Veidlapa Nr. M-3 (8)

Study Course Description

Thoracic Surgery I

Main Study Course Information

Course Code

RTK_005

Branch of Science

Clinical medicine; Surgery

ECTS

6.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Donats Breiva

Residency Speciality

Speciality

Thoracic surgeon

Supervisor of Medical Speciality

Genādijs Ambalovs

Contacts

About Study Course

Objective

To ensure acquisition and improvement of theoretical knowledge and practical skills in thoracic surgery in order to prepare a physician for certification in thoracic surgeon’s specialty in accordance with the laws and regulations of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Ability to demonstrate thorough knowledge and understanding of the latest thoracic surgery findings, as well as interaction of different fields of surgery. Knowledge of pulmonary, pleural, bronchial system, esophagus and chest wall anatomy, pathophysiology,  diagnostic methods, set of instruments used in thoracic surgery; competence in selection of surgical tactics in acute cases; knowledge of provision of emergency assistance upon necessity, understanding of the indications for surgical treatment and postoperative care specifics.

Skills

1.Ability to use theory, as well as methods and problem solving skills independently in order to individually perform research activity and a highly qualified and professional thoracic surgeon’s functions. Ability to perform correct assessment of patient’s general condition; examine a patient adequately; ability to perform pleural space puncture and pleural space drainage.

Competences

1.Ability to individually formulate and critically analyse complicated scientific and professional problems, substantiate decisions, as well as make additional analysis upon necessity. Ability to integrate knowledge of different fields, contribute to the formation of new knowledge, development of research or professional activity methods, demonstrate understanding and ethical responsibility for the potential impact of a thoracic surgeon’s activity. Ability to explain and discuss complicated or systemic thoracic surgery aspects both; with specialists and non-specialists. Ability to independently advance improvement of one’s competence and specialisation, assume responsibility for work results of one’s staff and undergo analysis thereof.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
To obtain theoretical knowledge about pulmonary, pleural, bronchial system, esophagus and chest wall anatomy, pathophysiology; etiology, pathogenesis, symptoms, diagnostics, indications of acute surgical chest diseases for conservative and surgical treatment. To acquire skills in emergency surgical treatment in acute cases. To obtain knowledge about instruments used in thoracic surgery. To obtain practical skills in diagnostic methods and medical manipulations, as well as practical application of medical methods in surgical patients within the scope envisaged in the programme.

Examination

Title	% from total grade	Grade
1. Examination	-	-
To obtain a successful assessment, the medical resident has to be able to: - provide emergency surgical treatment in acute cases for a patient with chest pathology; - develop a correct diagnostics scheme and treatment tactics for a patient with chest pathology; - study potential postoperative complications, their prevention and treatment, use practical skills in performance of diagnostic and medical manipulations.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Acute appendicitis. Clinical presentation, diagnostics, surgeon’s tactics. Acute appendicitis complications. Differential diagnostics of acute appendicitis, peculiarities in elderly people, during pregnancy. Chronic appendicitis.

Seminar

Modality	Location
On site	Specialized room

Topics

Small intestine and bowel diseases (Crohn’s disease, ulcerative colitis, Hirschsprung disease, diverticula, fistulas). Small intestine tumours. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Gastric and duodenal ulcer perforation and bleeding. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Gallstone disease. Acute and chronic cholecystitis. Diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Mechanical jaundice, postcholecystectomy syndrome. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Precancerous colorectal diseases, cancer. Diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Hernia surgery. Incarcerated hernia. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Hemorrhoids: diagnostics, treatment. Anal fissure, acute and chronic paraproctitis. Sinus pilonidalis. Rectal prolapse. Diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Closed abdominal injury. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Open abdominal injury. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Polytrauma. Primary, secondary and tertiary patient care. “Damage control surgery” principle.

Seminar

Modality	Location
On site	Specialized room

Topics

Intestinal impermeability. Mechanic and dynamic ileus, tactics and treatment principles.

Seminar

Modality	Location
On site	Specialized room

Topics

Peritonitis. Clinical presentation, diagnostics, surgeon’s tactics and treatment principles.

Seminar

Modality	Location
On site	Specialized room

Topics

Acute pancreatitis. Intensive therapy in case of acute pancreatitis. Surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Surgical treatment of chronic pancreatitis. Pancreatic cancer. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Diseases of operated stomach, their surgical correction.

Seminar

Modality	Location
On site	Specialized room

Topics

Gastric cancer. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Acute abdominal pain in gynaecology. Diagnostics, differential diagnostics.

Seminar

Modality	Location
On site	Specialized room

Topics

Chronic pelvic pain. Diagnostics, differential diagnostics.

Seminar

Modality	Location
On site	Specialized room

Topics

Physiological changes during pregnancy. Surgical diseases in pregnant women. Diagnostics, differential diagnostics.

Seminar

Modality	Location
On site	Specialized room

Topics

Thyroid diseases and their surgical treatment.

Seminar

Modality	Location
On site	Specialized room

Topics

Epithelium diseases. Adrenal diseases. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Preparation of surgical patients for an operation, post-operative period, its provision. Basic principles of infusion therapy and parenteral nutrition.

Seminar

Modality	Location
On site	Specialized room

Topics

Principles of emergency medical assistance and intensive care; cardiopulmonary resuscitation algorithm

Seminar

Modality	Location
On site	Specialized room

Topics

Stages and components of general and regional anaesthesia

Seminar

Modality	Location
On site	Specialized room

Topics

Surgical diseases of the liver (echinococcus, benign and malignant tumours). Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Portal hypertension. Clinical presentation, diagnostics, surgeon’s tactics

Seminar

Modality	Location
On site	Specialized room

Topics

Urinary oncological diseases. Prostate adenoma.

Seminar

Modality	Location
On site	Specialized room

Topics

Emergency urinary diseases.

Seminar

Modality	Location
On site	Specialized room

Topics

Urogenital injury. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Surgeon’s tactics and treatment in case of purulent inflammation of soft tissue. Purulent diseases of the hand. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Breast inflammations, pre-cancer diseases, cancer. Clinical presentation, diagnostics, surgeon’s tactics.

Seminar

Modality	Location
On site	Specialized room

Topics

Complicated IAI. Surgical sepsis patient care. Temporary abdominal closure methods, VAAC.

Total ECTS (Creditpoints):

6.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

General thoracic surgery. Fifth edition. Volume 1.Edited by Thomas W. Shields,Joseph LoCicero III, Ronald B. Form, Lippincott Williams & Wilkins. 2013.

General thoracic surgery. Fifth edition. Volume 2Edited by Thomas W. Shields,Joseph LoCicero III, Ronald B. Form, LIPPINCOTT WILLIAMS & WILKINS. 2013

Clinical Exercise Testing. Editors Idelle M. Weisman. R. Jorge Zeballos, KARGER 2002

Difficult Decisions in Thoracic Surgery. Editor Mark K. Ferguson. Springer-Verlag London Limited 2007

Pleural Diseases 5th Revised edition by Richard W. Light; ISBN-13: 9780781769570; ISBN-10: 0781769574; 2007; Lippincott Williams and Wilkins.

Principles of Pulmonary Medicine 4th Revised edition. Steven E. Weinberger. Duhamel Saunders. 2003.

Thoracic Surgery. F. Griffith Pearson et al, Publisher: Churchill Livingstone; 2nd edition.2002, New York, Churchill Livingstone,ISBN: 0443075956

Esophageal Surgery. F. Griffith Pearson et al,Publisher: Churchill Livingstone; 2nd edition by Churchill Livingstone, an imprint of Elsevier Inc. 2008,ISBN: 443076057

Glenn’s Thoracic and Cardiovascular Surgery. Arthur E. Baue et al, Publisher: McGraw-Hill Professional; 6th edition.ISBN: 0838531342

10.

Ķirurģija. J. Gardovska red. 2.izd. Rīga: Rīgas Stradiņa universitāte, 2013

11.

Lawrence P.F., Bell R.M. Dayton M.T., Ahmed M.I. Essentials of General Surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2012

12.

Tjandra J., Clunie G.J.A., Kaye A., Smith J. Textbook of Surgery 3rd ed. Wiley-Blackwell, 2006

13.

Quick C.R.G. Essential Surgery: Problems, Diagnosis and Management 5th ed. Edinburgh: Churchill Livingstone, 2013

14.

Browse N.L., Black J., Burnand K., Thomas W. An Introduction to the Symptoms and Signs of Surgical Disease. 5th ed. London: Hodder Arnold 2010