogene):
- Cell proliferation and tumor growth: Differentiation and anaplastic, rates of growth cancer stem cells and cancer cell lineages

- Cell death: Necrosis and apoptosis, evasion of apoptosis, host defense again tumors-tumor immunity

- Tumor progression and metastasis: Cellular-molecular and micro environmental factors
- Angiogenesis

- Grading and staging of tumors

- Laboratory diagnosis of cancer

- Immunohistochemistry (laboratory topic)

22. Radiology:

a. Elective (Viral-Oncogene):
- Imaging in oncology

23. Gastroenterology (Medical):

a. Elective (Viral-Oncogene):

- Hepatocellular carcinoma (HCC): Types of liver tumor with its differential diagnosis, etiology of HCC, pathogenesis of HCC, symptoms and signs of HCC, diagnosis of HCC

24. ENT:

a. Elective (Viral-Oncogene):
- Nasopharyngeal carcinoma: Types of nasopharynx tumor and cancer, mechanism of nasopharyngeal tumor, sign and symptoms of nasopharyngeal tumor

25. Oncology (Medical):

a. Elective (Viral-Oncogene):
- Management of cancer with chemotherapy

*This medical syllabus copied and edited from 4 manual books for 7th semester medical student from my university during my era. 

**The topic currently discussed for 7th semester medical student in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.