Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.2.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Multidisciplinary Hepatology

Main Study Course Information

Course Code
RHP_002
Branch of Science
Anatomy; Clinical medicine
ECTS
48.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor
Aleksejs Derovs

Residency Speciality

Speciality
Hepatologist
Supervisor of Medical Speciality
Aleksejs Derovs
Contacts

-

About Study Course

Objective

To ensure the acquisition and development of theoretical knowledge and practical skills in accordance with the requirements of the hepatology specialty in order to prepare the doctor for certification in the specialty of a hepatologist, in accordance with the regulatory documents of the Republic of Latvia and the gastrohepatology programme of the European Board of Gastroenterology and Hepatology (www.eubog.org).

Learning Outcomes

Knowledge

1.To demonstrate in-depth and extended knowledge and understanding of liver diseases and manifestations of other organ diseases in hepatology in patients of different ages, diagnosis, treatment and prevention thereof, which provides a basis for creative thinking in clinical practice and partly also in research, as well as the ability to work in interdisciplinary interactions.

Skills

1.To independently apply medical problem-solving skills to perform the professional functions of a highly qualified specialist in hepatology in disease prevention, diagnosis, treatment, care; perform practical manipulations skilfully; be able to function in a health care organisation as well as in education and research; independently formulate and critically analyse complex clinical medical problems; adequately evaluate research in the field of medical science; perform additional analysis as necessary to substantiate decisions; to integrate the knowledge of different fields of medicine, e.g., surgery, radiology, oncology; gather experience and contribute to the creation of new knowledge, development of research methods or methods of specialist’s professional activity; demonstrate understanding and ethical responsibility for the potential impact of the results of professional practice, clinical or scientific research on patients and society.

Competences

1.To explain and discuss complex or systemic aspects of hepatology and general aspects of medical science in a reasoned manner with both health specialists and lay people; patients; the public; to maintain collegial relationships and participate in teamwork, i.e, the ability to work as a hepatologist in a specialised gastroenterology or internal medicine unit, as well as independently, to consult hospital patients and outpatients, and to provide emergency hepatological assistance in critical situations; to plan and organise independently the development of one’s professional competence as a specialist doctor; to take responsibility for the performance of teams of staff and performance analysis; be able to perform entrepreneurial activities, innovations in the activities of the respective speciality; be able to provide emergency medical assistance, to perform work, further learning or research in complex and unpredictable conditions and, if necessary, to modify them using new approaches; represent the interests of the speciality in public and organise working groups, seminars and activities oriented towards the diagnosis, treatment and prevention of liver diseases.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
Getting acquainted with and study of the required readings.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
1. - A test of the medical resident’s practical skills and theoretical knowledge after each rotation discipline; 2. - In the final examination of the residency: a) theoretical knowledge test: 1) 100 test questions with one correct answer and an 80% correct response criterion; 2) answer to an examination paper with 2 problem questions, where the theoretical rationale, relevance, completeness, summary of literature and experience are assessed in the answer; b) the medical resident defends, in the presence of the committee, a prepared scientific, clinical or applied study submitted in writing in advance to the committee; the committee listens to the reviewer’s report and assesses the medical resident’s answers; c) submits to the examination committee a summary of the work carried out during the studies, including at least 1 presentation at a professional meeting, 1 publication at least at national level, as well as a report on the work carried out on elective basis. The final examination of the residency is assessed with a grade and the information about the examination is recorded in minutes signed by the chairperson of the committee and all members of the committee. The final examination of the residency is assessed with a grade and the information about the examination is recorded in minutes signed by the chairperson of the committee and all members of the committee. On the basis of the resolution of the examination committee and the order of the Rector of RSU, the successful completion of postgraduate studies in hepatology is approved for the medical resident.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
-
-

Topics

Anatomical and physiological features of the liver.

  1. Seminar

Modality
Location
-
-

Topics

Symptoms of liver diseases. Approach to a patient with liver disease.

  1. Seminar

Modality
Location
-
-

Topics

Possibilities and specifics of liver examinations.

  1. Seminar

Modality
Location
-
-

Topics

Acute conditions in hepatology.

  1. Seminar

Modality
Location
-
-

Topics

Fibrosis and cirrhosis.

  1. Seminar

Modality
Location
-
-

Topics

Outcomes of liver diseases: portal hypertension, hepatic encephalopathy, ascites, oesophageal varices, hepatorenal syndrome, hepatopulmonary syndrome, cardiovascular complications.

  1. Seminar

Modality
Location
-
-

Topics

Medicinal and toxic liver damage.

  1. Seminar

Modality
Location
-
-

Topics

Viral hepatitis: hepatitis A and hepatitis E.

  1. Seminar

Modality
Location
-
-

Topics

Viral hepatitis: hepatitis B and hepatitis D.

  1. Seminar

Modality
Location
-
-

Topics

Viral hepatitis: hepatitis C.

  1. Seminar

Modality
Location
-
-

Topics

Parasitic liver diseases.

  1. Seminar

Modality
Location
-
-

Topics

Other bacterial and viral liver diseases.

  1. Seminar

Modality
Location
-
-

Topics

Liver pharmacotherapy.

  1. Seminar

Modality
Location
-
-

Topics

Autoimmune hepatitis.

  1. Seminar

Modality
Location
-
-

Topics

Primary biliary cirrhosis.

  1. Seminar

Modality
Location
-
-

Topics

Overlap syndrome.

  1. Seminar

Modality
Location
-
-

Topics

Vascular liver diseases.

  1. Seminar

Modality
Location
-
-

Topics

Non-alcoholic and alcoholic fatty liver disease.

  1. Seminar

Modality
Location
-
-

Topics

Liver damage in case of systemic diseases.

  1. Seminar

Modality
Location
-
-

Topics

Enteral and parenteral nutrition specifics in patients with liver disease.

  1. Seminar

Modality
Location
-
-

Topics

Pre-operative and post-operative liver dysfunction.

  1. Seminar

Modality
Location
-
-

Topics

Cholecystitis and cholangitis.

  1. Seminar

Modality
Location
-
-

Topics

Hepatocellular carcinoma. Cholangiocarcinoma.

  1. Seminar

Modality
Location
-
-

Topics

Pancreatobiliary pathology associations.

  1. Seminar

Modality
Location
-
-

Topics

Pancreato-biliary endoscopy and endotherapy.

  1. Seminar

Modality
Location
-
-

Topics

Benign liver lesions.

  1. Seminar

Modality
Location
-
-

Topics

Surgical hepatology.

  1. Seminar

Modality
Location
-
-

Topics

Wilson’s disease. Haemochromatosis.

  1. Seminar

Modality
Location
-
-

Topics

Gilbert’s syndrome. Other rare congenital liver diseases.

  1. Seminar

Modality
Location
-
-

Topics

TIPS and liver transplantation.

  1. Seminar

Modality
Location
-
-

Topics

Diagnostic and treatment specifics in paediatric hepatology. Congenital liver diseases.

  1. Seminar

Modality
Location
-
-

Topics

Acquired liver diseases.

  1. Seminar

Modality
Location
-
-

Topics

Viral hepatitis in childhood.
Total ECTS (Creditpoints):
48.00
Number of Residency Seminars:
33
Length (weeks):
40
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

24.03.2009. MK noteikumi Nr.268 "Noteikumi par ārstniecības personu un studējošo, kuri apgūst pirmā vai otrā līmeņa profesionālās augstākās medicīniskās izglītības programmas, kompetenci ārstniecībā un šo personu teorētisko un praktisko zināšanu apjomu" ("LV", 58 (4044), 16.04.2009.) [stājas spēkā 17.04.2009.] uz 11.10.2010. ar grozījumiem: 04.10.2011. MK noteikumi Nr.760 ("LV", 161 (4559), 12.10.2011.) [stājas spēkā ar 13.10.2011.]

2.

European Board of Gastroenterology and Hepatology (The Union of European Medical Specialities (U.E.M.S.))

3.

EASL (European Association for the Study of the Liver) Clinical Practice Guidelines

4.

Zakim and Boyer’s Hepatology: A Textbook of Liver Disease, 7th ed. Saunders Elsevier, 2018

5.

Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, 11th ed. Saunders Elsevier, 2021

6.

Goldman-Cecil Medicine, 26th ed. Saunders Elsevier, 2020

7.

Ferri’s Clinical Advisor 2020. Mosby Elsevier, 2020

8.

Clinical Ultrasound, 3rd ed. Elsevier Limited, 2011

9.

Liver Disease in Children, 4th ed. Suchy FJ, Sokol RJ, Balistreri WF (Eds). Cambridge University Press, New York, 2012

10.

WGO (World Gastroenterology Organisation) Global Guideliness

Other Information Sources

1.

MEDLINE datu bāze