Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Rheumatology of Children I

Main Study Course Information

Course Code
RBR_006
Branch of Science
Anatomy; Clinical medicine
ECTS
35.85
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

1. Ensure the learning and improvement of theoretical skills in accordance with the terms of paediatric rheumatologist speciality regulations adopted in Latvia, and requirements of the European Union regarding the speciality (the program meets the requirements of European education in paediatric rheumatology, which are developed by the Paediatric Rheumatology European section (PRES) and approved by the Paediatric Section of the European Union of Medical Specialists (UEMS)), to prepare medical doctors for certification in the paediatric rheumatologist speciality in accordance to normative documentation of the Republic of Latvia. 2. Ensure the learning of basic theoretical knowledge and practical skills in paediatric rheumatology in a hospital setting.

Learning Outcomes

Knowledge

1.1. Demonstrate deep and broad knowledge regarding children’s musculoskeletal (connective tissue) system and autoimmune connective tissue disease aetiology, pathogenesis, diagnostics, treatment and rehabilitation, which ensures the basics to creative thinking in clinical work as well as research, and the capacity to work in an interdisciplinary environment. 2. The acquired knowledge will allow to find bearings in the prevalence and priorities in paediatric rheumatology in Latvia and the World, will permit to manage and lay out facts regarding the effect of illness risk factors, aspects of primary prophylaxis, morphology, aetiology, pathology, diagnosis, differential diagnosis, invasive (surgical) and non-invasive treatment, including clinical pharmacology, rehabilitation, intensive care, psychotherapy, and secondary prophylaxis in paediatric rheumatology.

Skills

1.1. The medical doctor understands the nature of the specific problem, diagnostic algorithms and is capable to provide professional specialised emergency aid, as well as realises in practice the diagnostic, treatment and prophylaxis measures, is capable to work, study or research in complicated und unforeseeable circumstances and, if necessary, modify them by using new approaches. The doctor has the capacity for constant development, is able to communicate with different patients, their parents, and colleagues, has pedagogic and research skills, has organisational skills in the workplace. 2. Being able to use basic knowledge in argumentation, logic, and rhetoric to analyse practical situations, discuss, explain personal opinion and, in a constructive manner, promote the achievement of personal goals and fulfilment of specific aims. 3. Communicate with colleagues, medically incompetent persons, and all other parties in an ethical and rational manner, by promoting a successful solution to specific medical situations or problems; 4. When faced with a professional situation that requires additional competences, being capable to organise the involvement of other healthcare specialists and a collegial cooperation for the effective resolution of the situation- especially in clinical cases which are at the junction of different spheres of healthcare; 5. Being capable to coordinate personal activities in the interest of research and, within possibility, participate in research activities.

Competences

1.1. The doctor works according to his/her domain of authority at the highest level of knowledge, skill, and attitude acquisition and application, by performing the diagnosis, treatment, rehabilitation, and prophylaxis of children’s musculoskeletal (connective tissue) system and autoimmune connective tissue diseases, individually plans and organises personal improvement and development of professional competences as a specialist, takes responsibility for group work of the staff and is capable of innovation and entrepreneurship. 2. By applying integrative thinking, compare the signs of the pathology (macroscopically and microscopically) with normal parameters of morphology and homeostasis, recognise symptoms of illnesses, explain the pathology, formulate a diagnosis and differentiate it from other diagnoses, verify the possibility of the most common complications, predict the course and consequences of the pathologic process, 3. Ability to analyse situations, argue, logically formulate and explain personal point of view; communicate with persons of different competence and different experiences about professional questions, achieving favourable solutions to the patient’s health, society or environment; 4. Investment in the creation of new knowledge by analysis of personal actions or in the form of targeted research.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
1. The resident prepares the presentations of the seminars by getting acquainted with the literature of the last 5-10 years. 2. Prepares 2 presentations of clinical cases. 3. Independently learns to perform clinical practical examinations and manipulations. 4. Theoretical and practical knowledge of a resident of a rotational discipline shall be assessed in a 10-point system by the head of the relevant rotational discipline, making an entry in the resident's book.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
The final evaluation of the rotation cycle includes: 1. 50% - theoretical assessment preparation of seminar presentations 2. 25% - preparation of presentations of clinical cases 3. 25% - acquisition of manipulations

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Raynaud’s syndrome
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Childhood sarcoidosis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pain syndrome in paediatric rheumatology
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Fibromyalgia syndrome
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Rheumatic diseases masking as infections
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Joint hypermobility syndrome
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Marfan syndrome
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Ehlers-Danlos Syndrome
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Amyloidosis in children with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Lysosomal diseases and joint syndrome
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Joint syndrome and mucopolysaccharidosis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Joint syndrome in haematologic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Joint syndrome in endocrinological disorders
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Periodic fevers
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Heart lesions in children with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Arterial hypertension in children with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Vitamin D3 and calcium metabolism disorders in children with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Emergency care in paediatric rheumatology
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Osteochondrodysplasias, dysostosis, hyperostosis
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Malignant skeletal diseases and differential diagnosis with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Eye disease in children with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Musculo-skeletal manifestations in children with acute and chronic respiratory diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Otorhinolaryngological manifestations in children with rheumatic diseases
  1. Seminar

Modality
Location
On site
Specialized room

Topics

FMF, PFAPA, HIDS
Total ECTS (Creditpoints):
35.85
Number of Residency Seminars:
24
Length (weeks):
32
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Robert M. Kliegman, MD, Bonita M.D. Stanton, MD, Joseph St. Geme, Nina Schor and Richard E. Behrman, M.D. Nelson Textbook of Pediatrics. W. B. Saunders Company, 2020.

2.

P. Ross E., MD, PhD. Textbook of Pediatric Rheumatology. Published Elsewier 2021.

Additional Reading

1.

Žurnāli:

2.

Pediatric Rheumatology, ACR

3.

The EULAR Journal: Annals of Rheumatis diseases

4.

Oxford Jounals of Rheumatology

Other Information Sources

1.

Interneta informācijas avoti:

2.

PEDINFO, Medscape, E medicine, PubMed, EndoText u.c.