Veidlapa Nr. M-3 (8)
Study Course Description
Maternal and Child Health (Gynecology, Obstetrics)
Course Code
RGA_009
Branch of Science
Anatomy; Clinical medicine
ECTS
9.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Gunta Tīcmane
Residency Speciality
Speciality
General Practicioner
Supervisor of Medical Speciality
Gunta Tīcmane
Contacts
-
About Study Course
Objective
To provide theoretical and practical skills "Maternal and child health. Gynecology and obstetrics" according to the family (general practice) doctor's specialty - bylaw to prepare specialists who can provide independet, continuous and comprehensive care of patient and his family members and help the patient to make a choice between the offered health services, ensur the patient's ability to better physical, psychological and social activity, are able to assess the patient's health status, diagnose and treat diseases in certain competences. To prepare for certification in family doctor physician specialty, according to the Latvian Republic normative documents.
Learning Outcomes
Knowledge
1.It has knowledge and understanding of normal female anatomy and physiology, reproductive stages of development:of prenatal care and inquiries,knowledge and understanding of the main threats to the woman's life and health,Oriented preventive nature of the work, rehabilitation activities,understanding of women's specific health problems
Skills
1.Skills that strengthen family medicine education programs during - investigation, methods of treatment, disease prevention and health promotion measures: Gynecologic procedures: - Gynecological examination, - Breast examination, palpation, - Bacteriological and cytological swab removed from a vagina, cervix, - Hormonal contraceptives question explanation, - IUD insertion and removal, - Advice on cervical ring imposition - Timing of pregnancy, - Deliveries Skills of women in care: - Counseling on issues related to birth control, - IUD Insertion and removal of cervical circumference Inserting and removing, - Bladder catheterization, - Onkocitoloģijas not removed, - Breast palpation, - Pregnant women advice, - Normal pregnancy diagnosis and management, - Postnatal care period. Health Check and the related consultations: - Knowledge of diagnostic methods, - The physical working capacity assessment, - Explaining the harmfulness of tobacco, - Sexual education, - Psychological counseling problem cases, stress management, - Education on hormone replacement therapy for women during menopaus.
Competences
1.The acquired expertise allows justify decisions, if necessary, carry out additional analysis: - Be able to explain environmental change on the 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. There is a broad understanding of diseases and their risk factors for the most common diseases in the population, chronic disease care, diseases due to disabilities for positions that require urgent assistance. - Have an understanding of the prophylactic and manipulation of diagnostic use in primary health care. - Ability to provide patient treatment in the primary care level, to organize the rehabilitation, if it is necessary. - Understanding of diagnostic possibilities for primary and secondary health care level about the opportunities to send patients to a specialist, if necessary. Ability to organize and conduct consultations on matters related to the
Assessment
Individual work
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Individual work |
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Examination
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Examination |
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2.
Examination |
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Study Course Theme Plan
FULL-TIME
Part 1
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On site
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Specialized room
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Topics
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Auditorium
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Seminar
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Other
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On site
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Total ECTS (Creditpoints):
9.00
Number of Residency Seminars:
5
Length (weeks):
8
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Vībergas Ilzes redakcija. Ginekoloģija. 2013
2.
Andrējeva Svetlana, u.c. Ginekoloģija. Nacionālais apgāds, 380 lpp., 2006
3.
Lazdāne Gunta un līdzautori. Ginekoloģijas rokasgrāmata. 2000
4.
Practical Gynecological Oncology. J.S. Berek. 1998
5.
Klīniskās vadlīnijas. “Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana”. Latvijas Ginekologu un dzemdību speciālistu asociācija. Rīga, 2021.
6.
Current Medical Diagnosis & Treatment 2021. Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow.
7.
Daces Rezebergas redakcija. Dzemdniecība. Rīga. 2016.
8.
Medical eligibility criteria for contraceptive use. 5th ed. WHO, 2015
9.
Development, updates, and future directions of the World Health Organization Selected Practice Recommendations for Contraceptive Use Int J Gynecol Obstet 2017;136: 113–119 - 04 January 2017
10.
Selected practice recommendations for contraceptive use. 3rd ed. 2016.
11.
CURRENT Diagnosis & Treatment in Family Medicine. 5th ed. By Jeannette E. South -Paul, Samuel C. Matheny, Evelyn L. Lewis. 2020
12.
John Murtagh’s General Practice. 8ht ed. McGraw-Hill (Australia) Pty Ltd. 2022.
13.
B. Chou, J.L. Bienstock, A.J. Satin. The John Hopkins Manual of Gynecology and Obstetrics. 6th ed. Wolters Kluwer. 2021.
14.
Diane Marie Schadewald, Ursula A. Pritham. et.al. Catherine Juve. Women's Health: A Primary Care Clinical. 5th ed. Pearson. 2020
15.
John Guillebaud, Anne MacGregor. Contraception. Your Questions Answered. 7th ed. 2017. Elsevier.
16.
Pre-teen and teenage pregnancy. A twenty first century reality. By June L Leshman 2007.M&K Update
17.
Managing Complications in Pregnancy and Childbirth: aguide for midwives and doctors. 2nd ed. WHO. 2017
18.
Comprehensive cervical cancer control. A guide to essential practice. 2nd ed. WHO. 2014
19.
Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes. 2022. American Diabetes Association
20.
Hacker and Moore’s. Essentials of obstetrics and gynecology. 6th ed. Elsevier. 2016.
21.
Breast Cancer NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). Version 1. 2019 — March 14, 2019.
22.
Krūts vēzis (C50) ALGORITMI.
23.
Klīniskās vadlīnijas. “Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana”. Latvijas Ginekologu un dzemdību speciālistu asociācija. RĪGA. 2021.
24.
Pasaules Veselības organizācija (PVO) . Medicīniskās atbilstības kritēriji kontracepcijas līdzekļu lietošanai , 5. izd . Ženēva, Šveice : PVO; 2015
25.
Canadian Contraception Consensus. Black A, Guilbert E; Co-Authors, Costescu D, Dunn S, Fisher W, Kives S, Mirosh M, Norman WV, Pymar H, Reid R, Roy G, Varto H, Waddington A, Wagner MS, Whelan AM; Special Contributors, Ferguson C, Fortin C, Kielly M, Mansouri S, Todd N.J Obstet Gynaecol Can. 2015 Nov;37(11):1033-9. doi: 10.1016/s1701-2163(16)30054-8.PMID: 26629725 English, French.
Additional Reading
1.
5-Minute Clinical Consult. 9th ed. 2021, by Dr. Frank J. Domino MD.
2.
Family practice guidelines. 4th ed. 2017. Springer Publishing Company
3.
The 5-Minute Pediatric Consult Standard. 7th ed., by Michael Cabana. Wolters Kluwer. 2015
4.
Oxford Handbook of Clinical Examination and Practical Skills. 2nd ed. Edited by Dr James Thomas. 2014. Oxford university press.
5.
Gerald G Briggs Roger K. Freeman Sumner J. Yaffe. Drugs in Pregnancy and Lactation. 9th ed. 2011 by LIPPINCOTT WILLIAMS & WILKINS
6.
Charlotte Frise, Sally Collins. Oxford Specialist Handbooks in obstetrics and gynaecology. Obstetric Medicine. Oxford University Press. 2020
7.
Samar Razaq. Difficult cases in primary care: Women’s health. 2012. Radcliffe Publishing.
8.
Leon Speroff, Philip D. Darney. Aclinical guide for Contraception. 5th ed. 2011 Lippincott Williams & Wilkins
9.
Danielle Mazza. Women’s health in general practice. 2nd ed. Elsevier. 2011
10.
Womens health care handbook. 2nd ed. Edition by Bruce E. Johnson 2000. Hanley& Belfus INC
11.
Guidance for the management of early breast cancer: Recommendations and practice points. Cancer Australia 2020
12.
Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.
13.
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.
14.
Klīniskās vadlīnijas. Dzemdes kakla priekšvēža slimību profilakse, diagnostika, ārstēšana un novērošana. Latvijas Ginekologu un dzemdību speciālistu asociācija. RĪGA. 2016.
15.
Altshuler AL, Gaffield ME, Kiarie JN. WHO medical eligibility criteria for contraceptive use: 20 years of global guidelines . Curr Opin Obstet Gynecol . 2015
16.
• Development, updates, and future directions of the World Health Organization Selected Practice Recommendations for Contraceptive Use. Chen MJ, Kim CR, Whitehouse KC, Berry-Bibee E, Gaffield ME.Int J Gynaecol Obstet. 2017 Feb;136(2):113-119. doi: 10.1002/ijgo.12064. Epub 2016 Dec 13.PMID: 28099730
17.
World Health Organization Department of Reproductive Health and Research Selected practice recommendations for contraceptive use Web annex: Development of updated guidance for the third edition. 2016
Other Information Sources
1.
Informatīvais buklets - "Kā pasargāt sevi no dzemdes kakla vēža?" Slimību profilakses un kontroles centrs, 2015.
2.
Veselības aprūpes pakalpojumu onkoloģijas jomā uzlabošanas plāns 2017.-2020. gadam .
3.
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.
4.
Klīniskās vadlīnijas onkoloģijas ginekoloģisko saslimšanu diagnostikai, stadijas noteikšanai, ārstēšanai un novērošanai. Latvijas Onkoginekologu asociācija. Rīga. 2011.
5.
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.
6.
Association of European Cancer Leagues. European Union Council Recommendation on Cancer Screening. 2017.