Veidlapa Nr. M-3 (8)

Study Course Description

Pediatric Oncology and Haematology III

Main Study Course Information

Course Code

RBH_013

Branch of Science

Clinical medicine

ECTS

33.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Žanna Kovaļova

Residency Speciality

Speciality

Pediatric oncohematologist

Supervisor of Medical Speciality

Žanna Kovaļova

Contacts

About Study Course

Objective

To provide theoretical knowledge and practical skills and improve them in order to prepare the doctor for certification in the speciality of paediatric onco-haematology in accordance with the rules and regulations of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Demonstrates in-depth and expanded knowledge and understanding in medicine in general, but in the specialty of pediatric hemato-oncologist, they meet the requirements of the specialty and are in the vanguard of scientific and professional fields, which provides a basis for creative thinking in clinical practice and partially also in research, as well as the ability to work in interdisciplinary communication.

Skills

1.Obtain bone marrow cell material for cytological examination - in the form of a print, scraping or aspiration biopsy and perform a referral to a cytological laboratory at least 50 times. Participate in chemotherapy planning and implementation at least 150 times. To participate in the implantation of a long catheter "port", its functioning check and care - 15 times. Perform bone marrow biopsies 30 – 40 times, endolumbar administration of cytostatic agents 30 – 40 times, administration of cytostatic agents in the shunt system at CNS damage 5 – 10 times. Perform a quality myelogram assessment 10-15 times.

Competences

1.Discussion and arguments about complex questions in choosen specialty and research aspects, ability to discuss with specialists, non-specialists, patients, society, etc.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Preparation of presentation, involvement in project realisation, research activities.

Examination

Title	% from total grade	Grade
1. Examination	-	-
1. Residents' everyday practical skills and behavior with patients under treatment, entries in medical histories and other medical documentation are checked and certified by the resident's manager in the structural unit to which the resident is assigned. 2. After each module (rotational cycle), the resident's theoretical (in the form of discussions during the seminar) and practical knowledge (working with patients) is assessed on a 10-point system by the head of the relevant rotational cycle resident, making an entry in the resident's book.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Auditorium

Topics

Secondary CNS tumours. Intraspinal tumours.

Seminar

Modality	Location
On site	Auditorium

Topics

Wilms’ tumour (nephroblastoma), aetiology, approach, localisation, staging, symptoms, diagnostics, differential diagnostics, therapy, surgical treatment.

Seminar

Modality	Location
On site	Auditorium

Topics

Radiation therapy of a nephroblastoma. Benign variants of a nephroblastoma, high malignancy variants.

Seminar

Modality	Location
On site	Auditorium

Topics

Bilateral nephroblastomas. Nephroblastoma in adults.

Seminar

Modality	Location
On site	Auditorium

Topics

Neuroblastoma. Genetics, aetiology, staging, clinic, diagnostics, therapy, complications.

Seminar

Modality	Location
On site	Auditorium

Topics

Rabdomyosarcoma. Frequency, aetiology, localisation, pathology, clinic, diagnostics, therapy.

Seminar

Modality	Location
On site	Auditorium

Topics

Osteosarcoma. Pathology, diagnostics, genetics, chemotherapy, special forms, complications, prognosis.

Seminar

Modality	Location
On site	Auditorium

Topics

Ewing’s sarcoma. Aetiology, molecular genetics, pathology, clinic, diagnostics, therapy, prognosis.

Seminar

Modality	Location
On site	Auditorium

Topics

Retinoblastoma. Clinic, genetics, diagnostics, therapy, complications, progress, prognosis.

Seminar

Modality	Location
On site	Auditorium

Topics

Thyroid gland carcinoma, approach, aetiology, pathology, clinic, diagnostics, differential diagnostics, therapy, prognosis.

Seminar

Modality	Location
On site	Auditorium

Topics

Liver tumours. Malignant epithelial tumours (hepatoblastoma, hepatocellular carcinoma). Secondary liver tumours.

Seminar

Modality	Location
On site	Auditorium

Topics

Malignant yolk sac tumours. Immunohistochemistry, tumour markers, therapy concept and therapy of individual localisations.

Seminar

Modality	Location
On site	Auditorium

Topics

Skin tumours – melanoma, basal carcinoma, xeroderma pigmentosum.

Seminar

Modality	Location
On site	Auditorium

Topics

Particularly rare tumours (3 seminars). APUDomas, chloromas, chondrosarcomas, fibromatosis, Kaposi’s sarcoma, insulinoma, liposarcoma, cardiac tumours, glucagonoma.

Seminar

Modality	Location
On site	Auditorium

Topics

Leydig cell tumours, pheochromocytomas, Sertoli cell tumours, other rare tumours.

Seminar

Modality	Location
On site	Auditorium

Topics

Outpatient observation in case of a malignant tumour. Vaccination of an oncological patient.

Seminar

Modality	Location
On site	Auditorium

Topics

Psychosocial problems in paediatric onco-haematology – doctor’s competence, reaction to the disease in different ages, parental reactions, family problems. Consent to therapy, difficulties during treatment.

Seminar

Modality	Location
On site	Auditorium

Topics

Palliative problems in paediatric onco-haematology. Problems with peers.

Seminar

Modality	Location
On site	Auditorium

Topics

Legal aspects of paediatric onco-haematology. Social assistance.

Seminar

Modality	Location
On site	Auditorium

Topics

Late consequences after a treated tumour – skeletal changes, lung function disturbances, cardiomyopathy, endocrinological status, CNS changes. Secondary malignant neoplasms. Fertility, genetic effects, late consequences in the psychosocial area.

Seminar

Modality	Location
On site	Auditorium

Topics

Untraditional treatment methods, treatment options with a doubtful effect.

Seminar

Modality	Location
On site	Auditorium

Topics

Paediatric-oncological information online.

Total ECTS (Creditpoints):

33.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Manual of Pediatric Hematology and Oncology. Elsevier. 7th Edition. Philip Lanzkowsky. 2021, 834 lpp

Principles and Practice of Pediatric Oncology. 5th Editio. Philip a.Pizzo, David. 2010, 1551 lpp

Hemostasis and Thrombosis, Basic principles and clinical practice. Victor J. Marder, William C. Aird, et.al. 6th Edition. 2012, 4495 lpp

Nathan and Oski's Hematology and Oncology of Infancy and Childhood. 8th Edition, 2014, 2752 lpp

Evidence-Based Pediatric Oncology. 3rd Edition, 2013, 296 lpp

Carreras E, Dufour C, Mohty M, Kröger N, editors. The EBMT Handbook: Hematopoietic Stem Cell Transplantation and Cellular Therapies [Internet]. 7th Edition. Cham (CH): Springer; 2019. PMID: 32091673. free on pubmed

Pediatric Radiation Oncology. 5th Edition. Edward C. Halperin, Louis S. Constine, et.al. 2010. 479 lpp (ebook central)

Diagnostic Pediatric Hematopathology. Maria A. Proytcheva. 2011, 1093 lpp

Nathan and Oski's Hematology and Oncology of Infancy and Childhood. 8th Edition, 2014, 2752 lpp

10.

Textbook of Hemophilia. 3rd Edition. Christine A. Lee, et.al. 2014. 1075 lpp. (ebook central)

11.

Neoplastic Hematopathology. Attilio Orazi, Kathy Foucar, et.al. 2013. 1300 lpp. (ebook central)

Other Information Sources

Mājas lapas American Cancer Society, Children’s Oncology Group, Pediatric Brain Tumor Consortium, Nordic Organisation of Pediatric Oncology/haematology, GPOH