MD234110E Internal Medicine I
The University of Georgia 2026 წ.
Given Credits: 14 ECTS
E-mail: nino.rachvelishvili@ug.edu.ge
- MD233210E Clinical Pathology II - Prerequisite
- MD233220E Basics of Disease and Diagnosis II - Prerequisite
- MD233240E Basic pharmacology II - Prerequisite
- MD233220E Basics of Disease and Diagnosis II - Prerequisite
- MD233210E Clinical Pathology II - Prerequisite
- MD233240E Basic pharmacology II - Prerequisite
The course covers epidemiology, etio-pathogenesis, classification, clinical manifestation, principals of diagnostics and treatment of common diseases in cardiology, pulmonology and rheumatology, also systemic diseases. The course consists of theoretical and practical sessions, where via simulations and mannequins students will acquire practical skills, as well as clinical practice sessions in real clinical setting.
The main objective of the course is to give students deep and systemic knowledge in epidemiology, etio-pathogenesis, classification, clinical manifestation, principals of diagnostics and differential diagnosis, as well as treatment of diseases in cardiology, pulmonology, rheumatology, and of systemic diseases; skills to acquire, analyze and use the information in clinical context and to manage the patients using evidence-based principles.
Outcomes
Knowledge and understanding
After the course completion, students:
• Demonstrate the deep knowledge of etio-pathogenesis, clinical and diagnostical features of widespread diseases in cardiology, pulmonology and rheumatology,
• Demonstrate a basic knowledge of rare diseases and/or alternative diagnostical and therapeutic methods in above mentioned disciplines.
• Demonstrate an evidence-based knowledge about the medicines and other treatment methods of acute and chronic cardiovascular and pulmonary conditions.
• Describe the medical doctor's role in public health, specifically assessing epidemiological situation in society, planning and providing the screening and preventive measures.
• Demonstrate the deep knowledge of the principles of bioethics and deontology
• Discuss the necessity of continuous medical education and professional growth.
Skills
After the course completion, students:
• Evaluate patient's status and provide appropriate care.
• Evaluate patient's status based on complaints, anamnesis Morbi an vitae; provide physical examination of the patient using methods like auscultation,
• Perform palpation, percussion, also using sphygmomanometer and ECG apparatus;
• Administer all necessary tests, asses test results and plan the appropriate treatment;
• Administer and prescribe medications. Provide risk benefit assessment of drugs;
• Organize and participate in medical counseling;
• Clearly formulate and discuss the problem with collogues, make patient-oriented decision even in case of emergency or force majeure;
• Update knowledge, find informational resources and applying new knowledge in practice;
• Apply legal principles to the clinical practice;
• Assess psychological and social aspects related to the patient's condition;
• Participate in telemedicine sessions, webinars and online conferences.
• Analyze, integrate and make judgment about interdisciplinary data.
• Provide differential diagnostics;
• Formulate and adjust evidence-based diagnosis using EBM principles, skills and knowledge.
• Define priority of the problem and solve it, analyze possible result and make a final decision.
• Communicate clearly with patient. Obtain properly complaints and anamnesis an provide patient with full and clear information about the treatment plan.
• Deliver negative information properly to patient or his/her trustee.
• Find and then give the necessary information resources to patient, e.g. patient's treatment plan, recommendations for the healthy lifestyle, etc.
• Asses objectively his/her own knowledge and skills.
• Communicate with patients and colleagues respecting ethic and democratic values.
Responsibility and autonomy
After the course completion, students:
• Mark the line between his/her and other specialist's competencies and rights.
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| Contact hours |
| Attendance on Lectures 40 |
| Seminar/Practice 160 |
| Exams 9 |
| Presentation 2 |
| Independent hours |
| Independent studies 139 |
- Interactive Lectures
- Theoretical and practical learning – Seminars
- Team Work
- Patient/doctor role playing
- Learning with the usage of a simulator
- Teaching by using the simulators
- Scenarios-based simulation training
- Bedside teaching
- Teaching through standardized patients
| Harrison`s principles of internal medicine(Volume 1):19th ed. | Kasper, Dennis and other | 2015 |
| Harrison`s principles of internal medicine(Volume 2):19th ed. | Kasper, Dennis and other | 2015 |
| Merck manual : Of diagnosis and therapy-19th ed. | Rocter, Robert.(ed.) | 2011 |
| Step-up medicine:4th ed. | Agabegi, Steven; Agabegi, Elizabeth | 2016 |
| APA Style Introduction | ||
| Tools for the Patient Presentation |
Lecture
Theme
Lecture: Approach to the Patient with Possible Cardiovascular Disease
Seminar/Practical Work: Ice breaker, Pretest. Literature review and course planning.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1339-1342- ; chapter - 10
Lecture and Seminars
Theme
Lecture: Diagnosis of Cardiovascular Disorders
Seminar/Practical Work: Approach to the Patient with Possible Cardiovascular Disease
Test: Quiz - Approach to the Patient with Possible Cardiovascular Disease
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1442-1466- ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Disorders of Rhythm.
Seminar/Practical Work: Diagnosis of Cardiovascular Disorders: working with simulation manikins, ECG, Catheter, angiography
Test: Quiz - Diagnosis of Cardiovascular Disorders: ECG, Catheter, angiography.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1466-1500- ; chapter - 10
Lecture and Seminars
Theme
Lecture: Disorders of the Heart.
Seminar/Practical Work: Electrophysiology Bradyarrhythmias: Tachyarrhythmias.
Test: Quiz - Electrophysiology Bradyarrhythmias: Tachyarrhythmias
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1500-1516- ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Congenital Heart Disease in the Adult; Transplantology.
Seminar/Practical Work: Disorders of the Heart: Heart failure. Legal issues of transplantlogy and other interventions. Case study.
Test: Quiz - Disorders of the Heart: Heart failure.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1519-1528 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Cardiomyopathy and Myocarditis
Seminar/Practical Work: Congenital Heart Disease in the Adult; Transplantology.
Test: Quiz - Congenital Heart Disease in the Adult; Transplantology
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1553-1571 ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Pericardial Disease.
Seminar/Practical Work: Cardiomyopathy and Myocarditis. case study.
Test: Quiz - Cardiomyopathy and Myocarditis
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1571-1577 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Tumors and Traumas; Cardial Manifestation of Systemic Diseases. Medical and ethical aspects.
Seminar/Practical Work: Pericardial Disease.
Test: Quiz - Pericardial Disease
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1577-1578 ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Atherosclerosis.
Seminar/Practical Work: Tumors and Traumas; Cardial Manifestation of Systemic Diseases.
Test: Quiz - Tumors and Traumas; Cardial Manifestation of Systemic Diseases.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1578-1593 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Metabolic Diseases.
Seminar/Practical Work: Atherosclerosis. case study.
Test: Quiz – Atherosclerosis
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 2449-2454 ; chapter - 16
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Lecture and Seminars
Theme
Lecture: Ischemic Heart Disease
Seminar/Practical Work: Metabolic Diseases.
Test: Quiz - Metabolic Diseases.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1578-1593 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Acute Coronary Disease. Medical and Ethical aspects.
Seminar/Practical Work: Ischemic Heart Disease
Test: Quiz - Ischemic Heart Disease
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1593-1599 ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: STEMI
Seminar/Practical Work: Acute Coronary Disease. Medical and Ethical aspects. Emergency care (simulation manikins).
Test: Quiz - Acute Coronary Disease.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1599-1611 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Interventions, Medical and Ethical aspects.
Seminar/Practical Work: STEMI
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1599-1611 ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Diseases of the Aorta. Arterial Diseases of the Extremities
Seminar/Practical Work: Interventions.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1637-1643 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Hypertensive Vascular Disease.
Seminar/Practical Work: Diseases of the Aorta. Arterial Diseases of the Extremities
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1611-1627 ; chapter - 10
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Pulmonary Hypertension
Seminar/Practical Work: Hypertensive Vascular Disease. case study. Legal issues of emergency care.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1655-1661 ; chapter - 10
Lecture and Seminars
Theme
Lecture: Approach to the Patient with Disease of the Respiratory System
Seminar/Practical Work: Pulmonar Hypertension.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1661-1669 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Disorders of the Respiratory System
Seminar/Practical Work: Approach to the Patient with Disease of the Respiratory System
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1663-1669 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Diagnosis of the Respiratory Disorders.
Seminar/Practical Work: Disorders of the Respiratory System
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1663-1669 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Methods of finding, analyze and assessment of medical information.
Seminar/Practical Work: inar: Methods of finding, analyze and assessment of medical information.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 3-5 ; chapter - 1
Lecture and Seminars
Theme
Lecture: Asthma: epidemiology, etiology, pathology, test methods.
Seminar/Practical Work: Diagnosis of the Respiratory Disorders.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1669-1681 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Asthma: classification, clinical and diagnostic features, tratment.
Seminar/Practical Work: Asthma: epidemiology, etiology, pathology, test methods.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1669-1681 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Hypersensitivity Pneumonitis and Pulmonary Infiltrates with Eosinophilia
Seminar/Practical Work: Asthma: classification, clinical and diagnostic features, tratment. case study.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1681-1687 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Occupational and Environmental Lung Disease.
Seminar/Practical Work: Hypersensitivity Pneumonitis and Pulmonary Infiltrates with Eosinophilia
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1687-1694 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Pneumonia. Medical and ethical aspects.
Seminar/Practical Work: Occupational and Environmental Lung Disease.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other Article: 803-813 ; chapter - 8
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Bronchiectasis and abscess.
Seminar/Practical Work: Pneumonia (simulation manikins)
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1694-1697 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Cystic Fibrosis.
Seminar/Practical Work: Bronchiectasis and abscess. case study.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1697-1700 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Chronic Obstructive Pulmonary Disease
Seminar/Practical Work: Cystic Fibrosis.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1700-1708 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Interstitial Lung Diseases.
Seminar/Practical Work: Chronic Obstructive Pulmonary Disease. (simulation manikins)
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1708-1716 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Deep vein thrombosis and embolia. Medical and ethical aspects.
Seminar/Practical Work: Interstitial Lung Diseases.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1700-1708 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Disorders of the Pleura and Mediastinum.
Seminar/Practical Work: Deep vein thrombosis and embolia.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1716-1720 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Disorders of Ventilation.
Seminar/Practical Work: Disorders of the Pleura and Mediastinum. case study.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1720-1723 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Sleep Apnea.
Seminar/Practical Work: Disorders of Ventilation.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1723-1727 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Lung Transplantation. Medical and ethical aspects.
Seminar/Practical Work: Sleep Apnea.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 1727-1729 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Immune-Mediated, Inflammatory and Rheumatologic Disorders. Sarcoidosis.
Seminar/Practical Work: Lung Transplantation. Medical and ethical aspects.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 2103-2113 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Systemic Lupus Erythematosus, Antiphospholipid Syndrome, Rheumatoid Arthritis
Seminar/Practical Work: Immune-Mediated, Inflammatory and Rheumatologic Disorders. Sarcoidosis.
Clinical practice.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 2124-2149 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Acute Rheumatic Fever, Reactive Arthritis.
Seminar/Practical Work: Systemic Lupus Erythematosus, Antiphospholipid Syndrome, Rheumatoid Arthritis
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 2149-2154 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Lecture and Seminars
Theme
Lecture: Polymyositis, Dermatomyositis, Scleroderma, The Spondyloarthritides, Sögren's Syndrome.
Seminar/Practical Work: Acute Rheumatic Fever, Reactive Arthritis. case study.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 2154-2169 ; chapter - 11
Lecture and Seminars
Theme
Lecture: Osteoarthritis, Gout, case study.
Seminar/Practical Work: Polymyositis, Dermatomyositis, Scleroderma, The Spondyloarthritides, Sögren's Syndrome.
According to the Mini_CEX schedule.
Reading Materials:
- Harrison`s principles of internal medicine(Volume 1):19th ed. Kasper, Dennis and other page: 2226-2238 ; chapter - 11
Type of Assessment: Written exam - 1; Practice - 1;
Theme
Mini Clinical Exam (Mini_CEX)
Type of Assessment: Mini-cex - 1; Mini-cex - 1; Mini-cex - 1; Mini-cex - 1; Mini-cex - 1; Mini-cex - 1; Mini-cex - 1; Mini-cex - 1;
Presentation
Exam Component - Open Questions
| Point sum | |
|---|---|
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Annex 3. Written Clinical Case Presentation
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Final Exam
Exam topic
Exam Type - Practice, Written exam
| Criteria | Point sum | |
|---|---|---|
| Tests | 10 | |
| • | Answer is correct | 100% |
| • | Answer is incorrect | 0% |
| Open Questions | 5 | |
| • | Answer is exact and precise, terminology is used appropriately | 100% |
| • | Answer is correct, but not exhaustive, terminology is described precisely | 75% |
| • | Answer is not exhaustive, terminology precision is violated | 50% |
| • | Answer is fragmented | 25% |
| • | Answer is incorrect | 0% |
| Case review and solve | 5 | |
| • | Case is solved correctly and in details | 100% |
| • | Case is partially solved, no essential mistakes | 75% |
| • | Case is partially solved, minor mistakes and errors observed | 50% |
| • | Case is partially solved, essential mistakes done | 25% |
| • | Case is not solved/is solved incorrectly | 0% |
| Practical Exercises | 20 | |
| • | 0% | |
Annex 1. Formative assessment criteria
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Test: |
Max Point |
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Answer is correct |
100% |
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Answer is incorrect |
0% |
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Open Questions |
Max Point |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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The answer is exact and precise, and the terminology is used appropriately |
100% |
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The answer is correct, but not exhaustive, terminology is described precisely |
75% |
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The answer is not exhaustive, terminology precision is violated |
50% |
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Answer is fragmented |
25% |
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Answer is incorrect |
0% |
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Case review and solve: |
Max point |
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The Case is solved correctly and in detail |
100% |
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The case is partially solved, no essential mistakes |
75% |
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The case is partially solved, minor mistakes and errors observed |
50% |
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The case is partially solved, and essential mistakes done |
25% |
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The case is not solved/is solved incorrectly |
0% |
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Assessment of Practical Work |
Max Point |
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The student accomplishes all objectives perfectly, demonstrates behavior according to professional standards while performing tasks and/or procedures demonstrates needed practical skills |
100% |
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The student accomplishes all objectives and demonstrates behavior according to professional standards while performing tasks and/or procedures and demonstrates needed practical skills with nonsignificant deviations |
75% |
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Student fairly accomplishes objectives, and demonstrates behavior according to professional standards, while performing tasks and/or procedures demonstrates needed practical skills with some errors. |
50% |
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| Evaluation system: |
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