Veidlapa Nr. M-3 (8)
Study Course Description
Oncology and Palliative Care
Course Code
RGA_022
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Līga Kozlovska
Residency Speciality
Speciality
General Practicioner
Supervisor of Medical Speciality
Gunta Tīcmane
Contacts
-
About Study Course
Objective
To ensure acquisition of in-depth theoretical and practical skills in oncology and palliative care, in accordance with the competence of the specialty of family doctor (general practitioner).
Learning Outcomes
Knowledge
1.Acquired in-depth knowledge and skills about the basic principles of health promotion, primary, secondary and tertiary prevention in the care of oncological patients. • the ability to apply in practice the screening programmes determined by the government in patient care and other possibilities of providing prevention, which provide a basis for creative thinking or research, including when working in the conjunction of different fields, • skills to independently apply theory, methods and problem-solving skills to perform medical or research activities or highly qualified professional functions, • to independently formulate and critically analyse complex scientific and professional problems, • to justify decisions and, if necessary, perform additional analysis to integrate knowledge from different fields, • to contribute to the creation of new knowledge, the development of research or professional activity methods, • to demonstrate understanding and ethical responsibility for the possible impact of scientific results or professional activity on the environment and society.
Skills
1.The medical resident is able to explain the impact of environmental changes on the spread of oncological diseases in the population, to understand the application of preventive, diagnostic and therapeutic methods in this aspect, and has acquired the skills to evaluate the patient’s complaints and the relationship thereof with the patient’s state of health. Has a broad understanding of oncological diseases and risk factors thereof, the most common cancers of various localizations in the population, the long-term care of these patients, and disabling conditions that require urgent care. Has acquired skills of the use of preventive and diagnostic manipulations in the primary health care of oncological patients.
Competences
1.Ability to provide treatment and palliative care to the patient, within the competence of family doctor, organise rehabilitation if necessary. The medical resident has developed understanding of diagnostic possibilities for oncological patients at the primary and secondary level of health care, the possibilities of referring the patient to a specialist doctor and other services if necessary. Able to organise and manage consultation issues in the care of oncological patients.
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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-
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The medical resident independently studies the literature and available e-resources, prepares clinical cases for seminars and writes a research paper. Performs patient care at the clinical learning centre.
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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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|---|---|---|
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1.
Examination |
-
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-
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2.
Examination |
-
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-
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Assessment of theoretical knowledge and practical skills at the end of the study course in a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Palliative care in the family doctor practice: pain therapy.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Palliative care in the family doctor practice: tactics in case of terminal conditions.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Palliative care in the family doctor practice: oedema and pressure ulcers.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Palliative care in the family doctor practice: communication psychology in oncology and PHC.
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Total ECTS (Creditpoints):
3.00
Number of Residency Seminars:
4
Length (weeks):
2
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Veselības aprūpes pakalpojumu onkoloģijas jomā uzlabošanas plāns 2017.-2020. gadam.
2.
Klīniskās vadlīnijas. Krūts vēža (C50, D05) diagnostika, stadijas noteikšana, ārstēšana un novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2014.
3.
Klīniskās vadlīnijas onkoloģijas ginekoloģisko saslimšanu diagnostikai, stadijas noteikšanai, ārstēšanai un novērošanai. Latvijas Onkoginekologu asociācija. Rīga. 2011.
4.
Klīniskās vadlīnijas. Dzemdes kakla vēţa (C53) diagnostika, stadijas noteikšana, ārstēšana un novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2012.
5.
Bērnu paliatīvās aprūpes klīniskās vadlīnijas. Bērnu paliatīvās aprūpes biedrība. RĪGA. 2012.
6.
Klīniskās vadlīnijas. Resnās un taisnās zarnas vēţa (C18, C19, C20) diagnostika, stadijas noteikšana, ārstēšana un novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2013.
7.
Klīniskās vadlīnijas. Kuņģa vēža (C16) diagnostika, stadijas noteikšana, ārstēšana un novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2014.
8.
Klīniskās vadlīnijas. Ādas vēža un melanomas diagnostika, ārstēšana un dinamiskā novērošana. Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2015.
9.
Klīniskās vadlīnijas. Priekšdziedzera vēža vadlīnijas (Priekšdziedzera vēža (C61) diagnostika, stadijas noteikšana, ārstēšana un novērošana). Rīgas Austrumu klīniskās universitātes slimnīcas Latvijas Onkoloģijas centrs. Vadlīniju izstrādes darba grupa. Rīga. 2015.
10.
Klīniskās vadlīnijas. Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana. Latvijas Ginekologu un dzemdību speciālistu asociācija. Rīga, 2016.
11.
Klīniskās vadlīnijas. “Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana”. Latvijas Ginekologu un dzemdību speciālistu asociācija. Rīga, 2021.
12.
Krūts vēzis (C50) ALGORITMI.
13.
Plaušu ļaundabīgs audzējs (C34) ALGORITMI.
14.
Priekšdziedzera vēzis (C61) ALGORITMS.
15.
Resnās un taisnās zarnas (kolorektālais) vēzis (C18-C20) ALGORITMS.
16.
Informatīvais buklets - "Kā pasargāt sevi no dzemdes kakla vēža?". Slimību profilakses un kontroles centrs, 2015. file:///E:/Downloads%20Chrome/Buklets_Dzemdes_kakla_vezis.pdf
17.
Association of European Cancer Leagues. European Union Council Recommendation on Cancer Screening. 2017.
18.
Integrating palliative care and symptom relief into primary health care. A WHO guide for planners, implementers and mamagers. WHO. 2018.
Additional Reading
1.
National Comprehensive Cancer Network. NCCN clinical practice gudielines in oncology: Prostate cancer version 3. 2016.
2.
Paci, E., et al. European breast cancer service screening outcomes: a first balance sheet of the benefits and harms. Cancer Epidemiol Biomarkers Prev, 2014. 23(7): p. 1159-63.
3.
Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.
4.
Breast Cancer NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). Version 1. 2019 — March 14, 2019.
5.
National Comprehensive Cancer Network. NCC Clinical Practice Guidelines in Oncology. Basal Cell Skin Cancer. Version 1. 2015.
6.
Guidance for the management of early breast cancer: Recommendations and practice points. Cancer Australia, 2020.
7.
Schmoll HJ, Van Cutsem E, Stein A et al. ESMO consensus guidelines for management of patients with colon and rectal cancer. A personalized approach to clinical decision making. Ann Oncol 2012; 23: 2479–2516.
8.
5-Minute Clinical Consult. 9th Edition, 2021, by Dr. Frank J. Domino MD
9.
CURRENT Diagnosis & Treatment in Family Medicine. 5th Edition. By Jeannette E. South -Paul, Samuel C. Matheny, Evelyn L. Lewis. 2020.
10.
Family practice guidelines. 4th Edition, 2017. Springer Publishing Company