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

Pediatric Oncology and Haematology II

Main Study Course Information

Course Code
RBH_012
Branch of Science
Clinical medicine
ECTS
48.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
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 profound and extended knowledge and understanding of medicine in general, but in the speciality of a paediatric haemato-oncologist he/she meets the requirements of the speciality and is in the forefront of the science and the professional area, which lays foundations for creative thinking in the clinical practice and in part also in research, as well as the ability to act in interdisciplinary communication.

Skills

1.Independently uses medical problem solution skills to fulfil functions of a highly qualified specialist in prevention, diagnostics, treatment of diseases, care, skilfully performs practical manipulations, and is able to work in a health care organisation, as well as education and research. A skill has been mastered to comprehensively examine children with different haematological and oncological diseases, to perform differential diagnostics, including morphological, to perform specific manipulations in paediatric onco-haematology, to treat children with haematological and oncological diseases in modern ways, during work to create skills for independent development, to have good communication with different patients, their parents, team colleagues, to gain pedagogical and research work experience, to master work organisation skills. Independently plans and organises improvement and development of doctor's specialist professional competence; undertakes responsibility for work results of personnel groups and their analysis; is able to do business, innovations in the respective doctor’s speciality; knows how to provide emergency medical assistance, is able to perform work, further learning or research in complicated and unpredictable conditions and, to transform it using new approaches, when needed.

Competences

1.Independently practising, competent, qualified paediatric haemato-oncologist with high level of knowledge, skills, communication, mastering and application.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Student prepares presentations, carries out in-depth research, participates in working groups.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
1. Daily practical skills and actions of medical residents with patients being supervised, records in medical histories and other medical documentation is verified and certified by signature of the medical resident’s supervisor in the academic unit, to which the medical resident is appointed. 2. After each module (rotation cycle) medical resident’s theoretical and practical knowledge is assessed in a 10-point grade system by the medical resident’s supervisor of the rotation cycle by making a respective record in the medical resident’s book.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Cytostatic substances, groups of medicines. Corticosteroids in paediatric onco-haematology. Cytostatics, epipodophyllotoxins, taxanes, antibiotics, anthracyclines, pyrimidine antagonists, purine analogues, nitrosourea derivatives, platinum derivatives, enzymes of plant origin. Side effects of cytostatic therapy, potential prevention.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Late effects of cytostatics. Interaction of medicines with cytostatics. Late effects of cytostatic therapy. Enteral nutrition, ensuring calorage. Mucositis: prevention, care, treatment.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Blood component replacement therapy, specific requirements to blood components.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Antiemetic therapy in paediatric onco-haematology.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Neurotoxicity of cytostatic therapy.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Spinal cord compression syndrome.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Cognitive disorders in paediatric onco-haematology.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Paravasal care.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Vena cava superior syndrome. Diagnostic and treatment approaches.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Pneumothorax. Effusion in the pericardium and pleura, therapeutic tactics, examination of punctates.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Gastritis, oesophagitis, Mallory-Weiss syndrome, typhlitis, sinusoidal obstruction syndrome, ascites. Diagnostic possibilities, therapeutic tactics.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Nephrotoxicity in case of different cytostatics. Haemorrhagic cystitis, treatment, prevention.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Infectious diseases in immunosuppressive children, examination methods, predisposing factors.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

CNS infections.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Pneumonias. Gastrointestinal infections.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Urinary tract and genital infections.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Infections of skin, joints and bones.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Fever, sepsis. Treatment, antibacterial therapy tactics in case of neutropenic fever.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Fungal infections, antifungal therapy and prevention.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Liver infections. Eye damages.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

General measures for prevention of infections.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Infectious diseases and bone marrow transplantation.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Leukemias. Aetiology, classification, cytochemistry, cytomorphology, genetics.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Immunophenotyping of leukemias
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Clinic, initial diagnostic of leukemias, diagnostics of relapses.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Therapy of leukemias (ALL).
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Therapy of leukemias (AML).
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Chronic myeloid leukemia in children.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Malignant NHL in children. Surgical tactics in case of NHL.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Hodgkin’s lymphoma in children.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Langerhans cell histiocytosis. Differential diagnosis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

CNS tumours. Classification, clinic, diagnostics, radiation therapy, operative tactics.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Chemotherapy of CNS tumours, background therapy.
Total ECTS (Creditpoints):
48.00
Number of Residency Seminars:
33
Length (weeks):
44
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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

9.

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, Daniel Knowles, et.al. 2013. 1300 lpp. (ebook central)

Other Information Sources

1.

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