DCEM 3

DCEM 3
Unit 6
Unit 7
Unit 8
Unit 10
Unit 12
-
Theoretical courses
TOTAL
Pain – Palliative care – Patient accompaniment
40 h
Health and environment – Transmissible diseases (Public
100 h
health – Infectious diseases – Dietetics)
Immunopathology – Inflammatory process
40 h
Cancerology – Haematology
90 h
Abdomen – Pelvis (Urology – Nephrology – Gastro60 h
enterology)
330 h
Practical training at the hospital
4 two-months period of practical training (full-time)
1050 h
CREDITS
5
14
5
12
9
45
15
DCEM 3 - First Semester Courses : from 29/11/10 to 14/01/11
Written exams : from 24/01/11 to 28/01/11
Unit 6 : Pain – Palliative care – Patient accompaniment
General objectives : The student should be able to recognize an acute (symptom) pain from
a chronic (disease) pain – he must evaluate, listen to, take care of physicals and moral
suffering of patients – he must be able to organize and coordinate palliative care at home or
at hospital for patient at the end of life
Educational program : Neuro-physiological basic knowledge – Evaluation of a acute pain and
of a chronic pain – Analgesic, medicinal and non medicinal therapeutics – Local, locoregional and general anaesthesia – Pain in children : sedation and analgesic treatments –
Pluridisciplinary palliative care for patients in their last moments. Accompaniment of a dying
person and of people around him – Normal and pathological mourning – Algo-dystrophy –
Migraine and headache – Pain of limbs and extremities.
Responsible : Pr. D. De BROUCKER
Unit 7 : Health and environment – transmissible diseases
General objectives : the student should know how to analyze major public health problems in
France and world wide. The influence of environment and business on health problems and
application of prevention against risks. He should also know principle transmissible diseases,
their prevention and treatment, and object precise hygenious recommendations in order to
limit the nosocomial risks.
Educational program : Population state of health measurement – Interpretation of
epidemiological survey – Health risks related to water and alimentation. Toxic-infectious
alimentation – Health risks related to irradiation’s. Radio-protection – Epidemiology and
prevention of transmissible diseases : methods of surveillance, declaration, investigation of
an epidemic survey and preventive measurements – Vaccinations : immunological bases,
indications, efficiency, complications
Tonsillitis and pharyngitis of children and adults – Pertussis – Cutaneous ectoparasites :
scabies and pediculosis – Infectious endocarditis – Acute fever in an immuno-depressed
patient – Coryza (influenza and para-influenza viral infections) – Viral hepatitis. Biological
hepatic anomalies in an asymptomatic subject – Herpes virus infections in children and
immuno-competent adults – AIDS infection – Broncho-pulmonary infection of infants, children
and adults – Bacterial and mycotic cutaneo-mucosal infections – Genital infections of
women. Leucorrhea – Genital infection of man. Urethral discharges – Naso-sinusial
infections of children and adults – Nosocomial infections – Osteoarthritis. Discospondylitis –
Urinary infections of children and adults. Leucocyturia – Infantile eruptive diseases – Sexual
transmissible diseases : gonococcia, chlamydia, syphilis – Infectious meningitis and
meningo-encephalitis in children and adults – Mumps – Otalgia and otitis in children and
adults – Malaria – Digestive parasitosis : Giardia lamblia, ascariasis, amibiasis,
cryptosporidosis, hydatidosis – Inoculative pathology – Infectious pathology in migrants –
Prevention of tetanus – Septicemia – Follow up of carriers of vascular valve or prosthesis –
Tuberculosis – Tropical country trip : advisement before departure, coming back
pathologies : fever and diarrhea – Professional environment and health. Prevention of
professional risks, organization of preventive medicine – Business accidents and
professional diseases : definitions – Nutritional needs and alimentary intakes of adult.
Assessment of nutritrional needs. Denutrition – Sports and health. Ability to sports in children
and adults. Nutritional needs in sportive subjects.
Responsibles : Dr. P. CABARET – Pr. O. KREMP
Unit 10 : Cancerology
General objectives : the student should know the prevention, the cancer screening, the
diagnosis, the treatment strategy of the main benign and malignant tumors, to be able to
participate at the multidisciplinary therapeutic decision and at the taking care of the patient at
every stage of his disease.
Educational program : Cancer : epidemiology ; carcinogenesis ; development of tumors ;
classification – Risk factors ; prevention and screening of cancers – Cancers diagnosis :
hints and further investigation ; staging ; prognosis – Treatment of cancers : surgery,
radiotherapy, chimiotherapy, hormonotherapy, multidisciplinary therapeutic decision and
information of patient – Management and accompaniement of a cancerous patient at every
stage of the disease – Symptomatic treatments ; modalities of survey ; psychological, ethic
and social problems – Medicinal agranulocytosis : management – Cancer in children :
epidemiological diagnosis, therapeutic particularities – Tumors of oral cavity and of the
upper aerodiestive tract – Intracranial tumors – Uterine tumors – Colorectal tumors – Tumors
of the skin, carcinomas and melanomas – Tumors of the stomach – Primary and metastatic
tumors of the liver – Tumors of the esophagus – Tumors of the ovary – Primary and
metastatic bone tumors – Tumors of the pancreas – Tumors of the prostate – Primary and
metastatic tumors of the lung – Tumors of the kidney – Mammary tumors – Tumors of the
testis.
Responsibles : Pr. A. ADENIS – Pr. C. ROSE
DCEM 3 - Second semester courses : from 28/03/11 to 13/05/11
Written exams : from 23/05/11 to 27/05/11
Unit 10 : Haematology
Dysmyelopoiesis – Acute leukaemia – Chronic lymphoïd leukaemia – Malignant lymphomas
Primary polycythaemia – Multiple myeloma – Iron deficiency anemia – Superficial
lymphomas – Anemia – Eosinophilia – Blood cells count : indication and interpretation –
Purpura in children and in adults – Splenomegaly – Mononucleosis syndrome –
Thrombocytopenia – Haematosis and coagulation disorders.
Responsibles : Pr. A. ADENIS - Pr. C. ROSE
Unit 8 : Immunology – inflammatory process
General objectives : the student should know the major immunopathology mechanisms and
the major inflammatory, allergic, immunological fibrosing diseases – He should know how to
diagnose and to treat the most common diseases and problems posed by more uncommon
diseases and should participate at their further supervision and in the same way at organs
transplants supervision
Educational program : Inflammatory process ; clinical and biological aspects – Allergies and
hypersensibilities in children and in adults ; epidemiologic and diagnostic aspects ; principles
of treatment – Cutaneous and mucous allergies in children and in adults ; urticaria ; atopic
and contact dermatitis – Respiratory allergies in children and in adults – Pathology of autoimmunity ; epidemiological and diagnosis aspects ; principles of treatment – Systemic lupus ;
antiphospholipids syndrome – Crohn’s disease and ulcerative colitis – Horton’s disease and
polymyalgia rheumatica – Diffuse interstitial pneumopathy – Rheumatoid arthritis – Acute
idiopathic polyneuritis (Guillain-Barré syndrome) – Psoriasis – Sarcoidosis – Multiple
sclerosis – Monoclonal immunoglobulin – Organs transplant ; epidemiological aspects ;
principles of therapeutic and survey ; complications and prognosis ; legal and ethic aspects –
Adults and child asthma – Raynaud’s disease – pain and articular effusion ; recent arthritis
Responsible : Pr. E. HOUVENAGEL – Pr. P. MODIANO
Unit 12 : « Abdomen
Nephrology)
pelvis »
(Gastroenterology,
Urology
&
Cirrhosis and complications – Functional bowel disorders – Diverticulosis and sigmoiditis –
Parietal hernia in children and in adults – Biliary lithiasis and complications – Acute
haemorragic pancreatitis – Chronic pancreatitis – Hemorroidal pathology – Gastrooesophageal reflux diseases in infants, in children, in adults hiatus hernia – Gastro-duodenal
ulcers – Gastritis – Ascitis – Constipation in children and in adults (with treatment) – Acute
diarrhea in children and in adults (with treatment) – Chronic diarrhea – Dysphagia –
Hepatomegaly and abdominal increase of volume – Icterus – Benign tumor of the prostate –
Acute renal insufficiency. Anuria – Chronic renal insufficiency – Urinary lithiasis – Glomerular
nephropathy – Genital and scrotal pathology in boys and men – Polycystic disease of the
kidney – Increase of creatinine – Haematuria – Proteinuria and nephrotic syndrome in
children and in adults – Erection disorder – Miction disorder
Responsible : Pr. D. LUCIDARME
DCEM 3 : Hospital Practices
4 periods of practical training (full time)
- from 27/09/10 to 26/11/10 ;
- from 31/01/11 to 25/03/11 ;
- from 30/05/11 to 29/07/11 ;
- from 01/08/11 to 23/09/11.