Learning Outcome
Learning Objectives
Educati- onal
strategy Learning
Resourc es
Student assess
ment
1. Comprehend the hormone
action 1.1. Describe the transport of hormone in
the blood 1.2. Describe the control of hormone
secretion 1.3. List the endocrine disease
1.4. Mention the therapeutic strategies in endocrine disorders
0 Intro.le c
1 IL 2 SGD
3 Pleno
Refferen ces
MCQ
2. Summarize the pituitary
gland function and provide
initial management
andor refer patient with
pituitary disorders
2.1. Recognize the anatomy of pituitary 2.2. Summarize the pituitary hormone
axis 2.3. Recognize the type of pituitary tumor
and differential diagnosis of pituitary tumor
2.4. Interpret the endocrine tests of hypothalamic-pituitary function
2.5. Describe the clinical features of pituitary adenoma
2.6. Summarize the course and the condition associated with pituitary
adenoma, including prolactinoma, acromegaly, gigantisme, growth
hormone deficiency.
2.7. Summarize the normal physiologic hormone function of posterior pituitary
2.8. Describe the clinical features of diabetes insipidus
4 Intro.le c
5 IL 6 SGD
7 SE 8 Pleno
MCQ
3. Summarize the insulin
action, provide initial
management andor refer
patient with diabetes
mellitus DM 3.1 Recognize the characteristics of
pancreas and the secretory product associated with each cell type
3.1. Understand major stimuli and inhibitors of insulin secretion.
Summarize the cellular mechanism involved in glucose-induced insulin
secretion
3.2. Understand major biologic actions of insulin and the target organs. Able
indicate which metabolic pathways of fuel metabolism are affected by
insulin
3.3. Explain how the blood glucose control by insulin
3.4. Recognize the major biologic actions of glucagon and the target organs,
indicate which metabolic pathway of fuel metabolism are affected by
glucagons
9 Intro.le c
10 IL
11 S
GD 12
Pl eno
PBL 13
MCQ
Udayana University Departement of Medicine Education, DME
6
6. CURRICULUM BLOCK: THE ENDOCRINE SYSTEM, METABOLISM AND
DISORDERS
3.5. Summarize the pathophysiologic basis for the major symptoms of
diabetes mellitus 3.6. Mention the diagnostic criteria of
prediabetes and diabetes 3.7. Describe the clinical features of type
1 and type 2 diabetes and other types of diabetes
3.8. Summarize the pathogenesis of beta cell dysfunction and insulin resistance
glucose toxicity and lipotoxicity of the beta cell
3.9. Recognize the acute and chronic complication of diabetes
3.10.Plan the prevention of type 2 diabetes
3.11.Plan the strategy of therapy in diabetes
3.12.Recognize the drugs use in treatment of diabetes insulin secretogogues,
insulin sensitiziser, thiazolidinediones, alfa glucosidase
inhibitor
3.13.Summarize the acute and chronic complication of diabetes
3.14.Plan the management of hypoglycemia and acute
hyperglycemia 4. Summarize
and select the appropriate
drug in patient with lipid
metabolism disorders
4.1. Summarize the lipid transport and the role of plasma lipoprotein
4.2. Recognize the disorders of lipoprotein metabolism
4.3. Summarize the mechanism of action of drugs in lipid disorder
4.4. Describe the prevention of lipid disorder
4.5. Plan a rational drugs treatment regimen based on a set of baseline
serum lipid values
14 In
tro.lec 15
IL 16
S GD
17 Pl
eno 18
C BL
MCQ
5. Summarize the energy
balanced and heat
metabolism, and provide
management in patient with
obesity and metabolic
syndrome 5.1. Summarize the mechanism of heat
production and body heat loss 5.2. Summarize the energy metabolism
5.3. Define the criteria obesity 5.4. Describe the pathogenesis of obesity
5.5. Recognize the complication of
obesity 5.6. Define the criteria of metabolic
syndrome 5.7. Describe the pathogenesis of
metabolic syndrome 19
In tro.lec
20 IL
21 S
GD 22
P leno
23 C
BL MCQ
Udayana University Departement of Medicine Education, DME
7
6. Provide initial management
andor refer patient with
thyroid disorders
6.1. Summarize the organization of the thyroid and secretory cells present in
thyroid 6.2. Recognize the function of a thyroid
follicle cells and follow the different process involved in this function with
particular emphasis on the location of each action within the cell or follicle
6.3. Summarize the biosyntesis, transport, and autoregulation of thyroid
hormone 6.4. Explain the thyroid hormone action
6.5. Recognize the disorder of thyroid gland, including problem of
overundersecretion and thyroid nodule
6.6. Describe the clinical features symptoms, signs, and laboratory
findings and the management of Grave’s disease
6.7. Describe the clinical features and management of hypothyroidism
24 In
tro.lec 25
IL 26
S GD
27 P
leno 28
C BL
MCQ
7. Summarize the mineral
metabolism calcium and
phosphate and
parathyroid hormone
functions 7.1. Summarize the mineral metabolism,
including calcium and phosphate and the rule of hormones
7.2. Describe the secretion and action of PTH
7.3. Summarize the rule of PTH, Ca, vit D, and calcitonin.
29 In
tro.lec 30
IL 31
S GD
32 P
leno 8. Provide initial
management andor refer
patient with adrenal
disorders 8.1. Summarize the regulation of
synthesis and secretion of cortisol, aldosterone, and the weak androgen
DHEA. 8.2. Summarize the major actions of
glucocorticoid on metabolism, inflammation, permissive effects and
the stress concept.. 8.3. Summarize the mechanisms of action
for mineralocorticoids 8.4. Summarize the pathophysiology and
clinical features of cushing syndrome 8.5. Recognize the diagnostic test for
cushing syndrome 33
In tro.lec
34 IL
35 S
GD 36
P leno
9. Provide initial management
andor refer patient with
congenital hypothyroid
and ambiguous
genital 9.1. Recognize clinically, laboratory and
provide initial management, and refer patient with abnormalities in sexual
determination and differentiation 37
In tro.lec
38 IL
39 S
GD 40
P leno
MCQ
Udayana University Departement of Medicine Education, DME
8
41 42
Note: Intro. Lec
= Introductory lecture 0 IL = Individual learning
1 SGD = Single group discussion
2 Pleno = Plenary lecture
3 PBL = Problem based learning
Udayana University Departement of Medicine Education, DME
9
Mastery of Basic Knowledge with Its Clinical and Practical Implication
1. Comprehend the hormone action 2. Summarize the pituitary gland function, provide initial management, andor refer
patient with pituitary disorders 3. Summarize, provide initial management, andor refer patient with diabetes mellitus
4. Summarize and select the appropriate drugs in patient with lipid metabolism disorders
5. Summarize the energy balanced and heat metabolism, and provide management in patient with obesity and metabolic syndrome
6. Provide initial management andor refer patient with thyroid disorders 7. Summarize the mineral metabolism calcium and phosphate and parathyroid
hormone function 8. Provide initial management andor refer patient with adrenal disorders
9. Provide initial management andor refer patient with congenital hypothyroid and ambiguous genital
Skills
1. History taking 2. Physical examination of metabolic syndrome waist circumference, body mass
index, thyroid nodule 3. Interpreting the laboratory result of blood sugar, A1C, lipid profile, hormone level
4. Communication with patient, family and community 5. Assessing data base, extracting relevant information
Personal behavior Awareness to:
1. Lifestyle as a risk factors of diabetes mellitus and metabolic syndrome 2. Early treatment and proper management of metabolic disease to prevent chronic
complication of diabetes mellitus, metabolic syndrome, and other hormonal disorder.
Community aspect:
1. Risk assessment and disease screening of diabetes mellitus and metabolic syndrome
2. Cost effectiveness of prevention, screening, and treatment of the disease 3. Utilization of health system facilities
4. Health prevention and health promotion
Udayana University Departement of Medicine Education, DME
10
7. GENERAL LEARNING OUTCOME
