Clinical Genetics II
Study Course Implementer
Residency Speciality
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About Study Course
Objective
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
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Title
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% from total grade
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Grade
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1.
Individual work |
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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.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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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.
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Study Course Theme Plan
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Seminar
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Topics
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Genetic counselling: indications for choosing an appropriate method of genetic investigation
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Seminar
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Topics
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Genetic counselling: indications for choosing an appropriate method of genetic investigation
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Seminar
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Topics
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Genetic pathology that occurs with delayed psychomotor development
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Seminar
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Topics
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The most frequently diagnosed syndromes of chromosomal pathologies and aberrations in the neonatal period
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Seminar
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Topics
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The most frequently diagnosed syndromes of chromosomal pathologies and aberrations in the neonatal period
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Seminar
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Topics
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Classification of congenital metabolic disorders
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Seminar
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Topics
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Biochemical screening and molecular diagnosis of congenital metabolic disorders
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Seminar
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Topics
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Guidelines for the treatment and care of congenital metabolic disorders
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Seminar
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Topics
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Guidelines for the treatment and care of congenital metabolic disorders
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Seminar
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Topics
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Selection and application of electronic databases in disease diagnosis. Technical capabilities and the human factor
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Seminar
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Topics
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Mitochondrial diseases. Diagnosis. Therapy, monitoring
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Topics
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Mitochondrial diseases. Diagnosis. Therapy, monitoring
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Seminar
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Topics
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Nuclear mitochondrial diseases. Diagnosis, monitoring.
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Seminar
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Topics
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Neuromuscular diseases. ALS. Differential diagnosis. Genetic investigation.
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Seminar
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Topics
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Neuromuscular diseases. Muscular dystrophies. Differential diagnosis. Genetic investigation. Therapy options.
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Topics
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Neuromuscular diseases. Spinal muscular atrophy. Differential diagnosis. Therapy options.
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Seminar
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Topics
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Myopathies. LGMD. Differential diagnosis. Genetic investigation. Therapy options.
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Seminar
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Location
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Topics
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Myopathies. Distal myopathy. Differential diagnosis. Genetic investigation. Therapy options.
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Seminar
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Location
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Topics
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Ethical aspects of genetic counselling, discussion of complex cases, specifics of prenatal diagnosis
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Bibliography
Required Reading
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
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
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
Harper, J. C. Preimplantation genetic diagnosis. In Preimplantation Genetic Diagnosis, 2nd Edition. https://doi.org/10.1017/CBO9780511581571, 2009
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
Twining’s Textbook of Fetal Abnormalities. In Twining’s Textbook of Fetal Abnormalities. https://doi.org/10.1016/c2010-0-67979-x, 2015
Paladini, D., & Volpe, P. Ultrasound of Congenital Fetal Anomalies. In Ultrasound of Congenital Fetal Anomalies. https://doi.org/10.4324/9780429462450, 2018
Stevenson, R., Hall, J., Everman, D., & Solomon, B. (Eds.), Human Malformations and Related Anomalies. Oxford, UK: Oxford University Press, 2015
Harper, P. Practical Genetic Counselling (7th ed.). CRC Press, 2011
Cassidy, S., Allanson, J. Management of Genetic Syndromes. Wiley-Blackwell, 2010
Read, A, Donnai, D. New clinical Genetics. A guide to Genomics Medicine. Scion, 2021
Dhar, S., Sandesh, N, Eble, T. Hanbook of Clinical adult Genetics and genomics. Elssevier, 2020
Reardson, W. The Bedside Dysmorhologist. Oxford, 2016
Jones, Kenneth L, Marilyn C. Jones, and Miguel . Campo. Smith's Recognizable Patterns of Human Malformation, 2013
Norton, M.E., Scoutt, L., Feldstein, V. Callens Ultrasonography in Obstretics And Gynecology. Elsevier, 2017
Hogge, A., Wilkins, I., Hills, L., Cohlan B. Sanders Structural Fetal Abnormalities. McGraw Hill Education, 2017
Hollak, C., Lachmann, R. Inherited Metabolic Disease in Adults.Oxford, 2016
Saudubray, F., Van den Berghe, W. Inbron Metabolic diseases. Springer, 2016
Govidan, R., Devarakonda, S. Cancer Genomics for the Clinician. Springer, 2019
Firth, H., Hurst, J. Oxford Desk Reference Clinical Genetics. Oxford, 2007
Other Information Sources
OMIM. https://omim.org
Genereviews. https://www.ncbi.nlm.nih.gov/books/NBK1116/
Phenomizer. HPO. https://hpo.jax.org/app/tools/phenomizer
Varsome. https://varsome.com/
Reprotox. https://www.reprotox.org/
Metagene. https://www.metagene.de/
Vademecum Metabolicum. http://www.vademetab.org/
Metabolic Emergency Protocol. https://www.emergencyprotocol.net/
Katirji, B., Kaminski, J.H, Ruff, R.L. Neuromuscular Disorders in Clinical Paractice Vol1., Vol 2., Springer. 2014
Treat NMD. https://treat-nmd.org/
NCCN Guidelines. https://www.nccn.org/guidelines/guidelines-detail?category=2&id=1503