Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Genetics II

Main Study Course Information

Course Code
RGN_036
Branch of Science
Clinical medicine; Medicinal Genetics
ECTS
10.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To provide the medical genetics resident with theoretical knowledge and practical skills and improvement thereof in order to prepare the doctor for certification in the speciality of a medical geneticist in accordance with the laws and regulations of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Medical genetics resident defines the role of genetic factors in maintaining health, as well as in the development of congenital and multi-factorial diseases, role of genes and teratogens in the development of human congenital anomalies. Describes how changes in chromosomes and DNA change the function or number of genes, main monogenic and other types of inheritance. Describes the clinical signs of the most common congenital monogenic and chromosomal diseases. Understands the clinical significance of penetrance, variable expression, anticipation, and new mutation. Explains the possibilities and limitations of genetic investigation. Describes the main methods of obtaining the test sample in prenatal diagnosis. Understands the main ethical issues in genetics.

Skills

1.Medical genetics resident gathers family anamnesis, creates and interprets the family tree, recognises patients with a genetic disease or a risk of developing a genetic disease, provides genetic counselling in accordance with the objectives, methods and practice adopted, calculates the risk of monogenic disease recurrence, explains the concept of risk in a way that the patient can understand, interprets the results provided by the genetic laboratory, provides genetic information in an understandable way, allowing the patient and their family to make the decisions.

Competences

1.After successful completion of the study course, the medical genetics resident has acquired the mandatory competence. Selects an examination plan appropriate for setting the diagnosis, prescribes examinations; evaluates possible genetic disease heterogeneity and the impact thereof on the diagnosis; sets a genetic diagnosis according to the practice of evidence-based medicine; provides the patient with information about the mechanism of inheritance of the genetic disease, family planning, course of the disease and prognosis; recommends consultations of other specialists according to the medical problems, the development of which is characteristic of the specific genetic syndrome; prescribes medications specific to genetic diseases. Able to draw up an appropriate investigation plan for establishing a diagnosis, prescribe examinations. Knowledge of the specific problem is sufficient to understand its essence, to diagnose and, if necessary, provide emergency assistance, implement diagnostic, treatment and preventive measures under the guidance of a specialist.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
1. To search for phenotypic and genotypic correlations of genetic variation using evidence-based electronic databases. 2. Using evidence-based databases of scientific literature, to create an individualised disease description for patients with a syndromic-monogenic, chromosomal or inherited pathology.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
At the end of the course, teaching staff: 1. Assesses the practical skills acquired by medical genetics resident on a 10-point scale, recording the assessment in the medical resident’s book. 2. Assesses the theoretical knowledge of the medical genetics resident on a 10-point scale after a written examination – a multiple-choice test, recording the assessment in the medical resident’s book.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
-
-

Topics

Genetic counselling: indications for choosing an appropriate method of genetic investigation
  1. Seminar

Modality
Location
-
-

Topics

Genetic counselling: indications for choosing an appropriate method of genetic investigation
  1. Seminar

Modality
Location
-
-

Topics

Genetic pathology that occurs with delayed psychomotor development
  1. Seminar

Modality
Location
-
-

Topics

The most frequently diagnosed syndromes of chromosomal pathologies and aberrations in the neonatal period
  1. Seminar

Modality
Location
-
-

Topics

The most frequently diagnosed syndromes of chromosomal pathologies and aberrations in the neonatal period
  1. Seminar

Modality
Location
-
-

Topics

Classification of congenital metabolic disorders
  1. Seminar

Modality
Location
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-

Topics

Biochemical screening and molecular diagnosis of congenital metabolic disorders
  1. Seminar

Modality
Location
-
-

Topics

Guidelines for the treatment and care of congenital metabolic disorders
  1. Seminar

Modality
Location
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-

Topics

Guidelines for the treatment and care of congenital metabolic disorders
  1. Seminar

Modality
Location
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Topics

Selection and application of electronic databases in disease diagnosis. Technical capabilities and the human factor
  1. Seminar

Modality
Location
-
-

Topics

Mitochondrial diseases. Diagnosis. Therapy, monitoring
  1. Seminar

Modality
Location
-
-

Topics

Mitochondrial diseases. Diagnosis. Therapy, monitoring
  1. Seminar

Modality
Location
-
-

Topics

Nuclear mitochondrial diseases. Diagnosis, monitoring.
  1. Seminar

Modality
Location
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Topics

Neuromuscular diseases. ALS. Differential diagnosis. Genetic investigation.
  1. Seminar

Modality
Location
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-

Topics

Neuromuscular diseases. Muscular dystrophies. Differential diagnosis. Genetic investigation. Therapy options.
  1. Seminar

Modality
Location
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-

Topics

Neuromuscular diseases. Spinal muscular atrophy. Differential diagnosis. Therapy options.
  1. Seminar

Modality
Location
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-

Topics

Myopathies. LGMD. Differential diagnosis. Genetic investigation. Therapy options.
  1. Seminar

Modality
Location
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-

Topics

Myopathies. Distal myopathy. Differential diagnosis. Genetic investigation. Therapy options.
  1. Seminar

Modality
Location
-
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Topics

Ethical aspects of genetic counselling, discussion of complex cases, specifics of prenatal diagnosis
Total ECTS (Creditpoints):
10.00
Number of Residency Seminars:
19
Length (weeks):
7
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Gross, S. J. Introduction to Perinatal Disorders and Reproductive Genetics. In Emery and Rimoin’s Principles and Practice of Medical Genetics and Genomics. https://doi.org/10.1016/b978-0-12-815236-2.00001-1, 2022

2.

Milunsky, A., & Milunsky, J. M. Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment: 6th Edition. In Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment. https://doi.org/10.1002/9781444314342, 2010

3.

Leung, P. C. K., & Qiao, J. Human reproductive and prenatal genetics. In Human Reproductive and Prenatal Genetics. https://doi.org/10.1016/C2016-0-05333-0, 2018

4.

Harper, J. C. Preimplantation genetic diagnosis. In Preimplantation Genetic Diagnosis, 2nd Edition. https://doi.org/10.1017/CBO9780511581571, 2009

5.

DiMaio, M. S., Fox, J. E., & Mahoney, M. J. Prenatal Diagnosis: Cases and Clinical Challenges. In Prenatal Diagnosis: Cases and Clinical Challenges. https://doi.org/10.1002/9780470696262, 2010

6.

Twining’s Textbook of Fetal Abnormalities. In Twining’s Textbook of Fetal Abnormalities. https://doi.org/10.1016/c2010-0-67979-x, 2015

7.

Paladini, D., & Volpe, P. Ultrasound of Congenital Fetal Anomalies. In Ultrasound of Congenital Fetal Anomalies. https://doi.org/10.4324/9780429462450, 2018

8.

Stevenson, R., Hall, J., Everman, D., & Solomon, B. (Eds.), Human Malformations and Related Anomalies. Oxford, UK: Oxford University Press, 2015

9.

Harper, P. Practical Genetic Counselling (7th ed.). CRC Press, 2011

10.

Cassidy, S., Allanson, J. Management of Genetic Syndromes. Wiley-Blackwell, 2010

11.

Read, A, Donnai, D. New clinical Genetics. A guide to Genomics Medicine. Scion, 2021

12.

Dhar, S., Sandesh, N, Eble, T. Hanbook of Clinical adult Genetics and genomics. Elssevier, 2020

13.

Reardson, W. The Bedside Dysmorhologist. Oxford, 2016

14.

Jones, Kenneth L, Marilyn C. Jones, and Miguel . Campo. Smith's Recognizable Patterns of Human Malformation, 2013

15.

Norton, M.E., Scoutt, L., Feldstein, V. Callens Ultrasonography in Obstretics And Gynecology. Elsevier, 2017

16.

Hogge, A., Wilkins, I., Hills, L., Cohlan B. Sanders Structural Fetal Abnormalities. McGraw Hill Education, 2017

17.

Hollak, C., Lachmann, R. Inherited Metabolic Disease in Adults.Oxford, 2016

18.

Saudubray, F., Van den Berghe, W. Inbron Metabolic diseases. Springer, 2016

19.

Govidan, R., Devarakonda, S. Cancer Genomics for the Clinician. Springer, 2019

20.

Firth, H., Hurst, J. Oxford Desk Reference Clinical Genetics. Oxford, 2007

Other Information Sources

1.

OMIM. https://omim.org

5.

Varsome. https://varsome.com/

8.

Vademecum Metabolicum. http://www.vademetab.org/

9.

Metabolic Emergency Protocol. https://www.emergencyprotocol.net/

10.

Katirji, B., Kaminski, J.H, Ruff, R.L. Neuromuscular Disorders in Clinical Paractice Vol1., Vol 2., Springer. 2014

12.

Treat NMD. https://treat-nmd.org/