Clinical Physiology, Clinical Neurophysiology and Clinical Nuclear Medicine (10 cr)

Objective

Learning outcomes
As a student you are able to guide and instruct patients in a client-centric manner in clinical physiology, neurophysiology and nuclear medicine examinations and explain the pre-analytical factors associated with the examinations. You can explain the significance of these examinations in the diagnosis, treatment and monitoring of diseases. You can explain the principles of clinical physiological, neurophysiological and nuclear medicine examination methods and devices. You comply with quality management principles when conducting clinical physiological, neurophysiological and nuclear medicine examinations. You are able to register the heart’s electrical activity and perform a high-quality ECG registration, as well as registering the most common special leads. You can name the sources of errors in ECG registration, recognise artifacts on an ECG tracing and know how to remove them. You recognise a normal electrocardiogram and the most common anomalies. You can describe ECG findings that require immediate treatment. You know how to measure blood pressure. You also know the other common heart and blood circulation examinations and their purposes.
You are familiar with the basics of pulmonary function tests. You can describe the acceptance criteria for pulmonary function tests and are able to identify sources of errors in them. You can explain the importance of patient guidance for the reliability of pulmonary function tests. You recognise the changes caused by asthma and chronic obstructive pulmonary disease in the values produced by a spirometry test.
You are familiar with the theory of EEG registration and the most common artifacts in an EEG. You know how to place EEG electrodes according to the 10–20 system. You know the basics of an electroneuromyography (ENMG), evoked potential tests and sleep studies.
You comply with the principles of radiation protection and attend to radiation protection at the individual and community level. You possess the necessary knowledge of radiopharmaceuticals, radiation protection, radiobiology, radiophysics and equipment technology, as well as the use of radiation.

Content

Contents
Clinical Physiology: key cardiovascular tests, key respiratory physiology tests, key oesophageal and gastric cardiac tests, autonomous nervous system tests
Clinical Neurophysiology: Electroencephalography (EEG), electroneuromyography (ENMG), evoked potential tests (VEP, SEP, BAEP), polysomnographies (PSG)
Clinical Nuclear Medicine
Radiation Act, Decree of the Ministry of Social Affairs and Health on the medical use of radiation (423/2000), regulatory guidelines issued by the authorities, radiobiology, radiophysics and nuclear medicine techniques and equipment, radiopharmaceutical substances, key scintigraphic scans, quality control
PET

Location and time

N/A

Materials

Sovijärvi A. Suvisaari J. HYKS. Kliinisen fysiologian ja isotooppilääketieteen tutkimukset 2007
www.stuk.fi

Cl. Physiology:
Sovijärvi, Anssi - Hartiala, Jaakko - Knuuti , Juhani - Laitinen, Tomi - Malmberg, Pekka (toim.) 2018. Kliinisen fysiologian ja isotooppilääketieteen perusteet, e-book in Oppiportti. (Where applicable)
Moodi. 2019. Spirometria- ja PEF mitatusten suoritus ja tulkinta. Suositus. Labquality OY.
Riski, Hanna-Maarit 2019. EKG-Rekisteröinti. Byrettikustannus. Keuruu: Otavan Kirjapaino Oy.
Mäkijärvi, M. & Parikka, H. & Raatikainen, P. & Heikkilä, J. (toim) 2006. EKG-tulkinnan työkirja. Kustannus Oy Duodecim. (in internet too)

Cl.Neurophysiology: Esa Mervaala, Erika Haaksiluoto, Sari-Leena Himanen, Satu Jääskeläinen, Mika Kallio, Sampsa Vanhatalo: Kliininen neurofysiologia. Duodecim 2019. As applicable. Also available as e-book.

All Moodle material: Physics of clinical physiology and neurophysiology.

Isotope materials on separate Moodle work space

Biology of radiation materials on Moodle work space

Teaching methods

Lecture
e-learning
Guided assignments
Laboratory instruction
Interactive lecture
Assignments

Employer connections

Possible work life visits

Exam schedules

The dates of the exams are reviewed in the mandatory orientation class
Clinical Physiology: exam
Clinical Neurophysiology: exam
Isotope physics and isotope studies: exam
Physics: Moodle-exam.
Advanced special Anatomy and Physiology: an assignment in advance, compulsory attendance at lectures.

International connections

EANM international guidelines

Completion alternatives

N/A

Student workload

The course's orientation class is mandatory.

Isotope studies and radiation protection: orientation is mandatory, the class will review the requirement level according to ST 1.7 and agree on a possible alternative performance, group work and presentations, exam for some of the studies.

Radiation legislation: the class will review the level of requirements according to the Radiation Act (895/2018) and the regulations specifying it (1034/2018, 1044/2018), Moodle exam.

Clinical physiology: Mandatory attendance in laboratory teaching, absences to be compensated.

Clinical neurophysiology: laboratory teaching is mandatory.

Physics of clinical physiology and neurophysiology, Moodle exam.

In-depth anatomy and physiology: 11 hours of compulsory face-to-face teaching and before that review assignments on the anatomy of the heart, respiratory system and gastrointestinal tract.

Radiation biology: theory and paired task (presentation)

Content scheduling

Nuclear medicine, PET and radiation safety, 1,5 cr
Radiation legislation 0,5 cr
Clinical Physiology, 3 cr
Clinical Neurophysiology, 2,5 cr
Physics of clinical physiology and neurophysiology, 0,5 cr
Advanced special Anatomy and Physiology, 1 cr
Radiation biology, 1 cr

Further information

Nuclear medicine teaching according to Regulatory Guide on Radiation Safety 1.7

Advanced anatomy and physiology review preliminary assignments. You can find them in Oma study course workspace.

The assignments and MATERIALS prepared by the teacher are works according to the Copyright Act (404/61), to which the teacher has the copyright. Assignments AND MATERIALS may not be used other than in their own studies. Their public distribution is only allowed with the teacher's permission.

The use of artificial intelligence is not allowed. Students are not allowed to use artificial intelligence to create the content of works without separate permission or approval.

Evaluation scale

0-5

Assessment criteria, satisfactory (1)

Assessment criteria
0–5
Assessment framework, see the appendix.
Assessment criteria for advanced level are applied.

Assessment methods and criteria

Clinical neurophysiology: Exam, assessment 0-5.

Studies in clinical physiology: Exam, graded 0-5.

Isotope studies and isotope physics: Exam, evaluation 0-5.

Radiation legislation: Exam evaluation pass/fail

Clinical physiology and neurophysiology physics Moodle exam, evaluation pass/fail.

Advanced anatomy and physiology: preliminary assignments, mandatory participation in close study, assessment pass/fail.

Radiation biology: pass/fail (passed completion includes giving a presentation).

The overall grade of the implementation consists of the average of the grades of the sub-exams (amount of credits = a weighting factor).

It is possible to increase the grade of the course by taking the mentioned re-examinations. The increase applies to the grade of the entire course and it can only be implemented once during the repeat exams of the course.

If the tests have not been completed by the 2nd re-examination date, the test will be assessed as failed and the student must register for a new test.

If the student has not returned the assignments by the second re-examination day, the student is removed from the implementation in order to register for the new implementation possible.

Qualifications

Prior competence
Anatomy, Physiology and Pathophysiology, Pre-analytics, Clinical Treatment in Clinical Laboratory Work, Methods in Laboratory Work, Chemistry, Mathematics and Physics, Immunology, Cell Biology, Biochemistry and Basics of Medicine, Work Placement at Health Care Laboratories I