MINISTRY OF HEAI TH OF THE REPUBLIC OF BELARUS
EDUCATIONAL INSTITUTION
«BELARUSIAN STATE MEDICAL UNIVERSITY»
HEALTHCARE INSTITUTION TITLE
APPROVED BY
Head Doctor
_____________Full Name
_____________2024
THE REPORT
Of the work experience in outpatient therapy practice
Student
Speciality
Faculty
Student course, group No.
Date of the practice
Recommended Done
mastering
number
mastering
number
Practical
(total)
level
level
No.
skills
1. Taking medical history, physical examination of a patient 170 3
2. Making a plan of diagnostic workup of a patient in 170
3
outpatient practice
3. Interpretation of results of laboratory and diagnostic tests 170 3
and procedures
4. Formulation of clinical diagnosis 170 3
5. Compiling an individual plan of treatment and prevention 170 3
6. Compiling dispensarization plan 20 3
7. Filling in form No. 025/y-23— outpatient medical record
10 3
(outpatient’s card)
8. Filling registration sheet of
patient visits, diseases and patients treated by physician in 20 3
outpatient clinics
9. Filling in form No. № 2/у-ДВ — card of dispensarization of
20 3
a patient of 18 years of age or older
10. Filling in form No. 058/y — emergency notification of infectious
diseases, occupational or food poisoning, unusual vaccination 10 3
reaction
11. Filling in form No. 2- мсэ /y-09 — referral for medical and 3
social expertise 3
12. Filling in form No. 1 мед/у-10 — extract from medical 10 3
records
13. Filling in form NO. 1 здр/у-10 — medical certificate of 10 3
health
14. Filling in form No. 106/y-10 — physician-issued death 3 3
2
(stillbirth) certificate
15. Filling in a sick leave (strict accountability form) 20 3
16. Filling in a temporary disability certificate 20 3
17. Prescribing physician’s prescriptions for essential medicines 40 3
18. Taking nasal and throat swabs for bacteriological exam 10 3
19. Taking and interpretation of an ECG, pulmonary function tests 10 2, 3
20. Emergency outpatient management of fever and hyperthermia 2 1, 2
21. Emergency outpatient management of acute asthma attack 2 1, 2
22. Emergency outpatient management of pulmonary edema and 1, 2
2
cardiac asthma
23. Emergency outpatient management of acute coronary syndrome 2 1, 2
24. Emergency outpatient management 1, 2 paroxysmal
2 1, 2
supraventricular tachycardia
25. Emergency outpatient management of paroxysmal ventricular 1, 2
2
tachycardia
26. Emergency outpatient 1, 2 of paroxysmal atrial 2 1, 2
fibrillation
27. Emergency outpatient management of Morgagni-Adams-Stokes 1, 2
2
attacks
28. Emergency outpatient management of hypertensive emergency 5 1, 2
(Hypertensive crisis).
29. Emergency outpatient management of “acute abdomen” 2 1, 2
30. Emergency outpatient management of gastrointestinal bleeding 2 1, 2
31. Emergency outpatient management of renal colic, biliary “colic” 2 1, 2
32. Emergency care in sudden death 1 1, 2
Student________________________Full Name
(signature)
Practice supervisor from the organization
_________________________________
(organization name)
______________________________Full Name
(signature)
