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Sylabus

Course title General Surgery

Educational Program Medical Doctor Program
Faculty Faculty of Medicine
Level of education One-cycle educational program
Semesters VI semester
Course lecturers Archil Aladashvili, Prof. e-mail:
archil.aladashvili@eu.edu.ge

Vakhtang Goderdzishvili, Assoc. Prof. e-mail:

vakhtang.goderdzishvili@eu.edu.ge

Irali Fifia, Invited Lecturer, e-mail:

pipia.irakli@eu.edu.ge

Kakhi Khucishvili, Invited Lecturer, e-mail:

Course status Compulsory
The aim of the course The course is designed to teach the student:
• Classification of surgical diseases, etiology, pathogenesis, diagnosis,
surgical treatment methods;
• anesthesia, their types, complications, treatment;
• Aseptic and Antiseptics issues
ECTS 5 ECTS credits (1 credit = 30 hours) - 150 hours.
Among them:

51 hours Student’s contact hours, including:

15 hours Lecture
28 hours Group work – practical training
2 hours Mid-term
2 hours Essay (Case Study)
4 hours Final exam

99 hour Student’s independent work

s

Semester consists of 20 weeks, including:

15 - Training weeks, 5 – Session weeks.
Training weeks are used for lectures / group works and related activities
and practical trainings.
Sessions weeks are devoted to the mid-term / final exams.

Mid-term exam will be held on the 8th week of the academic semester.
The final exam will be held on the 17th - 18th week of the semester.
Additional exam is conducted on the 19th - 20th week of the semester and
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 must be held within 5 day period after the final exam date.
Prerequisites Topographical anatomy and operative surgery
Learning outcomes 1. Knowledge and understanding:
The student knows / understands:

• Classification of surgical diseases, etiology, pathogenesis,

diagnosis, surgical treatment methods;
• anesthesia, their types, complications, treatment;
• the principles of the surgical department, aseptic and antiseptics,
etc.
2. The ability to apply knowledge in practice:
The student is able to:

• diagnose and create a treatment plan based on a critical analysis of the

history and examination results;
• Treatment of injuries and bandaging

3. Ability to make inference:

The student is able to:
• Diagnosis and treatment scheme based on the analysis and
examination.
4. Communication skills:
The student is able to:
• Effective verbal and non-verbal communication with the patient, keeping
a writing record of the patient history.

5. Values
The student is able to:
• Protecting the patient confidentiality and the patient’s interests in
accordance with the professional ethics.
The content of learning See Appendix 1
course

Teaching - learning methods Teaching / learning methods:

and activities  Interactive lectures;
 Practical work;
 Group work;
Activities to be used in teaching-learning methods
 Role-playing;
 Night calls;
Grading system A student’s knowledge and skills are assessed through 100 points grading
system.

Grading system allows:

a) Five types of positive assessment
(A) Excellent – 91 and over of maximum point;
(B) Very good – 81-90 of maximum point;
(C) Good – 71-80 of maximum point;
(D) Satisfactory – 61-70 of maximum point;

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 (E) Acceptable – 51-60 of maximum point.

b) Two types of negative assessment

(FX) Fail – 41-50 of maximum point, meaning that a student requires

additional work to pass the course and is given a chance to sit make-up exam
after independent work;

(F) Fail – 40 and less of maximum point, meaning that the work of a student is
not acceptable and he/she has to study the subject anew.

Credit is obtained if a student:

a) Has scored minimum required point of final exam;

b) Has scored minimum 51 points out of 100 points.

Make-up exam is scheduled with no less than 5 days interval after

announcement of the final exam results.

Assessments forms, methods Student’s knowledge assessment:

and criteria
Total assessment - 100 points
Midterm assessment- 60 points:
 Testing – 10 points
 Practical activities- 10
 Case study - 20 points
 Midterm – 20 points (mini-OSCE)

Final exam (OSCE) - 40 points 

Description of evaluation criteria:

1. Quiz- 10 points
Quiz conducting 2 times a semester. Each quiz is graded with 5 points
and includes 10 MCQ and 5 short answer questions.
 Each MCQ question is assessed by 0.25 point
 Each Short Answer Questions is assessed by 0.5 point

2. Practical Activities - 10 points

Practical activities is held 2 times during semester, each activity
assess maximum 5 points:
 Performs manipulations fully and without errors – 5 points
 Performs manipulations partially and without errors – 4 points
 Performs manipulations with minor errors – 3 points
 Performs manipulations with some errors – 2 points
 Performs manipulations with errors – 1 point
 Cannot perform manipulations– 0 point

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 3. Case Study – 20 points

1. Reads the case and identifies the problem – 2 points;

2. Determines/analyzes the clinical investigations and provides evidence for
their use – 2 points;
3. Identifies the gaps in the knowledge/information and assertively seeks for the
additional information - 2 points,
4. Conducts/reviews differential diagnosis and supports with the evidence – 2
points;
5. Determines/proves the diagnosis – 2 points;
6. Determines the pathogenesis or/and epidemiology of the disease – 2 points;
7. Determines/reviews the plan of treatment, supports with the argumentation
–2 points;
8. Takes into consideration drug interaction, side effects – 2 points;
9. Evaluates the effectiveness of outcomes and actions, determines risks related
to the case – 2 points;
10. Determines valid guidelines related to the diseases and treatment – 2
points;

4. Midterm exam – Total 20 points

will be held in mini-OSCE format, consisting of 4 practical exams –total
20 point. The evaluation of each component at the stations is
determined by the checklists. Grades under each element of rubric are
determined according to the checklists developed for the specific
performance.
The criteria are:
 Done – Candidate has fulfilled OSCE criteria and has performed the
tasks completely and with confidence
 Partially done – A fair performance fulfillment of most OSCE criteria
 Not Done – Extremely poor performance, candidate has not performed
any of the OSCE criteria

5. Final exam - 40 points.

Final exam will be held in OSCE format. OSCE It is one of the most
effective methods to assess student’s theoretical and practical
capabilities. During the exam simulators/simulated
patient/standardized patient is being used, which permits observation
on student’s ability to use their clinical knowledge and clinical skills
while approaching the patient. OSCE consists of eight practical exams,
each assessed by checklist and by points which is mention there.
The criteria are:
 Done – Candidate has fulfilled OSCE criteria and has performed the
tasks completely and with confidence
 Partially done – A fair performance fulfillment of most OSCE criteria
 Not Done – Extremely poor performance, candidate has not
performed any of the OSCE criteria

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 Plagiarism/Cheating – Students are expected to be honest in their fulfilment
of assignments and in test-taking. Plagiarism and cheating are serious forms of
academic misconduct. Any student caught plagiarising or cheating on an
examination will receive zero mark. Written assignment check in Turnitin.
Behaviour – Students are expected to behave according to the rules/procedures
and ethical guidelines presented by the instructor and written in the University’s
code of ethics. They should not in any circumstances disturb the ongoing
lectures/seminars/presentations and should follow all the rules and procedures
established by the professor/instructor in the beginning of the course. The
usage of mobile phones and other sound equipment is forbidden during
lectures and test taking situations. In case student does not follow the above
mentioned rules/ethical guidelines and he/she intensely tries to spoil the
lecture, instructor is obliged to make the student leave the class and report the
outcomes to the dean for further evolution.

Administrative Notes
 On the first lecture of the course, the lecturer is obliged to inform
the students on the work requirements of the program and the
strategies for the proceeding work.
 The student must:
 Carefully study the course syllabus.
 Comply with the requirements set forth in the syllabus (to
comply with homework, prepare for seminars and practical
work, testing, presentation, etc.).
 A student is admitted to the final exam if he/she has scored
minimum required points of mid-term evaluation (50% = 30
points of mid-term evaluation ).
 A student has a right to take make-up exam in case he/she has
scored 41-50 points out of final grade, or 51 points out of final
grade, however, could not score required minimum points of
final exam (50% +1 of final exam).
 The final exam is considered as passed if the student has at least
21 points (minimal competence limit).

Required Books
The Royal Marsden manual of clinical nursing procedures/edited by Lisa
Dougherty and Sara Lister. – Ninth edition. © 2015 The Royal Marsden NHS
Foundation Trust

Additional books and other Pr Procedure checklists for fundamentals of nursing, Judith M. Wilkinson, 2017,
study material F.A. Davis Company

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 Appendix 1
The content of learning course

N Subject (lectures, group work and practical work sessions)

(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Surgery on the subject, objectives, and methods. Disinfection of facilities manual of clinical
and hospital hygiene, disinfection products, medical instruments; nursing
Antiseptics, aseptic, autoclave, sources of infection. Installation of air- procedures/edited
borne infections through contact. Surgical sterilization of instruments and by Lisa Dougherty
materials. Methods for the Examination of sterilization quality. and Sara Lister. –
Preparation of operation. Ninth edition. ©
I Week Practical training 2015 The Royal
Types of anesthesia, types of anesthesia, anesthesia stages. Inhalation Marsden NHS
Foundation Trust
anesthesia, apparatus and their use; patient preparation for anesthesia.
Anesthesia complications and their prevention. Intubation anesthesia.
Myorelaxation, non-inhalation anesthesia. Artificial hypothermia,
hibernation, potential anesthesia. Neuroleptanalgesia, artificial controlled
hypotension, combined method of anesthesia; methods of local anesthesia.
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Classification of bleeding, the body's reaction to bleeding, the clinical manual of clinical
picture; Temporary and permanent hemostasis; Blood transfusion; Blood nursing
groups, group identification; Rhesus (Rh) blood factor; Screening of blood procedures/edited
transfusions; Blood compatibility tests; Blood Substitute Property, plant by Lisa Dougherty
classification; Methods of blood transfusion, blood transfusion and Sara Lister. –
complications, post-transfusion complications. Ninth edition. ©
2015 The Royal
II Week Practical training Marsden NHS
Classification of bleeding, the body's reaction to bleeding, the clinical
Foundation Trust
picture; Temporary and permanent hemostasis; Blood transfusion; Blood
groups, group identification; Rhesus (Rh) blood factor; Screening of blood
transfusions; Blood compatibility tests; Blood Substitute Property, plant
classification; Methods of blood transfusion, blood transfusion
complications, post-transfusion complications.
Checking homework: The oral presentation of the covered material
Homework: Learning the materials discussed during the lecture and
practical training
III (Lecture - 1 hour, practical training - 2 hours)
Week The Royal Marsden
Types of surgery, minimally invasive surgery, robot surgery, molecular manual of clinical
surgery, surgical operation stages, surgical sutures species, preoperative nursing
period, the pre-operational activities on postoperative period, early and late procedures/edited
postoperative complications; Errors and complications during the by Lisa Dougherty
operation. and Sara Lister. –
Practical training Ninth edition. ©
Minimally invasive surgery, robot surgery, molecular surgery, surgical 2015 The Royal
operation stages, surgical sutures species, preoperative period, the pre- Marsden NHS
Foundation Trust
operational activities on postoperative period, early and late postoperative

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 complications; Errors and complications during the operation.
Checking homework: The oral presentation of the covered material
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
lecture - 1 hour The Royal Marsden
Classification of trauma, post-traumatic agent; Closed soft tissue injuries; manual of clinical
Avulsion (bloating, strain, strain injury), Fracture (destruction, fracture); nursing
Closed skull injury, concussion (commotio cerebri), contusion, cord procedures/edited
compression (compressio cerebri), closed injuries to the chest, chest by Lisa Dougherty
contusion, pneumothorax, Hemothorax, pneumothorax, abdominal and Sara Lister. –
injuries, dislocation classification and mechanisms, shoulder dislocation Ninth edition. ©
IV types, methods of reducing dislocation, types of hip dislocation. 2015 The Royal
Week Practical training Marsden NHS
Foundation Trust
Checking homework: The oral presentation of the covered material
Traumatic injuries: avulsion (bloating, strain, strain injury), Fracture;
Concussion, contusion, cord compression; Chest contusion;
Pneumothorax, Hemothorax, pneumothorax; abdominal injuries,
dislocation classification and mechanisms, shoulder dislocation types,
methods of reducing dislocation, types of hip dislocation.
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Classification of fractures. Broken connections (consolidation). manual of clinical
Determining the conditions of bone fragment accession. Treatment of nursing
fractures (non-operational methods). Treatment of fractures (operational procedures/edited
methods). Results of treatment. Complications during treatment of by Lisa Dougherty
fractures. and Sara Lister. –
Practical training Ninth edition. ©
2015 The Royal
V Week Checking homework: The oral presentation of the covered material Marsden NHS
Classification of fractures. Broken connections (consolidation).
Foundation Trust
Determining the conditions of bone fragment accession. Treatment of
fractures (non-operational methods). Treatment of fractures (operational
methods). Results of treatment. Complications during treatment of
fractures.
Homework: Learning the materials discussed during the lecture and
practical training

TESTING
VI (Lecture - 1 hour, practical training - 2 hours)
Week The Royal Marsden
Burn (Combustio), classification; Scorch disease. First aid, local treatment manual of clinical
of burns, surgical treatment, intensive therapy for burns; Chemical, nursing
radiation burns; Frosting (Congelatio), classification. Latent period. procedures/edited
Reactive period. Electroshock. Electrical burns and electrical injury. by Lisa Dougherty
Practical training and Sara Lister. –
Checking homework: The oral presentation of the covered material Ninth edition. ©
Burns, classification; Scorch disease, primary care, local burns and 2015 The Royal
surgical treatment, intensive therapy of burns; Chemical, radiation burns; Marsden NHS
Foundation Trust
Frostbite, classification. Latent periods and reactive. Electric shock,

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 electrical burns and Electrical.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Classification of wounds, treatment; Wound granulation tissue structure manual of clinical
and function, negative factors affecting wound healing process; Types of nursing
wound healing; Surgical treatment of the wound, surgical wound types and procedures/edited
surgical treatment techniques. by Lisa Dougherty
Practical training and Sara Lister. –
VII Checking homework: The oral presentation of the covered material Ninth edition. ©
Week Classification of wounds, treatment; Wound granulation tissue structure 2015 The Royal
and function, negative factors affecting wound healing process; Types of Marsden NHS
wound healing; Surgical treatment of the wound, surgical wound types and Foundation Trust
surgical treatment techniques.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Homework: Learning the materials discussed during the lecture and
practical training
2 hour midterm
VIII
Mid-term exam
Week
(preparation material – covered materials from week I including week VII)
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Wound healing complications, anaerobic infection; Tetanus, Rabies. manual of clinical
Surface treatment of purulent wounds. Wound treatment in an anaerobic nursing
environment; Suture species; Swathing. Classification of infections; The procedures/edited
body's response to infection, microbiology, infectious agents; Surgical by Lisa Dougherty
infection prevention; General principles in the treatment of surgical and Sara Lister. –
infections, detoxification methods. Ninth edition. ©
Practical training 2015 The Royal
Checking homework: The oral presentation of the covered material Marsden NHS
IX Foundation Trust
Week Wound healing complications, anaerobic infection; Tetanus, Rabies.
Surface treatment of purulent wounds. Wound treatment in an anaerobic
environment; Suture species; Swathing. Classification of infections; The
body's response to infection, microbiology, infectious agents; Surgical
infection prevention; General principles in the treatment of surgical
infections, detoxification methods.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Analysis of laboratory tests, decrypting blood tests, dialysis
Homework: Learning the materials discussed during the lecture and
practical training
X Week (Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Purulent and inflammatory diseases, purulent diseases of the fingers, skin manual of clinical
burns, lymphatic burns, subcutaneous burns, peyronie; under the nail, nursing
tendons, joints, finger bone panaritium; Hand, tenari, hipotenari, hand’s procedures/edited
by Lisa Dougherty
V shape, hand back subcutaneous cellulitis, basic principles of treating
and Sara Lister. –
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 purulent diseases of the fingers and hands. Conservative methods of Ninth edition. ©
treatment, abscess (Abscessus), cellulitis (Phlegmona). 2015 The Royal
Practical training Marsden NHS
Checking homework: The oral presentation of the covered material Foundation Trust
Purulent and inflammatory diseases, purulent diseases of the fingers, skin
burns, lymphatic burns, subcutaneous burns, peyronie; under the nail,
tendons, joints, finger bone panaritium; Hand, tenari, hipotenari, hand’s
V shape, hand back subcutaneous cellulitis, basic principles of treating
purulent diseases of the fingers and hands. Conservative methods of
treatment, abscess (Abscessus), cellulitis (Phlegmona).
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Acute pyogenic, chronic hematogenous osteomyelitis, primary types of manual of clinical
chronic osteomyelitis, purulent arthritis (arthritis Purulenta), bursitis. nursing
Purulent peritonitis and dosage, (abscess) special types of peritonitis: procedures/edited
gonococcus, tuberculosis peritonitis, purulent pleurisy and pericarditis. by Lisa Dougherty
Practical training and Sara Lister. –
Checking homework: The oral presentation of the covered material. Ninth edition. ©
XI Acute pyogenic, chronic hematogenous osteomyelitis, primary types of 2015 The Royal
Week chronic osteomyelitis, purulent arthritis, bursitis. Purulent peritonitis and Marsden NHS
dosage, special types of peritonitis: gonococcus, tuberculosis peritonitis, Foundation Trust
purulent pleurisy and pericarditis.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Surgical Infections (classification, etiology, pathogenesis, treatment, basic
principles).
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Purulent diseases of bones, joints and synovial fluid. Acute pyogenic, manual of clinical
chronic hematogenous osteomyelitis; Types of primary chronic nursing
osteomyelitis, purulent arthritis (arthritis Purulenta), bursitis; purulent, procedures/edited
capsule peritonitis (abscess), specific peritonitis: gonococcus, tuberculosis by Lisa Dougherty
peritonitis, pleurisy purulent, purulent pericarditis. and Sara Lister. –
Practical training Ninth edition. ©
XII Checking homework: The oral presentation of the covered material. 2015 The Royal
Week Acute pyogenic, chronic hematogenous osteomyelitis; Types of primary Marsden NHS
Foundation Trust
chronic osteomyelitis, purulent arthritis, bursitis; purulent, capsule
peritonitis, specific peritonitis: gonococcus, tuberculosis peritonitis,
pleurisy purulent, purulent pericarditis.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Homework: Learning the materials discussed during the lecture and
practical training
TESTING
XIII (Lecture - 1 hour, practical training - 2 hours)

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 The Royal Marsden
Types of sepsis, actinomycosis, sepsis, anaerobic sepsis, acute and chronic manual of clinical
specific infections: glowing, gaseous, anaerobic gangrene-like, corruptible nursing
(Putrid); acute specific infections: tetanus, anthrax (pustula maligna), procedures/edited
wound diphtheria; Surgical specific chronic infections of bone and joints, by Lisa Dougherty
the spine tuberculosis, tuberculosis coxitis, gonitis; finger and toe and Sara Lister. –
tuberculosis, actinomycosis, bone and joint syphilis, leprosy. Ninth edition. ©
Practical training 2015 The Royal
Checking homework: The oral presentation of the covered material. Marsden NHS
Types of sepsis, actinomycosis, sepsis, anaerobic sepsis, acute and chronic Foundation Trust
Week specific infections: glowing, gaseous, anaerobic gangrene-like, corruptible;
acute specific infections: tetanus, anthrax, wound diphtheria; Surgical
specific chronic infections of bone and joints, the spine tuberculosis,
tuberculosis coxitis, gonitis; finger and toe tuberculosis, actinomycosis,
bone and joint syphilis, leprosy.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Surgical infections, their types, the concept of microbes, diagnosis,
treatment, complications.
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, practical training - 2 hours)
The Royal Marsden
Blood and lymphatic circulation disorders. Diabetes mellitus, acute manual of clinical
occlusion of the arteries of the lower limbs, venous circulatory nursing
insufficiency, varicose vein disease, lymphostasis, necrosis, ulceration procedures/edited
(Ulcus), fistulas, and decubitus. Oncogenes: chemical, radiation, viral by Lisa Dougherty
oncogenes, food and oncogenes, hormonal oncogenes, pre-cancerous and Sara Lister. –
diseases; general principles of Examination of cancer patients, cytological Ninth edition. ©
and histological diagnosis, serology; General principles in the treatment of 2015 The Royal
tumors. Marsden NHS
Foundation Trust
XIV Practical training
Week Checking homework: The oral presentation of the covered material.
Blood and lymphatic circulation disorders. Diabetes mellitus, acute
occlusion of the arteries of the lower limbs, venous circulatory
insufficiency, varicose vein disease, lymphostasis, necrosis, ulceration,
fistulas, and decubitus. Oncogenes : chemical, radiation, viral oncogenes,
food and oncogenes, hormonal oncogenes, pre-cancerous diseases; general
principles of Examination of cancer patients, cytological and histological
diagnosis, serology; General principles in the treatment of tumors.
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Homework: Learning the materials discussed during the lecture and
practical training
XV (Lecture - 1 hour, practical training - 2 hours)
Week The Royal Marsden
Surgical Parasitology: echinococcosis, ascariasis (scabies), amebiasis, manual of clinical
filariasis, fascioliasis, opisthorchiasis. paragonimiasis. nursing
Abnormalities (congenital malformations). Classification of birth defects. procedures/edited
Disorders of the skull and brain, developmental abnormalities of the spine, by Lisa Dougherty
face, neck, chest wall and the chest cavity, heart, abdomen and digestive and Sara Lister. –
Ninth edition. ©
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 system, the genitourinary system, diseases, and congenital limb defects. 2015 The Royal
Practical training Marsden NHS
Checking homework: The oral presentation of the covered material, Foundation Trust
Demonstration of clinical skills and analysis of the results of
laboratory tests.
Ulcers, cysts, their types, diagnosis, treatment.
Homework: Learning the materials discussed during the lecture and
practical training
(Lecture - 1 hour, case study - 2 hours)
The Royal Marsden
Plastic and Reconstructive Surgery; Transplantation. Types of plastic manual of clinical
surgery. Tissue types. Kidney transplantation. Liver transplantation. nursing
Transplantation complications; Transplantation. Heart and lung procedures/edited
transplantation. Pancreas transplantation. Intestinal transplantation. by Lisa Dougherty
XVI Complications during the transplantation. and Sara Lister. –
Week Practical training Ninth edition. ©
Checking homework: The oral presentation of the covered material. 2015 The Royal
Demonstration of clinical skills and analysis of the results of Marsden NHS
Foundation Trust
laboratory tests.
Homework: Learning the materials discussed during the lecture and
practical training

17th - 20th weeks - session period, including:

17th - 18th weeks of the final exam period
19th - 20th weeks – additional exam

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