Neurology
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.Acute and chronic syndromes and diseases: diagnostic, treatment tactics, observation and to send to specialists. Has a knowledge and understanding of: Nervous system syndromes and diseases: - patient investigation:motor, sensory disorder determination, balance and coordination disorders, symptoms of cranial nerves injury, disorder of speech, dementia, - diseases of peripheral nerves, pain of nerves and muscles: neuritis, polyneuritis, carpal tunnel stndrome, myofascial pain, neuromuscular block, - lumbar and cervical osteochondrosis, discopaty: radiculitis, osteochondrosis, - neurological infections: tick-borne encephalitis, borreliosis, meningitis, - cerebrovascular disorders: transistor cerebral ischaemia, ischemic stroke, prophylaxis of cerebrovascular disorders, treatment, care and rehabilitation of the patient with stoke, - somatoform disorders, - headache, - vertigo, - epilepsy, - brain tumors. Rehabilitation and physical medicine: - knowledge of physical therapy indications and contraindications, - knowledge of the rehabilitation process, patient referral to rehabilitation. Process of patients care: - the patients problem solving, - cooperation with social workers and local government. Prevention of the diseases: - knowledge of the groups at risk and early signs of disease, - knowledge of screening tests, their application, - knowledge of primary and secondary prevention. Promotion of the health: - nutrition (energy, vitamins, nutritional planning), - promotion of the healthy lifestyle, - knowledge and ability to assess the fitness and sports indications and contraindications, - ability to assess an individual's fitness, health status before the start of sports, - health assessment in conjunction with exercise and workout intensity, -education pf the patients: harmfulness of smoking, weight control, nutrition, managment of stress, problems of sexual, prevention of injury, problems caused by menopause.
Skills
1.Skills that strengthen during thr family medicine education programs - investigation, methods of treatment, disease prevention and health promotion measures: Skills in elderly care: - Obtaining adequate information from people with impaired memory, hearing and visual impairment, - investigation of the patients with reduced mobility, - examinations necessary for the evaluation of the amount of old person (evaluation of the productivity of information, possible complications examinations), - the ability to evaluate the tests and medical events, - communication skills with patients with chronic and incurable diseases, - ability to advise on the elderly health care, social rehabilitation, - the elderly, the disabled rehabilitation possibility of knowledge. Skills to treat people with mental and behavioral disorders: - skills of patients history collection, - tactics of treatment and referral to a specialist.
Competences
1.Able to formulate and critically analyze complicated scientific and professional problems. Family physician knowledge and skills gets six key skills: 1. Primary health care organization / management, 2. The person directed care, 3. Specific problem solving skills 4. A comprehensive approach to problem solving, 5. Community-led health care, 6. A holistic approach. The acquired expertise allows justify decisions, if necessary, carry out additional analysis: - Are able to explain environmental changes and it’s spread of disease in the population, to understand the preventive, diagnostic and therapeutic methods in this regard. - Be able to evaluate the patient's complaints, their relationship with the patient's medical condition. Knowledges of diseases and risk factors for the most common diseases in the population, chronic disease care, diseases due to disabilities for positions that require urgent assistance. - be able to use the prophylactic and diagnostic manipulation use in primary health care, which covers all specialties (that are pediatrics, gynecology, surgery, ear-nose-throat diseases, dermatovenerology, ophthalmology, neurology, psychiatry, cardiology). - Ability to provide treatment to patient in the primary care level, to organize the rehabilitation, if it is necessary. - Understanding possibilities in primary and secondary health care level diagnostic, about the opportunities to send patients to a specialist, if necessary. - Ability to organize and conduct consultations on matters related to the organization of health care, in particular, for issues related to maternal and child health care, family planning. - Understanding of the issues related to public health. - Ability to understand the positive doctor-patient relationship the importance of teaching patients to understand their complaints, learn to live with them. - Ability to work in a team with other primary health care team members and other professionals. Able to integrate different areas of knowledge: - Managed by the basic principles of research methods. Ability to apply research methods and principles in their work, understands the nature of the epidemiological study. - Have the skills and the willingness to carry out independent research. Able to demonstrate understanding and ethical responsibility of scientific results or professional potential impact on the environment and society: - Able to organize research, analyze their results compare with other countries in the study data.
Assessment
Individual work
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% from total grade
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Grade
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1.
Individual work |
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Examination
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% from total grade
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Grade
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Examination |
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Study Course Theme Plan
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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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Auditorium
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Topics
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Examination of neurological symptoms and syndromes in the practice of a family doctor
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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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Auditorium
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Topics
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Cerebrovascular disorders
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Bibliography
Required Reading
Jill C. Cash, et al. Practice Guidelines. 5th Edition, May 2020. ISBN:978-0-8261-3583-4 (Print).
Harrison's Neurology in Clinical Medicine. 4th Edition, 2016
Donaghy M. Brain's Diseases of the Nervous System. Oxford, 2009.
Harrisons's Principles of Internal medicine. McGraw-Hill Medical Publishing Division, 2005.
Hughes R., Brainin M., Gilhus N.E. European handbook of neurological managment. Blackwell Publishing, 2006.
Logina I., Smeltere E. Neiroloģija shēmās. Avots Rīga, 2009.
Kraniālo nervu bojājuma sindromi un to izmeklēšana: Metodiskās rekomendācijas studentiem un ārstiem rezidentiem // Rīga: RSU; 2009
I. Logina. Muguras sāpes // Rīga: Nacionālais apgāds, 2006
Additional Reading
Klīniskās vadlīnijas "Muguras lejas daļas sāpes primārajā veselības aprūpē"Rīgas Stradiņa universitāte. Vadlīniju reģistrēšanas datums un numurs datu bāzē: 25.02.2016. Nr. KV 01 - 2016
Aminoff, Michael et al. Clinical Neurology, 2015.